Physical Therapy vs. Injections for Knee Pain: Which is More Cost-Effective? Part 4

This is part four of five posts outlining the exceptional benefits and cost savings of seeing a physical therapist first for care of a variety of musculoskeletal, pelvic, and vascular conditions. The article can be found at valueofpt.com .

Knee Pain – Conservative vs. Invasive Treatment

Knee pain is a common issue that affects millions of people worldwide, impacting their daily activities and overall quality of life. Two common treatments for knee pain include physical therapy and intra-articular glucocorticoid injections. While both treatments can be effective, physical therapy offers significant cost savings and financial benefits. In this article, we will explore why physical therapy is the more cost-effective option for knee pain relief.

Understanding Knee Pain and Treatment Options

Knee pain can result from various conditions, including osteoarthritis, ligament injuries, and meniscus tears. Treatment often involves reducing pain, improving function, and enhancing the patient’s quality of life. Intra-articular glucocorticoid injections provide temporary pain relief by reducing inflammation in the knee joint. Physical therapy, on the other hand, focuses on long-term pain management and functional improvement through exercises, manual therapy, and patient education.

  • Out of Pocket Savings for Patients:

    Lower Treatment Costs: According to research, the average cost of physical therapy for knee pain is significantly lower than the cost of multiple glucocorticoid injections. While an injection can cost around $500 per session, physical therapy sessions typically cost between $75 and $150. Over a course of treatment, this translates to substantial savings for patients.

    Reduced Medication Expenses: Physical therapy helps patients manage pain without relying on medications, which can be costly and have potential side effects. By reducing the need for pain medications, patients save on prescription costs and avoid long-term dependency on drugs.

  • Reduced Healthcare Costs:

    Avoiding Surgery: Physical therapy can often prevent the need for invasive procedures like knee surgery. Surgeries are not only expensive but also come with additional costs for post-operative care and rehabilitation. By opting for physical therapy, some patients can avoid these high costs. NOTE: We are simply suggesting that in most cases, physical therapy be the first-line treatment.

    Lower Hospital Visits: Patients who undergo physical therapy for knee pain are less likely to require hospital visits and emergency care compared to those who rely on injections alone. This reduction in hospital visits contributes to overall healthcare savings.

  • Improved Productivity:

    Faster Return to Work: Physical therapy focuses on improving mobility and function, allowing patients to return to their daily activities and work more quickly. In contrast, the temporary relief provided by injections may require repeated treatments, leading to more time off work.

    Enhanced Work Performance: By addressing the underlying causes of knee pain and improving physical function, physical therapy helps patients perform better at work. This leads to increased productivity and potentially higher earnings.

  • Prevention:

    Long-Term Benefits: Physical therapy provides patients with the tools and knowledge to manage their condition and prevent future episodes of knee pain. This proactive approach reduces the likelihood of recurring pain and the need for additional treatments, leading to long-term cost savings.

    Improved Quality of Life: By focusing on overall health and well-being, physical therapy helps patients lead more active and fulfilling lives. This not only benefits their physical health but also contributes to mental and emotional well-being, reducing the need for further medical interventions.

Call to Action

If you or a loved one is experiencing knee pain, don’t wait to seek help.

At Bacci & Glinn Physical Therapy, we are dedicated to providing high-quality care to help you regain your mobility and live pain-free. Our offices Visalia & Hanford treatment teams are ready to assist you. Call us today at (559) 733-2478 in Visalia or (559) 582-1027 in Hanford to schedule an appointment and learn more about how physical therapy can help you.

Conclusion

Choosing physical therapy over injections for knee pain is not only a wise health decision but also a smart financial choice. Physical therapy offers substantial cost savings, reduces the need for invasive procedures, and helps patients return to their daily activities more quickly. By opting for physical therapy, you can achieve long-term pain relief and improve your overall quality of life. Contact Bacci & Glinn Physical Therapy today and take the first step towards a healthier, pain-free future.

Reference

For more detailed information, please refer to the PDF report from the American Physical Therapy Association available at valueofpt.com.

Hard Facts About Why You Should See A Physical Therapist First For Knee Arthritis – Part 1

This is the first of five posts outlining the exceptional benefits and cost savings of seeing a physical therapist first for care of a variety of musculoskeletal, pelvic, and vascular conditions.  The article can be found at valueofpt.com .

The Economic Benefits of Physical Therapy for Knee Osteoarthritis

Knee osteoarthritis (OA) is a common and painful condition that affects millions of people. As the cartilage in the knee wears down, individuals often experience pain, stiffness, and reduced mobility. While many treatment options are available, physical therapy stands out as a highly effective and cost-efficient choice. In this article, we’ll explore the economic benefits of physical therapy for knee osteoarthritis and why it should be your go-to treatment option.

What Exactly Is Knee Osteoarthritis?

