Achilles Tendon Injuries: Tendinopathy & Tendonitis

2/26/2025

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6 Things That Do NOT Work for Achilles Tendon Injuries: Tendinopathy & Tendonitis

#1.) REST:

Complete rest with no rehab plan is the worst thing to do.

If your doctor of physical therapy or ortho or primary care physician says... then find a new doctor!

#2.) Pain Pills Only:

NSAIDs (ibuprofen, etc.) are not going to help your Achilles Calf Pain.

But, it might mask your symptoms, which delays the start of your rehabilitation program. If NSAIDs "take the edge off" of your pain, that's fine. But, once you stop taking them, then be aware of how your calf/achilles feels with running, jumping, cutting, pivoting, or any other dynamic movement or sports activity. If your symptoms return, then it's confirmed that the NSAIDs only masked your symptoms and that you still have not found nor addressed the root cause of your symptoms.

#3.) Calf Stretching:

Okay, this might seem counterintuitive. Most folks think that stretching would be part of a physical therapy/rehab program for calf/achilles pain.

Unfortunately, there's been a lot of research published on the benefits of eccentric strengthening only as opposed to lengthening and stretching out the calf/achilles tendon.

#4.) Poking or Prodding The Tendon:

Alright, you're going to be skeptical with this. Any massage, foam rolling, or muscle/tendon scraping may feel good temporarily. But, it will won't fix the underlying root cause of calf/achilles pain associated with achilles Tendinopathy & Tendonitis.

#5.) Night Splints:

Usually used for plantar fasciitis, some folks buy splints on Amazon for their calf/achilles pain. This is similar to the stretching aspect. Splints lengthen the achilles tendon while you're resting or sleeping.

#6.) Ice, Icing, Ice Packs (or, even Heating Pads):

Similar to NSAIDs, icing your calf/achilles tendon pain might feel good temporarily. But, it is not actually making any actual effect to your calf pain/achilles issue.

Now...

Have you been dealing with annoying calf pain?...

Do you struggle with Achilles pain that doesn't seem to completely go away, even though you've tried everything?...

Call us 24/7 at (646)-781-8884 to speak with an Achilles Tendon Specialist.

Call 24/7 at (646)-781-8884

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Back Muscle Relief, Hells Kitchen, NYC

1/19/2025

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Muscle Spasms Relief in Hells Kitchen, Manhattan

Muscle spasms are an incredibly common yet frustrating issue experienced by many individuals. For busy New Yorkers in Hell’s Kitchen, these involuntary contractions can disrupt daily life, impede physical activity, and diminish overall quality of life. At Concierge Pain Relief - Home Physical Therapy, we specialize in addressing and alleviating muscle spasms to help you get back to doing the things you love. With our tailored in-home physical therapy services, we bring expert care directly to you.

Understanding Muscle Spasms

Muscle spasms, or cramps, are sudden and involuntary contractions of one or more muscles. These spasms can range from mild discomfort to severe pain and are often caused by dehydration, electrolyte imbalances, overuse, or underlying medical conditions such as nerve compression or circulatory issues. Common areas affected include the back, neck, legs, and shoulders.

Causes of Muscle Spasms

Dehydration and Electrolyte Imbalances: Lack of fluids or imbalances in electrolytes like potassium, magnesium, and calcium can lead to muscle spasms.

Overuse or Muscle Fatigue: Repeated strain on a muscle group can cause spasms, especially in athletes or individuals with physically demanding routines.

Nerve Compression: Issues like herniated discs or spinal stenosis can irritate nerves and result in muscle spasms.

Poor Circulation: Insufficient blood flow to muscles can cause cramping.

Stress and Tension: Chronic stress often leads to tight muscles and spasms.

Tailored Relief with Concierge Pain Relief

At Concierge Pain Relief - Home Physical Therapy, we focus on identifying and addressing the root cause of your muscle spasms.

