Blog

  • Whiplash

    Whiplash is a neck injury category which can be extremely painful — most commonly occurring from unanticipated forces such as falling, car crashes, or a poor experience in a theme park.

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    Now, while whiplash usually occurs in the neck, but can affect your back as well

    When your body is suddenly jolted or whipped your muscles tend to seize up to protect your spine. Your spine can also be irritated from the accident as well causing pain.

    Symptoms to Watch For:

    • Usually people will feel significant tension and have pain with movement in either all directions or just certain directions.
    • Some people will feel they cannot move their neck/head at all due to their muscles being so tight.
    • Often times people become scared to move their heads due to the pain, but lack of movement only will make whiplash worse.
    • Sometimes people get tension headaches or numbness or tingling down their arms.

    Things to Consider:

    • If you have whiplash from a traumatic event make sure you go to the doctor to be cleared of concussions, fractures or other dangerous injuries.
    • Once cleared, it is highly recommended to go to see a Physical Therapist to be safely guided through exercises and stretches.

    It is important to remind yourself that our bones and muscles love to move so lack of movement will only make thing worse. If you have no “red-flags” then try to move your head/neck in small tolerable ranges in all directions. Try practicing deep breathing to concentrate on relaxing your tense muscles and always breathe with movement and stretching as well.

    Remember to keep your shoulders loose as well by stretching your chest and moving your arms in all directions that are tolerable. If you feel improvements with trying these suggestions then PT will be beneficial for you. If you are hesitant to try these exercises, consider having a Physical Therapist evaluate you so they can safely assist you.

  • Neck Pain

    Much like back pain, neck pain is becoming increasingly more common — not only due to the digital age, but also due to the pandemic forcing much of the workforce into remote working environments. For some of us, our lifestyles and jobs require a lot of sitting and working on either computers or phones or both for hours at a time.

    Even with the best desk set-up and good posture, this amount of sitting can cause things like neck pain.

    For those of us who have more active lifestyles/jobs can still experience neck pain/trauma from repetitive movements or heavy lifting!

    Things to Watch For:

    • Usually most people feel neck tension and stiffness with prolonged sitting, computer work, etc.
    • Sometimes movement helps decrease their symptoms and other times it makes them feel worse
    • If nerves are being compressed some people may feel numbness and/or tingling down their arms.

    Things To Try:

    • Try getting up at least every hour from sitting or at least change positions. If your pain decreases you’re on the right track and we know you need to perform more movement-based exercises to help your neck.
    • Also try these three following exercises groups:
    • If you know heat or massage helps decrease your pain, then we can assume muscle tension also plays a role in your pain. Physical Therapists are trained in soft tissue mobilizations using different techniques and tools to help decrease muscle tension.
    • If this is your case manual therapy will be part of your treatment sessions!
    • If you think one or all of these suggestions are for you please do not hesitate to contact us!
  • Shoulder Dislocations/subluxations

    Shoulder dislocations are common in sports such as volleyball and football. When arm is lifted above head like the position for serving a volleyball is when the shoulder joint is most susceptible to dislocating; this is common in throwing, hitting, swinging — all incredibly common movement when it comes to sports.

    Once you dislocate once you are more prone to future dislocations due to your shoulder stabilizers being stretched out. In fact, prior injury is a strong predictor for future injury, if not properly attended to for prevention.

    What to look out for:

    • Sometimes a shoulder will sublux (dislocate) — it will pop out (completely or partially) and then go back in on its own. Usually the pain will go away within a day or two with rest unless there was serious damage
    • In other events, the shoulder will not reset on its own and you will have to go in to see a health professional to get it reset — typically in an urgent care or emergency environment. Unfortunately, this can be extremely painful and lead to tearing.
    • After dislocating people may lose range of motion and strength and feel as if their shoulder is unstable
    • If you have dislocated once or multiple times with or without pain it is advisable to get physical therapy to help strengthen shoulder stabilizers.

    What can be done:

    If you have found yourself in similar experiences, you can try performing gentle theraband exercises such as external rotation, internal rotation, and extension of the shoulder.