Knee osteoarthritis is a degenerative joint disease where the cartilage cushioning the bones in the knee deteriorates over time. This condition leads to pain, swelling, and decreased movement, significantly impacting daily activities and overall quality of life. Common risk factors include aging, obesity, joint injuries, and genetics.

The Role of Physical Therapists In Visalia and Hanford for Knee Arthritis

Orthopedic physical therapy involves a range of treatments designed to improve movement and manage pain. At Bacci & Glinn Physical Therapy, we specialize in hands-on treatment to help you regain function and relieve pain. Common treatment techniques that help with knee OA include:

  • Manual Therapy: Our physical therapists use hands-on techniques to mobilize and manipulate the knee joint. This helps reduce pain, improve mobility, and enhance the overall function of the knee.
  • Therapeutic & Gentle Aerobic Exercise: Tailored exercise programs strengthen the muscles around the knee, improve flexibility, and increase joint stability. These exercises can significantly reduce pain and improve the quality of life for individuals with knee osteoarthritis.
  • Patient Education: Understanding your condition and how to manage it is crucial. Our therapists provide valuable education on pain management techniques, lifestyle changes, and activity modifications to help you live better with knee osteoarthritis.
  • Personalized Guidance: Every patient is unique, and our therapists create customized treatment plans to meet individual needs. This personalized approach ensures the most effective and efficient care possible.

Economic Benefits of Physical Therapy

Physical therapy offers numerous economic advantages over other treatments, such as surgery or long-term medication use.

  • Cost-Effective Treatment: Studies have shown that physical therapy is a highly cost-effective treatment for knee osteoarthritis. It often costs less than surgical options and reduces the need for expensive medications.
  • Reduced Healthcare Costs: Physical therapy can lower overall healthcare costs by decreasing the need for surgery and reducing hospital visits. Patients who undergo physical therapy are less likely to need joint replacement surgery, which is costly and requires a lengthy recovery period.
  • Improved Productivity: By alleviating pain and improving mobility, physical therapy helps patients return to their daily activities and work more quickly. This reduces lost income and productivity associated with knee osteoarthritis.
  • Prevention of Further Damage: Early intervention with physical therapy can prevent the progression of knee osteoarthritis, reducing the likelihood of future medical expenses related to advanced joint damage.

Success Stories from Bacci & Glinn Physical Therapy

I recently started Laser therapy at Bacci & Glinn because I’m in a lot of pain with bone on bone and spurs in both knees and the right knee with severe osteoarthritis. I have been dealing with this condition for 15 to 17 years. Due to the pain and inflammation I was missing work, barely able to walk and had to with a walker almost unable to care for myself cook meals shower etc.. and a lot of time in bed and feeling down. With the help and suggestions of family and the Laser Therapy at Bacci and Glinn especially Bob Bacci and his team I have had 2 treatments of Laser Therapy I’m back to work I do not use a walker, I’m not in bed as much, the pain has reduced tremendously along with the swelling and inflammation. 

Melody D.
-Google

Why Choose Physical Therapy?

Choosing physical therapy for knee osteoarthritis treatment is not just a smart economic decision but also a wise health choice. Physical therapy provides:

  • Non-Invasive Treatment: Unlike surgery, physical therapy is non-invasive, which means no risk of surgical complications.
  • Pain Management: Physical therapy focuses on natural pain relief through exercise and manual techniques.
  • Enhanced Quality of Life: With improved mobility and reduced pain, patients can enjoy a better quality of life.

Call to Action

If you or a loved one is suffering from knee osteoarthritis, don’t wait to seek help.

At Bacci & Glinn Physical Therapy, we are dedicated to providing top-notch care to help you regain your life. Our offices in Hanford and Visalia are ready to serve you. Call us today at (559) 733-2478 in Visalia or (559) 582-1027 in Hanford to schedule an appointment and learn more about how physical therapy can help you.

In Summary – If you are looking for knee arthritis treatment in Hanford or Visalia – We can help!

Knee osteoarthritis doesn’t have to control your life. Physical therapy offers a cost-effective, non-invasive, and highly effective treatment option that can alleviate pain, improve mobility, and enhance your overall quality of life. Choose Bacci & Glinn Physical Therapy for expert care and start your journey to better knee health today.

Reference

For more detailed information, please refer to the PDF report from the American Physical Therapy Association available at valueofpt.com.

Looking for Knee Arthritis Treatment in Hanford?

 

If you are looking for knee arthritis treatment in Hanford, read on, and you’ll see that not only is physical therapy a great choice, you will learn that Bacci & Glinn Physical Therapy is one of the best providers in the Hanford area.

There are a number of options for arthritis pain treatment in your knee. Arthritis typically includes the following signs and symptoms: pain, stiffness, and decreased mobility. You have to be experiencing all of these symptoms along with a positive X-raying test to be diagnosed with knee arthritis.

