- Arthritis
- Plantar FasciitisPlantar fasciitis is a type of overuse injury that presents as pain in the arch of the foot or heel pain. A signature symptom is morning foot pain. This repetitive strain injury is common in runners, walkers, hikers, and people who spend a lot of time on their feet like cashiers. For many, some rest paired with new shoes or an over-the-counter orthotic usually has them back on their feet in a couple of weeks. For more persistent pain, though, physical therapy can help. Read More
- Urinary Incontinence
- Pelvic Pain
- Pregnancy
- Carpal Tunnel Syndrome
- Diabetes Care
- Thyroid
- MRIThe rotator cuff is a group of four muscles that help the shoulder function and provide active stability. Rotator cuff tears are a common injury that can result from either degenerative changes (age-related) or trauma. These tears are classified as either partial thickness (tearing on the top of the tendon, bottom of the tendon or within the tendon) or full thickness (tearing through the tendon). A great way to think about tendon tears is to think about the tendon as a blanket. If you have some of the thread fraying on the top or bottom, think of that as a partial tendon tear. If you can see a hole in the blanket, think of that as a full thickness tendon tear. The great thing is the tendon can often still do its job with many different tear sizes, just like a blanket can still keep you warm with fraying or a hole in it. Diagnosis is made by clinical examination and MRI, but having an MRI is not usually necessary and we recommend reading this BLOG for more information. Some of the signs and symptoms associated with a rotator cuff injury can include: pain or difficulty reaching overhead and pain with shoulder strength testing.
- SciaticaRadicular Syndromes represent about 5-10% of all low back pain cases. This type of back pain is commonly known as "Sciatica" and generally refers to pain, weakness, and sensation changes radiating down the legs. Radicular syndromes fall into three different subgroups: Radicular Pain, Radiculopathy, and Stenosis. All three involve nerve root irritation in and around your spine, with pain running down the back or front of the leg. Radiculopathy means the functioning of the nerve has been affected. With this condition, the patient could be feeling other sensations besides pain or experiencing weakness in affected muscles, like difficulty lifting the foot. Stenosis refers to a narrowing of the spinal canal and seems to occur more frequently in older patients. The hallmarks of stenosis involve experiencing pain in both legs that gets worse with walking and feels better with sitting.
- ArthroscopyM. Hip Arthroscopy: FAI Decompression, Labral Repair, Femoral/Acetabular - Hip Arthroscopy refers to a surgical procedure used to treat a variety of intra-articular hip injuries including Femoroacetabular Impingement (FAI), labral tears and labral repairs, hip dysplasia, osteochondral defects, and others. Nevada Physical Therapy has written the most in-depth and up to date post-surgical rehabilitation protocol for hip arthroscopy which you can read here. Similar to ACL rehab, hip arthroscopy reality and patients’ expectations often differ significantly and having a therapist that is informed on the current best research as well as choosing a clinic that utilizes objective criteria to guide the return to prior level of activity is essential. We have spent hundreds of hours creating this protocol and as such, we consider ourselves experts in this area. You can read more about the current state of hip arthroscopy rehabilitation in our blog here. And as always, we would be happy to schedule a free phone consultation or in-person consultation to discuss what to expect after surgery and how Nevada Physical Therapy can help you get back to doing the activities you love
- ArthroscopyM. Hip Arthroscopy: FAI Decompression, Labral Repair, Femoral/Acetabular - Hip Arthroscopy refers to a surgical procedure used to treat a variety of intra-articular hip injuries including Femoroacetabular Impingement (FAI), labral tears and labral repairs, hip dysplasia, osteochondral defects, and others. Nevada Physical Therapy has written the most in-depth and up to date post-surgical rehabilitation protocol for... Read More
- Knee ReplacementIt recently is shown that patients diagnosed with knee osteoarthritis who get physical therapy first avoid surgery 60-70% of the time! We will work with you with the most comprehensive approach possible to maximize your function and strength to try and avoid surgery. However, if you recently opted for a total knee replacement, getting therapy as soon as possible after your operation can help you maximize your surgical outcome!
- Sports MedicineNevada Physical Therapy was founded in 1994 at the University of Nevada-Reno and operated within the Sports Medicine Complex and as a part of the Wolf Pack Athletics Medical Staff for nearly 30 years. Decades of working closely with an academic institution as well as Division 1 and professional athletes has allowed us to be on the front line of managing active individuals who have undergone surgical intervention. Nevada Physical Therapy is unique in the Northern Nevada Region as we are focused on advancing treatment strategies, research and education; we have even written several post-operative protocols used on the national level and published in medical journals and serve as adjunct faculty for the University of Nevada School of Medicine training physicians going through their sports medicine fellowship. For individuals who prioritize education, innovation and commitment to being better, there is no better choice for your physical therapy needs.
