Category: rebound

Pain: Episode 29

  • Pain is something everyone experiences. Pain is unique to the individual and is difficult to quantify.

  • Today’s Chips: Kettle Brand – Salt and Fresh Ground Pepper – Thank You Judy Kay!

  • Trivia question of the week: What is the coldest temperature ever recorded in the contiguous United States?

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!

 

 

Rebound Therapy & Wellness Clinic has joined Team Grover for the Fight for Air Climb on March 3rd at Republic Plaza. This event raises money for the American Lung Association.

To learn more check out: https://action.lung.org/site/TR?fr_id=17508&pg=entry&_ga=2.8921013.1498938364.1547918000-523393982.1547225137

Team Grover: https://action.lung.org/site/TR/Climb/ALASW_Southwest?team_id=148799&pg=team&fr_id=17508

To donate: https://action.lung.org/ffaClimbFY19/dashboard.html?pc2_page=center&fr_id=17508

 

 

Today we are going to be discussing pain. That is a painful topic. We are going to review Kettle Brand Salt and Fresh Ground Pepper chips. Krinkle cut, Kris Krinkle cut? That is Kringle. Oh, yeah that would not work then. No that is different, easy to confuse. I can understand that.

 

Pain is an interesting thing. It is just your mind perceiving something. We all perceive that differently. Everyone is going to experience that a different way. When someone says that this is the worst pain I have ever felt, that could be true. There is somatic, visceral, chronic, acute, bone, muscle, radicular ( http://reboundclinic.com/radicular-pain/) to name a few.

 

The infamous scale right? The zero to ten scale. Zero no pain, ten the most pain you have ever had. People are always concerned about getting that one right. There honestly is no wrong. It is a relative scale. It is relative to you, to you only. If we ask you this week, you might be a zero and next week you might be a ten or a one. We are more concerned about the change in pain or establishing a baseline.

 

What is you pain level like today Djimmer? Zero. So if we start exercising and his pain goes up to four. Then maybe it is time to stop, or we are doing the wrong exercises.

 

We are also required to document this for insurance. Yeah that is where the whole scale came in. It is semi objective. There is also the Wong-Baker Faces scale. Which goes from happy face to really unhappy face.

Greater Trochanteric Bursitis: Episode 28

  • The most common of all the bursitises affects the left or right hip and disproportionally in people over 60 years old.

  • Today’s Chips: Old Dutch Crunch – Jalapeno & Cheddar Kettle Chips

  • Trivia question of the week: “The Diary of a Young Girl” is better known by what name?

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!

 

Rebound Therapy & Wellness Clinic has joined Team Grover for the Fight for Air Climb on March 3rd at Republic Plaza. This event raises money for the American Lung Association.

To learn more check out: https://action.lung.org/site/TR?fr_id=17508&pg=entry&_ga=2.8921013.1498938364.1547918000-523393982.1547225137

Team Grover: https://action.lung.org/site/TR/Climb/ALASW_Southwest?team_id=148799&pg=team&fr_id=17508

To donate: https://action.lung.org/ffaClimbFY19/dashboard.html?pc2_page=center&fr_id=17508

 

 

Today we’ve had to do an impromptu adjustment due to some unforeseeable circumstances related to automobiles. So rather than interviewing Mary Carey today we are going to be going over Greater Trochanteric Bursitis.

 

So greater trochanteric bursitis, it’s a great diagnosis. It is the most common of the bursitises. This is pain experienced on the outside of the hip. This could be left or right. It is most common on individuals sixty years and over. We do see it younger on occasion. On a Cajun. We should have done Cajun chips, what were we thinking.

 

It is a very common diagnosis; unfortunately if you have pain on the outside of the hip most people will say you have greater trochanteric bursitis. There is often some differential diagnosis needed when you get a prescription for great trochanteric bursitis because that is not always the case (http://reboundclinic.com/hip-pain/).

 

We see it a lot. People who sit often and then stand up with pain in their hip. The pain can travel down the side to the knee almost looking like an iliotibial band issue (http://reboundclinic.com/iliotibial-band-syndrome/) at times. It is pretty common in patients who are compensating for osteoarthritis in the hip. So if you see somebody walking with a lateral shift or lateral lean that can create irritability. A lot of the times like tendonitis or other bursitis it is a result of a compensatory problem.

 

Other common chronic conditions with it are scoliosis, leg length discrepancy, and weakness of the hip musculature is a huge one in general. And then OA and RA, which you already mentioned. Overuse people who all of a sudden have discovered the stair master for their cardiovascular exercise are a target demographic. Or individuals who suddenly start exercising or doing a new activity.

