Cervicogenic headaches are caused by musculoskeletal dysfunction in the upper cervical spine that refers pain to the head, often developing on one side of the head. Physical therapy is often the first line of treatment for cervicogenic headaches and can help manage pain and address the underlying cause of the headache pain through a targeted manual therapy and strengthening exercises program.

Exercise is one of the most effective ways to improve arthritic pain, stiffness, and decreased range of motion in your joints. Arthritis is a chronic, progressive condition that causes inflammation, pain, and stiffness in one or more joints. The goal of an exercise program for those with arthritis is to preserve or restore range of motion and flexibility in affected joints, increase muscle strength & endurance to take stress off of arthritic joints, and increase aerobic conditioning. Check out seven benefits of exercise for those with arthritis and our tips for how to exercise safely with arthritis!

Pain neuroscience describes pain as an output of the brain in which the nervous system functions as an alarm for the brain about pain in the body and the brain interprets these signals to decide whether pain would be beneficial for healing, causing the nerves to increase their sensitivity in the injured area. In a patient with chronic pain, the nervous system remains hypervigilant, signaling to the brain that an area of the body is injured and painful, even when the tissue is no longer damaged. Combining physical therapy exercise and pain neuroscience education (PNE) helps chronic pain patients desensitize the sensitive chronic pain area through graded movement and understand the mechanism of pain in their body.

Arthritis, a chronic, progressive condition characterized by inflammation of the joints, is the leading cause of disability in the United States, affecting more than 50 million people. Physical therapists can help reduce arthritic symptoms, slow the progression of the disease, and create a customized, comprehensive program to help arthritis patients move safely and improve function, strength, and range of motion in the affected joints. However, there are numerous misconceptions about who is affected by arthritis and how to treat it effectively. Check out our post debunking 6 myths about arthritis!

Regular exercise can help you complete the stress response cycle and help your body return to homeostasis. The stress response system is a mechanism that is triggered by a threat to one’s well-being or survival, causing a cascade of protective physiological responses that prepare the individual to combat the threat or flee from it. While this is helpful in response to an acute stressor, a chronic stress response can have detrimental effects on your physical and mental health, contributing to disease, chronic pain, and anxiety. Exercise helps you complete the stress cycle by engaging your body in movement, which completes the flight response your body prepares for when encountering a stressor. Exercise can also be used therapeutically to help calm the chronic stress response and reduce chronic pain through graded low-impact exercise.

Sciatica is nerve pain that radiates from the low back through the buttocks and down the length of the leg due to compression of the sciatic nerve. Originating in the low back, the sciatic nerve is most commonly compressed by a herniated or slipped disc, causing shooting pain and tingling and numbness through the back and leg. Physical therapy is one of the most effective treatments for sciatica, reducing inflammation, managing and minimizing pain, improving your physical function and mobility, and preventing the reoccurrence of sciatica symptoms.

Check out our February 2023 Newsletter, highlighting addressing gait dysfunction with physical therapy, tips for managing swelling after injury, physical therapy for spondylolysis, and chronic knee pain causes & treatments.

Chronic knee pain, which affects one in four Americans, can be debilitating and limit your function and mobility. Chronic knee pain involves ongoing pain, swelling, and sensitivity in the knee that lasts more than 4-6 months and can result from a traumatic injury that healed incorrectly or from medical conditions like osteoarthritis. Physical therapy can help you manage chronic knee pain long-term without the need for surgery to reduce pain and improve your mobility and function.

Chronic pain affects up to 28% of American adults each year and is one of the most common reasons adults seek medical care. Chronic pain develops when the nerves that communicate pain to the brain become hypersensitive, causing the brain to perceive that area of the body as a potential threat and therefore painful beyond the normal healing timeframe. Exercise is an effective way to manage chronic pain by building muscle strength, reducing pain sensitivity, and improving mobility through targeted strengthening, low-impact aerobic exercise, stretching, and aquatic therapy.

