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Extended Hours

Perpetual Motion Physical Therapy has changed our hours.  We are now open from 7:00 AM to 8:00 PM – Monday through Friday.


Numbness and Tingling to the Hands and Fingers.

Numbness and tingling to hands and fingers can be a serious problem. It may start out as occasional numbness and tingling to one or both hands and fingers. The numbness and tingling may progress to pain with moderated to severe loss of grip strength. The frequency may also increase and with more intensity. This neuropathic condition can be a result of, but not limited to, repetitive activities such as typing or sorting of building materials. It may also come from trauma to the wrist, forearm, elbow, shoulder, and or neck. It is important that you receive timely and proper care for this condition. It is also important to tell your provider where the distribution of the tingling, numbness, and or pain is located.


Runner’s Knee

Runner’s Knee is a debilitating condition affecting thousands of individuals seeking a healthier lifestyle.

Runner’s Knee is what we call “Chondromalacia Patella”, is the softening and degeneration of the cartilage located underneath the patella. General symptoms would include but not limited to: a grinding of popping sensation when the individual bends or straightens his or her knee, increased pain when descending or ascending stairs, increased pain from a sitting to a standing position.

Generally speaking, these symptoms can become steadily worse if left untreated.

It is a good idea to seek medical attention for a proper evaluation.



Do I Heat or Ice?

So do I Heat or do I Ice the injury?

95% of all patients receiving Physical Therapy will ask this question. The answer is dependent upon the severity and the stage of the injury.

If unsure of the severity of the injury, please be evaluated by a medical professional. But as a rule of thumb, during the initial or rather the acute stages of an injury, Icing would be the modality of choice.

Icing the the injury limits the inflammatory process and decreases the pain. On the other hand, injuries that have lasted for more than a couple of weeks would be considered chronic and therefore, heat would be indicated. Heat is a modality that increases the blood circulation to the injured body part.

Heat will also make the injured tissue pliable, making the break down of adhesive scar tissue easier.


Rotator Cuff Tear

Supraspinatus and Infraspinatus are the most commonly injured rotator cuff muscles. Due to the function of these muscles, sports which involve a lot of shoulder rotation such as swimming, baseball, tennis, and surfing, often put the rotator cuff muscles under a lot of stress. Problems with the rotator cuff muscles can be classed into two categories Tears of the tendons/muscles, and Inflammation of the tendons (often called tendinopathy or tendonitis).

Acute Tear

Acute tears tend to be associated with sudden, powerful movement. This might include falling over onto an outstretched hand or throwing or hammering can result in tears.

The symptoms will usually include:

  • Sudden, tearing feeling in the shoulder, followed by severe pain through the arm
  • Limited movement of the shoulder due to pain or muscle spasm
  • Severe pain for a few days (due to bleeding and muscle spasm) which usually resolves quickly
  • Specific tenderness (“x marks the spot”) over the point of rupture/tear
  • If there is a severe tear, you will not be able to abduct your arm (raise it out to the side) without assistance

Chronic Tear

A chronic tear develops over a period of time. They usually occur at or near the tendon, as a result of the tendon rubbing against the overlying bone. This is usually associated with an impingement syndrome.

  • Usually found on the dominant side
  • More often an affliction of the 40+ age group
  • Pain is worse at night, and can affect sleeping
  • Gradual worsening of pain, eventually some weakness
  • Eventually unable to abduct arm (lift out to the side) without assistance or do any activities with the arm above the head
  • Some limitations of other movements depending on the tendon affected

Status Post Rotator Cuff Repair Surgery, General Rehabilitation Protocol

The following are general guidelines for status post (s/p) Rotator Cuff Repair patients.

This program is designed to take into account whether tissue has been surgically repaired or arthroscopically debrided. If tissue was repaired then a period of immobilization is necessary. Depending on the level of damaged the patient will be a in this protective stage for 4 to 6 weeks. If no tissue has been repaired then the program is more symptom driven rather than time dependent. In this case the patient is encouraged and guided to normal plains of motion, while discouraging and informing the patient about compensatory actions, (more to come on compensatory actions).

Patients are counseled to avoid quick sudden movements, repetitive movements, reaching for any weight over a pound or two and avoiding any activity that requires force or power.

Driving is not recommended until such time as the patient can safely get both hands on the steering wheel a


Meniscus Rehabilitation

Meniscal repairs are generally located in the vascular zones of the periphery or outer third of the meniscus, are progressed more rapidly than those repairs that are more complex and located in the avascular zone of the meniscus. Dependent upon the location of the repair, weight bearing status post-operatively as well as the intensity and time frame of initiation of functional activities will vary.

  • The General Goals of rehabilitation are to:
  • Control pain, swelling, and hemarthrosis
  • Regain normal knee range of motion
  • Regain a normal gait pattern and neuromuscular stability for ambulation
  • Regain normal lower extremity strength
  • Regain normal proprioception, balance, and coordination for daily activities
  • Achieve the level of function based on the patient goals

Physical Therapy should be initiated within 3 to 5 days post-op. It is extremely important for supervised rehabilitation to be supplemented by a HOME EXERCISE PROGRAM.

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