Sacroiliac Joint Dysfunction: Episode 27

  • Sacroiliac joint dysfunction is controversial. The joint itself is not really mobile and therefore does not act like other joints.

  • Today’s Chips: Tim’s Cascade Snacks – Hawaiian Ginger Wasabi. Thank you Steve Kovisto!

  • Trivia question of the week: What American city is considered the birthplace of the potato chip?

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!

 

 

Rebound Therapy & Wellness Clinic has joined Team Grover for the Fight for Air Climb on March 3rd at Republic Plaza. This even raises money for the American Lung Association.

To learn more check out: https://action.lung.org/site/TR?fr_id=17508&pg=entry&_ga=2.8921013.1498938364.1547918000-523393982.1547225137

Team Grover: https://action.lung.org/site/TR/Climb/ALASW_Southwest?team_id=148799&pg=team&fr_id=17508

To donate: https://action.lung.org/ffaClimbFY19/dashboard.html?pc2_page=center&fr_id=17508

 

 

Today we are going to be covering SI Joint dysfunction. Oh that is a controversial topic. And we are going to be reviewing Tim’s Hawaiian Ginger Wasabi compliments of Steve Kovisto. Why did you say Steve’s. Not Tim’s. It’s the brand name, the brand name is Tim’s. No it’s Hawaiian. No it’s Tim’s. Ok, That does not make any sense. You are right that does not make any sense. They are special. Ok. Looking forward to it. SI joint dysfunction.

 

What is your take on it Christiaan? The SI joint is a pseudo-joint. It’s kind of misnamed isn’t it? It’s very misnamed, it’s where several bones come together. Yeah but It’s not like any other joint in the body that is a nice smooth congruent surface that is designed for movement. That’s true. The SI joint was designed for a lot of things but movement was not one of them.

 

The articular surfaces, if you even want to call them that, are basically course and have ridges and depressions. They are almost like 2 interlocking ridges. If you were designing that for movement you would do a bad job. I almost said a bad word. The best way to think of it is to take your knuckles and stick them together. That is kind of what they look like. Yup, which would provide a ton of stability. Yes, That is what we are looking for. Mobility not Stability.

 

The joint itself has about total of 3 degrees or less of translation which accounts to about 2mm or less of movement. That is not a lot. If you know millimeters that is less then a 1/32 of an inch.

Adhesive Capsulitis/Frozen Shoulder Syndrome: Episode 26

  • Adhesive Capsulitis and Frozen Shoulder Syndrome are similar in presentation but differ in onset, progression and treatment.

  • Big thank you to Becky and Dustin for bringing in todays Chips: Quillo – Jamon Iberico

  • Trivia question of the week: The Trojan War was fought between the Greeks and the Trojans. What modern day country would this have taken place in?

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!

 

 

 

Today we are going over Adhesive Capsulitis a.k.a. Frozen Shoulder. Syndrome. And we are going to be reviewing the Quillo Jamon Iberico, which is Spanish ham chips compliments of Becky and Dustin. Thank you Becky and Dustin. It says here “patatas fritas premium”. Which we decided is probably fried potato premium. I would think so. So there is a picture on the bag of thinly sliced ham and I was really, really hoping that was what would be coming out of the bag. Just thinly sliced crisped fried ham. Alas. Yeah no it just looks like a potato chip. But we’ll talk about that later.

 

Adhesive Capsulitis a.k.a. Frozen Shoulder… Syndrome. You like the syndrome always. Yeah because I think its, its. There are two different kinds right. Oh sure. So when you look for sign and symptoms and they all kind of point in a certain direction we like to call them syndromes. Yes, syndromes are always kind of entertaining. Like iliotibial band syndrome (http://reboundclinic.com/iliotibial-band-syndrome/), patella femoral syndrome, pain syndrome, chronic fatigue syndrome. Good syndromes out there. Not to be confused with Syndrome from “The Incredible”. Syndrome he’s the kind of drone you would use to fly around the neighborhood and take photos with. Anyway, Adhesive Capsulitis.

 

Basically what starts to happen is your shoulder hurts so you don’t move it much any more and when you don’t move it much anymore it gets stiff. That’s one theory. There’s another theory that says it is an autoimmune disease and it causes an inflammatory reaction in your joint capsule and subsequently the joint capsule shrivels and becomes smaller and smaller causing pain and limited motion. That is jhust a theory. Its hard.

