Motion Stability's Blog


Unresolved Pain TED talk
June 21, 2013, 1:32 am
Filed under: Pain Sciences

At Motion Stability we understand that many people experience pain despite allowing time for body tissues to heal, taking medications or even having surgery. Other times, there may be no direct mechanism of injury, but a person may notice that the weight of clothing or air blowing on their skin may become painful. In these cases, a persons complaints cannot be treated the same as a typical injury. It is important to seek out healthcare providers who understand the science behind the many pain mechanisms. In this video, Elliot Krane explains how such pain complaints can occur in the body. Please contact the therapists at Motion Stability if any of these symptoms sound familiar to you. We can help you find the answers to your unresolved pain and return to an improved quality of life!

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Musicians With Too Much Flexibility
August 22, 2012, 5:11 pm
Filed under: Movement Dysfunction, Musicians, Upper Extremity

When first learning a musical instrument, it is often the flexibility of a person that gives them an advantage to playing with superior technique.  In the case of hand flexibility, the ability to easily span octaves or assume challenging fingerings make technically demanding pieces seem much more feasible.  However, in cases of extreme mobility, musicians will often revert to firm pressures  to better stabilize their instrument. When firm pressures are applied against a firm surface, often posistions of hyperextension are assumed. Such positions, especially frequently repeated or chronically maintained, put your joints at risk for injury. Contrastingly, many people with extreme joint flexibility will try to brace themselves by co-contracting multiple muscle groups to give a feel of stability. Often, in these cases, the muscles become more subject to injury as they approach a state of fatigue and overuse.  Potential solutions for musicians who suffer from too much joint flexibility include ring splints- as seen in the picture below.  Splints, such as those found at www.silverringsplint.com allow the musician functional use of their fingers, while adding an external support to the joints to prevent injury.

Fig 3

Proper fit and splint selection are essential for best outcomes with assistance in music performance.  Be sure to consult a PT or certified hand therapist to assist you with you decisions!



Weakness is the core problem!

Do you think you have a strong core?  The latest trending exercise for core enthusiasts is at Motion Stability! Redcord is  gaining popularity in the world of  wellness and with elite athletes as a strengthening appartaus which emphasizes perfect form and maximizes muscle specificity!  The advantages of redcord as an exercise also play a key role in the world of rehabilitation for the correction of movement dysfunctions found in musculoskeletal pain and chronic pain.

Redcord Training

Redcord was featured in a recent edition of Marie Claire magazine! Check out the article here:  http://www.neuracpt.com/pdfs/Marie%20Claire%20Cover%20March%202012.pdf



Understanding your pain can be INSTRUMENTAL to musical performance
February 28, 2012, 1:36 pm
Filed under: Musicians

Pain is a common complaint with many musical instrumentalists, though performers are often at a loss for who to turn to for relief.  Many times they have been told to stop their musical activities in an effort to control their pain.  This often leaves aspiring musicians in search of another dream, or professional musicians panicked to obtain other work opportunities.  Countless stories of career-ending pain or dysfunction have come to light in recent years, but quality healthcare for these individuals remains sparse.

http://www.post-gazette.com/pg/10272/1091003-114.stm

In recent years, physical therapy has made its name in the performing arts world.  Many retired dancers and actors are turning to physical therapy as a second career to help their colleagues treat common career-ending ailments.  Physical therapists with a music specialty are much more difficult to locate.  When treating musicians it is important to identify postures associated with specific instruments, various techniques utilized to perform on an instrument, and the repertoire performed by the musician.  It is also a struggle for vocal performers to be recognized as utilizing their voice and body as an instrument by many healthcare practitioners.  Finding a healthcare provider with knowledge of the various aspects of music performance is a necessity for musicians struggling with pain and dysfunction.



Chronic Pain Can Be a Pain

Most all people have experienced some form of pain in their lifetime.  Feelings of pain can present from skinning your knee on your first fall off of a bicycle to the tiniest of papercuts or rehabilitating a surgical procedure. Each person can feel and interpret pain in many different ways in the many different circumstances it may present. Generally, pain is thought of as a symptom or result of an incident, such as those mentioned above, or a disease, like the aches commonly felt with the flu. In these cases, most healthcare practitioners focus on treating the cause of the pain, knowing that eventually the pain should subside as your body heals.

However, in cases in which pain persists outside of its expected time frame of body healing, other ideas must be considered.  Commonly in these instances, patients are sent from doctor to doctor in search of a diagnosis or cause of their unrelenting pain, often undergoing many different tests and treatments often only left with a vague diagnosis of  “fibromyalgia” or “myofascial pain syndrome.”  For these individuals, pain takes over many aspects of their life and become functionally limited or even disabled.  Pain then becomes less of a symptom of a disease and, rather, becomes a primary disease in itself.  Patients may even experience other non-pain-related symptoms as a result of the pain process, such as sweating, redness, sensitivity to touch, changes in hair or nail growth, changes in bathroom habits and feelings of depression. It is necessary at this stage to change the treatment approach to stop the pain cycle to best allow the patient to return to normal daily function. Understanding the many factors which may affect pain is imperative to best treat patients with such presentation, including nutrition, exercise, internal organ system function, and psychosocial situations.

The physical therapists at Motion Stability have collaborated with a network of physicians around the Atlanta area to establish a strong approach to the treatment of patients with chronic pain. Utilizing a biopsychosocial treatment model, it is our goal to spend time with patients who may have undergone failed treatments in the past to understand their unique individual situations and to outline the best possible plan of care. For more information patients or physicians may directly contact our therapists at Motion Stability at www.motionstability.com

– Beth Collier PT, DPT, OCS

*Reference: Cousins, Sidall. Persistent Pain as a Disease Entity: Implications for
Clinical Management. Anesth Analg 2004;99:510 –20.