6 Tips For Better Bike Fitment

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Woman sets height of bicycle saddle before cycling - studio shoot

Dr. Grace Walker, physical and occupational therapist, knows seat discomfort can be the difference between an enjoyable ride, and a miserable one. It can stop both men and women from riding all together! Why can seat pain be such a pain in the butt?

The bones that are used when sitting, ischial tuberosities (aka- sits-bones), are not utilized by most bicycle seats.

You may have a perfectly comfortable saddle, however there are many variables involved in bike fitting; you might find some of these variables are affecting your comfort. Some quick things to check that may be affecting your comfort are as follows.

  1. Poor or Worn Saddle
  2. Improper Saddle Tilt
  3. Saddle is Too High
  4. Saddle is Positioned Too Far Back
  5. The Drop Between the Saddle and Handlebars is Too Much
  6. The Handlebar Reach is Too Far

Some preventative measures that can be implemented to increase comfort are

  1. Building strength in areas that are in contact with your saddle
  2. Reduce Your Weight
  3. Protective Bike Short
  4. Get off the Saddle Regularly
  5. Allow time to adapt to your equipment

At Walker Physical Therapy and Pain Center, we provide personalized programs to help you lose weight and build strength in the areas you need to comfortably cycle or enjoy any sport for years to come. Whether you are recovering from an injury, or simply interested in a maintenance program to continue doing the activities you love, our therapists will work with you to design an affordable treatment program specifically for you!

Visit our website at WalkerPT.com and call our office at Walker Physical Therapy and Pain Center today to schedule an appointment with an expert and caring therapist today!

1111 W. Town and Country Rd.

Orange, CA 92868

(714) 997-5518

www.walkerpt.com

See Three Steps to Saddle Comfort By Tom Demerly and Saddle Discomfort—Solutions for Women Cyclists for more detailed information on saddle comfort tips!

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Research says Physical Therapy is Vital to Recovering!

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Dr. Grace Walker, physical & occupational therapist and nutritionist agrees with author Darice Britt from South University who states that rehabilitation of an injured athlete should be carefully evaluated and monitored on a daily basis.

Physical therapists carefully examine the injured athlete to determine whether there are weak or inflexible muscles in the body that could cause future injury. They are trained to target specific joints and muscles in the body through exercise, manual therapy, and pressure point release techniques that help rebuild strength and movement of the body after injury.

Since injuries are time-dependent, the normal healing process follows a pattern of acute phase, subacute phase, and chronic phase.

“Each phase dictates a different treatment approach and it is the physical therapist’s responsibility to accurately diagnose which phase and what treatment the patient should receive”  Says Apostolos Theophilou, DPT, clinical coordinator of the Physical Therapist Assisting program at South University

Theophilou also says:

“Through the years, therapists have been successfully able to log the ‘steps’ for each phase, thus now we have collective treatment protocols that have a complete analysis of what activities and treatments the athlete should be receiving based on his current phase”

Call Walker Physical Therapy & Pain Center to schedule an appointment with an expert physical therapist!

To read the full article, click here

714-997-5518

1111 W. Town & Country Rd. Ste. 1

Orange, CA 92868

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Why Knee Replacements Will Increase 600% by 2030

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Dr. Grace Walker, physical and occupational therapist and nutritionist, has a little bit of a history lesson for you concerning knee replacements, their evolution, and the future of surgeries. Nearly everyone in the modern world knows someone who has had a knee replacement. Over the years, the surgery has become quite streamlined. With a good surgeon and physical therapist, recovery from a knee replacement is much easier than it was in the past; considering it is such a traumatic surgery. It might make you wonder what knee surgery and recovery was like in earlier years.

When John N. Insall, MD, became the chief of the HSS Knee Clinic in 1969, there was no reliable knee implant on the market. The best relief for patients with debilitating knee arthritis was the temporary relief provided by pain medicine. Dr. Insall worked with fellow surgeons and biomechanical engineers to develop the modern total knee implant.

Although the first hip replacement came more than 25 years before knee replacements, there was still some fine tuning required concerning materials and design. Today, knee replacement implants are often made of cobalt-chromium and titanium (fancy), with a bearing portion made of high-grade. Wear resistant plastic that was not available in the early years of knee replacement surgery. There are other types of materials used in knee replacement surgery; however they are all proven, and much better than the materials being used in early knee replacement surgeries.

According to the Agency for Healthcare Quality and Research, in 1993 there were 195,684 total knee replacements in the U.S. Dr. Thomas Muzzonigo, a spokesman for the American Academy of Orthopedic Surgeons, says “There are a total of more than 600,000 knee replacements, and that number is expected to rise 600 percent (by 2030)”.