 

That is the same theory that says its predominant in white females, fair skinned, red-haired, aged over 50, which I don’t know why that would be. There could be a genetic component to some of this. It is true that if we see somebody who kind of fits that category and it’s an insidious onset, out of the blue. No surgery no trauma. Their shoulder starts to hurt and become extremely stiff there is a 90% chance that this will happen to the other shoulder.

Stretching: Episode 25

  • Covering myths, legends, current best practices and the how, when, what, where of stretching
  • We review Jimmy Chips – Original from Jimmy Johns. Thanks Hank!
  • Trivia question of the week: How many people were killed by aardvarks in 2018?
  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.
  • Thanks for listening!!

Today we are going to go over stretching. To stretch, not to stretch, when should you stretch, how should you stretch. How hard should you stretch. And we are going to review the Jimmy Johns Original potato chip, compliments of Hank. “Just like it ought to be”, it say’s it right there on the bag. It does say that. It also says crunchy and salty, it’s kinda doing our job for us. We don’t even have to test them. If you like crunchy and salty go get you some Jimmy Chips.

 

Stretching. Stretchiinngg. No, not really, don’t stretch often? Sometimes? Stretching in the traditional sense of static holding, you shouldn’t really do. No. Lots of evidence suggests; don’t do it before activity because it reduces your ability to produce force. Afterward it has no effect on your soreness, really at all, statistically speaking. Again we are talking about static stretching here.

 

That is kind of what you think about when you stretch. You stand and hold one position for 30 seconds or a minute or what have you. A lot this has to do with, if you are trying to make meaningful change in the length of muscles and or tendons, more likely muscles. You have to hold that position for upwards of 30 minutes. So most people are not doing that, for obvious reasons. You don’t have that kind of time.

 

If you really want to make an improvement you have to spend a lot of time. Think of a goaltenders, dancers or cheerleaders doing the splits. They spend a lot of time over a long period working themselves into those positions, many years. Short term you may get a little relief but it’s not really helping you with anything in particular.

 

It depends on what you goal is. What are you trying to get out of stretching? Are you trying to prevent injury? Are you trying to lengthen muscles? Are you trying to relax muscles? Stretching has been used over the years to influence all of these and is not necessarily very effective. There are other ways to more effectively warm up or cool down or length tissue. So stretching in its original sense is not really as useful or effective for that.

Biceps Tendonitis: Episode 24

  • One of the most common complaints around the shoulder is Biceps Tendonitis. This pain presents in the front of the shoulder and responds well to treatment.
  • We review The Daily Crave Lentil Chips Smoked Gouda – Complements of Pip & Jamie
  • Trivia question of the week: When was the first year that the ball was dropped at Times Square, New York?
  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.
  • Thanks for listening!!

Today we are going to cover biceps tendonitis. Yes. Then we are also going to go over The Daily Crave Lentil Chips, Smoked Gouda Flavor. Biceps tendonitis, quite common. Very common, in the shoulder, yes. A lot of people think of this more as a shoulder issue. We know of our biceps tendon in the upper arm there but. The tendon, tendonitis is felt right there in the front portion of the shoulder. Yeah it’s the long head of the biceps that tends to be the predominent culprit.

 

It runs through a grove, the biceps grove. Also called the bicipital groove. As it subluxes, or kind of rolls in and out of that it can get irritated. Happens with repetitive overuse. Like repetitive overhand motion; serving in tennis, swimming. Throwing the baseball. What have you. There is another issue with that.

 

Sometimes it spontaneously ruptures, in specifically elderly men. If it rupture completely it is no big deal. It just kind of curls back and you end up with what is called a “Popeye” arm. It looks very cool. Tends to be painful for maybe a couple days and some bruising. Then the pain goes away and off you go it’s more problematic if you have a partial tendon tear because they tend to be quite painful

 

They do indeed. That’s because you kind of are pulling on a hangnail, that is the best way to think of it. Really uncomfortable, you kind of catch it all the time. Gives you some sharp pains. But once you kind of rip that hangnail off, like when you fully rupture it. Sore for a day or two, three days. Then you are good; maybe some bruising for a little while but that is OK.

 

Biceps tendonitis is really common. I don’t have a specific number, maybe 50% of shoulder irritation. Yeah, even if you have an underlying rotator cuff issue or shoulder impingement a lot of times the biceps is involved because it is really important in shoulder mechanics.

Heat or Ice : Episode 23

  • This week we discuss the age old question of whether to heat or ice?
  • We review Torres Selecta Trufa Negra (Black Truffle) Potato Chips,  compliments of Ellen Bywaters
  • Trivia question of the week: How many gifts would you receive if you received all the gifts in the song, “The 12 Days of Christmas”?
  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.
  • Thanks for listening!!