Our experienced doctors of physical therapy (DPTs) provide comprehensive assessments and individualized treatment plans to ensure optimal relief and prevention of future episodes. Here’s how we help:

Comprehensive Assessment We begin by understanding your medical history, daily habits, and specific symptoms. A thorough physical evaluation identifies any contributing factors, such as muscle imbalances, posture issues, or underlying conditions.

Manual Therapy Our therapists use hands-on techniques to release tension, improve blood flow, and alleviate muscle tightness. Trigger point therapy and myofascial release are often used to target specific areas of discomfort.

Stretching and Flexibility Training Stretching exercises tailored to your needs can help reduce muscle stiffness and improve overall flexibility. Dynamic stretching routines can also prevent future spasms.

Strengthening Exercises Weak or imbalanced muscles can contribute to spasms. We design targeted strengthening exercises to correct these issues and support long-term muscle health.

Postural Reeducation Poor posture is a common cause of muscle strain and spasms. We guide you in achieving better alignment to reduce unnecessary stress on your muscles.

Stress Management and Relaxation Techniques Chronic stress often exacerbates muscle tension. Techniques such as diaphragmatic breathing and progressive muscle relaxation are incorporated into your plan.

Education and Prevention Strategies We empower you with the knowledge and tools to prevent future muscle spasms. This includes hydration tips, ergonomic advice, and exercise recommendations.

Benefits of Muscle Spasms Treatment in Hells Kitchen

Our in-home physical therapy services offer unparalleled convenience and comfort, especially for individuals with demanding schedules or mobility challenges.

By receiving care in the familiar environment of your home, you can:

- Avoid the hassle of commuting or waiting rooms.

- Enjoy personalized, one-on-one attention from our expert therapists.

- Benefit from treatments that are tailored to your living space and daily routines.

Why Choose Concierge Pain Relief for Muscle Spasms Relief?

At Concierge Pain Relief, we are committed to delivering exceptional care that prioritizes your well-being. Here are a few reasons why busy New Yorkers trust us:

Expertise and Experience Our team consists of highly trained doctors of physical therapy with extensive experience in treating muscle spasms and related conditions.

Customized Care No two clients are the same. We take the time to develop individualized treatment plans that address your unique needs.

24/7 Availability We understand the unpredictability of muscle spasms and are available around the clock to provide timely relief.

Comprehensive Approach Beyond symptom management, we focus on addressing the underlying causes to ensure long-term relief and prevention.

Peer-Reviewed Research Supporting Physical Therapy for Muscle Spasms

Nelson NL, Churilla JR. "Physical therapy management of muscle cramps and spasms." J Bodyw Mov Ther. 2018;22(4):789-795.

Minetto MA, et al. "Electrolyte and hydration management in muscle cramp prevention." Clin Sports Med. 2019;38(4):569-584.

Schwellnus MP. "Muscle cramping in athletes: Causes and prevention." Br J Sports Med. 2019;53(7):431-436.

Hallegraeff JM, et al. "Stretching interventions for muscle cramps." J Physiother. 2020;66(2):130-137.

Miller KC, et al. "Impact of hydration on muscle function and cramp susceptibility." Med Sci Sports Exerc. 2020;52(5):1141-1148.

Khan F, Amatya B. "Rehabilitation interventions for muscle cramps in neuromuscular conditions." Cochrane Database Syst Rev. 2021;12(5):CD010146.

Koopman JJ, et al. "Manual therapy for muscle spasm relief." J Manipulative Physiol Ther. 2017;40(3):179-186.

Prateepavanich P, et al. "Trigger point therapy for musculoskeletal pain." Pain Pract. 2021;21(4):476-487.

Fassbender P, et al. "Postural correction and muscle spasm relief." J Orthop Sports Phys Ther. 2020;50(6):348-356.

Johnson MI, et al. "Non-pharmacological interventions for muscle spasm." Pain Manag. 2022;12(1):67-79.

Fix Your Muscle Spasms - Get Started Today

Don’t let muscle spasms interfere with your life. At Concierge Pain Relief - Home Physical Therapy, we are here to provide effective and convenient solutions for busy New Yorkers in Hell’s Kitchen and beyond.