    • If you have pain with these exercises or lack good range of motion due to pain you may require other exercises to help with range of motion
    • If these exercises helped decrease your pain or helped your shoulder feel more stable you may benefit from PT to help progress and give you more advanced shoulder stabilization exercises!
  • Sports-Related Knee Pain

    It is very common for athletes to experience knee pain while playing sports like soccer, basketball, and football — while it is common especially amongst adolescents and young adults, it shouldn’t be “normal.” Many youth sports teams focus on sport-specific skills and conditioning and can practice up to five days a week plus games.

    Sometimes very little time is spent on injury prevention and self-care/maintenance; a high volume of activity + minimal time spent on keeping athletes healthy = injuries and pain.

    Now, while knee pain is a common complaint seen in youth athletes even when there is no traumatic injury involvedIntroduction, there are some signs to consider:

    • Common areas of pain are in the front and/or inner portion of the knee with activities such as running, cutting, jumping, squatting and lunging
    • You may see swelling around your knee cap
    • Rest typically helps reduce the pain, but pain may return when you start playing again

    If activities like squatting, lunging and jumping hurt, try practicing squats making sure your toes are in line with your knees and performing a proper hip hinge (maintaining flat spine as you squat down) with your knees staying over your ankles or at least not going past your toes.

    If you have a difficult time coordinating this, PT can assist you and teach you good body mechanics to help with knee alignment while playing; knee pain with running try to shortening your stride and increasing your cadence (steps per minute) while landing on your forefoot — also making sure toes are facing forward and not inward!

  • A New “Most Common” Orthopedic Problem In America: Mid-Back Pain

    Over 80% of Americans will at some point in their lives experience back pain. According to the National Institute of Health (NIH), about 20% of those cases will become chronic pain cases.

    Typically categorized as upper, middle, and lower back — low back pain is the most prevalent of these categories; however, mid-back and upper back pain are also becoming more common.

    Lifestyle changes in recent times due to pandemic and technology has caused people to be more frequent with phone use, computer use, screen time, and becoming more sedentary. These lifestyle factors are commonly also be associated with neck pain. As a whole, here are some other aspects to consider in terms of “warning signs” and symptoms prior and during early episode developments:

    • You may feel tension in their upper shoulders down between their shoulder blades
    • You may feel stiffness in your upper back/thoracic spine
    • You may feel pinpoint pain in the “bra-line” level in the center of your back especially with movement
    • You may feel more pain when you try to perform good posture in all these areas

    How to gauge your pain experience.

    • Try to first decrease the tension by practicing deep breathing: lay on your back and try focus your breath down into your ribs, belly and low back, expanding on the inhales and relaxing on the exhales
      • Try to not tense through your neck and chest with breathing
      • If this helped relax the tension, great! A trained PT can give you more breath-based exercises to help more
      • If you feel you could not relax your neck, chest and upper back, no problem, you just may require more one-on-one training
    • Try chair mobility exercises such as extending your upper back over a short back rest of a chair with your hands supporting your head or doing a gentle seated twist to each side
      • If this bothers your back or you feel you cannot move a normal amount that’s OK and PT can give you modifications and other mobility exercises to work on
    • If you liked these exercise or feel you need more guidance to help relieve your back pain do not hesitate to connect with us or give one of our clinics a call regarding our free injury screenings!
  • Katelyn | Featured Athlete

    Athlete

    Katelyn

    School

    Patrick Henry High School

    Sport

    Cheer Squad.

    Injury

    I took an injury during tumbling.

    Where are you now, in your recovery?

    Recovery is going very well and I am able to get back to tumbling. I would highly recommend PT in Motion.

    What are your future aspirations?

    To go to San Diego State University to study Kinesiology.

    Connect with Katelyn on social media.
  • Cameron | Featured Athlete

    Athlete

    Cameron

    School

    Patrick Henry High School

    Sport

    Baseball

    Injury

    I tore my ACL. My mom knew Kristin from PT In Motion

    Where are you now, in your recovery?

    I’m now 6 months out of 12 in my recovery process.

    What are your future aspirations?

    My goal is to play baseball at a division 1 school.

  • Hospital Bed in San Diego: Complete Buying Guide

    Today’s guest blog post comes from Erica from harmonyhomemedical.com.


    Struggling to find the right hospital bed in San Diego? If so, you’ve come to the right place.

    Using a regular bed when recovering from an injury or operation or struggling with a mobility condition can be challenging. Patients are faced with uncomfortable sleep, difficult transfers, and occasional injuries.