 

Today we are going to cover, Heat or Ice? The age old question. I think we should cover both. We will. I think we should cover heat and ice. We shall, we shall and we will be reviewing the Torres Selecta, Trufa Negra provided by Ellen Bywaters. Easy for you to say. Not easy for me to say. The bag looked amazing, like it was ready to explode. It was very puffed up. Super puffed, it was exciting. This is a Spanish chip I believe. Sure. They look pretty good. It’s got black truffle, isn’t that a French thing? They look for truffles with pigs. Yez. Pig truffles, Plus we’ll get to the chips latter.

 

Heat or ice? We get this question every day? At least. At least everyday. Is there more than everyday? No there isn’t. So we get it at least everyday. Probably more than once a day. Should I use heat or ice. The official answer is; for the first 72 hours ice is probably your best bet. The more acute the injury the more likely you are to benefit from ice. Although there are studies now that say that is not true.

 

The thing being that ice is supposed to create vasoconstriction so you don’t have a lot of bleeding or swelling when you have an acute injury. But when you apply ice for too long then the body tries to warm it self up. Which increases vasodilatation that then may offset. That’s counterintuitive. But I’ve read some of those studies and I am not convinced that the first 48hours ice is not better then heat. I think you would go with ice.

 

I think what we see a lot of is individuals that actually over ice or over heat. It’s a real problem. When people tell you to do 10-15mins on then an hour off that is about as much as you ever want to. Yeah you defiantly don’t want to do any more. Any more then that you are really pushing the boundaries. The reason for this is because when you do these activates what you are trying to promotes is fluid movement and specifically reduction of inflammation in the area. The only way to do that is through moving fluid and when you ice something you get vasoconstriction which reduced your blood flow and lymphatic flow for that matter as well. You would rather not have that occur. Yup, you get puddling up of fluids in that case instead of movement.

 

Ice is really good as an analgesic. It’s a great way to turn pain off immediately. You put ice on for 5 or so minutes and your skin is cool to the touch. You can’t quite feel the same amount of discomfort as you did before, and for that it is very very help. That is usually the case when you are having an acute pain reaction. So the old sprained ankle or you fall on your elbow or sprained wrist or what have you. An acute sprain always responds well to ice. If for nothing else, it feels better. It numbs the pain a little bit.

Radicular Pain: Episode 22

  • Radicular pain occurs when a nerve root is irritated. It is most common in the lumbar spine and is often referred to as sciatica. Radicular pain does also occur in the cervical spine with symptoms being felt in the arm and hands.
  • We review Late July Snacks Green Mojo Multigrain Tortilla Chips
  • Trivia question of the week: Can you name 3 countries whose English spellings begin with D?
  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.
  • Thanks for listening!!

 

 

Today we are reviewing Late July Mild Green Mojo Tortilla Chips compliments of Pattie Skiles and we are going to cover radicular pain. Ridiculous pain. That’s radicular pain. That’s what I said. Oh, you jokester. Haha, radicular pain.

 

Radicular pain is more common from the lumbar spine. It tends to be called sciatica at that point. That is the most common one you will hear of. That’s one of those terms, sciatica. It’s kind of like hip pointer. It’s not very definitive is it. It dose not really mean much. No.

 

You also have radicular pain cervically. Which is not as common, thankfully, but does occur. It does not have a cool name like sciatica. You can call it brachiaca. I guess. yeah you could. Compression of the bracial plexus. Then you are almost talking about thoracic outlet syndrome. We will talk about that at a later date.

 

Radicular pain typically is caused by some irritation on the nerve root. That can be a disk herniation, a bone spur, potentially following a more traumatic injury a fracture, ligament strain or tear. Often you might see a facet joint issues. But the biggest cause is inflammation.

 

In other words; radiculopathy or radicular pain is a symptom, not a diagnosis. So it is a symptom, typically where inflammation sites by the nerve root and causes irritation on that. Inflammation by itself is nothing more than an irritant. So when it sits there and irritated that nerve you get symptoms along the distribution of that nerve or group of nerves.

 

If you have nerve root irritation the pathway is not necessarily predictable like sciatica. So if you have pinching or inflammation along on nerve root anywhere along the lumbar spine. It will refer along the distribution pattern of that nerve. You can have pain in the groin, pain in your big toe, pain on the inside of your thigh. But ridiculer pain can come also if you have distal compression of the sciatic nerve. Then it will follow the distribution of the sciatic nerve, which is along the back of your thigh and into your calf.

 

The biggest one to remember there is the piriformis muscle and piriformis syndrome.

© 2023 Rebound PT website by bluerth