Category Archives: Hip Pain

Physical Therapy Treatments for Running & Jogging Injuries

Running seems simpler and easier to everybody as all of us start running as toddlers and many of us continue with this activity throughout either for play, sports or exercise. But if the correct form is not maintained, this simple act can lead to serious injuries.

What causes running injuries?

When you start running for fitness, you particularly become prone to running injuries. There are certain stages at which you become more vulnerable to running injuries, like:

  • During the initial 4 to 6 months of running
  • Returning to running after injury
  • Increase in distance of running
  • Increase in speed

But the fact is, during these vulnerable stages, most of the injuries occur due to the training errors. Apart from these, there are several other factors that also contribute towards the running injuries. These are the factors that runners can avoid or prevent:

Training Errors: The most common cause of running injuries is the erroneous training regime. Inadequate stretching, frequent changes in mileage, heightened hill training, interval training and inadequate rest between training sessions all together make up for training errors.

Defective Running Shoe: An athlete should always select the footwear that fits comfortably and can accommodate his particular foot anatomy. You should replace your shoes after its mileage exceeds 500-600 miles.

Surfaces for running: The surface on which you run needs to be smooth, flat, soft and adaptable. Try to avoid concrete or rough road surfaces. Moreover, try to avoid hills initially as they place stress on knees and ankles.

What are the Common Running Injuries?

Most of the running injuries cause by applying repeated force over a long period of time. Whether you are a newbie or vet; sudden changes in training volume can cause any of the following injuries:

Runner’s Knee: When you experience a consistent tender pain around or behind the kneecap; it is a sure sign of patella femoral pain syndrome or runner’s knee. The repetitive force, downhill running, muscular imbalance and weak hips putting stress on the knee cap can cause the condition.

Achilles Tendinitis: The swelling of tissues connecting your heel to lover-leg muscles is known as Achilles Tendinitis. Rapid increase in mileage, improper footwear, tight calf muscles and flat foot contribute towards the condition.

Plantar Fasciitis: Inflammation, irritation or tearing of plantar fascia; tissue on the bottom of the foot is known as plantar fasciitis. Runners experience extreme stiffness or pain in the arch of the foot due to the condition.

Shin Splints: When the muscles and tendons covering the shinbone become inflamed and runners experience stabbing sensations in the shin; the condition is called shin splints.

Stress Fracture: Stress Fractures are the tiny cracks in the bones that occur due to repeatedly applying the greater force than the legs can bear.

Patellar Tendinitis: It is an overuse injury which leads to tiny tears in patellar tendon that connects kneecap to the shin bone.

Pulled Muscles: When due to overuse or inflexibility, a muscle is overstretched, it can tear fibers and tendons causing pulled muscles

Side stitches: Awful pain on the side of the stomach formally known as exercise-related transient abdominal pain (EJAP) caused due to diaphragm spasm because of overwork or poor running posture

Bursitis: Bursitis of hip develops because of the inflammation of a bursa between the hip and the tendon.

What are the Physical Therapy treatments suggested for Running Injuries?

A physical therapist begins treating an injured runner by conducting physical evaluation and asking questions about his running habits, regime, equipments and techniques. The therapists usually begin by suggesting patients to take rest and modifying his/her running habits. In order to prevent recurring injuries; physical therapists develop pre-and post-workout routines for them with strength work, warm-ups, stretches and cool-downs. Other specific treatments may include:

For knees: Physical therapists may suggest stretching and strengthening of hamstring, quadriceps and hip musculature along with cold therapy. Modalities like ultrasound and supportive or corrective taping techniques may also be applied.

For ankle pain and sprains: Physical therapists may suggest strengthening exercises to enhance stability. Foot orthotics may be suggested. Moreover physical therapists may also suggest massage, ice, ultrasound or electrical stimulation for tissue healing.

For Achilles Tendon Pain: Most of the times, therapists suggest rest and limited use as these are best to treat the problem. Apart from this, a therapist may also suggest heat and cold therapy, ultrasound and massage therapy to reduce swelling.

For Foot: Special shoe inserts or foot orthotics and other modification are suggested so that shoe fits properly. Therapeutic exercises accompanied by modalities like manual treatment techniques and ultrasound may also be suggested.

For Shin Splints: Deep tissue massage may be used to reduce inflammation. Supportive taping may also be applied to alleviate stress within the affected region.

For Plantar Fasciitis: Arch supports, soft-tissue massage are used to alleviate pain. Calf stretches before and after workouts may also help.

For Bursitis: Therapists will suggest stretches to restore full hip motion and to reduce friction.

