At Creative Rehab educating our patients is a top priority. We believe that the more you understand about your condition or
treatment, the more you will be invested in your therapy. Also, we strive to make each patient independent by the end of rehab so that you become your own therapist. Please let us know if there is a particular area of education that interests you.
The labrum is like a roller rink in the shoulder. The head of humerus (arm bone) rolls around on the labrum to allow for arm
movement. Cartilage makes up the labrum but can be torn or damaged with an injury or repetitive motions. When the labrum tears, it is like the roller rink loses a few floor boards usually on the outer edge. Just like skaters on a roller rink, there is a significant
chance the humerus will roll right off the labrum during shoulder movement. This can cause pain or a clunking feeling in the shoulder.
A frozen shoulder, also known as adhesive capsulitis, is when there is a significant loss of shoulder motion in all directions. Not only is active motion (when the patient moves his/her arm) limited but shoulder motion is also limited passively (when someone else moves the patient's arm). A frozen shoulder can develop when the capsule surrounding the shoulder joint becomes inflamed, scarred,
shrunk, or thickened. When the capsule is tight and abnormal, it limits the shoulder motion in all directions. This can happen due to another disease such as diabetes or arthritis in the shoulder as well as a shoulder injury like bursitis or tendinitis.
Rotator Cuff Dysfunction
The rotator cuff is made up of four muscles that help control shoulder motion. Three of the four muscles (supraspinatus,
infraspinatus, and teres minor) control external rotation of the shoulder while the subscapularis muscle performs internal rotation. These muscles attach to the bones via tendons that help stabilize the shoulder joint. This group of muscles can be damaged in many different ways. One common cause is inflammation with tendinitis, bursitis, or arthritis of the shoulder due to degeneration with
age. Inflammation of or around the rotator cuff muscles can result in extra stress and pressure on the muscles leading to pain and
breakdown. Another common cause of rotator cuff dysfunction is trauma such as from falling, sports, or overuse. Repetitive
overhead movements is the most frequent action associated with dysfunction. Rotator cuff symptoms consist of shoulder pain,
tenderness with touch, and decreased range of motion for external rotation. Dysfunction can range from mild to severe depending
on rotator cuff status and symptoms.
The sacroiliac (SI) joints are the connection between right and left iliac bones and the sacrum. The iliac bones are the large bones
within the pelvis and are the bones you feel when you put your hands on your hips. As for the sacrum, it is a bone triangular in
shape that is below the lumbar spine. The sacrum is commonly referred to as the tail bone. These joints are held together by several strong ligaments, which provides stability for when the body is erect but does not allow for much movement. Since the SI joint must support all of the upper body weight while standing, this joint can be worn down with time.
Due to wear and tear of this joint, several dysfunctions can occur. Pain is the most common symptoms with SI joint dysfunction. A
few causes of dysfunctions include: arthritis, wearing of cartilage, pregnancy, leg length discrepancy, changes in walking or other
disorders. Basically anything that can cause extra stress on the joints, instability, or inflammation can create pain in the SI area. Pain can be felt in groin, low back, back of the hips or thighs. In addition, a nerve may be irritated or pinched in these situations which
can cause a shooting pain down the leg.
Spinal fusion surgery is when 2 or more vertebrae are grafted together. This causes the vertebrae to grow together to form a solid
structure rather than individual bones. When the vertebrae are fused together that section of the spine loses movement. Additionally bone spurs and intervertebral discs may be removed, which can help reduce pain by decreasing pressure on nerves.
This surgery can be performed in a few different ways. An incision to access the spine can be made through the abdomen, the back, or both. Usually to stabilize the spine while the vertebrae fuse together, either metal screws and rods are secured to the bones or a
plastic cage is inserted. The surgeon will decide which equipment and procedure is appropriate depending on the patient's symptoms
Your spine is made up of vertebrae (bones) and discs (cushion between the bones). The discs are like jelly donuts with a tough
exterior and a jellylike center. When the jelly part escapes from a crack in the touch exterior it is called a herniated disk. People may
or may not experience symptoms when this happens. If the escaped jelly irritates nearby nerves it can cause symptoms of pain,
weakness, or numbness.
The plantar fascia is a bow-string like tissue that goes from the heel to the toes. This tissue can become damaged and inflamed in runners, pregnant women,
overweight people, and people who lack the appropriate shoe support. Plantar fascitis commonly causes heel pain and may cause
increased or stabbing pain first thing in the morning. Heel spurs can be a cause or a side effect of plantar fascitis.
An ankle sprain is a common injury that occurs when ligaments of the ankle are partially stretched or completely torn. With a partial stretch the ankle will continue to be somewhat stable, but when the ligaments are completely torn the ankle will lose stability in that area. This injury can be caused by sudden stretching or twisting to the ankle from a sport or when walking on uneven surfaces. Pain and swelling are the initial symptoms with a sprain possibly followed by a popping sensation, instability, or bruising.
The ACL (Anterior Cruciate Ligament) is a ligament that helps connect the femur (thigh bone) to the tibia (shin bone). This ligament helps to prevent the two leg bones from sliding forward/backward on each other creating a shearing effect in the knee. The ACL also stabilizes the knee during rotation when the foot is planted. Non contact sport injuries are the most common cause of ACL tears.
When the knee is locked and rotates while the foot is firmly planted it can cause a partial or complete ACL tear. Another common
sport injury that results in an ACL tear involves falling on the knee causing one of the leg bones to shear against the other, thus the
The knee has two menisci, one on the medial side and one on the lateral side. The meniscus is a C shaped piece of cartilage that are on top of the tibia or shin bone. They help to protect and provide cushion for the knee joint during activities like walking and
running. A meniscus can be torn during forceful twisting of the knee joint or excessive knee bending. This can cause knee pain,
popping, swelling and a giving out feeling.
Carpal Tunnel Syndrome
Carpal tunnel syndrome occurs when the median nerve running from the forearm into the hand gets compressed by the transverse
carpal ligament at the wrist. The median nerve travels through a small canal within the palm side of the wrist to enter the hand. This canal is made up of bone, tendons and ligaments. With repetitive wrist movement or constant wrist pressure such as with supermarket checkers or typists, this canal can become inflamed, which in turn compresses the median nerve. Patients with carpal tunnel
syndrome may experience symptoms of numbness and tingling in the hand, wrist pain, or grip weakness.
Tennis elbow, or lateral epicondylitis, occurs when the tendons on the outer part of the elbow become inflamed. This can cause pain with movement and swelling. Tennis is not the only cause for this diagnosis, any repetitive twisting movement of the wrist like using a screwdriver can result in this injury.