Motion Stability's Blog


Correlations and Interactions Between the Viscera & Musculoskeletal Systems. by charlestlee

Image Source: altatherapies.com

Brian Yee PT, MPhty, OCS, FAAOMPT
The International Association for the Study of Pain (IASP) has named the 2012-2013 years as the Global Year Against Visceral Pain. Your viscera, or essentially your internal organ system can be a source of pain, but also referred pain to your musculoskeletal system. There are times when people present with low back or mid back pain that may be referred from an internal organ or visceral source. In chronic pain situations, there are many times that correlations and interactions between the viscera and musculoskeletal systems occur that require Physical Therapists to assess and treat both systems as well as collaborate with other health practitioners. Here is a link to a quick Fact Sheets about the IASP on visceral pain.
If you have chronic musculoskeletal pain and ongoing internal organ issues, there may be a relationship between the two. Feel free to contact us if you would like to know more about this at admin@motionstability.com
The Motion Stability Team


What are natural treatments for nerve pain? by charlestlee

image source: laserspineinstitute.com

Brian Yee PT, MPhty, OCS, FAAOMPT

In Physical Therapy, nerve pain can be treated naturally through techniques called ‘neurodynamics’. According to Michael Shacklock in Australia, a worldwide leader in nerve pain and rehabilitation, there are three major areas to address. This includes the mechanical sites that can compress a nerve, the nerve itself, and the tissue the nerve innervates.

First, nerve pain can be caused by a tissue that pinches on it. This could be a herniated disc, a muscle spasm, or arthritic changes in the spine. Such treatments as mechanical traction or soft tissue massage around the pinched area of the nerve can alleviate the nerve pain.

Second, the nerve itself can become injured. Physical Therapists use manual therapy techniques to mobilize the nerve itself to reduce its pain and improve it mobility. Similar to having a knee surgery, it is important to calm the swelling and pain down in a nerve while progressively improving the range of motion back to its normal length. Nerve is just as much of a connective tissue as ligaments or tendons are.

Lastly, when nerve pain occurs it becomes inflamed, a term called neurogenic inflammation. Like a hose spraying with water, when the nerve is inflamed it sends inflammation to its termination sites – such as muscle, joint, or ligaments. It is important to improve muscle or joint restrictions that surround the nerve to fully treat the nerve pain and its residual effects.



What is Tennis Elbow? by charlestlee

image source: physiotherapy-treatment.com

Brian Yee PT, MPhty, OCS, FAAOMPT

Tennis elbow is pain that occurs on the outside aspect of your elbow is traditionally due to repetitive overuse of the forearm musculature. Tennis elbow is common with people performing repetitive tasks with their hand and arms. This can include manual labor jobs, repetitive typing, or sporting activities.

Tennis elbow pain can also be caused by elbow joint degeneration, a bursitis or nerve compression from the neck that causes referred pain to the elbow. Trigger points of muscles around the elbow can also cause referred pain in the elbow.



Can Back Pain Be Prevented? by charlestlee

image source: everydayhealth.com

Brian Yee PT, MPhty, OCS, FAAOMPT
Prevention of back pain is a difficult thing to do because there are so many reasons why it can happen. The prevalence of low back in the general public is astronomical. Lets face it the majority of us will experience back pain sometime in our lives. We should instead focus on how we can reduce the amount, intensity, or duration of recurrent episodes of back pain that affect our quality of life. This can be achieved by seeing the appropriate health practitioners to reduce their pain. From there, proper exercise prescription, education on ergonomic or functional movement, and learning how to take care of your back properly is vital for your long term success.


Can Strengthening your neck muscles prevent headaches? by charlestlee

Image Source: healthyliving.azcentral.com

Brian Yee PT, MPhty, OCS, FAAOMPT

There are different types of headaches. One common type is called a cerivcogenic headaches or neck-related headaches. There is lot of research coming out of the University of Queensland in Brisbane, Australia that has discovered how proper stabilization of the neck muscles can reduce neck pain, whiplash injuries, and cervicogenic headaches.

Proper stability of the neck muscles comes first from the smaller muscles closest to the spine. This includes a wafer thin muscle on the front of the cervical spine called the longus colli. A skilled Physical Therapist can instruct a patient how to contract this muscle in isolation and train its endurance. As the longus colli function improves it is important to incorporate strength of the larger muscles such as the sternocleidomastoid and posterior neck muscles to provide stability and strength for the neck to function during the day and in sport.

Cervicogenic headaches are typically generated from dysfunction of the upper neck vertebrae such as C1-3 vertebra levels. With poor postures or previous whiplash injuries the smaller muscles can weaken or inhibit leaving the joints vulnerable to injury due to lack of muscle support.

By improving proper muscle stability, the cervical vertebrae have better support and can last longer in prolonged postures and sporting activities. In turn, the prevalence of headaches can be reduced.