Note: this article is based on the most recent clinical research for knee arthritis treatment – the NICE Guidelines. 

Knee Arthritis Can Make Daily Activities a Challenge

Patients with knee arthritis usually have significant pain when they put a large load/force on their knee joint—climbing/descending stairs, getting out of a chair or car, jogging/running all load the knee joint.

You Should Start with Conservative Care First – Bacci & Glinn PT are some of the Best Clinicians if You’re Looking for Knee Arthritis Treatment in Hanford

If you live in the Hanford area and are looking for an expert specializing in arthritis treatment, we can help. Of course, a wide range of treatments can help reduce symptoms and boost your quality of life.

In this article, we will discuss the value of visiting a physical therapist for the “first-line treatment” of knee arthritis. Let’s get into the weeds and find out what makes physical therapy beneficial.

Quick Review of the Problem

Knee arthritis is an inflammatory and degenerative joint condition that can be better understood by knowing a few key facts about the knee. Pain, edema, stiffness, and limited range of motion are typical symptoms among adults (especially seniors). Osteoarthritis and rheumatoid arthritis are two common forms of knee arthritis.

When it comes to controlling symptoms of knee arthritis and improving overall function, physical therapist-directed care plays a vital role. Bacci & Glinn Physical Therapy focuses on pain-free, strength-building methods that increase joint mobility. There are many reasons why you should choose to see one of our physical therapists first to treat knee arthritis (
and most other knee pain diagnoses as well).

Physical therapists use various methods, including manual therapy (hands-on techniques), therapeutic exercises, and modalities like deep tissue laser therapy and electrical stimulation, to alleviate pain in their patients. These techniques get to the root of your discomfort, so you don’t have to rely so heavily on pharmaceuticals.

Aquatic Therapy for Knee Arthritis Treatment in Hanford

Last month we announced that we had re-opened our aquatic facility. Aquatic therapy is an excellent treatment modality for knee arthritis. For more on this, you can click here.

What Your Knee Physical Therapy Treatment Should Focus On…

In order to recover joint mobility, range of motion, and muscular strength, our licensed & professionally trained physical therapists use individualized exercises and stretches. “Individualized is the key here.” Every patient is in a different place in the recovery process and has different goals. Providing a custom treatment program will help you get through the day with less discomfort and more ease; moreover, it will help you reach your specific goals.

It Starts with a Private and Thorough Knee Physical Therapy Evaluation

Our physical therapists evaluate your problem and provide a treatment plan that is unique to you based on their findings. Your pain tolerance, daily routine, and desired outcomes go into the customized treatment plan they develop for you.

Care Coordination – Our Physical Therapists are on the Same Page as Your Medical Doctor

Our physical therapists help communicate & coordinate with other medical staff to provide patients with knee arthritis with the best possible treatment. To achieve the best possible results, we often work with your primary care doctor, rheumatologists, and orthopedic experts to create a multidisciplinary treatment plan.

If You Are Looking for Knee Arthritis Treatment in Hanford, Don’t Wait!

Seeking one of our licensed physical therapist’s assistance at the first sign of knee arthritis symptoms is essential. We can slow or even stop the joint deterioration disease process, alleviate discomfort, and improve your long-term outcomes with prompt physical therapist-directed attention. If you’ve been experiencing knee pain or stiffness, don’t wait to consult your medical doctor; call one of our doctors of physical therapy in Hanford.

Why You Should Act Sooner than Later

The benefits of receiving physical therapy for knee arthritis include less pain, increased range of motion, and better overall function. By collaborating with a physical therapist, you’ll have access to tailored treatment tailored specifically to your needs. Do something about your knee arthritis now and improve your quality of life by eliminating painful symptoms. Talk to a physical therapist.

Bacci & Glinn Physical Therapy is the first line of treatment for knee arthritis patients here in Hanford. We can help you determine what works best for you. The first step toward better knee health is taking charge and making an appointment with one of our physical therapists.

Call Us Today at (559) 582-1027 to Learn More About How We Can Help

Patellar Dislocation Treatment in Visalia

If you’ve experienced a patellar (kneecap) dislocation and are looking for patellar dislocation treatment in Visalia or Hanford, we can help. Another way people often find us is by searching for patellar dislocation expert in Visalia or a patellar dislocation specialist in Visalia.  Quick note, if you are looking for care in Hanford, we also have an office there.

Surgery And Nonsurgical Treatments Lead To Similar Outcomes For Patients With Knee Pain

As a specialist in the conservative treatment of kneecap dislocations, the information below is worth reading.

The knee is the largest and one of the most complex joints in the body. It is a hinge joint that’s responsible for bearing weight and allowing the leg to extend and bend back and forth with minimal side-to-side motion. It primarily joins the thighbone (femur) to the shinbone (tibia), but also includes the kneecap (patella) and other lower leg bone (fibula). The patella is a small, upside down triangle-shaped bone that sits in the front of the knee within the quadriceps muscle, and it’s lined with the thickest layer of cartilage in the body because of the massive forces it takes on.