- Physical TherapyIn many cases, patients who have sustained an ACL tear do not require surgical reconstruction. In fact, surgery for ACL tears should be the last resort! Patients who may require surgical intervention may be those that wish to go back to high level cutting or pivoting sports, those under the age of 25, or those who have persistent instability after a course of conservative management. If you wish to return to weightlifting, running, skiing, etc. you very likely may not need surgery. In fact, Nevada Physical Therapy’s very own Jon Hodges has torn both ACLs and opted not to have them surgically reconstructed and is still able to compete in powerlifting, wake surf, and snowboard without issue. This is actually the norm, not the exception. You can read more about non-surgical management of ACL tears and Jon’s own experience here.
- Frozen ShoulderAdhesive capsulitis aka Frozen Shoulder is a condition that overtime causes the mobility of the shoulder joint to tighten up and feel restricted. Although the etiology is typically unknown, risk factors include: diabetes, thyroid conditions, age range of 40-65 years old, and is more common in females. Other risk factors can include recent trauma, shoulder surgery that resulted in prolonged immobilization, autoimmune diseases and post heart attack. Frozen shoulder traditionally follows four stages, stage one being the onset of the frozen shoulder and stage four being the gradual recovery.
- Tennis ElbowTennis and Golfer's elbow are classic repetitive strain injuries. The technical names are lateral epicondylitis and medial epicondylitis, respectively. Tennis elbow affects the muscles and tendons on the back outside area of the elbow, which lifts the wrist and extends the fingers. Golfer's elbow affects the tendons on the front inside of the arm, which flexes the wrist and closes the fingers. While these issues occur in sports, they are also frequently seen in the workplace and associated with large amounts of computer use. These injuries tend to linger, and it is common for it to take 3-6 months to recover.
- Heel Pain
- Ankle SprainMany have heard of the RICE (Rest, Ice Compression, Elevate) approach for ankle sprains however this is an out-dated concept. Recent research suggests the PEACE and LOVE approach as described below. You can read more about this here if you are interested but for those who have recently suffered an ankle sprain, having a clinician up to date on current best practices may make all the difference in the world. At Nevada Physical Therapy, we can help create a structured plan to get you back to doing what you want to do. During treatment, you will learn the basics of exercise progression to expose your ankle gradually to higher force environments. Then, it won't be too long before you are back to running, jumping, or skating at the level you were before the sprain.
- Back Pain
- Manual TherapyAt Nevada Physical Therapy you will gain a unique experience and perspective when it comes to addressing Women’s Health. Our mission is to provide YOU with knowledge and skills to treat and advocate for yourself. Oftentimes common management of pelvic floor issues is a passive experience where a physical therapist performs manual therapy to the internal structures of your pelvic floor. While this can be very helpful in alleviating pelvic pain and recognizing the source of “where” some of your issues could be originating from, what can you do to manage your symptoms? What are your goals? What activities are you avoiding or afraid of? We are here to help you take more control of your pelvic health and point you on a path of feeling strong, resilient, and confident with managing your symptoms. Let’s take away some of the fear, feelings of helplessness, and stigma that it's “normal” for these things to happen to women. Yes, there is more we can do!
- Achilles TendonitisAchilles tendinitis is an overuse injury that presents as pain slightly above the heel bone. This type of injury tends to occur in runners, walkers, hikers, and athletes, especially when starting back after a layoff or after pushing hard for a long time. Recovery time for a typical case is about three months, but six months is not unheard of. Like many repetitive strain injuries, getting better will involve a combination of rest and managing load to the area, balancing strength training and meaningful activities. Like many tendon injuries loading the tendon and building up, its capacity will be a core component of the treatment strategy.
- Ankle SprainA sprained ankle occurs when the ankle rolls, twists, or turns awkwardly. There are two types: lateral and medial sprains. Lateral sprains happen when the foot rolls inward. It is the most common type of sprain, with pain usually focused on the outside of the ankle. A medial sprain occurs when the foot rolls outward. This type of sprain usually happens with higher forces, like a fall or impact, and is more likely to be associated with fractures. All sprains involve damage to ligaments. Depending on the severity, the damage can be the ligament stretching a bit too far, or it can mean a tear.
- Heel Pain
- Foot Pain
- Plantar FasciitisPlantar fasciitis is a type of overuse injury that presents as pain in the arch of the foot or heel pain. A signature symptom is morning foot pain. This repetitive strain injury is common in runners, walkers, hikers, and people who spend a lot of time on their feet like cashiers. For many, some rest paired with new shoes or an over-the-counter orthotic usually has them back on their feet in a couple of weeks. For more persistent pain, though, physical therapy can help. While there can be either degeneration or thickening of the plantar fascia, how you get better has more to do with controlling how much time you spend on your feet, especially in the beginning. Treatment will often involve some combination of stretching, strengthening, and possibly some tweaks to your running technique. Check out this BLOG for more information!