    With the right hospital bed, you evade the hurdles of typical beds, thereby enjoying a more streamlined recovery journey. The beautiful thing about a patient bed is that you can use it beyond the hospital setting, be it in a rehab center, private residential, or nursing home.

    Home patient beds come in varying sizes, designs, and styles, so picking the right one is an overwhelming task for most buyers. It’s for this reason that this guide has gathered everything you need to know about hospital beds.

    The guide outlines the advantages of a home patient bed, types of hospital beds, how to pick the right equipment, and other crucial information to keep in mind when buying your home medical equipment.

    Benefits of Hospital Beds for Homecare

    Patient beds are tailored to the needs of patients who need assistance repositioning in bed as they offer more comfort, ease care giving, and allow the patient to use the extended time.

    Getting a comfortable sleep when struggling with a health or mobility issue is a genuine struggle. A patient bed helps to eliminate these hassles by offering various position adjustments. You can recline the bed if sleeping flat on a mattress is difficult, or you can elevate it for health reasons.

    Hospital beds ease care giving. 

    A caregiver can raise or lower the equipment, depending on whether the user can move out of the bed with or without help.

    Lowering the bed to a considerable level enables you to step out to the floor or a mobility device such as a wheelchair. By raising the height, the caregiver doesn’t have to hunch over when providing help. Besides, these beds allow for options such as over-bed tables, eliminating the constant back pains caregivers experience when managing patients.

    The fact that you can accessorize a hospital bed takes homecare a notch higher. Bed rails, whether half-length or full-length, are an excellent safety feature as they prevent the patient from rolling off the bed.

    Blanket supports raise sheets and blankets off the lower legs to prevent entanglement during movement while keeping away the extra weight off sensitive skin. You can equip the bed with a specialized air mattress if your loved one is vulnerable to pressure sores.

    With the right hospital bed, you don’t have to stay away from your home and loved ones. A hospital bed is usually mobile, enabling caregivers to move the patients around the house and other living environs.

    Whereas an older individual with mobility difficulties may require the help of a caregiver to perform day-to-day tasks, living in a nursing facility may be an uncomfortable experience for them. By allowing for home care, hospital beds support the concept of aging in familiar environments while surrounded by loved ones.

    Types of Hospital Beds in San Diego

    Hospital beds in San Diego are classified into three broad categories depending on the operation mode as follows:

    Manual Hospital Beds

    These beds lack electric capabilities. They have a crank that allows you to adjust the height, head section, and foot section position. 

    Manual hospital beds are more affordable than their electric competitors but demand more physical labor. They are a decent investment for short-term use, patients with a fixed position, and those that don’t require regular repositioning.

    Remember that some manual beds don’t offer a range of position adjustments as electric beds. You also want to ensure that there is a caregiver with the energy and will to do the manual work before buying this bed.

    Semi-electric Patient Beds

    The semi-electric options incorporate both electric and manual adjustments. Typically, electric interventions allow for the adjustment of the foot and head section. A hand crank helps adjust the height.

    Semi-electric patient beds are ideal for patients in need of constant head and foot section adjustments and fewer height adjustments. They are costlier than manual beds but offer you the benefit of zero manual work when adjusting the two ends.

    Full-electric Hospital bed.

    In full electric beds, all alterations are electrical, incredibly easing the lives of the patient and their caregivers. 

    The bed comes with a remote for seamless head, foot, and height modifications, making it an ideal solution for patients who require frequent positioning and caregivers with less physical strength. Loaded with these capabilities, an electric bed is costlier than a manual or semi-electric alternative but offers a great deal of convenience.

    Besides the above types, there are also unique hospital beds tailored to special requirements. They include:

    Low Hospital Bed

    A low bed resembles the regular hospital bed except that its deck is much closer to the floor to minimize the risk of injury from falls. It’s also ideal for patients that experience difficulties when transferring out and into the bed. 

    An upgrade to the low bed is the hi-low bed that offers a broader range of height alterations. You can lower it close to the floor when sleeping, or a caregiver can raise it to a suitable height when providing assistance.

    Bariatric Hospital Bed

    If you are looking for a patient bed with a larger weight capacity, a bariatric bed could be the right choice for you. The bed is designed with a broader and heavy-duty deck to offer maximum support and comfort to heavier users. It can be fully electric or low design.