Why is back pain such a medical mystery? by charlestlee

Image Source: ll-media.andersoncooper.com

Brian Yee PT, MPhty, OCS, FAAOMPT

Many patients are fixed solely on what medical imaging says structurally about their spine and how it causes their back pain. This includes disc herniations, joint degeneration, or stenosis. Patients should understand that other factors can cause back pain as well. This can include poor muscle control and movement patterns, nerve pain, referred pain from muscle trigger points, and even the fascia around the back can cause pain. Food allergies or internal organ dysfunction can also cause referred pain in your back. 

Even pain itself is a mystery. Over the last decade there has been growing research on what pain is and how it presents itself, what the medical community calls Pain Sciences. Although we have a better understanding of what pain is, there is still much more we need to know.



Runners Clinic at Weststride (October 20th) by charlestlee

On October 20th (11am – 2pm), Beth Collier and Maggie Gebhardt, physical therapists from our team at Motion Stability, will be teaching and participating in a runners’ clinic at Weststride Running Store3517 Northside Parkway #11, Atlanta, GA 30327.

This clinic will be co-hosted by Brooks Running Shoes. Maggie and Beth will be teaching two foam rolling clinics at 11:30am and 12:30pm and will be on hand to give out pointers throughout the day. Brooks will also be present for gait analysis and shoe fitting. Contact the store to reserve your spot! 404-467-1010 or visit www.weststride.com



How is a Pinched Nerve Treated? by charlestlee

Image Source: bykowskichiropractic.com

Post by Brian Yee PT, MPhty, OCS, FAAOMPT

When treating a pinched nerve it is important to take pressure off the nerve so the nerve can conduct properly. In Physical Therapy, we can use mechanical traction or hands-on techniques to reduce the nerve compression. With these techniques we look for a reduction of pain and intensity. Typically, the further the symptoms go down the arm or leg, the worse the nerve symptoms are. Therefore, any treatment that the patient feels their symptoms are lessening further down the leg or arm means that the nerve is being pinched less.

The nerve itself should also be treated. When the nerve is pinched it can become inflamed and irritated. We use techniques called nerve mobilizations or ‘neurodynamics’ to improve the nerve’s mobility. Think of a nerve being like a bungy cord. Normally the nerve has enough elasticity to lengthen with the arm to reach and stretch. But when the nerve is irritated, it loses its elasticity and ability to lengthen the way it supposed to. It is important to improve the mobility of the nerve back to its normal length, like you would with an elbow that just had a cast removed from it.  With improved mobility of the nerve it has the ability to heal and have less pain.



Have Pain in the Arch or Heel of Your Foot? by charlestlee

Image Source: sdri.net

Post by Brian Yee PT, MPhty, OCS, FAAOMPT

Pain in the arch or heel of your foot is commonly diagnosed as ‘plantar fascitis’. However, there are several reasons that can cause pain at the bottom of the foot. Accurate diagnosis of the source of symptoms is needed to direct the proper course of action. This includes:

Plantar Fascitis: Usually due to an over-stretched arch from a flat or high arch. Treatment by taping, manual therapy, orthotics, and use of night splints can provide relief. Long term prognosis is based not only treating the plantar fascitis itself, but also restoring proper mechanics of the entire leg.

Nerve Pain: The tibial nerve, which is a branch of the sciatic nerve originating from the spine, can cause  symptoms in the bottom of the foot. The key to treatment in nerve injuries is to determine why and where the nerve injury occurred and treat the nerve accordingly. Physical Therapists can use specific nerve mobilization techniques to improve nerve integrity – called neurodynamics.

Myofascial Trigger Points: Muscle trigger points in the calf and foot muscles can cause referred pain to the foot. Soft tissue techniques and dry needling can be used to treat the trigger points referring and causing the ‘plantar fascitis’ like symptoms.



Do Your Knees Hurt After Jogging? by charlestlee

Image Source: healthyliving.azcentral.com

Post by Brian Yee PT, MPhty, OCS, FAAOMPT

It is common for joggers to have knee pain. It is usually due to a combination of improper strength and flexibility not only at the knee, but also the hip and foot. The hip is designed to absorb a majority of shock, as well as produce power through the gluteal muscles. The foot contacts the ground and provides proper ground reaction forces up the kinetic chain. If the hip or foot do not work correctly, the knee undergoes increased stress. Like a paper clip bending repetitively, injuries at the knee can then occur. In runners, pain can present itself in the front (i.e. patellar pain), outside (i.e. iliotibial band syndrome), or along the inside of knee (i.e. medial meniscus injury). It is important to address proper mechanics through the entire leg to allow a jogger to run efficiently without causing further injury.

If running is causing more pain in the knee, it is recommended not to “run through the pain” but rather limit the running by staying short of pain before it gets worse. Take the time outside of running to address proper strength, flexibility and core stability to promote proper mechanics to jog at the distance and intensity you are striving for.  Fitting of proper running shoes for your foot type should be considered as well as contacting a running coach to assess your stride and running mechanics.