Ruud Vuijsters, PT Practice of Pain Management

08/19/2026

The key to aging powerfully starts with the choices you make today.
Eating nutritious foods, staying active, getting enough sleep, managing stress, and avoiding harmful vices all contribute to a healthier, more vibrant life as you age.
Taking care of your mental and physical health now helps build a strong foundation for the future, allowing you to enjoy your later years with energy and independence.
Remember, every positive choice you make today shapes the quality of your life tomorrow.

The choice is yours to make...

08/19/2026

Good morning and Happy HumpDay!
Wishing everyone an amazing day 🤗

08/18/2026

The Quadratus Lumborum.

08/17/2026

WHY DOES YOUR HAND TINGLE WHEN YOUR ARM GOES OVERHEAD?

You reach overhead...

Your arm stays there for a few seconds.

Then—

Tingling starts traveling toward your hand.

Lower your arm?

It may ease.

Raise it again?

The sensation returns.

But the problem may involve a narrow passage between your neck, chest, and upper limb.

THE ANATOMY

One important structure is the **Brachial Plexus**.

This network of nerves travels from the lower cervical and upper thoracic region toward the shoulder and arm.

Along its route, the nerves pass through spaces between muscles, the first rib, and the clavicle.

THE BIOMECHANICS

During certain overhead positions:

1️⃣ the shoulder girdle elevates

2️⃣ the clavicle and first rib change their relative position

3️⃣ the tissues surrounding the neurovascular bundle are placed under different mechanical demands

In some people, irritation or compression within this region can contribute to **Thoracic Outlet Syndrome** and produce arm or hand symptoms.

WHEN TO PAY ATTENTION

Persistent numbness, progressive weakness, hand discoloration or swelling, severe symptoms, or symptoms that consistently worsen with arm position should be medically evaluated.

THE TAKEAWAY

Sometimes tingling in your hand isn't starting in your hand.

The nerve pathway can travel through a tight anatomical corridor between your neck, chest, and shoulder before reaching your arm.

08/16/2026

08/13/2026

Discipline-Commitment-Consistency.

08/11/2026

🧠

08/11/2026

Why can one knee movement feel fine while another suddenly irritates a meniscus?

The load on the meniscus changes depending on how the knee is positioned and what the body is asking it to do.

This scientific animation shows the affected knee progressing through deeper flexion, rotation, compression, ordinary weight transfer, and a controlled step-down.

The menisci help distribute load between the femur and tibia and adapt as the knee moves. Changes in flexion and rotation alter how forces are transmitted through the joint.

That helps explain why a symptomatic knee may tolerate simple standing but become more uncomfortable during a deeper squat, pivot, or step-down.

However, pain during movement does not automatically mean the tear is getting larger. Meniscal tears and other meniscal abnormalities are frequently seen on MRI even in some people without knee pain, especially with increasing age. New England Journal.

The useful question is therefore not simply, "Is there a tear?" but also, "Which loads and movements are actually reproducing the symptoms, and how much can the knee currently tolerate?"

This post is for educational purposes only. Persistent swelling, true mechanical locking, inability to fully straighten the knee, significant instability, or difficulty bearing weight warrants professional evaluation.