These structures provide the knee with strength and durability, but the knee also has limits that can be exceeded under certain circumstances. Due to the frequent use of the joint, the knee is among the most common locations for pain and injury, with knee pain being the leading cause of disability in older adults.

Dislocations of the patella account for 2–3% of all knee injuries, which typically occur on the lateral side—outside of the knee—and leads to ruptures of the medial patellofemoral ligament in about 90% of all cases. These injuries are most common in sports, particularly basketball, soccer, and football.

It is unclear whether patellar dislocations should be treated with conservative (nonsurgical) interventions like physical therapy or if surgery is needed when there are other associated injuries. In addition, the literature comparing conservative to surgical treatment for first-time patellar dislocations is scarce.

However, this study that we outlined below is one of the first of its kind and points to the value of seeing a physical therapist first.

20 Patients Undergo Either Surgery or Conservative Treatment for Kneecap Dislocation

Therefore, a study was conducted to investigate the outcomes of conservative versus surgical treatment for first-time patellar dislocations. Researchers recruited patients aged 15 to 40 years with a patellar dislocation in one knee, which led to 20 individuals being included. Twelve of these patients underwent surgery, which was limited to diagnostic arthroscopy followed by a soft-tissue repair of damaged structures, while 8 patients underwent conservative treatment. Patients in both groups were also treated with a brace that allowed for limited flexion and extension of the knee, along with partial weight bearing for 3 weeks, followed by full weight bearing.

Why Conservative Physical Therapy Care is Your Best First Choice – from the Patellar Instability Treatment Experts in Visalia and Hanford

Results showed that 25% of patients overall (5/20) sustained a redislocation, while the remaining 75% remained stable after 24 months. By group, 37.5% of patients (3/8) in the conservative group and 16.7% (2/12) in the surgical group experienced a redislocation; however, more patients (45.5%) experienced episodes of instability in the surgical group compared to the conservative group (37.5%). In addition, overall outcomes were not significantly different between the two groups, with a similar number of patients reporting “fair” and “good” final outcomes in both groups.

The Study Concludes You Should Strongly Consider Physical Therapy Care if You’re Looking for Patellar Dislocation Treatment in Visalia

Based on these findings, it appears that surgical and conservative treatment for patellar dislocations leads to similar results. Patients with a patellar dislocation should therefore attempt conservative treatment first, such as physical therapy, before considering surgery.  Moreover, physical therapy treatment for kneecap dislocation is less likely to cause patellar instability in the future too!

If you’re dealing with knee pain that may be related to a patellar dislocation, Bacci & Glinn Physical Therapy can help.  We provide, natural, conservative care for rehabilitation after kneecap (AKA patella) dislocations at our offices in Hanford and Visalia.

Call us at 559-733-2478 (Visalia) or 559-582-1027 (Hanford) for more information or schedule an appointment today.

Basketball Injury Prevention Program

Basketball Injuries Are Extremely Common, But A Warm-Up Program May Help Mitigate This Risk

Basketball is one of the most popular sports in the country, and its popularity continues to grow as athletes are drawn to its fast pace and evolving nature. Unfortunately, one downside of this increased participation in basketball is that it also comes with a higher rate of injuries in a sport that’s already known to be high-risk.

Basketball Results in A Lot of Stress on the Knees & Ankles

To play basketball competitively, players must move at fast speeds and display great agility and coordination on the court. Though every position requires a different set of skills, each player needs to run, jump, make quick changes in direction, and accelerate and decelerate with and without the ball. Though these rapid movements are integral to the game, they also put competitive players at risk for injury.

Basketball Injuries are Common – Ankle & Knee Problems Happen the Most

Injuries can occur in several regions of the body, but the ankle is by far the area injured most. Ankle sprains account for about 25% of all injuries in basketball, which makes them a major concern for basketball players of all ages. Ankle sprains occur any time the foot twists or rolls beyond its normal range of motion, which is usually from a player landing on another player’s foot wrong or twisting the ankle when making a cut. The knees are another problem area in basketball players due to the running, jumping, and cutting motions involved. Jumper’s knee and injuries to the meniscus and ligaments—including the ACL—are all very common in all age groups of basketball players. Ankle sprains, ACL tears, and other injuries can all cause basketball players to be sidelined for an extended period, and in some cases, to miss an entire season.

Study Monitors Players on 31 Basketball Teams for Two Seasons

To help mitigate this risk, many basketball teams have now incorporated injury-prevention programs into their routine, often with successful outcomes. This is exemplified in a recently published study, which highlights the type of impact a program like this can have on young basketball players.