Contact Alliance Physical Therapy for the expert diagnosis and state of art treatment of your pain and injuries. Our diligent team of physical therapists use patient-proven techniques and state-of-art technologies to make you as healthy and fit as before.

Piriformis Syndrome: Causes, Symptoms and Treatment

Piriformis muscle is a flat and band like muscle that is located in buttocks near the top of the hip joint. This muscle helps in the movement of the lower body as it makes the hip joint stable and as well lifts and rotates the thigh.

What do we mean by Piriformis Syndrome?

Piriformis Syndrome is an uncommon neuromuscular pathology which occurs when the sciatic nerve is compressed by the piriformis muscle. This compression causes pain, tingling and numbness in the buttocks and along the sciatic nerve path going down the thigh into the leg.

What are the potential signs and symptoms of Piriformis Syndrome?

  • Pain in lower back or buttocks
  • Painful to sit on the affected buttock
  • Pain or tingling sensation down the back of legs
  • Pain down the back of calf & foot
  • Pain while mounting and inclining stairs
  • Pain increases with prolonged sitting
  • Reduced range of motion of the hip joint

What are causes of Piriformis Syndrome?

Piriformis Syndrome usually develops in the athletes who are engaged in forward-moving activities like runners or bicyclists. This syndrome generally occurs due to:

  • combination of weak abductors with the tight abductors
  • Stiffness or hypo-mobility of the sacroiliac joints
  • Overporonation of the foot
  • Overworking of Piriformis muscle
  • Dysfunctioning of the adjacent SIJ or hip joints
  • Work hip stability muscles

What are the Physical Therapy treatments suggested to cure Piriformis Syndrome?

Depending upon the severity of condition, pain and other symptoms, number of physical therapy treatments may be suggested:

  • Stretching exercises are prescribed to relieve sciatic nerve irritation.
  • Heat treatment is suggested to relax the piriformis muscle.
  • Ultrasound treatment is advised for the deep heating in buttock area.
  • Hands-on treatment like deep-tissue massage or soft-tissue mobilization is administered to relax nerve signals to the piriformis.
  • Strengthening of abductors and abductor muscles may be suggested.
  • Myofascial release and thrust techniques may be suggested to address the somatic dysfunction in the patients.
  • Osteopathic manipulative treatment (OMT) may be advised to restore patients’ normal range of motion.
  • Pelvic and spine re-alignment techniques are suggested.
  • Foot orthotics or exercises are advised to restore foot and lower extremity alignment.

Contact Alliance Physical Therapy for the state-of-art and efficient treatment of any of your neuromusculoskeletal problems or deformities. We use patient proven methods and techniques to get you back to your daily routine as soon as possible and make you as sturdy and healthy as before.

Foot Pain?

The foot is one of the most complex parts of the body, consisting of 28 bones linked by several jointstendonsmuscles and ligaments. Foot is the foundation of athletic movements of the lower extremity. Pain indicates that there is something wrong with the interaction of internal structures of the foot.


Foot pain frequently cause by inappropriate foot function. Improperly fitted shoes can make it worse and in some cases, cause foot harms. Shoes that fit properly and give good arch support can avoid irritation to the foot joints and skin. There are lots of foot problems that influence the heels, toes, nerves, tendons, ligaments, and joints of the foot. Foot pain may be caused by many unusual conditions or injuries. Acute or repeated trauma is the most frequent cause of foot pain. Trauma is an outcome of forces external to the body either directly impacting the body or forcing the body into a situation where a particular or mixture of forces result in damage to the structure of the body. Wearing shoes that are too tight or high heels can cause pain in the region of the balls of the feet and the bones in that part. Shoes that are tied too tightly may cause pain and bruising on the top of the foot.

Anatomy of Foot:

Your foot consists of 28 bones. These are



Pain and point tenderness are the instant indicators that somewhat is wrong in a specific region. When the pain begins to obstruct with your activities of everyday or if you cannot act upon your desired activities without pain, you should consider seeking medical attention. Indicators that you should seek medical care are if the area looks distorted, you have loss of function, large amount of swelling with pain, prolonged change of skin or toenail color, change of sensation, the affected area becomes warmer than the adjacent areas or becomes tender to the touch.

Physical Therapy for Foot Pain

Physical therapy is frequently one of the most important ways to treat the symptoms of foot pain. Gentle stretching of the foot helps to improve the uneasiness felt due to foot pain. Rarely with plantar fasciitis a brace is worn at night to remain the foot in a stretched situation. Following are the five simple and easy movements or exercises to stretch the structures of the foot:

  • The Long Sitting Stretch
  • Achilles Stretch
  • Stair Stretch
  • Can roll
  • Toe Stretch

Physical Therapy is vital in retuning a patient rapidly to their daily routine as well as athletic activities. Restoring proper mobility of the different ankle bones in addition to strengthening of the ankle is necessary in preventing future injuries to the foot, knees, hip and back.