On the blog, Mangiarelli Rehabilitation physical therapist Bobby demonstrates exercises to relieve acute low back pain. Low back pain is the most common condition treated by physical therapists, affecting 30% of Americans each year. Low back pain can involve dull, burning, throbbing, sharp, or shooting pain in the lumbar spine and through the buttocks and leg. Physical therapy is the first line of treatment for low back pain. A physical therapist can improve and restore mobility in the low back as well as reduce low back pain without expensive surgery or pain medications.

Check out our June 2022 Newsletter that highlights the health benefits of exercise, the role of exercise in osteoporosis treatment, how physical therapy can relieve fibromyalgia symptoms, and migraine and headache awareness month.

Stress causes a cascade of physical responses in the body, triggering the fight or flight response. While acute stress can be beneficial to react to a stressful situation, chronic stress can have far-reaching negative effects on your physical and mental health, impacting your nervous, cardiovascular, respiratory, reproductive, immune, and gastrointestinal systems. Once the stress cycle has been activated, it is essential to move through the stress response and complete the stress cycle to prevent chronic stress. One of the best ways to complete the stress cycle and bring your body back to a calm state is exercise.

Fibromyalgia is a chronic pain condition characterized by pain and tenderness throughout the body and extreme fatigue. It is considered a condition that causes central nervous system hypersensitivity and affects nearly five million Americans, the majority of whom are women. Physical therapy is a safe, non-pharmacological method to manage symptoms, reduce pain, improve function and quality of life, and help desensitize the chronic pain response of the nervous system using progressive therapeutic exercise, aquatic therapy, and manual therapy.

Check out our infographic on the health benefits of exercise! Exercise is a critical component of a healthy lifestyle. Consistent exercise not only can prevent diseases like diabetes or cardiovascular disease but can also help you manage these chronic conditions and maintain function, endurance, and mobility. It is recommended to engage in at least 150 minutes of aerobic exercise each week, or 30 minutes a day, and strength train at least two times per week.

At Mangiarelli Rehabilitation, aquatic therapy takes place in our warm water therapeutic pool with our aquatic therapy specialist, Sue. Aquatic therapy provides a safe and effective environment to build strength, improve mobility and balance, and enhance function with minimal stress on your joints. On the blog, our aquatic therapist, Sue, explains what aquatic therapy involves, ways it can benefit you as a patient, and how it can improve your strength and reduce pain.

Dry needling is an effective physical therapy treatment for musculoskeletal pain. Using thin filiform needles, a physical therapist inserts the needle into a taut band of muscle, called a trigger point, to release tension, minimize pain, and restore range of motion and mobility. Dry needling is used to treat a variety of conditions, including fibromyalgia, headaches, muscle and joint pain, and low back pain. Dry needling has a number of benefits such as reducing pain, increasing blood flow, and improving function and movement. It’s minimally invasive, cost-effective, and reduces reliance on pain medications.

Diabetes is a condition in which the body either produces insufficient amounts of the hormone insulin or does not respond normally to insulin. Physical therapy can help diabetic patients manage the condition and improve their physical fitness, mobility, and insulin sensitivity through a customized exercise program. Check out our infographic on diabetes management to learn more!

September is #PainAwarenessMonth. While pain is an important survival mechanism to protect an injured area of the body, chronic pain is persistent pain that lasts beyond the normal healing process. Chronic pain develops when the nerves that communicate pain to the brain become hypersensitive, causing the brain to perceive that area of the body as a potential threat and therefore painful. Physical therapy offers safe and effective treatment for chronic pain, reducing pain and improving mobility, strength, and function.

Physical therapy is a safe and effective alternative to manage pain and reduce the use of opioids. Over the last two decades, opioid prescription rates have quadrupled. Opioids pose a significant risk with serious side effects like depression, addiction, and possible overdose. In 2016, the CDC recommended physical therapy and prescribed exercise as a safe alternative to managing long-term pain and preventing opioid use and addiction.

Pain neuroscience education offers patients a deeper understanding of the mechanism of pain in the body and our body’s processing of pain. Pain is a survival mechanism to protect an area of the body that the brain perceives as damaged. Physical therapy combined with pain neuroscience education provides patients an active role in their recovery and pain management and helps to reduce pain and restore patients to the highest possible level of activity, function, and quality of life.