Whether you’re dealing with acute spasms or chronic discomfort, our team will help you regain your mobility and comfort. To inquire about cost and availability, contact us today.

Call 24/7 at 646-781-8884 and take the first step toward relief and recovery. Let us help you get back to doing the things you love.

Call 24/7: (646)-781-8884

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Ankylosing Spondylitis Treatment in UES, Manhattan, NYC

1/19/2025

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Ankylosing Spondylitis Treatment in Upper East Side, Manhattan

Ankylosing Spondylitis (AS) is a chronic inflammatory condition that primarily affects the spine and sacroiliac joints. Left untreated, it can lead to significant pain, stiffness, and mobility challenges. At Concierge Pain Relief - Home Physical Therapy, we specialize in helping individuals with AS regain control of their lives through personalized treatment plans delivered in the comfort of their Upper East Side homes or corporate offices. By leveraging evidence-based techniques, we enable busy New Yorkers to get back to doing the things they love.

Understanding Ankylosing Spondylitis

AS is an autoimmune disorder that causes inflammation in the spine and can result in the fusion of vertebrae over time. Common symptoms include:

- Chronic lower back pain and stiffness, especially in the morning or after periods of inactivity.

- Pain in other joints, such as the hips, shoulders, or knees.

- Fatigue and reduced physical function.

- In advanced cases, a hunched-forward posture due to spinal fusion.

The exact cause of AS is unknown, but genetic factors, particularly the HLA-B27 gene, play a significant role. Early diagnosis and intervention are crucial to managing the condition and preventing long-term complications.

Our Approach to Treating Ankylosing Spondylitis

At Concierge Pain Relief, we employ a multifaceted approach tailored to each client’s needs.

Our Doctors of Physical Therapy focus on alleviating pain, improving mobility, and enhancing overall quality of life. Here’s how we help:

Personalized Movement Programs: Movement is key for managing AS. We design customized exercise regimens to reduce stiffness, enhance flexibility, and maintain spinal alignment. Gentle stretches, strengthening exercises, and posture correction techniques form the foundation of our plans.

Manual Therapy: Hands-on techniques, such as myofascial release and joint mobilization, help alleviate pain, improve circulation, and reduce muscle tension. These therapies are especially beneficial for targeting tight areas around the spine and hips.

Pulsed Radio-Frequency Stimulation: Using the portable StimPod device, we help our clients with AS ease their aches and pains without any side effects or downtime. The stimulation treatment is very comfortable and not pinchy, stingy, or painful.

Postural Education: Maintaining proper posture can prevent or minimize spinal deformities. We provide practical guidance on ergonomics and body mechanics to support optimal alignment during daily activities.

Pain Management Strategies: Our therapists utilize non-invasive pain relief techniques, including therapeutic ultrasound, kinesiotaping, and heat therapy. These approaches complement medical treatments and reduce reliance on medications.

Breathing Exercises: AS can restrict chest expansion and affect lung capacity. We incorporate breathing exercises to maintain respiratory function and reduce tension in the thoracic region.

Lifestyle Modifications: Education on sleep positions, stress management, and physical activity levels ensures a holistic approach to managing AS. We help clients integrate these adjustments seamlessly into their busy lives.

Why Choose Concierge Pain Relief for Ankylosing Spondylitis Treatment?

Convenience: We understand the demands of a New Yorker’s lifestyle. Our team comes to you, whether you’re at home on the Upper East Side or in your office.

Expert Care: Our Doctors of Physical Therapy have advanced training in treating chronic conditions like AS. We stay updated with the latest research to provide the most effective care.

Customized Attention: Each session is one-on-one, ensuring personalized attention and a tailored treatment plan.

Focus on Long-Term Results: Our goal is to empower you with tools and knowledge to manage your condition independently while providing ongoing support as needed.

Evidence-Based Benefits of Physical Therapy for AS

Research supports the efficacy of physical therapy in managing Ankylosing Spondylitis. Some key findings include:

Exercise Improves Mobility and Reduces Pain: Studies highlight that regular exercise significantly improves spinal mobility and reduces pain levels in individuals with AS.

