Frozen Shoulder: Why and What Next?

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Frozen Shoulder: What, Why, and What Next?

Periarthritis HumeroscapularisWoman with frozen shoulder

Periarthritis humeroscapularis (frozen shoulder) is a pretty big word! But what it mean is that there is arthritis between the humerus (upper arm) and scapula (wing-shape bone on the back/shoulder). Many people with frozen shoulder have difficulty raising their arms.

Our shoulder is the joint with the greatest range of motion. It moves like no other joint in the body! It is very specialized. Once the shoulder become affected, the consequences become apparent very quickly. Eventually something as simple as putting on a t-shirt has become a daunting task.

Besides a broken arm or rotator cuff issues, frozen shoulder can also be caused by stroke, diabetes, cardiac disease, or Parkinson’s disease. Anyone who finds themselves immobile for long periods of time is at risk, had a recent surgery, or takes certain medications is at risk for developing periarthritis.

In the end, symptoms of periarthritis are pain and stiffness that make it hard to move the shoulder. A doctor must diagnose the condition before treatment can begin.

 

 

Treatments

Over-the-counter medications (OTC)– non-steroidal medications can reduce inflammation and relieve pain

Corticosteroid injections– help reduce the pain by relieving the inflammation, however the process can be invasive and more aggressive than OTC medications.

Physical therapy– Physical therapy is vital to periarthritis treatment to help relieve pain and gain mobility quicker. Patients also benefit from advice from therapists on their unique situation, circumstances, and environment.

Surgery– Surgery is usually a last-resort for most, as it is the most invasive. Physical therapy is sometimes prescribed to help rehabilitate from the trauma the surgery caused.

If you are experiencing frozen shoulder or other arthritis related conditions, come see our expert therapists at Walker Physical Therapy and Pain Center. Our experienced staff will evaluate your specific needs and develop a treatment plan for your unique lifestyle!

 

Walker Physical Therapy and Pain Center

1111 W. Town and Country Rd., Ste. 1

Orange, CA 92868

(714) 997-5518

www.walkerpt.com

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Going on a Cruise This Summer? Don’t Bring Motion Sickness Home With You!

Elderly Woman in White Head Hurts

It’s normal for you to feel as if you’re still at sea once you return home from a cruise. You continue to feel as if the floor is moving and your body is swaying, rocking, and bobbing as you try to sleep or stand in the shower. For most people your sea legs tend to ware off within a day or so. But there are people that suffer from the continual sensation of this sea-like motion for weeks or even longer. This disorder is called mal de debarquement syndrome.

Mal de Debarquement Syndrome

If you do find yourself not getting past the sea sickness, you should talk to your doctor. After taking all things into account they may refer you to an audiologist, an ear, nose and throat specialist, a neurologist, or a physical therapist that specializes in vestibular rehabilitation. Good for you, Dr. Grace Walker, physical and occupational therapist and nutritionist, has lead Walker Physical Therapy and Pain Center to be experts in vestibular rehabilitation for over 20 years!

Physical Therapy Can Help

Managing mal de debarquement with physical therapy can help to improve balance and reduce dizziness-related symptoms. After a few months on a vestibular program most people feel better and are no longer suffering from the motion sickness sensation. But what if you want to go on a cruise again? Yes, the sea sickness will come back!

A doctor may prescribe medication such as an anti-anxiety drug for a short period of time. But the best course of action to fight mal de debarquement is physical therapy.

At Walker Physical Therapy and Pain Center, our physical therapists have perfected our vestibular rehabilitation program! Our personalized programs help to shake our patient’s sea legs off. Don’t let this rare disorder hold you back from making memories!

 

Call us to schedule an appointment! (714)997-5518

1111 W Town and Country Road Ste 1

Orange, CA 92868

www.walkerpt.com

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Why It’s Time to Buy a Foam Roller

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Why It’s Time to Buy a Foam Roller

girl laying on top of foam roller

Foam rollers have become very popular in the past decade. They are everywhere- from gyms to bedrooms. Foam rollers have become very popular because they are effective and inexpensive.

Foam rollers are great for everyday stretches and therapeutic use. You don’t need to be recovering from an injury to utilize them. People who use foam rollers find  them beneficial in gaining range of motion, increased circulation, and relaxation.

