Tag: physical therapy

Categories
New York

Physical therapy for my torn meniscus

I’m back to physical therapy for my knee.  There’s been a lot of progress.  Today’s routine was very similar to what i had to do when dealing with my other knee’s Patella Femoral Syndrome and included:

  • On the Pilates Reformer machine:
    • basic one leg pushing exercises
    • bridges
    • leg extensions
  • Using the resistance band:
    • walking side squats
      • How to Do It:Squat-Walk
        Step 1: Attach a resistance band to each ankle.

        Step 2: Stand with your feet a little more than shoulder-width apart. You may need to shorten the band in order to get the right resistance.

        Step 3: Get into a squat position, knees at roughly a 45-degree angle, and walk sideways. Take 5 to 10 steps to the left, then right, keeping your knees bent and maintaining resistance on the band throughout. Repeat. Try keeping your arms outstretched in front of you, which will provide balance as you do the exercise. “Slower and better quality is more important than attempting to do this fast with poor quality,”

    • clam shell exercises
    • side leg raise
      • How to Do It:side legLie on your right side and lift your left leg to 45 degrees in a controlled manner, then lower it back down to the starting position. Make sure your pelvis remains in a neutral position. A more advanced version includes a loop of rubber tubing around your ankles for added resistance. Perform 20-30 reps.
  • back leg lifts, lying down
    • How to Do It:back leg lift
    • Lie face down, head rest­ing on the backs of your hands, elbows out at your sides
    • Gently pull in your lower abs, then squeeze your but­tock muscle tightly on one leg and lift that leg off the ground
    • As you lift, take care not to tip your body over to the other side, as that’s cheat­ing
      Hold your leg briefly in the air, then lower.
    • Now do the same with the other leg.

The knee is getting stronger and the only sharp pains occurred during the walking side squats.  I think it was because my feet were not always in the correct position.

The therapist said the mild burning discomfort in my knee while walking on the beach was normal and caused by the uneven surface.  As long as I don’t overdo it, the knee should improve fairly quickly.  Yes!  Hopefully, I can get to a point where I can do some of the resistance band exercises I had previously tried.

Categories
Exercise Fitness Injuries New York

Trying Out Something New

I’ve purchased a Thera-Band Flexbar Hand Exerciser to work on my tennis elbow while traveling.  I’ve been using the red one in physical therapy and have seen improvement in my arm.  The blue colored one is heavier so I hope to build up some strength as well.

Thera-Band Flexbar Hand Exerciser - Tenn•Allows for oscillation movements for neuromuscular and balance trainingis Elbow Relief Bar The Amazon.com description:

  • Allows for oscillation movements for neuromuscular and balance training
  • Provides soft tissue and joint mobilization
  • Used in occupational therapy, physiotherapy, sports and fitness
Categories
Exercise Fitness New York

Patella Femoral Syndrome

from: http://www.patellafemoralsyndrome.net/
from: http://www.patellafemoralsyndrome.net/

It looks like I have Patella Femoral Syndrome.  I thought this overview of the problem was pretty good.

Typically patients will complain of localized anterior knee pain which is exacerbated by sports, walking, stair climbing, or sitting for a long time, often called the “Theater Sign” or “Movie-Goers Sign.” The pain from prolonged sitting is thought to occur because of the constant pull of the quadriceps muscle on the knee cap while sitting, which causes its impaction against the hard and unyielding surfaces of the bones of knee joint. Descending stairs may be worse than ascending. Unless there is an underlying pathology in the knee, swelling is usually mild to nil.

Causes

Patella femoral pain syndrome may be caused by overuse, injury, excess weight, a kneecap that is not properly aligned (patellar tracking disorder), or changes under the kneecap.

My physical therapist says my knee cap is not correctly aligned.  I will have to do physical therapy twice a week and have 4 home exercises to do.

Exercises

Straight Leg Raise – Straight leg raising exercises help develop muscles of your lower body, including your hips, glutes and thighs.

Sit on the floor with your injured leg straight and the other leg bent with foot flat on floor. Pull the toes of your injured leg towards you while tightening the muscles on top of your thigh. Raise your leg 6 inches off the floor. Hold for 5 seconds and slowly lower your leg. Repeat this 5 times.

Patella Femoral Syndrome

Band Resisted Clam shell – The band resisted clam shell exercise is great for strengthening and mobilizing the external hip rotators.

side-lying-leg-lifts

Side Leg Lifts – Side leg lifts work the abs, especially the hard to get at obliques, as well as the inner thigh.

Lie on your side with your legs stacked and your head resting on your arm. Tighten the muscle in the front of the top thigh and lift that leg into the air. Hold for one count, lower to touch the bottom leg and then lift again.

Wall Squat with Yoga Block – The quadriceps, or front of thigh, are the targeted muscles during this exercise but many other muscles get a workout also. The butt, hip, calf, back of thigh, low back, abs, and side abs are all used during this move.

Standing, place an exercise ball against a wall and align it in the small of your back. Position your feet a step, to a step and a half in front of your body such that when you squat down your knees will not protrude past your toes. Place a yoga block between your knees and squeeze.   Hold yourself in this position while actively squeezing the block between your thighs.  Maintain the pose as long as you can, allowing yourself to come in and out of the pose when you have to, working your way up to being able to hold the position for 1-2 minutes.