For the study, players on 31 high school or club basketball teams—307 male and female players aged 11 to 18 years—were monitored for two seasons. During the first season, players only participated in a standard of practice warm-up. During the second season, all players participated in a training warm-up program called the Surveillance in High school and community sport to Reduce (SHRed) Injuries Basketball, which was designed to reduce ankle and knee injuries in youth basketball players. The SHRed Injuries Basketball program lasted 10 minutes and consisted of 13 exercises, which were intended to improve aerobics, agility, strength, and balance. A log was then kept of all injuries that occurred during these two seasons and comparisons were made between them to tease out any notable differences.

Study Results Demonstrate that Ankle Sprains & Knee Injuries Can be Significantly Reduced

Results showed that the SHRed Injuries Basketball program was protective of both knee and ankle injuries, as the rate of injuries was 36% lower in season 2 than season 1. This type of program can easily be incorporated into a warm-up routine, and based on these findings, it may yield dividends and keep young basketball players on the court injury-free for longer.

We’re Here to Help

At Bacci & Glinn Physical Therapy, we can provide assistance with an injury-prevention program for your basketball team, or if an injury does occur, we can guide players through a comprehensive rehabilitation program that will get them back on the court as quickly and safely as possible.

If You’ve Already Suffered a Sports Injury – We Can Help You Get Back in the Game

Call us at 559-733-2478 (Visalia) or 559-582-1027 (Hanford) for more information or schedule an appointment today.

Preventing ACL Injuries in Female Athletes

In-School Prevention Programs May Be A Viable Solution To Reduce The Risk For ACL Injuries

Injuries to the anterior cruciate ligament (ACL) are one of the biggest problems in sports. Approximately 100,000–200,000 ACL tears occur each year in the U.S., and one of the most at-risk populations is adolescents, particularly females. ACL injuries account for about 21% of knee injuries in young athletes, and young females have a two to eight times higher risk for these injuries compared to their male counterparts.

Differences in Development & Behaviors May Lead to Increased Injury Risk

There are several reasons for this disparity, including differences in the structure of the knee joint—which is looser and more flexible in females—landing patterns in sports, genetics, and hormonal and neuromuscular differences between males and females. Strength also develops at different times during puberty for females compared to males, which is believed to be another important contributing factor.

To make matters worse, ACL injuries are often not isolated incidents, as they may damage surrounding tissue and increase the likelihood of chronic knee problems like secondary injuries and early osteoarthritis in the future. But the good news is that research suggests many of these injuries can be prevented because about 70% of ACL tears occur without contact.

For this reason, numerous prevention programs have been established to reduce the rate of ACL injuries in high-risk populations, including adolescent female athletes. ACL prevention programs incorporate interventions like balance training, stretching, strength training, and plyometrics (jumping exercises) into a comprehensive framework that’s performed regularly, and research has shown that these programs are beneficial.

Recent study shows why these programs are frequently recommended

For example, one recently published study investigated the effectiveness of a strength-based prevention program for reducing the risk of ACL injury in adolescent females. For the study, a team of researchers identified 30 healthy female middle school students between grades 6 to 8 and matched them with another group of 30 healthy females of similar age, height, and weight. The first group served as the strength-training group and the second group served as the control group.

Individuals in the first group underwent a six-month strength training program administered through a gym class curriculum that targeted the muscles of the hips and knees, with the intention of improving hip extension and knee extension and flexion. The control group did not undergo any specific interventions. All patients were evaluated before and after the six-month period for various measures of strength and range of motion (ROM).

Study Results – Improve Strength & Agility

Results showed that females in the strength training group had greater strength values in hip extension, hip abduction, and knee flexion compared to the control group. The strength training program also led to significantly lower scores compared to the control group in a test called the Landing Error Scoring System (LESS), which is used to the risk of non-contact injuries during jumping and landing movements. These findings show that a strength training program for middle school females leads to several improvements that are associated with a reduced risk for ACL injuries. This program is also easy to implement since it was performed during gym class and could therefore represent a practical option for addressing the issue of frequent ACL injuries in youth sports.

Contact Us Today for Help

If you’re currently dealing with symptoms suggestive of knee osteoarthritis, Bacci & Glinn Physical Therapy can help.

Call us at 559-733-2478 (Visalia) or 559-582-1027 (Hanford) to learn more or schedule an appointment today.

Running Injuries

Physical Therapy Is The Fastest Way To Recover From Running-Related Injuries

One of the best possible ways to stay active is by running, which requires little more than a good pair of running shoes, some outdoor routes to follow—or a treadmill—and the motivation to get moving. For these and many of its other attractive qualities, running has become one of the most popular forms of exercise in the U.S. But unfortunately, common running injuries tend to prevent would-be runners from getting started and may also hold back experienced runners from returning.