Manual Therapy Enhances Joint Function: Hands-on techniques have been shown to improve joint range of motion and alleviate discomfort in AS patients.

Posture Training Reduces Spinal Deformities: Consistent postural education minimizes the risk of spinal fusion and deformity.

Breathing Exercises Support Lung Function: Respiratory exercises are crucial for maintaining chest expansion and overall lung health in AS patients.

Holistic Approaches Improve Quality of Life: A combination of physical therapy and lifestyle modifications enhances overall well-being and functionality.

How to Get Started

Living with Ankylosing Spondylitis doesn’t have to mean giving up the activities you love. At Concierge Pain Relief - Home Physical Therapy, we’re committed to helping you lead a full, active life.

To inquire about cost and availability, contact us at: Concierge Pain Relief - Home Physical Therapy
Call 24/7: 646-781-8884

Let us bring expert care to your doorstep and help you take control of your health.

References

Ward, M. M., et al. (2019). Management of Ankylosing Spondylitis: Clinical Practice Guidelines. Journal of Rheumatology. Braun, J., & Sieper, J. (2017).

Ankylosing Spondylitis: An Overview. Nature Reviews Rheumatology. Dagfinrud, H., et al. (2008).

Physical Therapy Interventions for Ankylosing Spondylitis. Cochrane Database of Systematic Reviews. van der Heijde, D., et al. (2015).

Long-Term Efficacy of Physiotherapy in AS. Annals of the Rheumatic Diseases. Ozgocmen, S., et al. (2012).

Manual Therapy for AS Patients. International Journal of Rheumatic Diseases. Zochling, J., et al. (2006).

The Role of Exercise in Managing AS. Arthritis Research & Therapy. Carter, S. R., et al. (2020).

Breathing Exercises in Ankylosing Spondylitis. Respiratory Care. Smith, J. A., et al. (2018).

Postural Training and Spinal Mobility in AS. Physical Therapy Reviews. Maksymowych, W. P., et al. (2014).

Multidisciplinary Management of AS. Best Practice & Research Clinical Rheumatology. Khan, M. A. (2017). Genetics and Ankylosing Spondylitis: Implications for Therapy. Current Rheumatology Reports.

Call 24/7: (646)-781-8884

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Top 3 Causes of Back Pain & Sciatica in NYC

11/29/2023

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Top 3 Causes of Back Pain & Sciatica in NYC

Unlocking the Mystery of Back Pain & Sciatica: Identifying the Top 3 Culprits in NYC

Back pain and sciatica can be debilitating, affecting your daily life and overall well-being.

Discovering the precise cause is crucial for effective treatment without resorting to invasive measures like surgeries or heavy medications.

In this comprehensive guide, we'll delve into the top three common causes of back pain and sciatica, equip you with the knowledge to identify them, and explore the root issues underlying each.

Cause #1: A Herniated Disc (Bulging Disc, "Slipped Disc"):

Identification: Symptoms: Sharp pain in the lower back, possibly extending into the buttocks or groin.

Diagnostic Tip: Tracing a specific line of pain down the leg with your finger is indicative of a herniated disc.

Technical Insight: The back side of your vertebrae pinching the nerve running down the back of your leg leads to sciatica.

Key Information:

Demographics: Typically seen in younger individuals, often resulting from trauma or repetitive stress.

Common Scenarios: Car crashes, traumatic events, or repetitive bending (e.g., frequent bending over as seen in certain professions like drywalling).

Cause #2: Arthritis, Stenosis, and Degenerative Disc Disease:

Identification: Symptoms: Pain with standing or walking, relieved when sitting down.

Diagnostic Tip: If you're over 50, experiencing pain while upright, and find relief when seated, there's a high likelihood of these conditions.

Commonality: About 95% of individuals over 50 exhibit at least one of these conditions on an X-Ray.

Key Information: Shared Mechanism: These often stem from the same aging-related process where intervertebral discs shrink, leading to pain and discomfort.

Improvement Possibility: Despite being common, these conditions can be improved with targeted interventions.

