4 Ways to Avoid Injury

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Dr. Grace Walker, physical and occupational therapist and nutritionist knows that exercise is great for your body and mind. Whether you play sports, go to the gym or cycle on the weekends, physical activities come with the risk of injury. However, this shouldn’t stop you from getting your exercise on! Whether you are starting a new sport or have been an athlete for years, injuries are preventable.

Returning to any activity after an injury or starting from scratch can be scary.  It’s important to build your confidence and knowledge to reach your goals!

Here are 4 ways you can avoid injury and gain the confidence you need:

  1. Pace yourself– Returning after an injury or starting a new workout routine or sport can be exciting, but professional athletes are not created overnight. Gradually building your intensity, duration and frequency over time ensures that you are getting the most out of your workout with less risk.
  2. Get heated Warming up is a necessity. Five to ten minutes of cardio or dynamic stretching reduces your chance of injury and prepares your body for optimal performance.
  3. Talk to your doctor– Having an open discussion with your physician about your fitness level and abilities are important! This could help you better strategize your workouts and plan ahead.
  4. Ask for help– Whether you’re trying to gain that confidence back after an injury or starting fresh, a certified trainer or physical therapist can teach you proper form and techniques. These professionals will create a safe and fun learning environment that will help guide you through your goals!

At Walker Physical Therapy and Pain Center, we have trained therapist to help design personalized programs for each patient to provide results in a fun and 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

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5 Tips: How to Combat Knee Pain

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Dr. Grace Walker, physical and occupational therapist and nutritionist understands how frustrating it can be to treat a knee injury. Arthroscopic surgery and injections might help with your pain, but they aren’t always a sure thing.

Jane E. Brody wrote, “For those who underwent five or more courses, the injections delayed the average time to a total knee replacement by 3.6 years, whereas those who had only one course average 1.4 years until knee replacement, and those who had no injections had their knees replaced after an average of 114 days.

We understand that these options may be out of reach or scary to some people, so we’ve listed the following approaches from Dr. Siemieniuk that may help people avoid surgery:

  1.  Shed extra weight– Though it may seem easier said than done, losing weight reduces the pressure on your knees and can help lessen pain while doing daily activities such as walking or climbing stairs.
  2. Learn more about your body– Do you notice any activities that might cause extra stress on your knees? When does your pain become noticeable? What were you doing before this pain occurs? Try to avoid any unnecessary activities that might increase discomfort like squatting or sitting for long periods of time.
  3. Over-the-counter help– If your pain has become debilitating take the recommended dosage of over-the-counter pain reliever. Nonsteroidal anti-inflammatory drugs (NSAID) like ibuprofen or naproxen can reduce pain and inflammation in the irritated area.
  4. Take the time to see help– Making an appointment to see a physical therapist that specializes in knee pain can drastically reduce pain and discomfort while strengthening the affected area. It’s also important to do all of the recommended exercises at home to be able to experience the benefits fully.
  5. Small lifestyle changes– Consulting a physical therapist who can teach you how to modify your daily activities to minimize discomfort will help you live your best life!

At Walker Physical Therapy and Pain Center, we have an effective program for our patients with knee pain. We look at the “root cause” when treating knee pain to provide insights as to why you are experiencing pain, instead of just a quick fix! We also look at our patients BMI and their daily activities demand.

 

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

 

Walker Physical Therapy and Pain Center

1111 W. Town and Country Rd. Ste. 1

Orange, CA92868

Phone: 714-997-5518

 

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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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Stanley Cup Finals: Hockey Players need Super Shoulders!

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So, California didn’t get any of their teams into the Stanley Cup Finals. We are all a little sad here, even though the Ducks almost made it! Hockey players are known for loosing teeth. concussions, and shoulder injuries. If you’ve got a weak shoulder or an injured, keep reading. You will probably find this information helpful!

Dr. Grace Walker, physical and occupational therapist, finds physical therapy to be extremely effective in treating shoulder pain and injuries. Current researchers agree. Many people will report shoulder pain at one point or another, statistically between 7 and 26% of the population report shoulder problems at any one time. Up to 50% of patients who have been diagnosed with shoulder pain are referred to a physical therapist for treatment.  (Dolder 50)

Young man having shoulder joint pain

The effects of techniques employed by physical therapist “have been shown to have an immediate effect on patient pain, range of motion, and disability.” (Dolder 54) If you are experiencing mild onset of shoulder pain, these three quick tips, listed below, may be used to try to avoid the worsening of symptoms.

  1. Strengthen the supporting muscle groups

    • Strengthening of the muscles that innervate (intersect) the shoulder and rotor cuff, such as those originating from the chest, under the arms, and back. Strength in these areas will increase foundational support necessary for the shoulder to go through the entire range of motion, pain-free.
  2. Shoulder stretches

    • Many common stretches, often utilizing a doorway or wall corner, before and after strenuous activity.
  3. Icing

    • Immediately after any activities that may be impactful to reduce the chances and severity of inflammation.

