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Foundation Under Foot

Darrell Platt, PT – Excel Therapy South Tulsa Clinic

The feet and ankles are an important part of sports performance– they are the foundation of our movement.  The activation for most athletic movement starts with the feet, ankles, and toes.

Ensuring that the feet, ankles and toes are functioning properly is not only important for injury prevention, it goes a long way toward maximizing speed, mobility, agility, power, force production and explosiveness.  Like all skeletal muscles, the anatomy that surrounds the feet and ankles are designed for movement and force absorption. When these muscles don’t function as they should, it severely limits the shock absorption capabilities of the lower body. This affects the entire kinetic chain, promoting greater potential for injury from head to toe.  In fact, according to Sports Health News, ankle injuries are the most common type of injury in high school athletes in the United States.

One of the easiest ways to help protect your feet and ankles is by selecting the correct footwear.  Most modern athletic footwear is built for fashion as well as sport.  Teams are issued matching footwear in order to give a cohesive team look.  However, every athlete performs differently, thus the shoe they choose should be individualized to their body mechanics. So while looking good on the field is important, each shoe should be slightly customized for each athlete.

Walking, running and performance shoes are not created equal so do your homework when it comes to foot placement.  Some people walk on the outside of the heel, called supinating or rolling outwardly.  And some individuals walk on the inside of the heel, called pronating or rolling inwardly.  More than 80 percent of ankle sprains are a result of excessive inversion, which is an inward rolling of the ankle, resulting in damage to the ligaments on the outside of the ankle.

Excessive pronation and supination can cause a number of ailments that affect the foot, ankle, knees, hips and back. Some of the more common symptoms of excessive pronation and supination are listed below.

If you are suffering from pain possibly caused by a foot and ankle problem, an Excel Therapy physical therapist can help.  Our therapists specialize in treatments for orthopedic pre and post surgical injuries and rehabilitation for sprains and strains.  Manual therapy, dry needling and ASTYM could get you feeling relief before the season starts without you!

Falls, Dizziness and Vertigo

Excel Therapy Oklahoma, Physical Therapy Oklahoma, Physical Therapy Tulsa, Physical Therapy Chickasha, Physical Therapy Mustang, Physical Therapy Broken Arrow, Physical Therapy Bartlesville, Physical Therapy McAllister

The presence of dizziness or vertigo in the elderly is a strong predictor of falls which is the leading cause of accidental death in adults 65 and older and account for 40% of nursing home admissions.

Falls are particularly prevalent above age 75 and in the elderly often result in injury, such as wrist and hip fractures, and can lead to declining independence and a progressively sedentary lifestyle.

At Excel Therapy, we are no stranger to treating patients who have experienced injury due to falls. Through experience, we have believe it’s important to keep moving safely to maintain health and independence, resulting in an overall decrease in demand on the medical system.

Caregivers know it can be a daunting task to protect a loved one from the many risks associated with physical decline. It’s important to identify the possible risks and have a plan in place to minimize those risks as much as possible.

The American Geriatric Society has identified many factors that contribute to an increased risk for falling including:

  • Polypharmacy (more than 4 daily medications)
  • Gait and balance changes
  • Decreased visual acuity
  • Neurological impairments
  • Decreased muscle strength
  • Changes in heart rate and rhythm
  • Postural hypotension
  • Foot deformity and poor foot wear
  • Environmental hazards

While our physical therapists at Excel Therapy may not able to address all issues, we can evaluate and address deficits related to many of them. Our highly skilled physical therapy team can evaluate a patient’s risk for falls based on functional tests, such as the Berg Balance Scale, and then implement a rehabilitation program based on the evaluation findings. A typical rehab program may include:

  • Strengthening activities primarily of the lower extremities
  • Core stabilization
  • Proprioception
  • Static and dynamic balance activities
  • Stretching to obtain adequate LE and trunk mobility
  • Balance correction strategies
  • Assess need for assistive device
  • Transfer training
  • Footwear assessment and recommendation
  • Vestibular assessment
  • Discussion of environmental hazards and recommendations for correction

Falling doesn’t have to be a natural part of the aging process. Fight back and contact your an Excel Therapy location near you to learn more about all the ways to minimize the risk of harm for you or your loved one.

 

What is a Functional Movement Screening (FMS)?

FMS identifies seven fundamental movement patterns BEFORE the onset of pain or injury. Excel Therapy physical therapists are FMS certified and able to identify areas of weakness, imbalances, decreased flexibility and motor control deficits for your individual areas of need. Now, you can develop a greater sense of awareness of the way your body moves, make a conscious effort to correct your imbalances and improve benefits from your training. Should you become injured, FMS is a great tool for assessing readiness to return to a sport or activity. You have nothing to lose, yet everything to gain. Call now to schedule your Functional Movement Screening!

Matthew Hathaway Bartlesville Pawhuska Oklahoma Physical Therapy Physical Therapist Bartlesville Pawhuska Oklahoma— Matthew Hathaway, MPT