Ask An Expert: How Should I Feel After Physical Therapy?

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How should I feel after physical therapy? Is it going to be painful?

Physical therapists have gained a little bit of a reputation when it comes to pain. If you’ve been through physical therapy before, chances are you initially felt like treatment was making things feel worse. BUT, if you stick with it, the gains and improvements come with time.

We, as therapists, are focused on a number of things including, but not limited to, increasing your endurance, balance, flexibility, and strength. All of those things require prescribing specific exercises almost like you would do in a gym. Improving strength is only achieved by putting an adequate amount of “stress” on a muscle group which, in turn, causes some ache, fatigue, and soreness.

That being said, the level of soreness you feel after therapy should not interfere with your daily activity. Your physical therapist will constantly be checking in on how you felt after all activities. Ask questions if you aren’t sure if what you’re feeling is normal. You’ll hear a lot of people say “no pain, no gain,” but the real saying is “consistency over intensity.” Keep your bodies moving and stay healthy!

Kim Rea, PTA

Temporomandibular Joint Dysfunction

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Temporomandibular joint dysfunction (“TMD”) is a musculoskeletal problem of the jaw generally characterized by jaw pain and clicking and often accompanied by headaches, tinnitus (ringing in the ears), and neck pain. It can be worsened by poor postural habits, grinding/clenching teeth while sleeping or awake, sleep apnea, dental conditions, chewing gum, ice or other dense items, eating foods that require wide jaw opening, stress or psychological trauma, and others. Common treatment options include a bite or night guard, dental care, psychotherapy, physical therapy, and surgery.

Physical therapists evaluate and treat both the temporomandibular joint (TMJ) and the cervical spine (neck). Clinicians begin a course of care by evaluating the neck and jaw to identify patients’ unique presentation and develop customized treatment plans accordingly. During the evaluation process, neck and jaw mobility, strength, jaw opening and closing, airway clearance, surrounding tissue tenderness, muscle and ligament tightness, disc and retrodiscal tissue mechanics, signs of grinding/clenching and posture are assessed.

Physical therapy treatment often involves a combination of manual therapy, exercise, postural training, eating and chewing education, dry needling, and other modalities to address both jaw and neck pain and dysfunction. Physical Therapy is often provided in conjunction with medical management, dental care, and psychotherapy as appropriate. Treatment for TMD can range from weeks to months and is often related to complexity and chronicity of condition.

Patients who are compliant with care including self-management typically appreciate the greatest success. Your dentist, physician, nurse practitioner or physician assistant can refer you to physical therapy.

 

Dr. Mike Winebrenner is a 1999 graduate of the Bachelor of Science program in Physical Therapy at Daemen College and a 2008 graduate of the Master of Business Administration program from Loyola College in Maryland.  He earned his Doctor of Physical Therapy from Widener University in 2009.  Mike is Dry Needling, LSVT BIG and Bike Fit certified. Additionally, he has advanced training in temporomandibular joint dysfunction (TMD). With a strong background in spine care, his focus is on long term prevention and wellness.  Mike’s commitment to exercise and wellness is evident by his active lifestyle, including cycling, fishing, kayaking, hiking and health club exercise.

Why Do My Joints Hurt in the Cold?

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While there is no single explanation on why cold weather can affect the joints and cause pain, experts have several possible explanations.

Changes in barometric pressure, or the pressure of the air, can affect the body. When barometric pressure drops, tendons, muscles, and surrounding tissues expand. This expansion can induce discomfort, given the confined space within the body. When the cartilage that cushions the bones inside a joint has been worn away, the nerves in exposed bones might pick up on changes in pressure. Humidity, precipitation, and temperature are also at play with weather, making it challenging for scientists to pinpoint the precise cause.

Low temperatures can make the fluid inside joints thicker, thus making them feel stiffer. When temperatures drop, nerves and blood vessels in extremities constrict, reducing blood flow to preserve warmth for vital organs. This vascular response can lead to stiff and achy joints. Rainy, chilly days also contribute to a decrease in physical activity. When people become less active, joints can become inactive and subsequently stiffen. Those with arthritis and chronic pain are more vulnerable to cold weather discomfort.

To fend off winter joint discomfort, consider adopting these proactive measures:

Bundle Up: Combat the cold by dressing in layers, indulge in warm showers or baths, and cozy up with a heating pad or electric blanket to soothe your muscles.

Stay Active: Keep your muscles and joints agile by engaging in low-impact exercises such as walking, yoga, or swimming. Steer clear of unnecessary joint strain, like lifting heavy objects.

Prioritize Rest and Nutrition: Ensure a good night’s sleep, maintain a healthy diet, and foster a positive mindset. These factors can positively impact various facets of your health, potentially alleviating joint pain.

The impact of weather on joint pain highlights the need for a holistic lifestyle approach. Adopting lifestyle changes can play a pivotal role in combating winter joint discomfort. For individuals seeking personalized guidance and specialized care, the expertise of a physical therapist can be instrumental in managing and mitigating the effects of joint pain.

The assistance of a qualified physical therapist can provide targeted and individualized solutions. A physical therapist, with their knowledge of biomechanics, exercise physiology, and rehabilitation techniques, can tailor a treatment plan to address the specific needs of individuals experiencing joint pain. Through collaborative efforts, individuals can work towards enhancing joint mobility, reducing pain, and improving overall quality of life, even in the face of challenging weather conditions. Embracing a comprehensive approach that combines personal initiatives with professional guidance is key to effectively managing joint pain, ensuring a more comfortable and active lifestyle.

Source: UChicago Medicine, Columbia University Irving Medical Center