600%!? Why such a big increase?

There may be several reasons. People are living longer, there is an epidemic of morbid obesity that stresses weight-bearing joints, improved implant materials, and people unwilling to give up active lifestyles. “Thirty years ago, people were not getting a total joint replacement until their mid-70s, now the age could be 55.” said Dr. Douglas P. Kirkpatrick, an orthopedic surgeon at North County Orthopedics in Queensbury.

So, you or someone close to you has scheduled a knee replacement surgery. Have you and your doctor discussed a recovery plan? The European Journal of Physical Rehabilitation Medicine published a report concerning total knee replacement that concluded “outpatient physical therapy performed in a clinic under the supervision of a trained physical therapist may provide the best long-term outcomes after the surgery”.

At Walker Physical Therapy and Pain Center, we have the ability to work with your surgeon to develop a plan for rehabilitation for post-operation knee replacement therapy. We look at the “whole person” when treating pain to provide insight as to why one might be experiencing excess strain on their knees, but also in the hips,  ankles and even a weak “Core”. We also look at our patients Body Mass Index as well as the daily activities demand.

We come up with personalized programs for each patient to provide results in a fun and healing environment. Call us at (714) 997-5518 if you would like to discuss out program in detail.

If you do have knee pain related to arthritis, feel free to review our blog post Entry-Level Excercises for Knee Arthritis.

 

Walker Physical Therapy and Pain Center

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

Orange, CA 92868

www.walkerpt.com

(714) 997-5518

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Could You Benefit From Kinesio Tape?

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Grace Walker, Physical and Occupational Therapist & Nutritionist, recommends the Kinesio Tape Method to treat pain due to sports injuries, postoperative complications, various orthopedic, neuromuscular, and other medical conditions.

The Kinesio Taping Method is a rehabilitative taping technique that is intended to aid the body’s natural healing process while providing support and stability to muscles and joints without limiting the body’s range of motion (ROM).[1]

The method can be used as a regular treatment or added to previous treatment for myofascial pain. Its advanced purpose is to continue the benefits of manual therapy administered within the clinical setting to home care and activity of daily living.

Symptoms of Myofascial PainKinesiotape on Knee

  • Deepaching pain in a muscle

  • Trigger points that are tender to the touch

  • Pain that persists or worsens

  • A tender knot in the muscle

  • Difficulty sleeping due to pain

The main purpose of the Kinesio Tape method is to elevate the space under the skin and soft tissue, so that the space for movement can be enlarged, the circulation of blood and lymph fluid can be facilitated, and healing rate of tissue can be increased.[2]

Call Walker Physical Therapy & Pain Center to schedule an appointment with an expert and caring physical therapist!

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

Orange, CA 92868

714-997-5518

[1] http://www.kinesiotaping.com/about/kinesio-taping-method

[2] http://www.hindawi.com/journals/ecam/2015/950519/

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Physical Therapy for Sciatica Pain

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According to the American Academy of Orthopaedic Manual Physical Therapy,  physical therapy can offer the same results for patients with sciatica who have had spinal surgery. The academy reports from the British Medical Journal and states that studies have only shown short-term improvement in patients who have had surgery. After 6 months to 2 years, the difference between surgery patients and physical therapy patients diminishes.

Surgery is not only costly, but risky.

“The significance of this study is that patients may be able to avoid surgery if they realized they can expect a similar improvement in symptoms if they use other ways to manage the pain for 6 months,”

says Dr. Timothy Flynn of Regis University in Denver, CO, and President of the American Academy of Orthopedic Manual Physical Therapists (AAOMPT).

Grace Walker, physical and occupational therapist and nutritionist encourages patients to become educated about their sciatic and back pain. She agrees with Timothy Flynn in his statement:

“Patients should be aware that surgery is not the only option to reduce the symptoms of sciatica.”

Click here to read more.

Call Walker Physical Therapy & Pain Center to schedule an appointment. Treatment is affordable and effective!