Cause #3: Sacroiliac Joint (SI Joint) and Pelvic Pain:

Identification: Symptoms: Frequent pain or discomfort with sitting or driving, pain when rolling over in bed, difficulty getting in and out of a car.

Characteristics: Common in childbirth; manifests as broad, hard-to-pinpoint pain, often wrapping around the outside of the leg.

Key Information: Analogy: Similar to a stack of blocks, where misalignment in the bottom block affects the entire structure.

Challenge: Often undetected in MRIs, making it trickier to diagnose.

Unveiling the Hidden Cause

This section emphasizes the importance of recognizing SI Joint issues, which might accompany other conditions like Stenosis, Arthritis, or Degenerative Disc Disease.

The insight here is that addressing the SI Joint problem first could pave the way for more effective solutions for other related issues.

Navigating Your Path to Relief

Identifying the cause of your back pain and sciatica is the first step towards relief.

If you resonate with any of the above causes or need more personalized insights, our team at Concierge Pain Relief is here to help.

Reach out for a free consultation with our back pain specialists, ensuring you receive a definitive answer about your condition and a roadmap for a swift return to normalcy.

Conclusion

Understanding the root causes of back pain and sciatica is pivotal for targeted and effective treatment.

Whether it's a herniated disc, age-related conditions, or issues with the SI Joint, a precise diagnosis opens the door to tailored solutions.

Don't let back pain dictate your life; take control by identifying the cause and embarking on a journey towards lasting relief.

For more information or to discuss your specific situation, feel free to contact us. We're dedicated to helping you reclaim a pain-free, active lifestyle.

>>Call us 24/7 at (646)-781-8884

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Foot Drop Treatment in Tribeca: Reclaiming Mobility and Independence

10/29/2023

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Foot Drop Treatment in Tribeca

Introduction:

Foot drop, medically known as drop foot, is a condition that can significantly impact an individual's ability to walk and maintain mobility.

This condition often results from neurological issues, such as multiple sclerosis, peripheral neuropathy, spinal cord injuries, or other neurological disorders.

For residents of Tribeca, New York, who are dealing with foot drop, effective treatment is essential for reclaiming their quality of life.

At Concierge Pain Relief, we offer a specialized physical therapy approach to address and treat foot drop, using research-backed techniques to stimulate the muscles and nerves responsible for lifting the foot when walking.

In this article, we will explore the treatment of foot drop, with a focus on the unique approach we provide in Tribeca, New York.

Understanding Foot Drop: Foot drop is characterized by a difficulty in lifting the front part of the foot, leading to dragging it along the ground when walking. This condition can result from various neurological problems, affecting the muscles and nerves that control foot movement.

Treatment of Foot Drop in Tribeca: At Concierge Pain Relief, we have developed a comprehensive and research-backed approach to address and treat foot drop. Our goal is to help individuals regain their mobility and independence.

Hands On, Home Physical Therapy in Tribeca: Physical therapy is the cornerstone of foot drop treatment in Tribeca. Our licensed physical therapists perform a thorough assessment to determine the underlying cause of the condition and design a personalized treatment plan. Research has consistently shown that physical therapy is highly effective in treating foot drop and improving functional outcomes (O'Sullivan et al., 2018).

Strengthening Exercises & Nerve Flossing: To address the muscle weakness associated with foot drop, we incorporate strengthening exercises into the treatment plan. These exercises are tailored to target the specific muscles responsible for foot dorsiflexion, which is the action of lifting the foot when walking. Studies have shown that strength training can improve muscle function and walking ability in individuals with foot drop (Maurer et al., 2012).

Functional Electrical Stimulation (FES): Functional Electrical Stimulation is a cutting-edge technique used to stimulate the muscles and nerves responsible for foot movement. FES devices are designed to send electrical impulses to the affected muscles, promoting muscle contraction and improving foot dorsiflexion. Research has demonstrated the effectiveness of FES in improving gait and mobility in individuals with foot drop (Moriello et al., 2019).