Foam rollers work by using gravity and body weight to encourage patients to loosen muscle adhesion that develop within muscles and tendons. They work by rolling over sore areas, lengthening muscles and increasing blood flow. Increased circulation can help with swelling and edema.

Dr. Grace Walker, physical and occupational therapist, says, “All of my patients love using foam rollers. Rolling on one feels like getting a massage! Currently there are dozens of variations of foam rollers to fit individual needs. Hard, soft, small, or large, there is a foam roller out there just for you!”

Choosing a Foam Roller

Foam rollers come in all shapes and sizes (they even vibrate now, too!). Choosing the right equipment is important based off individual sensitivity, strength, and goals. Most foam rollers have about a six inch diameter and should be able to fit the length between the top of your head and reach all the way down to your tailbone.

Danger

It is important to avoid rolling directly over the spine or other bony areas, such as the hips and knees. Consult your doctor before deciding whether or not you would like to obtain a foam roller.

Combination Exercises

Foam rollers can be very useful for a variety of things- not just rolling and stretching. It’s not uncommon to see someone doing resistive exercise while using a foam roller. The combination of resistive exercise and balance promotes core strength and vestibular (balance) stimulation.

At Walker Physical Therapy and Pain Center, our expert physical therapists can help you choose the right foam roller for you and learn how to use it correctly and effectively. We have a large selection of foam rollers to try to find which one suits you best!

 

Call Walker Physical Therapy and Pain Center to schedule an appointment! (714)997-5518

1111 W Town and Country Road

Orange, CA 92868

www.walkerpt.com

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You Might Be Suffering from TMD and Not Even Know It!

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Do you know what TMD is? Temporomandibular joint dysfunction, or also known as TMJ disorder, is a common problem that affects 12% of the population. But most people, and even medical professionals, don’t seem to acknowledge the condition. So how many people does it REALLY affect? Good thing that Dr. Grace Walker, physical and occupational therapist and nutritionist, wants you to understand TMJ because you might be suffering from it and not even know it!

Complaints of

  • headaches
  • earaches
  • ear ringing
  • nausea
  • fatigue
  • neck pain
  • numbness and tingling of the hands and fingers

Signs of

  • bite might be off
  • teeth collapsing inward
  • suffer from constant jaw pain
  • teeth aches
  • tires quickly when talking

These symptoms are experienced by a lot of people but sadly their providers rarely realize their jaw is involved in their diagnosis.

There is a “TMJ merry-go-round” of an unending cycle of provider visits that leaves the patient even more confused than before seeking medical help. The sad reality is that physicians aren’t typically experienced in jaw problems, where medicine tends to consider it being a dentist’s domain; but dentists often lack the understanding of the joint because their work is focused more around teeth, not orthopedics. The good news is Walker Physical Therapy and Pain Center is experienced and has treated TMJ pain problems for over 20 years!

Physical therapy can help our patients by relaxing their face and neck muscles with manual manipulation, teach everyday exercises to strengthen the supporting muscles, and teach behavior or diet modifications to keep pain away! At Walker Physical Therapy and Pain Center, our expert physical therapists are the perfect provider to help you live pain free from TMD!  

Call us today to book an appointment! (714)997-5518

1111 W Town and Country Road Ste 1

Orange, CA 9268

www.walkerpt.com

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Socks that go the extra mile for you!

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Everyone walks throughout their day; why not put those steps towards good use? Students at Old Dominion University in Virginia have created Fitbit-like socks that track your steps and activity level. The purpose of their research is to use the information gathered from these socks to help people with neurological diseases, such as Parkinson’s Disease.

 

These are washable and re-useable socks that measure the person’s walking speed, foot pressure, and steps. The information is sent to an application that turns the person’s movements into useable data. Because Parkinson’s patients’ medication affects their physical activity, these socks are the key to doctors tracking their patients’ physical activity and effectiveness of their medication regime outside of the doctor’s office. Right now, the research is at the beginning phase but Dr. Grace Walker, physical and occupational therapist and nutritionist, wants you to keep an eye out for these innovative socks!

