Are you a runner or athlete with lateral hip pain? Does it gradually get worse over time the more mileage or sprints you run? The pain will feel deep in the lateral buttock and may potentially radiate into the thigh. If so, you may have Gluteus Medius Syndrome The gluteus medius muscle’s primary function is as a hip abductor and is an extremely important muscle in maintaining frontal plane stability of the pelvis when running or standing on one leg. I have seen 3 clients with this issue in the last month (when it rains it pours) and this is how I helped them get significant relief to full resolution in 2-4 weeks: My Process: 1. Trigger Point Dry Needling of the Gluteus Medius for immediate pain relief 2. Provide stretches to address any identified hip or ankle tightness 3. Reduce running mileage to volume that doesn't aggravate gluteus medius 4. Target any muscular imbalances! So let's say the client has a Left gluteus medius syndrome. I have typically seen Left hip Abductor weakness, Right hip adductor weakness, and some sort of right to left difference in hip rotation or extension strength deficit. I therefore give the client 3 sets to burn out of a Left Hip Abductor strengthening exercise and 1 set on the Right leg. 3 sets of a Right hip Adductor Strengthening Exercise and 1 set on the Left. I make sure to retest their strength in 1-2 weeks to assess for change. Exercise Options: Video 1️⃣: Clamshell Video 2️⃣: Hip Abduction Video 3️⃣- 5️⃣: Hip Adduction #lateralhippain #gluteusmedius #hippain #hippainrelief #hippainexercises #runner #physicaltherapy #physicaltherapist #rehab #sportspt #orlandoflorida #orlandofl #baldwinparkfl #baldwinparkflorida #winterspringsfl #winterspringsflorida #orlandophysicaltherapy

Achilles Tendinopathy: Let's Fix It! ...................... 2 Types: Achilles tendinitis (acute condition) occurs when there is a clinical presence of pain and swelling. Achilles tendinosis (chronic condition) refers to a degenerative process of the tendon without inflammation present. Tendinosis is a failure of the cell matrix to adapt to repetitive trauma caused by an imbalance between the degeneration and synthesis of the matrix. This will result in the tendon thickening over time. ...................... Most notable symptoms: Difficulty climbing stairs or running, stiffness/pain after sitting for long periods and especially in the morning. Most often seen among recreational male runners between 35 and 45 years of age. .................... Treatment: The key aim of treatment is to improve the energy storage capacity of the tendon. That is the ability for the tendon and associated muscle to do work and manage load, essentially acting like a ‘spring’ in storing and then releasing energy. Eccentric Strengthening will be very important for this reason! First Step: Address thickening of the tendon (for tendinosis) using soft tissue massage techniques such as graston/gua sha. Also Incorporate Calf Stretching daily to address soleus and gastrocnemius tightness. If the pain is significant and eccentrics can not be initiated right away try: Single Leg or Double Leg Isometric Holds. Some pain is okay but the exercises should not exacerbate pain. If isometric holds are too much you can regress to seated calf raises or band resisted calf raises. Isometric Hold Program: Do 45 second hold, 5 repetitions. This can be done everyday and even up to a few times per day. Depending on your pain level start with double or single leg isometric holds. Just lift your heel half way off of the ground and hold When ready, progress to Eccentric Exercises: Perform 2-3 days/week Aim for 8 reps x 3 Focus on lowering the heel slowly at a 4-5 second count Start at 10-15% of your body weight and then add more weight over time ..................... This is a program that you will have to be patient with and could take 12 weeks to see significant results #achillestendonitis

Doing a combination of cupping and trigger point dry needling to release trigger points and fascial tension in this client. Both of these techniques are used to treat pain; whether is it shoulder, low back, knee pain etc. We follow these techniques with corrective exercises, stabilization or strengthening to then improve movement quality and promote long term relief #lowbackpain #physicaltherapy #physicaltherapist #rehab #sportspt #dryneedling #orlandoflorida #orlandofl #baldwinparkfl #baldwinparkflorida #winterspringsfl #winterspringsflorida #orlandophysicaltherapy

Addressing shoulder stability in a softball player following anterior shoulder dislocation through multi-angle isometrics, perturbations, and PNF patterns. #physicaltherapy #physicaltherapist #rehab #sportspt #orlandoflorida #orlandofl #baldwinparkfl #baldwinparkflorida #winterspringsfl #winterspringsflorida #orlandophysicaltherapy #shoulderstabiloty

Getting after shoulder range of motion using a mobility band The mobility band provides joint distraction before you drop into the end ranges of a motion like shoulder flexion, extension or horizontal abduction Try to take deep breaths and relax into the stretch for 1-2 minute holds #physicaltherapy #physicaltherapist #rehab #sportspt #orlandoflorida #orlandofl #baldwinparkfl #baldwinparkflorida #winterspringsfl #winterspringsflorida #orlandophysicaltherapy #shouldermobility