At Walker Physical Therapy and Pain Center, we have an effective program for patients with shoulder pain. We develop specific exercise and stretching programs for specific patients, along with a variety of specialized treatments to reduce pain and regain range of motion and strength. We look at the “root cause” when treating the shoulder to provide insight as to why the patient is experiencing pain, instead of just a quick fix!

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, CA 92868

Phone: 714-997-5518

Refrences:
Dolder. J Man Manip Ther. 2010 Mar; 18(1): 50–54. doi:  10.1179/106698110X12595770849687 PMCID: PMC3103116.
Is soft tissue massage an effective treatment for mechanical shoulder pain? A study protocol.
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3 Shoulder Exercises to Loosen Frozen Shoulders

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shoulder pain

Have you noticed your shoulders ache, crunch, or flat out prohibit you from doing normal daily activities? Has dressing yourself, opening doors, or lifting objects become problematic? If so, read on! Dr. Grace Walker, physical and occupational therapist, will help you understand why shoulder pain can occur, and what you can do.

Why do my shoulders hurt?

Your shoulders are one of the most intricate parts of your body. For that reason, they can be one of the easiest areas to injure. Some of the smallest muscles in the shoulder are actually the most important. For instance, the rotator cuff includes four small muscles that are vital to its movement in each direction. If these muscles become weak or injured, the humerus bone can actually make contact with the socket of the shoulder blade.

What can I do about my hurting shoulders?

  1. Postural exercises to align shoulders– Shoulder pain and injury is commonly a result of poor posture. Extended periods of poor posture at work, home, and even while driving can change the mechanics of the joint movement.
  2. Rotator cuff strengthening– Strong rotator cuffs will help your shoulders get through your daily activities with less pain. Less pain leads to less opportunity for an inflammatory response to occur. One simple exercise that can be done at home is as follows: Begin by lying down on your side with your top arm point straight to the ceiling. Next, swing your arm down 90 degrees so that your hand is flat on your hip. Repeat this 10-15 times a day, twice a day. This exercise is meant to build rotator cuff strength simple by using gravity as resistance. If you have difficulty completing this exercise without pain, please speak with one of our therapist.
  3. Build scapular stability- The scapula, or shoulder blades, are a crucial part of your shoulder complex. They are composed of many different small muscles used to guide your shoulder through its entire range of motion; pulling, pushing, and reaching. An exercise you can do at home to improve scapular stability is done standing against a wall and gently trying to pinch your shoulder blades together while keeping your arms relaxed. Do this for 10-15 repetitions, holding for five seconds each time. This can also be done twice each day.

By working these 3 simple actions into your daily routine, you can be on your way to reducing or overcoming shoulder pain. At Walker Physical Therapy and Pain Center, we have trained therapist to help design physical therapy programs to increase shoulder strength. We come up with personalized programs for each patient to provide results in a fun and 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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It’s Obvious These Four Celebrities Love Physical Therapy

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Photo by C Flanigan/Getty Images

 

Dr. Grace Walker, physical and occupational therapist and nutritionist at Walker Physical Therapy and Pain Center is pleased to share this article recently published InStyle magazine.

From infrared saunas to freezing in the sub-zero temperatures of a cryotherapy machine, celebs and the fitness-obsessed will try just about anything to maintain their inner glow. And often times it’s Hollywood that introduces the rest of us to the hottest wellness trends that are about to make it mainstream. Case in point: physical therapy. This once daunting pain management therapy reserved for this recovering from surgery or injury has shifted its place in the wellness space, becoming a hot new addition to celebrities’ workout routines, whether they are injured or not.

The physical therapy guru behind Jennifer Aniston’s fit frame and P. Diddy’s healthy lifestyle is Dr. Karen Joubert. We asked Joubert why her clients are turning to physical therapy as a compliment to their workout routines, and how it’s changing their bodies.

“The clientele I work with are under an enormous amount of pressure and in many cases, this will manifest itself physically,” she says. “Artists can perform 4-7 shows a week along with traveling and trying to maintain a healthy diet, it’s a lot for anyone to handle. Physical therapy teaches them proper mechanics whether its basic posture on the screen and or extreme dance moves on stage. Education and maintenance provide them with longevity and prevention of injuries. In the long run, it’s a win-win for everyone.”

But why the sudden shift in how people are viewing the benefits of physical therapy, as opposed to just having to go to a session to heal an injury? “The desire for wellness and longevity has really helped to bring physical therapy to the forefront,” she says. “Recently, there has been a huge push in the longevity and prevention aspect of medicine. The public is turning more and more to physical therapy to help them understand and manage their pain. Who doesn’t want to feel better and do it with the guidance of a good physical therapist instead of popping addictive medications? Becoming in touch with the body can be a game changer in every aspect of one’s life.”

