Timely news about NMSMC and the sports medicine industry.
Did you know that only about 25% of the population have a foot type that is considered to be well-aligned? Another 25% are called under-pronators (also called “supinators”). People with this type of foot have very high arches and the foot doesn’t roll the normal amount when walking, or may be roll to the outside part of the foot. The rest of us, myself included, belong to a group called over-pronators (“pronators” for short)....
This week we were able to speak with Adam R. Wilson, PA-C, from Harborside Spine & Sports Center. Adam is a graduate of Central Michigan University's PA program. He focuses on treating musculoskeletal injuries and chronic pain using an array of treatments including Ultrasound-guided procedures and lifestyle modifications. We asked Adam to discuss the difference between acute and chronic pain.
What is you medical background?
I am a physician assistant with greater than 5 years of experience treating acute and chronic pain, including sports related injuries.
What is the difference between acute and chronic pain?
Acute pain happens as a result of an injury and serves as a warning of damage to the body. It is usually associated with active inflammation. The pain will normally dissipate when the underlying cause is either treated or has healed.
Chronic pain is pain that lasts greater than three months. In some cases, this could happen even though the underlying cause has healed. Chronic pain can be associated with tense muscles, decreased mobility, and even emotional changes.
What types of treatments do pain-management clinics offer?
Pain management clinics offer many treatments to address acute and chronic pain including: suggesting exercises or referral to physical therapy for a more comprehensive program, proper bracing or immobilization, injections and medications. We basically provide non-surgical treatments of joint, muscle or nerve pain.
What are some of the more common conditions you treat?
Common conditions that I treat are acute and chronic low back pain, arthritis of the shoulder, hip, and knee, and ligament/tendon issues.
If a person is experiencing pain, how long should they wait before they speak to their physician?
They should schedule an appointment for any injury that does not seem be following the normal healing process. They should also be evaluated if they seem to be “stuck” at a certain phase of the recovery process. Other possible signs that should prompt someone to speak to their medical provider soon would be: severe bruising, persistent swelling beyond a day or two, or redness and warmth of the injured area.
At what point in the treatment process is it helpful to visit a practice that specializes in pain management?
Again, whenever things do not seem to be responding to initial treatments like, exercise, physical therapy and over the counter medications such as ibuprofen or naproxen.
by Jeff Samyn, PT, OCS, CSCS
Physical therapists, and most medical professionals for that matter, often see fluctuations in patients seeking care for certain problems. For example, we might not see a patient with TMJ problems for 3 months, but then we suddenly have 4 referred in a week. I had just that experience lately with female runners between the ages of 25-40. Much of this advice is true for male runners as well.
Headaches are an occasional occurrence for many of us and a part of daily life for some of us. There are several different varieties of headaches; migraine, tension, cluster, and sinus. The images below show where different types of headaches tend to manifest....
“Jelly Belly” is not a medical term found in the literature but any woman who has had a baby knows what “Jelly Belly” means. During pregnancy, we understand that the uterus enlarges with the growing baby and, along with that, the abdominal muscles stretch. Once the baby is delivered, the uterus gradually shrinks down to its pre– pregnancy size (breast feeding assists with this) but the abdominal muscles need some help to return to their pre-pregnancy tone and length. Abdominal muscles are skeletal muscles – they need to be contracted and used to restore tone and function. It is for this reason that abdominal exercises become necessary; but don’t start with crunches just yet! Yes…..you read that correctly. Let’s talk about why....
Bow season is coming up soon, and PT’s across Michigan are getting ready to see some sprains and strains associated with drawing a bow. Bow hunters are especially prone to shoulder strains when the season starts because they rarely condition themselves before heading out to practice. Here are a few tips to get you in shooting-shape and avoid losing precious time during the season.
1. Start exercising important muscle groups at least 2 months before opening day. This might come a little late this year, but keep it in mind next August.
2. Always stretch and warm-up the upper body before shooting.
3. Ice any areas which ache immediately after shooting.
4. If it hurts, don’t pull!
Injuries Commonly Seen in Hunters
1. Shoulder tendonitis/impingement- Toothache-like sensation in the shoulder joint, commonly caused by weak shoulder blade muscles; pain increases with use
2. Wrist or elbow tendonitis- dull ache in the wrist or on top of the elbow; caused by lots of small tears in the tendons which cross these joints
3. Low back strain- pain may be sharp, stabbing, achy, or just tight-feeling; many, many different causes; lots of different treatments
If you already have a sore shoulder, back, or other joint going into the season, meeting with a physical therapist can help you fix the problem before its time to start practicing. To get started, call one of our facilities for a free consultation or see your doctor and ask for a prescription for physical therapy.