If I have right knee osteoarthritis, do I have to work out my left side as well?
I was recently asked by a patient why he had to work out both sides of his body in physical therapy if only his right knee hurt. I can understand some of the confusion. After all, if your right shoulder were painful and inflamed and required an injection, the medication would only be put at the site of inflammation -- in your right shoulder. You would not be a candidate for a right and a left shoulder injection! However, physical therapy, for the most part, is much different. I'll explain.
There are two basic components to physical therapy -- passive and active. In the passive component, the therapist may apply ice, heat, ultrasound, electrical stimulation, and other modalities to the painful area. For the most part, these modalities are only placed at the site of injury (there are a few exceptions that are beyond the scope of this blog). So, in this sense, physical therapy is functioning si...
Starting a little less than a year ago, I would walk my father’s miniature Schnauzer, Austin, as well as my terrier mix, Noel. Each dog weighed about 20 pounds, walked rapidly while following their nose, and did not have strong obedience training (which means that they pulled while on the leash). While they loved the walks, I ended up paying the ultimate price last spring with lower back pain.
So I was very interested in a Houston Chronicle column by Dr. Michael Roizen and Dr. Mehmet Oz entitled, “Back Hurt? Check Your Attitude.” The good doctors noted that people who are older than 30 years of age tend to have had or will have lower back pain due to improper posture while driving and working on computers. However, they suggest that your attitude can affect the status of your back. “What you think will happen next – healthy recovery or chronic pain – dramatically affects what will happen. The more optimistic and can-do your mind-s...
Anyone who's ever had an asthma attack knows about the chest tightness and why it occurs. Yet what about the chest soreness that occurs the next day? Why does asthma causes chest pain?
The interesting thing to note here is there are no pain receptors in your lungs!!! The reason asthma causes pain is because asthma causes you to breathe the wrong way.
Confused? Allow me to explain with a pithy lesson on how we breathe. (To learn why we breathe click here )
Breathing is the process of moving air into and out of the lungs. Breathing is one of the few bodily functions that can be done either consciously (you control it) or unconsciously (without thinking of it). Unconscious breathing : Most of the time you don't think about breathing, yet you continue to do it. This is an important safety net for life, because if we had to think about breathing 24-7 we'd accomplish little and most life would cease to exist. Air goes into your...
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