More than 40 million Americans consider themselves regular runners. This massive popularity is due in part to the numerous benefits that running can provide, including lower blood pressure and a reduced risk for heart disease, better sleeping habits and brain performance, and improved mood through less stress and anxiety. But along with its many benefits, running also comes with a moderate risk for injury. The constant impact of forces on the legs, bodily imbalances like muscle weakness, progressing too aggressively are all factors that can contribute to an injury. Below are a few of the most common running-related injuries:

Runner’s knee (patellofemoral pain syndrome)

  • Most common running injury (16–25% of all running injuries)
  • Involves the patella (kneecap) rubbing against the groove of the upper leg bone (femur)
  • Common symptoms involve a dull pain felt behind or around the patella that is often aggravated from running, squatting, climbing stairs, or sitting

Jumper’s knee (patellar tendinopathy)

  • Caused by repetitive strain to the patellar tendon, which attaches the bottom of the patella to the top of the shinbone (tibia)
  • Accounts for about 5% of all running injuries
  • Leads to pain and stiffness below the front of the patella and/or in the quadriceps, and an aching sensation usually brought on after exercise

IT band syndrome

  • IT band syndrome is an overuse injury in which a tendon called the iliotibial band becomes irritated from rubbing against the patella
  • The main symptom is a burning pain on the outside of the knee or hip that usually arises after running a few miles

Plantar fasciitis

  • Stubborn overuse injury and the most common cause of heel pain
  • Involves the inflammation of the plantar fascia, a connective band of tissue that connects the heel to the toes
  • Very common in runners—especially long-distance runners—due to the repetitive strain, as well as those with flat feet or high arches
  • Typically leads to a stabbing pain near the heel that’s most noticeable upon waking up and after standing for long periods

Achilles tendinitis

  • Overuse injury that usually stems from too much speed training or uphill running, or after suddenly increasing the intensity or duration of runs
  • Constant strain can cause small micro-tears in the Achilles tendon and lead to inflammation
  • Patients typically notice heel pain that comes on gradually as a mild ache in the back of the leg or above the heel after a run

How physical therapy can help runners return to their routine
Some may see this as a reason to not get involved in running in the first place, while others who have injured themselves from running fear another injury and stop altogether. The truth is that most running injuries can be effectively treated non-surgically through a comprehensive course of physical therapy. Physical therapists work with each patient on an individualized basis to determine what interventions will be most effective, and typically employ a combination of stretching and strengthening exercises, pain-relieving modalities, functional training that involves running motions, and manual (hands-on) therapy techniques.

The effectiveness of physical therapy is supported by a plethora of research, including a 2018 study called a systematic review, which evaluated 7 high-powered studies called randomized-controlled trials. Results showed that manual therapy led clear improvements in physical function and pain reduction in patients with plantar fasciitis.

If you’re a runner dealing with ongoing or a new episode of pain, Bacci & Glinn Physical Therapy would like to offer our services to help you return to running quickly and safely.

Contact us at 559-733-2478 (Visalia) or 559-582-1027 (Hanford) to learn more or to schedule an appointment today.

Knee Ligament Rehab in Visalia and Hanford

 

Tears Of Other Knee Ligaments Can Usually Be Treated Nonsurgically With Physical Therapy

Anterior cruciate ligament (ACL) injuries are frequently discussed in the sports world due to their high prevalence and season-ending potential. But the ACL is just one of four major ligaments in the knee, and the three other ligaments can also be injured, either independently or in conjunction with others.

The consequences of these injuries are usually not as dire as ACL tears, and most patients can therefore participate in physical therapy alone and experience a complete recovery.

The type of knee ligament injury is determined by the force upon the knee

The four major ligaments of the knee and the most common mechanism of injury are described below. All four ligaments connect the tibia (shinbone) to the femur (thighbone) in different locations. As you’ll see, the type and severity of the injury depends on the direction of the force upon the knee:

  • Anterior Cruciate Ligament (ACL)

    • Connects the inside top of the tibia to the outside bottom of the femur in a diagonal direction
    • Prevents the tibia from sliding too far forward on the femur
    • Injuries most commonly occur when a patient changes direction with one foot planted

  • Posterior cruciate ligament (PCL)

    • Also connects the inside top of the tibia to the outside bottom of the femur, running diagonally in the opposite direction of the ACL
    • Prevents the tibia from moving too far backward on the femur
    • Strongest ligament of the knee and least likely to be injured, but the most common mechanism of injury is a force applied to the front of the knee

  • Lateral collateral ligament (LCL)

    • Connects the tibia to the femur on the outside of the knee
    • Provides stability to the outside of the knee and prevents the knee from buckling outward
    • Most common mechanism of injury is a force applied to the inside of the knee while the foot is planted

  • Medial collateral ligament (MCL)

    • Connects the tibia to the femur on the inside of the knee
    • Provides stability to the inside of the knee and prevents the knee from buckling inward
    • Most mechanism of injury is a force applied to the outside of the knee while the foot is planted

Surgery is needed far less often for non-ACL injuries

Injuries to these knee ligaments are called sprains. In a mild, or grade I sprain, the ligament only stretches and is slightly damaged.

