Tag: Rebound Therapy & Wellness Clinic

Shingles: Episode 50

  • In this episode: Shingles, not the most typical physical therapy topic but somehow it keeps showing up at the clinic. (00:20)

  • Chip Review: Doritos – Nacho Cheese (09:10)

  • Trivia question of the week: If you head south from Detroit which foreign country do you hit first?

  • 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!!

 

*** At certain points the sound quality of this episode is below our standard (Djimmer had to call in and the internet connection was poor).

Shingles, Herpes-Zoster, Varicella-Zoster Virus. This is the reactivation of chicken pox. Now a day everyone gets vaccinated for chickenpox but when Djimmer and Christiaan were kids the vaccine had not yet been developed. The version of “vaccination” that we received was to be placed in a room with a child who had chickenpox so that we would get it. Since shingles is the reactivation of chickenpox hopefully its presents will continue to decline as chickenpox becomes a thing of the past.
I’m sure you are asking why a couple of physical therapists are discussion shingles. Well, prior to the hallmark rash forming there can be 2-3 days of burning along a dermatome. Dermatomal pain may be present in the cervical, thoracic and lumbar spine. In these cases it may feel a lot like sciatica, cervicalgia, a muscle pull any other radicular pain. Some one who has experienced this before may set up an appointment for physical therapy and when they come in the rash is now presents.
When shingles is seen in a patient it is something that needs to be treated medially. This will include an anti-viral medication as well as potentially some pain medication. Once the rash clears if the patient continues to experience thoracic, lumbar or cervical pain now physical therapy can be initiated and a clear picture of what is causing those symptoms can be found.
Increased age and compromised immune system are common factors in developing shingles. Interestingly enough, and this may contribute to why we are seeing shingles more often, is that prolonged corticosteroid use has also be associated with increase prevalence of shingles.

Other episodes you might be interested in:

 

Pain: Episode 29

Pain: Episode 29

Radicular Pain: Episode 22

 

Morton’s Neuroma: Episode 49

  • In this episode: Morton’s Neuroma. Pain in the forefoot and between the toes, sometimes numbness and/0r tingling. Usually related to tight footwear. (01:06)

  • Chip Review: Pop Chips Potato – Crazy Hot, Thank you to Skylar and his Mom (12:45)

  • Trivia question of the week: What names were given to the three tunnels in the movie The Great Escape? (11:10)

  • 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!!

Morton’s neuroma symptoms, typically pain in the foot, worse with shoe wear or boot wear or stake wear, any kind of compression of the foot. It is most common in middle age. More common in women, but that could just be footwear related. Most commonly seen a the 3rd digital nerve. However, any of the digital nerves are possible. More or less the middle of the foot.
A neuroma is typically caused by an enlargement of the nerve ending, almost like a benign tumor of the nerve ending. This enlargement then causes compression, which results in pain, numbness, and/or tingling. Historically surgery, minimally invasive, to remove the growth was an early treatment option.
Much more recently physical therapy treatment and other non-surgical options have been found to be as if not more effective. Intrinsic foot strengthening, getting the muscle of the foot stronger as well as doing a shoe assessment and looking at the daily activities that are causing pressure on the forefoot are the places to start working to correct.
Generally speaking unloading the forefoot will help. Djimmer has been using a very simple taping technique where you pinch the bottom of the foot together. This causes the top of the foot to open up and reduce the pressure on the neuroma. 99/100 times this will relieve the neuroma. This is a temporary solution but it allows for patients to be comfortable and then work on strengthening, balance and the other aspects of treatment.
If taping is helpful often times an off the rack orthotic will be appropriate. You don’t always need a $3-400 orthotic custom made for it to be affective. This is something you can cut to length and move from one shoe to the other.
Shoes and getting shoes that fit properly is one of the easiest and quickest ways to help yourself. Reducing pressure on the forefoot is going to be the primary cause of a Morton’s neuroma so reducing that pressure is part of the long term solution.

Other episodes you might find useful:

 

Stress Fractures: Episode 43

Foot & Ankle Health with Dr. Mohammad Rimawi: Episode 40

Plantar Fasciitis: Episode 11

Ankle Sprain_Inversion Type: Episode 3

 

Achilles Tendonitis: Episode 48

  • In this episode: We discuss Achilles Tendonitis

  • Chip Review: Chio – Sweet Chili & Red Pepper (13:40)

  • Trivia question of the week: Which 2 US states boarder 8 other states? (13:17)

  • 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!!

