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02/04/2018

Effective-Shoulder-Pain-Management-and-Treatment-Options

At some point in your professional working life, you are more than likely to experience some form of shoulder discomfort or pain. The most common source of pain in the shoulder is due to overuse of the joint itself. Even if you have an office job, you can experience a long-term, overuse injury to your shoulders. This can be attributed to engaging in any activities that require the performance of repeated motions, such as work that involves reaching overhead or that regularly requires reaching beyond the normal range-of-motion of the joint.

What Causes Shoulder Pain
The structures in your shoulder joint are comprised of cartilage, muscles, ligaments, and tendons. These structures work in conjunction with one another to enable your arms to perform complex lifting, carrying and reaching motions. Over time, these continuous motions can cause painful wear and tear injuries to the structures that make up the shoulder joint, resulting in discomfort, swelling, and pain. These types of injuries are fairly common and can lead to shoulder impingement issues. Shoulder injuries can occur in many different professions. Some professional fields where shoulder overuse injuries commonly occur include:

Mechanic
Retail Salesperson
Nursing
Firefighter
Administration Assistant
Daycare Worker
Baseball Player
Lawncare Specialist
Parenting
Computer User/Office Worker
Work-related Chronic Shoulder Pain
If you are experiencing chronic shoulder pain, it is important to understand that work-related shoulder pain usually happens over a long period of time, instead of from a single direct cause, such as an accident. It can be caused by a variety of reasons, such as:

Carrying too much weight in your arms to an extended period of time
Repeatedly over-extending your normal reach
Vibrations incurred from industrial equipment
Improper hand/arm positioning
Using improper lifting techniques
Pain management specialists have concluded that work environments which require sitting for long periods of time are known for being directly responsible for causing a weakening of the muscles in your neck and shoulders, thus creating the perfect set-up for chronic shoulder pain. The majority of cases of people seeking shoulder pain relief from shoulder impingement are reported by people that perform computer or desk work.

Learn How To Prevent Shoulder Pain
Two of the most effective ways to prevent shoulder pain, or to gain shoulder pain relief, are to make easy to implement corrections to your work environment, and to work on correcting your body posture. There are a wide variety of tools available in the market today to help prevent these kinds of work-related injuries, especially if you have a job that requires you to stay in one position for long periods of time.

Office chairs, and other devices designed to ergonomically correct body positioning help to better align your back, neck, shoulder, arm, and wrist muscles and reduce muscle and joint stress. Less stress on the body’s muscles and joints equate to a reduction in the chances of developing a work-related injury.

Perhaps one of the easiest and most effective (and often overlooked) changes you can make is to always sit properly at your desk. This simple step helps to ensure proper body positioning.

Adjust your office chair to make sure both of your feet are situated on a stable, even surface.
Tuck your elbows in close to your body and keep them well supported.
Keep your arms and wrists held in a straight line(from your elbow to your hands) when performing typing/keyboarding tasks.
Use an office chair that provides good support to your lower back region.
Always remember to use good body mechanics and to sit up straight.
Strengthen your back muscles by performing exercises specifically designed to help you develop better posture.
Arrange your computer equipment, and your office workstation, in such a way that prevents you from having to unnecessarily to strain to see your computer monitor or use your keyboard.
Remember to get up from your desk and move around at least once an hour to help ease any strain on your muscles.
Try using a telephone headset, especially if your job requires you to talk on the phone a lot, to avoid straining your neck muscles.
Always ask for assistance when having to move heavy items, to reduce the opportunity for injury.
If you are still experiencing pain in your shoulder after employing these preventative suggestions, it may be time to seek shoulder pain treatment from a professional.

Who Can Treat Shoulder Pain?
Physical Therapists, Orthopedists, Chiropractors, and other professionals experienced in treating joint pain and injuries are excellent options for seeking shoulder pain relief not alleviated by at-home methods. The staff at Dynamic Rehab Physical Therapy can answer any questions you may have concerning a wide array of available treatments and therapies for chronic shoulder pain. Using the latest technological advancements and successful treatment options, Dr. Aranbaev can assist you in finding relief from work-related shoulder pain.

02/03/2018

https://youtu.be/idsIf753d98

When it comes to exercise, it's no secret that running is good for you. But do you know what happens to your body when you run? I'm not just talking about sw...

01/15/2018

Are-the-Side-Effects-of-Sitting-a-Threat-to-Your-Health

In the Age of Technology, most humans are spending increasingly less time on our feet, and increasingly more hours in some sort of sitting posture. Driving, working on a computer, being entertained and becoming educated all entail long bouts of sitting with few interludes of standing, walking or large muscle movement of any kind.

While working at a desk job is often coveted over manual labor, it can have deleterious effects on overall health, particularly when leisure activities are also sedentary in nature. The human body is designed to move, and being sedentary interferes with all of your body’s systems, causing them to malfunction and deteriorate.