    Hospital Crib

    Also known as a pediatric medical crib, a hospital crib is specially made for children receiving medical care at home. This could be due to premature birth issues, neurological issues (seizure and epilepsy), developmental disabilities, among other conditions that call for special features not provided by a regular crib.

    Hospital cribs have raised rails to prevent falls, with the spaces between the rails being much narrower to prevent head entrapment. You can electronically or manually adjust the head section, depending on the bed manufacturer.

    How to Choose the Right Hospital Bed

    Undeniably, purchasing a hospital bed is an incredible investment, so getting informed about the vital things to consider is imperative before making your purchase. Keep in mind the following factors:

    Length of Use

    Before looking into the features, consider how long your loved one will use the bed. For short-term uses, it’s advisable to get a manual or semi-electric patient bed, depending on the necessary convenience and comfort. 

    A full-electric bed is suitable for a patient who remains on the bed for a significant portion of the day (at least 15 hours) or intends to use it for a long time.

    Mobility of the User

    Your choice of a hospital bed will also rely on the mobility level of the user. 

    First, consider whether the patient can get in and out of bed and the amount of help they require. 

    Next, determine whether the bed has the necessary features to support the user’s mobility. For instance, a user who can transfer themselves or sit up will require a more standard hospital bed. In contrast, an immobile patient will require a more loaded alternative. 

    Size and Weight of User

    The size and weight of the patient determine the bed’s size and capacity. 

    If the user is heavier, a heavy-duty bariatric bed is an ideal choice to support the extra weight and size. In contrast, shorter or taller patients require shortened or extended bed decks. 

    Pediatric patients, however, need small-sized beds designed to offer optimum comfort and safety to children.

    Physical Stamina of Caregiver

    It’s also important to consider the physical strength of the caregiver, chiefly when a family or friend is assigned the caregiving duties. If manual operation is too much work for the carer, a full-electric bed becomes the go-to solution.

    Features

    Different models offer varying features that allow for customizations geared to minimize the risk of complications, improve patient comfort, and ease the work of the caregiver. Here are features to remember when choosing a hospital bed in San Diego.

    1. Positioning

    Typical patient beds offer primary positioning options, such as raising the foot and head sections. However, some alternatives take this notion further by providing special positions to meet unique requirements. They include:

    • Fowler’s position: In this position, the user is laid on their back with their upper body raised to an angle between 15-90 degrees, and their knees bent or straight. It’s ideal for patients with respiratory distresses as it facilitates better chest expansion, thereby improving breathing. The position also allows users who can’t move to talk normally and eat and swallow easily.
    • Trendelenburg: This position is achieved by tilting the bed deck in a way the user’s head is lower than the feet by 15-30 degrees. The patient lies flat on the bed. Commonly used during cardiothoracic surgery, the Trendelenburg position is also helpful to patients with particular heart and respiratory issues.
    • Reverse Trendelenburg: Also known as Anti-Trendelenburg, this position is gained by tilting the bed so that the patient’s head is higher than the feet by 15 to 30 degrees. It’s especially useful for increased exposure during upper abdominal and prostate surgeries.

    By relieving pressure to the head, the Anti-Trendelenburg also helps to improve respiratory functions in obese users.Avoid keeping the patient in the Trendelenburg positions for an extended period to prevent blood flow complications. If the patient has reduced mental ability or dementia, the control of these positions should be left to the caregiver.

    1. Bed Rails

    You cannot afford to overlook the importance of side rails when buying a hospital bed in San Diego. Whether full-length or half-length, side rails offer fall prevention to individuals at risk of falling off the bed, especially the sen`iors, children, and the disabled. Bed rails also act as support tools when individuals with limited physical strength are transferring into and out of bed. Users with limited mobility can hold onto the rails when turning over, lying down, or sitting up.

    1. Storage

    If you have a load of frequently used supplies, it’s wise to get a bed that suits your storage needs. Whereas the standard patient bed comprises the frame and essential components, a selection of newer models come with storage compartments for storing items such as gloves, IV stands, oxygen stands, and bedpans nearby.

    1. Built-in Scale

    A patient bed with an in-built scale or allows the attachment of the device comes in handy if regular weight measurements are required for medical reasons. They enable weight recording with minimal to zero disruptions.

