October is Breast Cancer Awareness month. Shoulder function can be compromised following breast cancer treatment. Many women experience difficulty raising their arm(s) overhead after surgery and/or radiation treatment. Patients comment that the tissue feels “tight” on the front, back and on the rib cage. Scar tissue develops in these areas and the restriction can extend beyond the incision itself. Radiation and post-surgical swelling can also cause adhesion in the ligaments and soft tissue that allow the shoulder joint to move properly. What many patients don’t realize is that the scapula (shoulder blade) is frequently not moving correctly because of a resulting muscle imbalance. This imbalance of muscles that act on the shoulder can lead to shoulder impingement and eventually a Rotator Cuff tear. If your shoulder “is not quite right” don’t ignore it and leave it to chance to get better. Physical therapy is often not prescribed because the person can lift their arm overhead, however, the quality of motion is very important to avoid future problems. If you want to learn more about it or have questions, call for a complimentary consultation.
As October has once again crept up on us, here at Big Sky Physical Therapy we would like to recognize that it is National Physical Therapy Month. We have enjoyed working with such a supportive and wonderful community. All month the American Physical Therapy Association is promoting and encouraging people to find out what physical therapy can do for you. Physical therapy is a safe, effective, and great alternative to other treatment options. At Big Sky PT we have therapists specializing in the treatment of the shoulder, elbow, wrist/hand, ankle/foot, neck, jaw, and pelvic floor.
Please call us for a complimentary consultation!
We took a little break out of our day to watch the historic Solar Eclipse. It was a great experience! Pictured from left to right: Jenna Monaco, Dawn Christian, PT, DPT, CHT, & Allison Molnar, DPT.
Female Runners and Urinary Incontinence
Allison Molnar, DPT
July 7th-9th was the 2017 Missoula Marathon weekend. This race represents the culmination of months of training for many runners. As our bodies adjust to new and greater demands of training, injuries are a commonplace occurrence. Most athletes are familiar with Plantar Fasciitis, Achilles Tendinitis, and IT Band Syndrome, but one common condition that’s not as frequently discussed is urinary incontinence.
Urinary incontinence is defined as the involuntary leakage of urine. Stress Urinary Incontinence (SUI) is involuntary leakage on effort, exertion, sneezing or coughing resulting from changes/dysfunction in connective tissue and muscles of the pelvic floor. While often associated with pregnancy/childbirth and estrogen deficiency following menopause, risk factors may also include strenuous exertion or physical activity.4 Researchers confirm that SUI occurs in about one quarter of women who have no history of pregnancy or delivery. (Greydanus et. al, 2010).1 A study of female athletes found that among the women who exercise, those involved in running and gymnastics have the most complaints about urine leaking. Another study of young non-child bearing women found that the activities provoking the greatest urine loss were those which included jumps, high-impact landing, and running.3
The impact absorbed during running and jumping activities creates an increase in intra-abdominal pressure, which places more stress on the muscles and connective tissue of the pelvic floor. Luckily, evidence supports physical therapy as an effective treatment for this condition.
Physical therapists who specialize in the treatment of women’s health conditions can help address the issue of incontinence. Just as in treatment of any muscular dysfunction, she will perform an evaluation to identify and address the strength and effectiveness of the pelvic floor muscles to do their job.
Dr. Arnold Kegel, (well-known for his innovative pelvic health exercises) emphasized the importance of supervision and encouragement in the treatment of patients with incontinence. He reported that restoration of tone and muscle function could occur in 20 to 60 days after the start of treatment.2
Many female runners just accept the fact that they “leak a little” when they run. As it turns out, they don’t have to!
If you would like to find out if you are a good candidate for physical therapy to help with incontinence, please call for a complimentary consultation.
Big Sky Physical Therapy would like to congratulate our patients Gail, George, and Kroner Kerscher for completing the 2017 Missoula Marathon!! Gail ran the half in 2 hrs 36 min, and George and Kroner walked the half in 4 hrs 13 min! Huge congrats to them as well as everyone else who participated in the Missoula Marathon this year!
Big Sky Physical Therapy would like to wish you all a very happy 4th of July weekend! We will be closed Monday July 3rd & Tuesday July 4th in observance of the holiday. Have a fun and safe Independence day!!
June 5th - 11th is National Hand Therapy Week. A certified hand therapist has advanced training in treating shoulder, elbow, wrist and hand injuries. Common conditions treated include repetitive use injuries, tendonitis (example; tennis elbow), shoulder impingement, traumatic injuries, rotator cuff tear, thumb osteoarthritis, etc. Call Big Sky Physical Therapy for a complimentary consultation with our Certified Hand Therapist Dawn Christian, PT, DPT, CHT.