714-997-5518

1111 W. Town & Country Rd. Ste.1

Orange, Ca 92868

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Knee Pain: Two Ways to Get Dramatic Results

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Dr. Grace Walker, physical and occupational therapist, shares that patients seen for knee injuries find dramatic results by a few life style changes. Research shows that knee injury patients who utilize physical therapy, along with these tips listed below, find greater, longer lasting relief.

stock-photo-81368917-runner-touching-painful-knee-athlete-runner-training-accident

  • Be conscious of your footwear

    • Women might love the look of those high-heels, and men the comfort of sandals, however these types of shoes are just as unsupportive as they look. One wrong step in heels or sandals could be disastrous, not only for the ankle, but the knee as well. The same misstep in ergonomic footwear, may be correctable and more forgiving on the knee. Women should also know that “the higher the heel, the more the knee will bend when the foot hits the floor. This put a lot of strain on the knee joint, especially for women who are overweight.”  (Christensen 1)
  • Maintain a healthy body weight

    • Overweight men are five times more likely (and women four times more likely) to experience knee osteoarthritis. Research shows that a “loss of at least 10% of body weight is associated with moderate to large clinical improvements in joint pain.(Asay 1)

To see the second part of this article, “Three areas of exercise to reduce knee pain”  featured on our blogger website, click the link.

At Walker Physical Therapy and Pain Center, we have the ability to help address all of the potential variables that may be causing knee pain. We look at the “whole person” when treating knee pain to provide insights as to why one might be experiencing excess strain on their knees but also in the hip, ankles and even a weak “Core”. We also look at our patients Body Mass Index as well as the daily activities demand.

We come up with personalized programs for each patient to provide results in a fun and healing environment. Call Walker Physical Therapy & Pain Center to schedule an appointment with an expert and caring physical therapist!

1111 W. Town and Country Rd. Ste. 1

Orange, CA92868

Phone: 714-997-5518

References:
Christensen. Ann Rheum Dis. 2007 Apr; 66(4): 433–439. PMCID: PMC1856062. Effect of weight reduction in obese patients diagnosed with knee osteoarthritis: a systematic review and meta‐analysis
Asay JL, Favre J, Titchenal MR, et al. Effects of high heel wear and increased weight on the knee during walking. Journal of Orthopaedic Research. 2014.
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5 Quick Tips: Posture- 90 Degree Rule

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What does perfect sitting posture look like? If the name of the title hasn’t given it away yet, 90° is the magic number to keep in mind!

What does that mean exactly? Dr. Grace Walker, physical and occupational therapist, shares 5 quick tips below will give you a better idea.

  1. 90° angle at your neck and shoulder
  2. 90° angle at your back and legs
  3. 90° angle at your lower and upper knee
  4. 90° angle at your foot and ankle
  5. 90° angle above and below your elbow
favi ergo 2 final

Walker PT Office Manager, Faviloa, demonstrates the “90 degree rule”.

While seated at your desk at home or work, keep these important postural cues in mind. Sitting down and working all day, one might find their head and shoulders begin to lean forward and their lower trunk begins to tilt backwards, creating a ‘slouched’ position.

This leads to none of the foundational postural muscles to engage, leaving the spine and shoulders vulnerable to injuries. Sitting with bad posture over a long period of time can also lead to nervous system problems.

By incorporating these 5 quick tips into your postural awareness, you can be on your way to reducing incorrect posture and pain! At Walker Physical Therapy and Pain Center, we have trained therapist to help assess your posture and design physical therapy programs to increase postural strength. We come up with personalized programs for each patient to provide results in a fun, affordable, healing environment.

Call Walker Physical Therapy and Pain Center to schedule an appointment with an expert and caring physical therapist!

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

Orange, CA 92868

Phone: (714) 997-5518

www.walkerpt.com

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Sciatica Pain Meets Physical Therapy

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According to the American Academy of Orthopaedic Manual Physical Therapy,  physical therapy can offer the same results for patients with sciatica who have had spinal surgery. The academy reports from the British Medical Journal and states that studies have only shown short-term improvement in patients who have had surgery. After 6 months to 2 years, the difference between surgery patients and physical therapy patients diminishes.

Surgery is not only costly, but risky.

“The significance of this study is that patients may be able to avoid surgery if they realized they can expect a similar improvement in symptoms if they use other ways to manage the pain for 6 months,”

says Dr. Timothy Flynn of Regis University in Denver, CO, and President of the American Academy of Orthopedic Manual Physical Therapists (AAOMPT).

Grace Walker, physical and occupational therapist and nutritionist encourages patients to become educated about their sciatic and back pain. She agrees with Timothy Flynn in his statement:

“Patients should be aware that surgery is not the only option to reduce the symptoms of sciatica.”

Click here to read more.

Call Walker Physical Therapy & Pain Center to schedule an appointment. Treatment is affordable and effective!

714-997-5518

1111 W. Town & Country Rd. Ste.1

Orange, Ca 92868

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