    1. Installation Services

    A patient bed can be too bulky or complicated for you to install it by yourself. This is where professional installation comes into play. Before hiring an installer, seek to know if the bed seller provides installation services. Having the retailer, rather than a third party, install your bed can help reduce the overall costs significantly.

    When Should You Rent a Hospital Bed?

    The following are the situations where renting a bed in San Diego makes more sense than buying the equipment.
    When you Need the Bed for Short-term Use

    1. When you Need the Bed for Short-term Use

    It’s more economical to rent than buy a patient bed for short-term use.
    Hospital bed rental in San Diego offers an affordable solution to people in need of a bed for a relatively
    shorter time, whether they are recuperating from an injury or medical operation. Upon recovery, the user can
    return the bed and switch to their regular beds.

    1. When in Need of Flexibility

    When flexibility becomes critical for your recovery journey, renting a patient bed is virtually inevitable.
    Your health needs may continually change as you recover, bringing in the flexibility factor.
    Although different hospital beds are designed to meet varying needs, it makes no sense to buy separate beds
    to meet your changing preferences. Here, renting different beds is the best alternative.

    1. When Testing an Upgrade
      If you have a knack for testing equipment before buying, bed rental is for you. With the availability of
      patient bed rental in San Diego, you can try out beds before picking a long-term solution.

    Vital Safety Tips for Home Hospital Beds

    Bringing a hospital bed home presents several safety challenges that you might not have considered in the past. Having selected the right equipment for you or loved one, equipping it properly and using it safely is of utmost importance. By using a patient bed safely, you keep away additional medical issues and better the environment for the surrounding people, whether relatives, friends, or hired caregivers. Thus said, take into account the following safety tips when using a hospital bed at home:

    • Keep the side rails locked, except during transfers, to prevent dangerous falls.
    • Except during movement around the house, always maintain the wheels in a locked position to prevent incidences associated with uncontrolled movements of the bed.
    • Check if all the bed mechanisms and parts are working accordingly, as per the manufacturer’s or retailer’s guidelines..
    • Equip the bed with communication means, primarily a bell and phone, so that the user can reach out to the caregiver easily and quickly, especially during emergencies.
    • Always ensure that the remote control is within easy reach of the bed user.
    • Ensure the mattress correctly fits in the bed to prevent unsafe gaps between the mattress and bed edges.
    • Regularly check the motor and electrical components for debris and dirt. Dirt accumulation is a sure recipe for electrical component malfunction and failure.

    Where to Rent a Hospital Bed in San Diego

    If you are thinking about hospital bed rental in San Diego, look no further than Harmony Home Medical Supplies, your trusted medical equipment dealer in San Diego.

    We offer affordable rentals for high-quality hospital beds by renowned medical equipment brands, including Invacare, Graham Field, and Joerns, among others.

    Whether you are looking for a semi-electric, manual, or full-electric patient bed, Harmony Home Medical rentals are transparent and void of endless paperwork, vague contracts, and hidden fees.

    Besides, we deliver our rental beds and have our specialists install them at our customers’ homes, providing them with superior convenience coupled with affordability.

    Where to Buy a Patient Bed in San Diego

    Wondering where to buy a hospital bed in San Diego? Harmony Home Medical Supplies is your go-to home medical equipment distributor in San Diego.

    Being in business for several years, we boast the experience and knowledge to excellently address the unique needs of our customers. We, therefore, supply hospital beds with excellent workmanship and features geared to offer our clients quality, long-lasting services.

    Not sure which hospital bed suits your needs and budget? Bet on our professional, friendly, and experienced specialists to take you through the selection process so that you leave our store with a product optimally tailored to your needs. You can also order our beds online.

    Turn to us for affordable, durable, reliable hospital beds, accompanied by a friendly environment and unsurpassed customer services.

  • Women’s Health and Pelvic Floor Physical Therapy

    What can physical therapy treat?