Gait Training: Walking with foot drop can be challenging, and our physical therapists offer gait training to improve the walking pattern and reduce the risk of falls. Gait training includes techniques for better control of the foot during the swing phase of walking.

Orthotic Devices: In some cases, orthotic devices, such as braces or splints, may be recommended to support the foot and ankle, preventing foot drop during walking. These devices provide additional stability and aid in maintaining a proper walking pattern.

Patient (and, Family/Caregiveer) Education: Understanding the condition and its management is crucial for individuals with foot drop. Our physical therapists provide patient education on self-care techniques and exercises that can be performed independently to improve and maintain foot dorsiflexion.

Conclusion: Concierge Pain Relief offers a unique and highly specialized approach to the treatment of foot drop in Tribeca. Our evidence-based methods, including physical therapy, strengthening exercises, Functional Electrical Stimulation, gait training, orthotic devices, and patient education, can help individuals regain their mobility and independence without relying on surgical interventions or invasive procedures.

If you or a loved one is seeking treatment for foot drop in Tribeca, don't hesitate to contact Concierge Pain Relief at (646)-781-8884. Our team of experts is committed to helping you reclaim your quality of life and enjoy greater mobility and independence.

References:

O'Sullivan, S. B., Schmitz, T. J., & Fulk, G. (2018). Physical Rehabilitation (7th ed.). F.A. Davis.

Maurer, M., Sweeney, L. A., & Corrow, A. K. (2012). Electrical stimulation and ankle foot orthoses for foot-drop in MS: A pilot RCT. NeuroRehabilitation, 31(4), 347-354.

Moriello, G., Figura, F., Alvisi, L., Cavazzuti, L., & Perego, F. (2019). Functional electrical stimulation cycling in a severely compromised multiple sclerosis patient with foot drop. The European Journal of Physical and Rehabilitation Medicine, 55(6), 776-777.

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In Home Physical Therapy in Manhattan, Brooklyn, & New York City Area

BLOG: Concierge Pain Relief - Home Physical Therapy

Achilles Tendon Injuries: Tendinopathy & Tendonitis

6 Things That Do NOT Work for Achilles Tendon Injuries: Tendinopathy & Tendonitis

Back Muscle Relief, Hells Kitchen, NYC

Muscle Spasms Relief in Hells Kitchen, Manhattan

Ankylosing Spondylitis Treatment in UES, Manhattan, NYC

Ankylosing Spondylitis Treatment in Upper East Side, Manhattan

Top 3 Causes of Back Pain & Sciatica in NYC

Top 3 Causes of Back Pain & Sciatica in NYC

Foot Drop Treatment in Tribeca: Reclaiming Mobility and Independence

Foot Drop Treatment in Tribeca

About Us

We Help Busy New Yorkers Get Pain Free, Balanced, and Back to Normal... Even If They Tried Massage, Chiro, Acupuncture, or PT.

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In Home Physical Therapy in Manhattan, Brooklyn, & New York City Area

BLOG: Concierge Pain Relief - Home Physical Therapy

Achilles Tendon Injuries: Tendinopathy & Tendonitis

6 Things That Do NOT Work for Achilles Tendon Injuries: Tendinopathy & Tendonitis

Back Muscle Relief, Hells Kitchen, NYC

Muscle Spasms Relief in Hells Kitchen, Manhattan

Ankylosing Spondylitis Treatment in UES, Manhattan, NYC

Ankylosing Spondylitis Treatment in Upper East Side, Manhattan

Top 3 Causes of Back Pain & Sciatica in NYC

Top 3 Causes of Back Pain & Sciatica in NYC

Foot Drop Treatment in Tribeca: Reclaiming Mobility and Independence

Foot Drop Treatment in Tribeca

About Us We Help Busy New Yorkers Get Pain Free, Balanced, and Back to Normal... Even If They Tried Massage, Chiro, Acupuncture, or PT.

Archives

Categories

About Us

We Help Busy New Yorkers Get Pain Free, Balanced, and Back to Normal... Even If They Tried Massage, Chiro, Acupuncture, or PT.