Peter Barnett, PT, DPT, OCS
You got TMJ?
Most people don’t think too much about their joints or how they work, until they start to hurt. Often they are perceived to hurt right where the pain is. But there are ways a joint might be hurting but not hurt. You could research the number of women, especially, who have languished in TMJ pain, … Continue reading
Principles for knee rehabilitation – Part II – Endurance, Strength, Power
Proviso: This discussion is for knee injuries: non-surgical classifications as well as those requiring surgery. (If one is planning to begin workouts and strengthening of a non-injured knee the same principles apply but your baseline start will include an initial weight amount for resistance, often 60% of One RM or NSCA calculator). Assuming you recover … Continue reading
A Closer Look at Rehabilitation Principles for the Knee – Part I.
In previous blogs and videos, I have touched on various considerations for exercise positions and postures and keeping in mind the 3 F’s: Form Follows Function. During surgery, the surgeon causes trauma, through invading, altering, and repairing 4 kinds of tissues: soft – skin, circulatory vessels, nerves, and muscles; hard – bone; rubbery – cartilaginous; … Continue reading
What do you do about that CMP you have?
Chrondromalacia Patella (CMP) is a description for kneecap pain of the patella/femoral joint (P/F Joint). Pain is aggravated with squatting activities, prolonged sitting with knee bent, and sometimes with VMO (Vastus Medialis Obliquus) “malfunction”. The knee has to be efficient and reasonably maintenance free. So when the orthopedist sees you, history again will likely reveal … Continue reading
When did your Knee pain begin?
Knee pain, occurring suddenly as trauma: at home, work, sports, running, even walking the dog, is considered an acute injury pain. But it can also be a chronic injury pain with a gradual indeterminate onset which can be related to many conditions : osteo or rheumatoid arthritis, repetitive strain injury, cumulative trauma, Lupus, reflex sympathetic … Continue reading
Shoulder Rotator Cuff (RTC) What Went Wrong?
There’s more to the following conversation/dissertation about WHAT WENT WRONG and how you knew it, know it, and care for it. You functioned in an erroneous way. So you created a formation of pain and dysfunction needing attention. Hippocrates admonished: “First, do no harm”! He may have been speaking to physicians but it’s good advice … Continue reading
Can you prevent rotator cuff tendinitis?
The answer may be mostly yes. RTC is a typical abbreviation for this muscle group. There are several possible reasons for a person to have shoulder muscle pain. Through differential diagnosis, the orthopedic surgeon will likely figure out which ones. Refer to (Blog Rotator cuff 0723 2011) for a list of other shoulder muscles and … Continue reading
Is that a rotor cuff or rotator cuff?
Clinicians often hear people refer to the “rotor cuff” when the anatomical jargon term is rotator cuff. Essentially it rotates the humerus in or out and stabilizes the top of the arm (humeral head) into the shoulder socket (glenoid fossa). This is a fairly accurate rotator cuff presentation: I suppose it would seem odd for … Continue reading
How do you define or identify your “broken” shoulder?
In the broader text, the meaning of “broken” has multiple possibilities. Fracture is the term for a broken bone (always gets an x-ray). The surgeon will likely know the diagnosis simply from taking a good history leading up to the problem or complaint. The diagnostic devices, including: physical examination (appearance and feel), diagnostic ultrasound, MRI, … Continue reading
Healing
Orthopedic Surgery itself is trauma. You may recognize a traumatic injury occurring when you fall, get hurt in sports, or have a car or work accident but you may not think of surgery (iatrogenic injury) as an injury/trauma. Your brain does, however, because it is wired to respond the way it did 200,000 years ago … Continue reading