This client underwent an artificial disk replacement in the low back pain almost 3 months ago. This procedure was approved by the FDA in 2004 but in Florida there are only 7 physicians currently performing this surgery. In an artificial disk replacement, worn or damaged disk material (which are located between each vertebrae in the spine), is removed and replaced with a synthetic or "artificial" disk. The goal of the procedure is to relieve back pain while maintaining more normal motion than is allowed with some other procedures, such as with spinal fusion. The client experienced significant pain relief following surgery but we were able to eliminate residual pain through dry needling and a comprehensive home exercise program focused on mobility, stability, motor control, strength and quality of movement (Not quantity). To determine the proper home exercise program for this client we utilized the FMS and SFMA which are designed to identify significant limitations or asymmetries in movement patterns. Limitations or asymmetries in movement patterns can often correlate with an increased risk of injury. This client's goals were to weight lift, golf, play tennis, and run. What are your goals? Call or email today to see how we can get you back to moving pain free! 407-718-0437, rachel@jsportsrehab.com . . . . #lowbackpain #physicaltherapy #physicaltherapist #rehab #sportspt #orlandoflorida #orlandofl #baldwinparkfl #baldwinparkflorida #winterspringsfl #winterspringsflorida #orlandophysicaltherapy

If you have low back pain, we can help! Step 1: We use special tests and perform a thorough movement screen to determine movement quality, stability/motor control, strength, and mobility joint by joint. This allows us to figure out the cause of your pain. Step 2: We utilize manual intervention such as dry needling, ASTYM, soft tissue massage, trigger point release and joint mobilizations to reduce/eliminate pain and improve mobility Step 3: Address mobility, stability, motor control, weakness, and poor movement patterns through a comprehensive home exercise program. So if you want PT who focuses on pain elimination, improved movement quality and reducing your risk for injury then we can help! For more information call or email at 407-718-0437 or rachel@jsportsrehab.com . . . . #lowbackpain #physicaltherapy #physicaltherapist #rehab #sportspt #dryneedling #orlandoflorida #orlandofl #baldwinparkfl #baldwinparkflorida #winterspringsfl #winterspringsflorida #orlandophysicaltherapy

When we first met Sydney she struggled with shin splints that limited her ability to play soccer without significant pain. This was due to improper shoeware, poor balance, foot/ankle and hip weakness that lead to overuse of a muscle in the ankle. At the initial evaluation she had difficulty standing on one leg without losing balance. After a little over a month of hard work she has minimal to no pain and has demonstrated big improvements in balance, single leg stability and foot/ankle strength! Keep up the great work! #soccertraining #soccergirls #soccerrehab #anklerehab #trainforlife #spectrum #physicaltherapy #shinsplints #physicaltherapist #orlandoflorida #orlandofl #orlandophysicaltherapy #winterspringsfl #winterspringsflorida #baldwinparkorlando #baldwinparkflorida

What to do about Shin Splints⁉️ There are two types of shin splints: 1️⃣Anterior Shin Splints involving the the Anterior Tibialis Muscle 2️⃣ Posterior Shin Splints invoking the Posterior Tibialis muscle Signs/Symptoms: Sharp pain in the front or inner aspect of the shin when trying to push off from the ground when running Pain increases with activity and reduces with rest Dull aching pain Redness and swelling Causes: Overtraining, improper shoe ware, muscular imbalances in the leg and foot, excessive pronation (flat arches), changes in training (increases in volume, speed, etc.) Methods to relieve pain: Rest, activity modification, manual intervention (dry needling, massage, etc.), stretching, strengthening the foot/ankle, ice, Orthotics, NSAIDs , etc. Typically for a patient with shin splints I will: 1. Encourage the client to rest or modify their activity to minimize stress into the anterior or posterior tibialis 2. Perform manual intervention such as ART, dry needling, or massage 3. Prescribe foot/ankle strengthening emphasizing stabilizing the arch to prevent pronation of the foot 4. Address ankle mobility, hip mobility, hip strength and balance 5. Eventually progress them to strengthening the foot/ankle in standing with exercises such as heel taps, single leg RDLs, lunges, single leg balance on Airex, etc. The videos above emphasize improving strength of the intrinsic foot muscles and learning how to place the foot in a neutral arch (to prevent pronation). Strengthen the calf muscles with a neutral arch and any single leg balance work focus on maintaining a neutral arch position. . . . . . . . . . #shinsplints #shinsplintsrecovery #shinsplintsrehab #tibialstresssyndrome #footstrength #footstrengthening #physicaltherapy #physicaltherapist #orlandophysicaltherapy #baldwinparkfl #baldwinparkflorida #orlandoflorida #orlandofl #winterspringsfl #winterspringsflorida

Repost @spectrum_sp Training for life isn’t just about taking a tenth of a second off a 40yd dash time or improving a one rep max. Joint function and health play a massive role in keeping our athletes in the game and our clients pain free in daily life. @dr.jakubowski , our physical therapist, specializes in many different modalities to keep all of her clients in top shape. Here she is working to restore ankle mobility and eliminate pain with @dafrugal_loveguru #spectrumpt #anklemobility #orlandophysicaltherapy #orlandophysicaltherapist #physicaltherapy #sportspt #baldwinparkflorida #baldwinparkfl #winterspringsfl #winterspringsflorida #orlandoflorida #orlandofl