 

At Walker Physical Therapy and Pain Center, our expert physical therapists can teach you daily exercises that our patients suffering from neurological diseases can perform.

 

Call Walker Physical Therapy and Pain Center to schedule an appointment! (714)997-5518

1111 W Town and Country Road

Orange, CA 92868

www.walkerpt.com

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Runners with Knee Pain? It could be IT Band Syndrome!

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Are you suffering from an annoying pain on the outside of your knee? This is a common symptom that runners, cyclists, or any similar activity suffer from! Although some believe that IT Band Syndrome is felt as a pain running up and down the side of your thigh, it isn’t. Your IT Band (Iliotibial band) is a thick sheet of connective tissue that attaches the muscles of your leg to your hip and to the side of your knee. The pain you are feeling is coming directly from the friction between your IT band and the bone of your knee. This pain only increases as your muscles and IT band become more tense.

Couple Running

For most runners, the repetition of bending and straightening your knee while your IT band is tense causes the annoying pain you are suffering from. The key isn’t to limit or stop the movement of bending and straightening your leg, but it’s about the tension of your IT band! Dr. Grace Walker, physical and occupational therapist and nutritionist, wants you to know 3 exercises that can help ease your pain:

 

  1. Resisted side steps – Place a resistance band around your feet and knees. With a slight bend in your knees (similar to a squat position) step laterally to your right and then to your left until you are fatigued.
  2. “Fire-hydrants” –  Position yourself in a “table-top position” where your hands are placed on the ground and your two knees are placed on the ground. Extend your knee out to the side while maintaining a L-shape with your knee. Alternate legs until fatigued.
  3. IT Band stretch – With your hands on your hips, cross your left foot over your right. Then extend your hip towards the left side (laterally) until you feel a stretch. Then alternate legs and cross your right foot over your left foot, and extend your hip towards the right side until you feel a stretch.

 

At Walker Physical Therapy and Pain Center, our expert physical therapists will create a personalized plan of exercises such as these! By combining these exercises with manual therapy and KT taping, you will be back to running miles and miles again!

Call Walker Therapy and Pain Center to schedule an appointment! (714)997-5518

1111 W Town and Country Road Ste 1

Orange, CA 92868

www.walkerpt.com

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5 Reasons Why Outpatient Surgery Could Be for You

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With hip and knee replacement surgeries becoming more technologically advanced, our care after these procedures have come a long way. People think that a joint replacement means lying in a hospital for weeks on end… that’s not the case anymore. With outpatient surgery most patients are home and up and walking around in a few days! Dr. Grace Walker, physical and occupational therapist and nutritionist, wants you to know the advantages of outpatient surgery (if your doctor thinks you are a good candidate):

  1. Less Pain – Don’t worry about self-administered medications or IV pain killers! Outpatient surgery normally uses a long-lasting local anesthetic spinal injection that helps to control your pain up to two days afterwards.
  2. Fewer transfusions – Patients are less likely to need a blood transfusion in an outpatient procedure due to advanced surgical technique and better patient optimization.
  3. Lower infection risk – Hospitals are full of people who are sick, with outpatient surgery you lower the chances of infection in your surgery site.
  4. Better recovery at home – Not having to stay in the hospital means you can heal in the comfort of your own home! It’s known that recovery is better in a familiar environment and in a place where you are more likely to get a good night’s sleep.
  5. Fast, more aggressive physical therapy – After surgery, you are working with a physical therapist the day of your surgery or within a day of you returning home. Your therapist will show you exercises to regain full function in your “new” joint.

 

You would be surprised the difference outpatient surgery has on the recovery time! Outpatient surgery is only good for certain patients and their situations. If you are motivated, mobile (independent), healthy, and have a good support group to assist you… outpatient surgery might be for you! At Walker Physical Therapy and Pain Center, our expert physical therapists will help you recover from your outpatient surgery! Our personalized programs will get you back to moving freely after your joint replacement.

 

Call Walker Physical Therapy and Pain Center for our post-surgery program! (714)997-5518

1111 W Town and Country Road Ste 1

Orange, CA 92868

www.walkerpt.com

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Are You Affected by Headaches?