Achilles tendonitis is the topic today. Before we get to far into that here is a brief overview of the Achilles.

 

The Achilles is the largest tendon in the body, it is one of the toughest to tear. We did a whole podcast on Achilles Repair. The Achilles is the attachment for the gastrocnemius, a two joint muscle, and the soleus (one joint muscle). These muscles make up the two layers of the calf. The gastrocnemius is the fast twitch muscle and the soleous is the slow twitch. Both muscles are innervated by the tibial nerve.
The group as a whole is responsible for forced plantar flexion, also known as push-off as well as eccentric dorsi-flexion aka landing. You will see Achilles tendonitis fairly often in a few groups of individuals.
Runners are the most commonly affected group. You also see Achilles tendonitis with impact sports such as basketball, tennis, lacrosse, soccer and volleyball. There is a good deal of research that has found that increased BMI also plays a role.
Some differential diagnosis is often appropriate when given a diagnosis of Achilles tendonitis. With younger ages, people who are going through a growth spurt, you will sometimes see Sever’s Disease diagnosed as Achilles tendonitis. Sever’s is similar to Osgood-Schlatter’s disease at the heel instead of the knee. With an older population you can see calcaneal bursitis and rarely a partial Achilles tear or calf strain.
If left untreated a tendonitis can become a tendonosis. A tendonosis is much harder to treat. This is a chronic condition that is no longer in the inflammatory stage. Our recommendation with tendonitis is to treat it early and not to let it get out of hand. Physical therapy is a great tool in managing and treating Achilles tendonitis.

Check out our other podcast with similar topics:

Foot & Ankle Health with Dr. Mohammad Rimawi: Episode 40

Achilles Repair with Peter Jennings: Episode 38

Plantar Fasciitis: Episode 11

Ankle Sprain_Inversion Type: Episode 3

 

Robert Castillo from Active Fit Bootcamp: Episode 16

In this episode we are welcoming Robert Castillo and his training business Active Fit Bootcamp to the Rebound Therapy & Wellness Clinic family. As a welcome gift we are reviewing Robert’s favorite chip; Chester’s Flamin Hot Fries. We also got to challenge Robert with this weeks trivia question: What is the smallest bone in the body?

  • Show time line:
  • 00;00 – Intro
  • 00;07 – Guest today is Robert Castillo – The Man at Active Fit Bootcamp
    • Reviewing Chester’s Flamin Hot Fries
  • 00;24 – Robert has moved in
  • 00;57 – Fans; the machine and the people
  • 01;20 – How did you end up at Rebound?
  • 01;35 – How to get a job from Djimmer
  • 02;05 – Ginger beard…
  • 02;39 – What is Active Fit Bootcamp?
  • 03;28 – What is your philosophy?
  • 05;00 – Robert does not like snakes
  • 05;29 – What kind of access do your clients have to you?
  • 06;10 – Why are your classes so early?
  • 07;27 – What is your diet like/how important is diet?
  • 09;48 – Marching band/growing your gluts
  • 10;39 – What is the one thing about you most people don’t know but should?
  • 11;48 – What TV sitcom family would you be a member of?
  • 16;25 – What advice did you get that was the most rewarding?
  • 17;04 – Driven to be something else
  • 17;10 – We’re planning to become F1 drivers.
  • 18;00 – Djimmers impressive arm girth
  • 18;42 – a funny story about swords
  • 19;57 – trivia time
  • 20;12 – What is the northern most point of the Britsh empire?
    • Cape Columbia in the providence of Nunavut , Canada
  • 20;30 – Trivia question of the week: What is the smallest bone in the body?
  • 21;06 – Chip time! Chester’s Flamin Hot Fries
  • 23;21 – Are chips vegetables?
  • 25;27 – The Donut Boys
  • 25;37 – Thumbs up/thumbs down?
  • 25;50 – Chips are good with a beer
  • 26;45 – Next week shin splits and the Irish trio of Chips
  • 27;37 – Follow Robert or get more information:
    • http://www.activefitbootcamp.com
    • Instagram: Rob_in_motion
    • Instagram business: active_fit_bootcamp
  • 28;44 – The safe way to transition from PT to personal training
  • 29;18 – Closing: Give us a 5 star review or subscribe if you liked the show
  • 29;27 – Thanks for listening!
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