Grade II sprains are partial tears of the ligament, while grade III sprains are complete tears of the ligament.

In some cases, more than one ligament will be damaged or torn from a single traumatic event, such as a severe sports-related injury.

As we explained in our last blog, surgery is often recommended for most patients with complete ACL tears that want to return to a high level of activity. But for knee ligament injuries that don’t involve the ACL, surgery is needed far less often, and many patients can experience a completely recovery with physical therapy alone.  The reason this is the case is that rarely are the other knee ligaments completely torn in two pieces (grade III sprain).

Rehab may even be sufficient even for some complete tears of the PCL, MCL, or LCL; however, treatment decisions must be made on an individual basis according to the extent of the damage and the patient’s intended level of activity.

Physical Therapy Almost Always is Important for a Full Recovery

Even in cases when surgery is warranted, physical therapy will also play a role in helping patients prepare for the procedure and in the recovery afterwards. Physical therapy programs for sprains and tears of the PCL, MCL, and LCL typically consist of the following:

  • Manual (hands-on therapy) techniques to alleviate pain and improve function
  • Pain-relieving modalities like ice, heat, ultrasound, and electrical stimulation
  • Range of motion exercises to increase flexibility and help patients regain normal mobility
  • Strengthening exercises to increase the strength of weakened muscles of the upper and lower leg
  • Balance and agility training to help athletes regain their sense of balance
  • Sport-specific training that progressively increases in intensity as the patient regains function

If you’ve recently suffered a knee ligament injury and want to get back on the field or court as quickly and safely as possible, we can help you get there.

Contact Bacci & Glinn Physical Therapy at 559-733-2478 (Visalia) or 559-582-1027 (Hanford) to learn more about our services or to schedule an appointment today.

You can also click here to visit our contact page.

ACL Rehabilitation in Visalia

 

After ACL Surgery, A Comprehensive Rehabilitation Program Is Essential To Return To Activity And Reduce The Risk For Re-injury

Tears of the anterior cruciate ligament (ACL) get lots of attention in sports, primarily because they are very common and often put athletes on the sidelines for extended periods. Discussions about ACL tears often focus on the severity of the damage to the knee and the timetable for when an athlete will get back on the field or court after surgery.

One topic that may get overlooked, though, is the athlete’s risk for re-injury after returning to play, which is quite high in certain populations—especially young athletes.

Here’s Why Visalia Residents Looking for ACL Knee Rehab Should Contact Us for More Information:

In order to completely recover from ACL surgery and avoid additional injury, both the athlete or weekend warrior must undergo a comprehensive rehab program, which we can provide.

The ACL is one of the four main ligaments within the knee that connects the tibia (shinbone) to the femur (thighbone). It runs diagonally in the middle of the knee and prevents the tibia from sliding forward on the femur, and it also provides a great deal of stability for the knee that keeps it from rotating out of position.

ACL injuries are called sprains. In mild (grade I) sprains, the ligament only stretches and is slightly damaged, while grade II sprains are partial tears and grade III sprains are complete tears.

ACL Injuries Are Often a Serious Problem

ACL tears are devastating injuries that typically lead to:

  • Significant pain,
  • Knee instability,
  • Swelling,
  • Tenderness, and
  • Muscle weakness.

Any athlete or active individual can suffer an ACL tear, but the chances are highest in those who participate in high-demand sports with lots of cutting motions, like basketball, soccer, football, and volleyball. In fact, about 1 of every 60 athletes will tear his or her ACL at some point in their career, and this figure is only expected to rise as the intensity of sports continues to increase.

Classifications of ACL Ligament Sprains

Grade I and II ACL sprains can usually be managed with rest and physical therapy alone.

For complete ACL tears (grade III), physical therapy may be an option, but a surgical procedure called ACL reconstruction is often recommended for athletes who want to continue playing sports at a competitive level.

This procedure removes the torn ligament and replaces it with another band of tissue from the leg (usually a tendon).

ACL Surgery is a Start but Full Recovery is More Likely with a Good Post-Surgical Knee Rehab Program in Our Visalia or Hanford Office

ACL reconstruction is usually successful, and many athletes can return to their sport afterwards; however, one notable risk is tearing the newly reconstructed ligament or the ACL of the other knee. Many factors may contribute to this risk, but high-intensity sports with lots of pivoting and cutting have particularly been linked to re-injury of both the reconstructed ACL and the ACL of the opposite knee.