    • Postural changes from pregnancy that can lead to pain or dysfunction
    • Urinary Incontinence (UI)
    • Pelvic Organ Prolapse (POP)
    • Diastasis Recti — common for women postpartum
    • Education and instruction on safe exercise during and after pregnancy to help prevent or reduce injury and improve quality of life

    Common Complaints Physical Therapy Can Address

    • “I have neck and back pain”
    • “I leak when I sneeze or cough”
    • “I feel heaviness in my pelvic area whenever I pick up my baby”
    • “I can see a bulge in my stomach when I get out of bed”
    • “I would like to exercise, but don’t know where to begin or if it is safe”

    What can physical therapy do?

    • Physical therapists are specialized in treating the musculoskeletal system and are effective at treating posture and alignment to optimize function. 
    • UI and POP develop due to dysfunction of the pelvic floor and core. Trained pelvic floor physical therapists provide manual therapy and exercises focused on the pelvic floor to address tightness, weakness and proper engagement to treat UI and POP.
    • Trained physical therapists assist in targeting the correct abdominal muscles to help close diastasis recti using proper breathing and bracing techniques. 
    • Trained physical therapists for pregnant and postpartum women can skillfully guide women on safe exercise and proper alignment to reduce risk of injury during workouts. 

    PT in Motion Inc.

    We have two physical therapists here at PT in Motion in Bonita trained to assist with the various women’s health and pelvic floor issues that arise during and after pregnancy. One of our therapists is trained to perform internal pelvic floor treatment. The other therapist is experienced in external manual therapy and  exercise focused on optimizing the whole core system, alignment, mobility and function for pregnant and postpartum women.

    We take most insurances and have cash-pay options. If you would like to know more about our clinic and treatment philosophy please do not hesitate to contact us. 


    Facts and Relevance 

    • Urinary incontinence (UI) is common among women (25-45%) and stress UI makes up ⅔ of this population. Vaginal delivery is the highest risk factor in developing UI.
    • Pelvic Organ Prolapse (POP) prevalence can reach up to 50% of the female population. Having one child increases a woman’s chance of POP fourfold and having a second child increases to over 8x likely to develop POP. Vaginal delivery plays an extensive role in PF damage and development of POP.
    • 33% of women during 21 weeks of gestation have diastasis recti. 60% of women 6 weeks postpartum show diastasis and 32% still have diastasis 12 months postpartum. Due to the tear of the linea alba women lack adequate abdominal strength to perform their daily activities safely. Activities such as lifting and carrying babies and bending forward to change diapers with minimal abdominal support put mothers at risk for back injuries. 
    • It is recommended that pregnant women do moderate-intensity exercise most days of the week. Exercise supports optimal fetal growth and development that can benefit generations in the future. Exercise during pregnancy can also reduce risk of gestational diabetes.

    PT In Motion | Chula Vista — 690 Otay Lakes Rd ste 110 Chula Vista, CA 91910

    Phone: 619-475-6910

    Email: katherine@ptinmotioninc.com —and— jana@ptinmotioninc.com


  • ACL: Anatomy, Injury Prevention, and Rehab

    By Lisette Salazar

    The Anterior Cruciate Ligament is a highly common knee injury amongst female athletes. The ACL is one of four important ligaments in the knee preventing anterior translation of the femur on the tibia. This ligament is prone to tears due to the mechanism of injury in both contact and non-contact sports. There are various factors associated with the efficacy of the ligament’s integrity such as the strength, stability and endurance of the following muscles: the quadriceps, hamstrings, and muscles of the hip.

    Strength in the quadricep and hamstring muscle groups help maintain the integrity of the ACL. There are also other muscle groups that may be overlooked such as muscles of the hip and ankle stability which contribute to the kinetic chain. When there is an appropriate ratio and stability within the lower extremity, the likelihood of ligament sprains, partial tears and complete rupture decreases. 

    Comprehensive training can lead to improvements in athletic performance and movement biomechanics as well as reduce ACL injury risk. Improving pivotal dynamic movements such as landing softly, increasing knee flexion, minimizing knee valgus, improving running technique, and maintaining proper knee alignment during cutting maneuvers can help decrease injury risk. 

    Here at PT in Motion, we provide a free screening to analyze gait pattern, lower extremity strength, stability and functional abilities. With this, you can be more informed on how your body works. You will have a better insight on any muscular and proprioceptive deficits and be educated on preventative measures to help decrease your risk of injury with sports and recreational activity.

    Please feel free to reach out to us at our three different locations located in Kearny Mesa, Chula Vista and Carlsbad. 


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