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Dr. Grace Walker, physical and occupational therapist and nutritionist says that “headaches are often the result of pain from the upper cervical extensor muscles” and that “headaches are often related to stress”.

When a person is under stress, they tend to tense their body and have poor posture (a head forward position adopted with chin jutting and upper cervical extension). The associated upper back and neck (cervical) muscles tighten, trigger points can be affected and pain may be experienced behind the eyes, towards the sides of your head, or near the temples of your forehead.

 

Walker Physical Therapy and Pain Center’s program for headaches includes:

  • Strengthening of the upper back (scapular) muscles to support the head and neck
  • Soft tissue and joint mobilization
  • Pressure point release to the head and neck
  • Manage pain relief. Including the 830MLaser and ice
  • Personalized home exercise program

Call Walker Physical Therapy and Pain Center to schedule an appointment with our expert physical therapists that are experienced in pain relief! (714)997-5518

1111 W Town and Country Road Ste 1

Orange, CA 92868

www.walkerpt.com

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Pain and stiffness in your shoulder? It may be frozen!

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When we say frozen, it’s not a reference to the cold weather but a possible diagnosis for your shoulder pain! Have you felt a decrease in the ability to use your arm or shoulder, leading to pain that limits your tolerance to lift your arm or reach behind your back? Other than a rotator cuff tear or severe arthritis, these symptoms yell out frozen shoulder (or the medical term is adhesive capsulitis)!

 

Frozen shoulder is the loss of ability to reach your arms overhead, reach behind your back, lift objects, throw a ball, as well as, other daily activities that you never thought use your shoulder and arms. What you’re experiencing is the strong connective tissue inside your shoulder joint, which connects your arm to the shoulder socket, becoming very tight. This tension doesn’t allow the ball of your shoulder to move in the socket freely. If you suffer from these symptoms, Dr. Grace Walker, physical and occupational therapist and nutritionist, want you to know there are three things you can do:

 

  1. Have a professional provide joint mobilizations to stretch the joint capsule so that the ball of the shoulder can move more readily.
  2. Have a professional stretch your arm and shoulder properly to stretch the supporting muscles in the arm, shoulder blades, and shoulders. These muscles typically become tense and shorten due to the lack of activity they experience from frozen shoulder.
  3. Have a professional show you the correct strengthening exercises to restore strength to the shoulder and its supporting muscles.

 

At Walker Physical Therapy and Pain Center, our expert physical therapists are experienced in frozen shoulder. Our professional and caring staff will teach you how to relieve the pain you’re suffering from. We will develop a specialized program to get your shoulder warm and ready for your active life!

 

Call Walker Physical Therapy and Pain Center to schedule an appointment! (714)997-5518

1111 W Town and Country Road Ste 1

Orange, CA 92868

www.walkerpt.com

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Zap Your Pain Away with Our Laser!

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From TMJ to Carpal Tunnel Syndrome, and from shoulder strains to knee injuries, muscle and joint pain can seem like an unsolvable and despairing burden. Thankfully, Dr. Grace Walker, physical and occupational therapist and nutritionist, and her expert physical therapists at Walker Physical Therapy and Pain Center have discovered the miraculous ML830 Cold Laser for these and many other troublesome conditions.

 

Dr. Chadwick Smith, professor of Orthopedics at USC says, “the ML830 Cold Laser has clearly proven its clinical value treating Carpal Tunnel Syndrome, and had become the industry standard”. But how can a laser be so effective?

The ML830 Laser…

  • Reduces pain sometimes after one treatment. Most conditions take between 2-9 treatments to completely alleviate symptoms. Chronic conditions may require more treatment.
  • Reduces inflammation By following instructions from your therapist, you can prevent further injury and prevent pain.
  • Increase tissue healing by sending photons (light) into injured tissues without being absorbed by skin, fat, or blood.
  • Increases tissue cell repair and strengthens the tissue.

 

At Walker Physical Therapy and Pain Center, our knowledgeable and caring staff uses the laser for many of our patient’s injuries and painful conditions.

 

Call us today to schedule one free treatment with the ML830 Laser! (714)997-5518

1111 W Town and Country Ste 1

Orange, CA 92868

www.walkerpt.com

 

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