Medical Cuneiform
Intermediate Cuneiform
Lateral Cuneiform

Do you have neck pain that keeps you from being as energetic as you would like?

Did you get up this morning  with a stiff  painful  neck?

Are you ready to be completely cured of neck pain forever?

If fair enough, then you must appoint a physiotherapistPhysical Therapy is the best and cost effective solution for neck pain.One of the supplest regions of the spine is the neck (cervical) region, which consists of vertebrae, seven shock-absorbing discs, muscles, and vertebral ligaments to clutch them in consign. The primary cervical disc connects the top of the spinal column to the bottom of the skull. The spinal cord, which sends nerve impulses to each part of the body, runs through a canal in the cervical vertebrae and continues all the way down the spine. Pain in the cervical area can cause arm pain as well as the “ache in the neck.”


Several physical therapists prefer ice (cold therapy) because of its efficiency in diminishing pain and tenderness. Heat (heat therapy) also provides release to some people, but should be used with care because it can sometimes make an inflamed region inferior. Apply warmth or ice for 15-20 minutes at a moment, and give yourself a 40-minute break among applications. Treatments may comprise manual therapy, ultra sound, cervical traction, TENS, exercises, myofacial release.

How Physical Therapy Can Help With Neck Pain?

Physical therapy always begins with a complete history and valuation of the trouble. Your physical therapist will take many things into story, including your age, general health, work, and way of life. If major strain or disease is concerned, your physical therapist will work with you in discussion with a physician.

Are you in Pain? Do You Need a Physical Therapist?

Physical therapy is the procedure of analysis and healing from your injury or physical disorder. If you have an injury or infirmity that results in physical destruction or loss of function, then a physical therapist can help you. A Physiotherapist is a skilled expert to help renovate your potency, motion and activity. After understanding the mechanics of your body he designs a treatment program for you. You can learn specific stretches, exercises and other specialized techniques to recover your body. Physiotherapists make use of many different techniques to decrease your pain of your body and inflexibility. He improves motion, potency and mobility.

Physical Therapy For Low Back Pain

The most common analysis seen in several physical therapy clinics is Lower Back Pain. Mostly it happens due to poor sitting position, muscle sprain, lifting weighty objects, and forward bending. Physical therapy can help you to remain as active as possible. Low back pain can be a severe trouble and it is enormously recommended to seek advice from a physician or physiotherapist.

Physical Therapy For Knee Pain

The human knee is a hinge joint (turning point) that is comprised of the tibia (shin) and the femur (thigh). Knee Pain can be caused by repetitive trauma and twist or by wound. Occasionally it occurs for no apparent reason. When knee pain occurs, you may experience practical limitations that include difficulty in walking, rising from sitting, or going upstairs. If you refer physical therapy for the knee pain, the early visit is important to ensure correct analysis and proper supervision. During this visit, your physiotherapist will discuss with you to collect information about the history of your trouble, about the irritating and relieving factors, and about any past medical history that may give the overall problem. From the gathered information, a focused inspection will be conducted.

Physical Therapy For Hip Pain

The hip is actually close to the low back, and it can be complex to conclude if your hip pain is actually coming from hip or coming from your low back. If this pain remains for more than 2 or 3 weeks or occurs as the consequence of major trauma, a visit to a physician, physiotherapist, or healthcare provider is recommended. The physiotherapist may use physical agent like heat or ice help with inflammation. Exercises to improve hip muscle or mobility may be started. You also may have to perform movements or workout at home every day.

Physical therapy is beneficial in treating many diverse medical disorders. Sport and orthopedic injuryneurological  and muscular infirmity, cardiopulmonary diseases are only a few pathological situations in which physical therapy plays a vital treatment role.

Are you suffering from back pain? Are you looking to get rid from back pain?


Back pain is becoming one of the most common American health problems, affecting around 80% people at some point during their lives. It could be from minor pain, regular pain to sudden become chronic and severe pain. The pain can be acute if for few days but consider chronic if more than four to six weeks.


There are numerous complications on spine and complaints about back pain can be categories based on the spinal column curvature and understand the 33 vertebras. The neck pain (Cervical: 1-7 vertebras), upper back pain (Thoracic: 8 to 19 vertebras), lower back pain (lumbar: 20-25 vertebras) and tailbone (pelvic: 26-31 vertebras) and two (32-33) coccygeal vertebrae rarely focused.


