Arthroscopy surgery and the shoulder


This week I thought it would be interesting to switch the subjects a little bit and talk more about surgical procedures.  I am currently working at an orthopedic surgeons clinic and so I am around a lot of patients who are candidates for surgery.  You can get surgery pretty much on any body part which makes the topic of ‘surgery’ very vast, so lets focus in on the shoulder; and specifically, arthroscopy surgery.  You wonder what that is? Arthroscopy allows your doctor to see and work inside your shoulder through a very small incision using an arthroscope, which is a long, thin instrument with a light at the end.  This instrument is used to move inside the joint and the images show up on a video screen during surgery.  Arthroscopy surgery is beneficial to the patient as it reduces  recovery time due to the the small incisions.  There are many complaints of the shoulder that can be fixed or greatly improved by arthroscopy surgery. 

Injury Prevention Part II - Functional Movement Screen


Injury Prevention Part II - Functional Movement Screen


Last week I discussed the high incident rate of injuries in athletes and ways to minimize injury risk by incorporating specific warm-up and cool-down regimes.  This week, I am going to introduce a tool that not only will pick-out those individuals who are at higher risk for injury but also will give the person tools to reduce that risk through specific exercises.


This tool was developed by Gray Cook and Lee Burton and is called the Functional Movement Screen (FMS).  It was designed to help PTs, coaches, and trainers screen individuals/athletes for risk of injury.  The screen includes 6 tests that are each scored individually.  A total score is a achieved with a cut-off score that has been shown in several research studies to be able to identify those who are at a higher risk for injury.  As a screening tool, it can be used more then once to track progress as well.


"The Functional Movement Screen (FMS) is the product of an exercise philosophy known as Functional Movement Systems.  This exercise philosophy and corresponding set of resources is based on sound science, years of innovation, and current research."


The FMS has grown in popularity over the last several years and has been used by many professional sports teams (Green Bay Packers, Baltimore Ravens, San Francisco 49ers), Stanford University and the Military.  However, it can be equally effective and probably more beneficial to younger athletes when first starting their careers (middle school and high school). 


Increased risk of falling is often associated with getting older. In fact, research shows that about 1 in 3 individuals over the age of 65, and 1 in 2 individuals over the age of 80 will fall this year.  A large percentage of these falls will result in fractures and long stays in the hospital.

Although getting older is unavoidable it is possible to prevent falling.  The best way to do this is to recognize what factors put you at risk for falling and then to decrease those risk factors.  As the roads and walkways get icier it is critical to examine what risk factors are present in your life and then to take action to try and minimize them.

Common risk factors mentioned by the American Physical Therapy Association include: increased weakness in the legs, changes in vision, taking multiple medications, arthritis, depression, and problems walking.

Preventing Sports Injuries - Part 1

Sports related injuries are common in today's athletes.  Recent research shows that ACL injuries in young athletes are becoming more common, especially in young women.  Factors related to the increased injury rate are poor mechanics and poor conditioning or training programs.  In addition, athletes are no longer playing in "seasonal sports".  This means the athlete is participating in one or two sports throughout the year with minimal to no recovery periods or variation in training.

In order to address the demand on year-round athletes, a proper foundation or conditioning program is important. This involves consistency, progressing athletes appropriately, individualizing training regimes, anmd emphasizing safety.  This is vital to the overall training regime.

This blog will be used to introduce new techniques being employed at this clinic, reviews of the latest research in physical therapy, topics to help you better understand what we can do for you and a myriad of ideas and insights that encompass the world of physical therapy.  Our goal is to inform our patients and the public about important topics that could impact their health and well being.  


The first topic we will cover is a new technique being employed at Moreland Physical Therapy called Dry Needling.  In the context of this clinic, we use dry needling to treat trigger points found in muscles.  So why is that important?  Trigger points are areas of congestion and tightness in muscles that can cause pain in the muscle itself and refer pain to other areas of the body as well.  If trigger points are not treated effectively it can slow the healing process and recovery time from both acute injuries and chronic pain problems.