As for her favorite clients who dedicate themselves to regular sessions, she has a few in mind. “My favorites, include Puffy, Jennifer Aniston, Cher, and Serena Williams,” she says. “I challenge anyone to follow their daily raegimen. I can’t even keep up! They are so disciplined in all aspects of their lives, no wonder they are all successful! And YES, they all do physical therapy 3-5 times a week!

If you are interested in managing or preventing pain with the help of physical therapy, call Walker Physical Therapy and Pain Center at (714) 997-5518 to have an evaluation with one of our expert physical therapists!

 

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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PT and OT: Differences and Similarities

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Have you ever wondered what the differences are between occupational and physical therapy? While many aspects of occupational and physical therapy do overlap, they are not exactly the same. Continue reading as Dr. Grace Walker, physical and occupational therapist and nutritionist, explains the differences and similarities of physical and occupational therapy.

Occupational therapy (OT) originally began as a method to treat the mentally ill. OT has transformed into a field that helps people live independently in many different ways. Today, occupational therapists work in many diverse settings, from prosthetic and adaptive aids to assisted living care. The key word to keep in mind when thinking of occupational therapy would be “independence”.

Physical therapy (PT), on the other hand, involves treating an actual impairment. Reasons you might see a physical therapist could be rehabilitation after an injury, strengthening to prevent injury, balance rehabilitation, and TMJ- just to name a few. The goal of physical therapy is to restore mobility, decrease pain and educate. This minimizes the need for expensive surgery or long-term reliance on medications. Physical therapists also teach patients how to prevent or manage their condition so they can secure long-term health benefits.

At times, occupational and physical therapists do work together. This type of program would involve the PT focusing on the impairment, while the OT helps the patient complete necessary tasks with the impairment. For instance, a worker injures his hand and is unable to work or care for himself. A physical therapists would help compose an exercise program, select and use adaptive equipment, regain mobility, and ultimately get the worker back to his job. An occupational therapist would help the worker re-learn how to dress himself, cook for himself, and cleanse himself.

The examples posted here are a very small list of the differences and similarities between OT and PT. The three largest similarities between them is that they have the same goal- to get patients healthy, happy, and live life to the fullest.

At Walker Physical Therapy and Pain Center, our mission is to inspire, educate and motivate clients by providing affordable treatment while promoting healing in an environment that fosters integrity and respect.

If you are experiencing pain, discomfort, or lack of mobility, call us at (714) 997-5518 to schedule an evaluation with one of our expert physical therapists.

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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Two Ways to Keep Knee Pain in Check

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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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New Research: Physical Therapy to Reduce Risk of Alzheimer’s

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You may already be asking yourself- What does Dementia and Physical Therapy have to do with each other? More than you might know! Dr. Grace Walker, physical and occupational therapist and nutritionist, has reviewed two new studies that you might want to know about.

Elder woman exercising outdoors with free-weights and smiling

  • What is Dementia, and how does Alzheimer’s disease differ?

This is one of the most common questions which can be answered quite simply. Dementia is an umbrella term for symptoms such as impaired memory or thinking. It is commonly associated with the cognitive decline of aging. Many conditions cause dementia such as Alzheimer’s, Parkinson’s and Huntington’s.

Alzheimer’s disease, as of now, has no cure. It is caused by abnormal protein deposits in the brain which form plaques and tangles in the brain. Connections between the neurons (communication cells) in the brain are lost and begin to die. The lack of communication between cells in the brain causes the symptoms of dementia.

Brenda Vrkljan, associate professor of occupational therapy at McMaster University in Hamilton, has found the “clock-drawing test” to be a useful screening tool to measure cognitive impairment in patients with signs of dementia. It has been proven so useful that Ontario adopted this test for its senior drivers. Poor scores do not result in the license being revoked, however, they do signal the need for a closer look at the drivers physical and cognitive condition.

Vrkljan warns against family members administering this test at home as “there is a standardized approach to how you score it.” So don’t try to make your grandfather try to draw a clock after you’ve read this- he might not be too excited about you testing his clock-drawing abilities, anyhow.

  • Prevention and regulation of symptoms is possible.

Recent studies have shown that exercise programs can help reduce the onset of Alzheimer’s disease and regulate symptoms of dementia. This is done a few different ways.

  1. Slow mental decline– exercise has been shown to slow brain atrophy (degeneration), especially in the hippocampus, which can influence memory and spatial navigation.
  2. Reduce the risk of falls– changes in judgement and spatial control contribute to tendency to fall. Exercises improve balance and reduce the fear of falling.
  3. Improve physical function– mobility, balance, coordination, and strength.
  4. Improve sleep– sleep disorders are common in dementia patients. Exercise can help one fall into a normal sleep pattern.

At Walker Physical Therapy and Pain Center, our staff of trained physical therapists are here to help you and your loved ones design and carry out supervised exercise programs. We come up with personalized programs for each patient to provide results in an affordable, fun, 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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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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