Usually, back pain originates from the muscles, nerves, bones, joints and some time from the other structures in the human spine. Back pain can be divided into neck painupper back pain, and lower back pain. Back pain can be occur due to various reasons like muscle strain, sprain or slipped disc. There are many causes of Back Pain but one of the most common reason of back pain is doing work with which you are not used to, like carrying heavy things,  engaging in strenuous physical work and so on.

So the most common cause in back pain is wrong posture, auto or work injury and if your cause is over-weighted then back pain can be worst.


Mostly, younger people (30 to 60 year old) can suffer from back pain which originates from the disc space itself. Older adults (e.g. over 60) can suffer from Back Pain which is related to joint degeneration.


See your doctor without any delay in case of any pain in spine. Get plenty of rest and use regular an anti-inflammatory medicine to relieve pain. If your pain is severe, lost feeling see your doctor or go to the emergency room or call 9-1-1 right away. X-rays is the basic option for radio-graphic assessments for low back pain. You doctor may suggest you other diagnosis in cases in of congenital defects, trauma, metastatic cancer or bone deformity as a cause of lower back pain.

Treatment and Precautions:

There are various benefits that are provided by the physical therapy and rehabilitation for back pain and other spine related problems. The goals of physical therapy are to reduce your pain, and educate you not only in your daily and work routine but also maintain treatment program so that further recurrences can be prevented. There are many different types of treatments provided by physical therapy for back pain. Actually, the physical therapist may focus on reducing pain with passive physical therapy. These are the considered passive therapies because they are done to the patient by the therapist. In addition to passive therapies, active physical therapy (exercise) is also necessary to rehabilitate the spine and restore your daily routine.

If you are suffering from Back Pain and want to get rid of this Pain then search physical therapy clinic near you and consult only professional, licensed and experienced physical therapist today.


Call 911 for an ambulance right away. Do not try to drive to the emergency room, and try to move as little as possible.


Does your hand hurt? Have you noticed symptoms of pain, discomfort, fatigue and weakness in one or both of your hands? Are your fingers locking and unable to extend, without assistance from the other hand? Have you experienced numbness and tingling that has gotten progressively worse? Does your hand feel clumsy and are you noticing that you drop things from your hand more frequently or are unable to pick up things or open containers with your hands? If so, you may be suffering from one or more of the following chronic hand and upper extremity conditions such as arthritis, tendinitis, or nerve conditions such as carpal tunnel syndrome.

Has your hand or upper extremity been affected by an accident or trauma leaving you with wounds, scars, burns, injured tendons or nerves, fractures, dislocations or amputations of your fingers, hand or arm? Have you undergone prolonged casting or underwent a surgical procedure? Are you now experiencing severe pain and limitations in motion and function, associated with your injuries?

Whether you are suffering from a chronic hand and upper extremity condition or recently experienced an acute injury, you may be a candidate for hand therapy. If your physician has not already recommended it, you should ask him for a referral so that you can expedite your recovery process.

What is hand therapy? Hand therapy is specialized therapy that focuses specifically on conditions affecting the hand and upper extremity. It can be performed by an Occupational Therapist or Physical therapist who has a high degree of specialization that requires continuing education and often advanced certification.

What can hand therapy do for me?
• Provide preventative , Non-operative or conservative treatment
• Manage acute or chronic pain
• Provide wound care to include care of open and or sutured wounds (prevention of infection and assistance in healing)
• Control hypertrophy (raised and/or swollen) scars or hypersensitive scars
• Reduce swelling
• Instruct in desensitization and sensory re-education following nerve injury or trauma
• Fabricate splints for prevention or correction of injury or to protect surgical sites or to increase movement
• Design and implement home exercise programs to increase motion, dexterity, and/or strength
• Train in the performance of daily life skills through adapted methods and equipment
• Conditioning prior to returning to work

What is a Certified Hand Therapist?
A Certified Hand Therapist (C.H.T.) is an occupational/physical therapist who specializes in the treatment of hands.
They must have a minimum of 5 years postgraduate experience with at least 4,000 hours in hand therapy and have successfully challenged the Hand Therapy Certification Commission exam in order to obtain these credentials. CHT’s are dedicated professionals who have a commitment to meet the highest standards of their profession. The hand and arm have an extremely intricate anatomy and complexity. Rehabilitation of the hand and arm requires in-depth knowledge and up-to-date techniques. Certified Hand Therapists have the highest level of competence in the rehabilitation of upper extremity injuries.
Certified Hand Therapists are able to initiate treatment immediately following surgery often while stitches are still in place. Early referral to a hand therapist is effective in preventing further surgeries and obtaining an optimal outcome.

Hopefully, this information helps you to make the right decision, when consulting your medical specialist.
“Restoring life back into your hands”