Standing and being physically active throughout the day have many positive effects on your overall health, including:

Increased blood flow, with increased delivery of oxygen and nutrients to cells throughout your body

Improved bone density and joint function

Better posture

Enhanced organ function

Stronger, more pliant muscles and joints

Better mood

Flatter stomach

The Deadly Dangers of Sitting

There are several ways in which sitting for long hours has adverse effects on your health:

Increased risk of metabolic and cardiovascular disease

Malfunctioning pancreas and increased insulin resistance

Increased risk of colon, breast and endometrial cancers

Flabby abdominal and core muscles

Incontinence and organ prolapse

Tight hip flexor muscles and saggy buttocks

Reduced circulation in legs, leading to cellulite and varicose veins

Low bone density

Diminished cognitive function

Sloped shoulders and neck pain
Impinged spinal discs

Weak rotator cuff muscles

Poor posture

Low back pain

Premature aging and risk of death

Undesirable weight gain

10 Tips for Countering the Negative Effects of Sitting.
When it comes to sitting for long hours day after day, many of us have little choice. Work and school often limit our mobility. But there are many things you can do to counteract the negative effects of sitting:

Take a two minute activity break at least once per hour. Stand up and stretch, jump up and down, or take a lap around your work space.

Go outdoors and walk during your lunch break, or climb the stairs in your building.

If possible, elevate your computer and stand at your workspace.

Walk, bike or take public transportation rather than driving.

Instead of binging your favorite TV shows on the weekends, get out and get active.

Join a gym or group exercise class and commit to regular workouts, including resistance training.

Stretch daily, taking extra time for hip flexor, chest, calf and low back muscles.

Work your core muscles at least twice a week with planks, bridges and crunches.

Check your posture while sitting: Keep both feet flat on the floor, pull your shoulders back and down, tuck your elbows in, support your low back, lengthen your neck.

Elevate your heart rate for at least 15 minutes daily, either in one bout, or in shorter spurts throughout the day.

Exercising may seem time consuming and it requires effort, but it is time and effort well spent. Undoing the damage of sitting once negative side effects have set in is much harder than taking preventative measures.

01/13/2018

Do Orthopedic Surgeries Really Work? Reality Vs Perception

When you are suffering from ongoing debilitating joint pain, surgery may seem like a quick, easy and permanent solution that will make it all go away. But the truth is that many orthopedic surgeries fall short of the mark, sometimes doing more harm than good, and often delaying the recovery process for patients seeking to resolve their pain and restore function.

Moreover, many surgical procedures are quasi-experimental in nature, not having been vetted by any overseeing body for safety and efficacy, as is always the case for emergent pharmaceuticals. In fact, for many surgical procedures, there is a dearth of research to support their efficacy or justify their practice. Yet orthopedic surgeons routinely put patients with complaints of joint pain under the knife.

Knee Surgery
While knee surgery may be justified in cases of trauma, as from sports, where structural damage exceeds the body’s ability to repair itself, most cases of knee surgery are performed on patients reporting pain from degenerative joint disease such as osteoarthritis.

There are fundamentally three types of knee surgery that are most commonly performed in degenerative knee patients:

Debridement: Removal of damaged cartilage and/or bone
Lavage: Irrigation of the joint capsule with saline solution to remove cartilage fragments
Arthroscopic partial meniscectomy: Removal of some or all of a meniscus in the knee joint
However, the efficacy of all three procedures is negligible when compared to conservative treatment such as exercise, weight loss and physical therapy.

To test the effectiveness of knee surgery on patients’ perception of pain and function, a controlled study was conducted by Lubowitz (2002) that compared a control group who received a fake surgery (incision only) to a group who received a real procedure. Over a two-year followup period, the control group reported outcomes similar to those of the surgical group at all points in time.

Shoulder Surgery
As in the case with knees, shoulder surgeries are most often performed on patients with degenerative joint conditions that are not related to trauma. The rotator cuff in particular is pinpointed as a cause of pain and dysfunction, and surgery is frequently aimed at the acromion process which sometimes impinges the rotator cuff, in a procedure acromioplasty, where a portion of the acromion is removed. Yet a five-year controlled study conducted by Ketola, et al. (2013) found no evidence of long-term benefits of shoulder surgeries to treat shoulder impingement syndrome.

Spinal Surgery
Most non-traumatic low back pain is non-specific in nature, meaning it is not linked to any structural deformation of the spine. Nevertheless, spinal surgeries are performed routinely on patients complaining of low back pain, the most common being fusion of the vertebrae to lessen contact with neural bodies that causes pain.

However, a long-term follow-up of three randomized controlled trials by Mannion et al. (2013) found spinal fusion surgeries to offer no better outcomes than conservative treatment for patients suffering low back pain.

Surgery vs Conservative Treatment
Surgery is an expensive and invasive approach to treatment for joint pain that carries with it high risks for infection, neural damage and other undesirable side effects. When dealing with degenerative joint conditions not caused by trauma, it is safe to say that conservative treatments including exercise, weight loss and physical therapy offer more hope for favorable health outcomes in the long run, as they address more than just localized joint pain.