New Physical Therapy Program for Those Aching Joints
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Peripheral joint pain (shoulder, elbow, hip and knee) is the second most common reason that North Americans go to see their doctor. Though some people have pain due to a significant trauma, the majority of these problems develop spontaneously or during activity that is considered normal or typical for the individual.
So, what causes most joint pain? Here’s what we know to be true: mechanical factors are the leading cause of painful joints and the most significant mechanical change is the decrease in the ability to move the joint through its full range of motion. This gradual loss of motion begins in the middle age years as a result of the routine movement patterns occurring in our daily activities. Only 50-60% of joint range of motion is utilized during walking, sitting and lying and the other portion of the range of motion is seldom ever used. It’s the lack of movement that tends to start our journey towards stiffness in our joint structures. This change is typically not recognized because most people never pay attention to how well their knee, hip, etc. moves, especially near the end of the range of motion. This is the basis for the adage of "If you don’t use it, you lose it."
So if joint pain develops, should I have an MRI? The problem with imaging is that 60% of people over 50 years old without joint pain have a meniscus tear or torn rotator cuff present on their image. What that means is that these conditions can be present and are often not the cause of pain which leads to confusion and the potential for unnecessary treatment.
Should I have surgery if I develop joint pain? The good news is regardless of the findings on your imaging study or how painful a joint becomes, most people do not require surgery to improve their symptoms. Joint pain can be resolved with end range stretching, strengthening and restoration of joint mechanics. A joint that moves well, through full range of motion are less likely to hurt. Joints that stiffen or lose motion become painful. Scientific studies and clinical trials demonstrate that there are effective methods of management for these problems and have lead to improvements in care for musculoskeletal pain and injury.
CHP in cooperation with The Center for Orthopedic and Sports Physical Therapy (COSPT), has developed the Hip and Knee pilot program to provide additional access to evidence-based therapy for joint pain. COSPT is located at 1834-A Jaclif Court and their phone number is 656-1837. They currently employ 8 physical therapists trained to deliver care for musculoskeletal pain and injury. Ask your PCP if this type of program can be of help in the treatment of your musculoskeletal pain or injury.
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