Frailty is a common syndrome among older adults that involves loss of muscle strength, exhaustion, low levels of physical activity, and increased risk of falling. Inactivity and the subsequent sarcopenia, or a decrease in the amount and quality of muscle, is a major cause of frailty in older adults. Physical therapy can help those with frailty restore overall mobility, strength, and cardiorespiratory capacity safely through a customized therapeutic exercise, strengthening, and balance training program.

Rheumatoid arthritis (RA) is a systemic autoimmune disease that affects the soft tissue around joints, causing joint inflammation and limiting joint function. Physical therapy and exercise can alleviate symptoms and improve function and quality of life in individuals with rheumatoid arthritis. A physical therapist can design a custom treatment and exercise treatment to help RA patients maintain fitness, increase strength to support affected joints, improve range of motion, and maintain the ability to do daily activities.

Check out our infographic on physical therapy for a shoulder separation. Shoulder separations occur when one or more of the ligaments that hold the clavicle and the scapula that form the AC joint become strained or torn. This is a common shoulder injury in football due to the high-contact and tackling nature of the sport. Physical therapy can effectively treat shoulder separations, helping athletes manage pain, restore shoulder mobility, and strength, and return to sport safely.

October is Breast Cancer Awareness Month. Breast cancer is the second most common cancer diagnosis and is commonly treated with surgery, such as a total mastectomy or removal of axillary lymph nodes. These surgeries can affect your ability to move your shoulder and arm. It is essential to engage in gentle movement and exercise post-surgery once cleared by your doctor to regain full range of motion, function, and strength in the affected arm and shoulder. Mangiarelli Rehabilitation physical therapy assistant and certified lymphedema therapist Sue demonstrates several exercises you can do after breast cancer surgery to restore shoulder and arm function.

Snapping scapula syndrome involves popping, grating, grinding or snapping of bones and tissue in the shoulder blade when lifting or moving the arm. It is most common in young, active people who perform repeated overhead movements. Physical therapy is an effective way to treat snapping scapula syndrome, reducing pain and soft tissue inflammation and addressing loss of motion and muscle weakness through therapeutic exercise, strengthening, and manual therapy.

Regular exercise can improve your cholesterol levels, lowering your LDL cholesterol and increasing your HDL cholesterol for improved heart health. Cholesterol is a lipid that circulates within our blood. While HDL cholesterol helps in the transport of lipids to the liver for disposal, LDL cholesterol can build up in the wall of our arteries and negatively affect our heart health. Research has shown that moderate-intensity aerobic exercise can increase good HDL cholesterol, high-intensity aerobic exercise can lower LDL and triglyceride levels, and moderate-intensity resistance workouts are effective in lowering cholesterol.

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.

Mangiarelli Rehabilitation physical therapist Sarah demonstrates several stretches and exercises you can do to improve your posture. Good posture refers to proper alignment of the body in both static and dynamic positions, holding the body against gravity with the least strain and tension on your muscles, joints, and ligaments. Proper posture keeps your bones and joints in optimal alignment and decreases wear and tear on them. Physical therapy can help you improve your posture through targeted stretching, strengthening, manual therapy, and posture training.

Elbow bursitis involves inflammation of the tip of the elbow due to irritation of the olecranon bursa, leading to pain, swelling, stiffness, and limited range of motion at the elbow. Elbow bursitis can develop after a direct hit to the elbow during a sport or most commonly from prolonged pressure on and repetitive use of the elbow. A physical therapist can help reduce elbow bursitis-associated pain, swelling, and stiffness, speed recovery and restore movement and range of motion in the elbow and upper extremity.

Check out our infographic on physical therapy for piriformis syndrome! Piriformis syndrome develops due to tightening of the piriformis muscle, which can irritate and compress the sciatic nerve and cause pain through the buttocks, low back, and back of the leg. Physical therapy can isolate the true origin of the piriformis syndrome pain, help relieve pain, and restore normal movement and range of motion in the affected area through stretching, manual therapy, and targeted strengthening.

Before returning to sprinting after a sports injury, it is essential to progressively regain strength, agility, and speed under the guidance of a qualified sports physical therapist. To prepare for a return to sprinting, a physical therapist begins with isometric and eccentric strength training followed by plyometric and agility training before progressing to a sprint training program. Returning to sprinting is an objective in the later stages of rehabilitation for lower extremity injuries. It is critical that athletes achieve interval sprinting at top speed in the controlled, predictable environment of the physical therapy clinic before engaging in competition and returning to sport. 

Check out our infographic on physical therapy for osteoarthritis. Osteoarthritis is the most common form of arthritis in which cartilage around joints breaks down, causing pain and inflammation. Physical therapy offers a safe and effective treatment option for those with osteoarthritis, helping patients manage pain, improve function and mobility, and slow the progression of the disease.

Exercise is a critical component of osteoporosis management. Osteoporosis is a condition that causes bones to become thin, brittle, and more susceptible to fractures. Exercise places beneficial stress on bones, causing them to thicken and grow stronger in response. Experts recommend combining weight-bearing exercise and strength training for optimal management of osteoporosis through exercise. A physical therapist cans guide osteoporosis patients through a customized, safe, and effective exercise program to combat osteoporosis.

Exercise is a crucial component of diabetes management. Diabetes is a condition in which the body either does not produce enough insulin or does not respond normally to insulin, causing glucose levels in the blood to become too high. Exercise lowers blood sugar by increasing the insulin sensitivity of the body’s cells; as muscles contract, they are better able to use any available insulin to take up glucose for energy. Experts recommend engaging in both aerobic and resistance training exercises to manage blood glucose.

Physical therapy is critical following a meniscus tear injury in order to heal properly and restore strength, mobility, and range of motion in the knee. The meniscus is a c-shaped disc of cartilage that cushions and provides shock absorption in the knee. Meniscus tears are common among athletes, but can also occur due to degeneration and arthritis. Check out our infographic on physical therapy for a meniscus tear!

Neck pain is a common musculoskeletal condition that can cause pain, numbness, and stiffness in the neck, upper back, and shoulders. Physical therapy is one of the most effective treatments for neck pain. Physical therapists reduce neck pain, restore range of motion and function in the neck, and strengthen the neck’s postural flexibility through a customized treatment program. Check out our infographic to learn more!

Hamstring injuries are one of the most common sports injuries, particularly in sports requiring high speed, agility, and explosive power. The hamstring muscles are critical for lower body movement, bending the knee to run and jump and controlling actions such as kicking. Preventing hamstring injury is essential and can be achieved through a targeted strengthening program. On the blog, Mangiarelli Rehabilitation physical therapist Mike demonstrates exercises you can do to strengthen your hamstring muscles.