Completing a personalized ACL knee rehab & physical therapy program will minimize re-injury risk

For ACL reconstruction to be successful, a patient must allow enough time for the new ligament to become part of the knee—a process called graft incorporation—and restore the normal muscle strength of the knee to ensure it is properly protected. Physical therapy is therefore necessary during this time to help patients get back to their pre-injury levels and not return to sports until they have completely recovered. A typical ACL rehabilitation program will consist of the following:

  • Strengthening exercises to build back up the weakened muscles of the leg
  • Stretching exercises to increase flexibility and regain normal mobility that may have been lost during the injury and surgery
  • Plyometrics, or jump training, which is crucial for patients recovering from ACL tears
  • Recommendations on how to modify activities to minimize the risk for future injuries
  • Exercises to improve neuromuscular control, which is the body’s ability to stay in a strong and stable position regardless of what movement it’s making

The rehab process after ACL surgery is a long one, as Joe Burrow can attest to. The second-year quarterback for the Cincinnati Bengals tore his ACL in the middle of his first NFL season and has spent the better part of the past year undergoing an intensive rehab program. But the quarterback is now healthy and back on the field, and only time will tell how his knee holds up in the long term.

Rehab your knee with Bacci & Glinn Physical Therapy

If you’ve torn your ACL and are scheduled to undergo surgery, we can help you through every step of your rehab afterwards.

Contact Bacci & Glinn Physical Therapy at 559-733-2478 (Visalia) or 559-582-1027 (Hanford) to learn more about our services or to schedule an appointment today.

Visit our contact page by clicking here for details.

Note: People looking for this content often do these searches too:

  • ACL physical therapy Visalia
  • ACL rehab in Visalia
  • ACL physical rehab in Visalia
  • ACL rehabilitation after surgery in Visalia
  • Note, we also have an additional office that does ACL rehab in Hanford.

Physical Therapy After Knee Surgery in Visalia & Hanford

Committing to physical therapy after knee surgery will boost your outcomes

The knees are built for durability, but they also take on a fairly constant array of strain throughout the course of a normal day. When structures within the knee joint are pushed past their limits, they can become damaged through various injuries. And due to the frequency that the knees are used, knee pain of any type ranks as the second most common disorder affecting the body’s movement, behind only back pain.

The Knee Sometimes Requires Surgery and Physical Therapy Afterward

The knee is a hinge joint that’s responsible for bearing weight and allowing the leg to extend and bend back and forth with minimal side-to-side motion. It primarily joins the thigh bone (femur) to the shinbone (tibia), but also includes the kneecap (patella) and other lower leg bone (fibula). Other important structures of the knee joint include the meniscus, which acts as a cushion and shock absorber, a thin layer of protective articular cartilage that helps bones to move smoothly, plus several muscles, tendons, and ligaments—including the anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL)—which connect bones and stabilize them by preventing too much motion in any direction.

Any of these structures can become damaged, either through a traumatic incident, due to sustained wear and tear over time, or from a combination of both factors. Knee osteoarthritis—in which articular cartilage gradually wears away and leaves bones more vulnerable—is by far the most prevalent knee condition, particularly later in life.

Common Knee Injuries that Respond to Physical Therapy

Strains, sprains, and tears of knee ligaments and the meniscus are particularly common in athletes and active individuals, as are runner’s knee, jumper’s knee, and iliotibial band syndrome.

If you happen to experience a knee injury of any sort, it’s important to understand that you have options. Many knee-related conditions can be managed effectively with (conservative) non-surgical interventions like physical therapy, and this approach is generally recommended for most patients.

However, if conservative treatments don’t lead to notable improvements or in the event more serious injuries like a severe ACL tear or advanced knee osteoarthritis, surgery may be needed. ACL tears are typically treated with a surgical procedure called ACL reconstruction, while advanced knee osteoarthritis is most often managed with a total knee replacement.

Reap all the benefits of surgery through personalized physical therapy after knee surgery in Visalia

While surgery can lead to significant improvements, the buck does not end there. In order to experience the best possible outcome, you will also need to complete a course of physical therapy after surgery. Your physical therapy program will be personalized based on your needs and abilities, will help you work towards your goals, whether that’s getting back on the playing field or being able to play with your grandkids again. Knee surgery rehabilitation programs will vary depending on the surgery performed, but several components are likely to be involved:

  • Strengthening exercises to build back up the weakened muscles of the leg
  • Stretching and range of motion exercises to increase flexibility and regain normal mobility that may have been lost
  • Plyometrics, or jump training, for patients recovering from ACL tears
  • Recommendations on how to modify your activities in order to minimize the risk for future injuries
  • Exercises to improve body awareness, balance and neuromuscular control, which is the body’s ability to stay strong and stable during all movements
  • Activity-specific training for athletes and active individuals

Be sure to consider all treatment options available and evaluate the risks and benefits of each before determining if surgery is right for you. And remember that if you opt for surgery, adhering to your physical therapy plan afterwards can significantly increase the chances of a positive outcome.

Contact us if you’re interested in learning more about how we manage patients recovering from knee surgery or to schedule an appointment today.

Call Us in Visalia at (559) 733-2478 or Hanford at (559) 582-1027 for More Information

 

Translate »