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Category: Physical Therapist

How Does Physical Therapy Affect Migraine?

Posted on by Taimoor Baig

Migraines are a debilitating neurological condition, and while medication is a common treatment, many sufferers overlook a powerful, non-pharmacological option: physical therapy. Often, neck and upper back tension, muscular imbalances, or poor posture act as frequent triggers for migraine pain. Physical therapy works by addressing these root physical causes, helping reduce the frequency, intensity, and duration of attacks. Through hands-on treatment, targeted exercises, and posture correction, PT provides long-term strategies that can make a meaningful difference for those struggling with migraines. Read more here.

At Uncommon Physical Therapy, we specialize in creating individualized treatment plans that go beyond simply managing symptoms. Our team takes the time to understand your unique triggers, whether they stem from muscle tension, postural issues, or lifestyle factors. With a whole-body approach, we empower patients to not only experience relief but also reclaim the energy and confidence to live migraine-free. Our clinic in Charlotte offers a supportive environment where patients can find real, lasting solutions.

Migraine disorder affects your central nervous system, which includes your brain and spinal cord. It also affects your peripheral nerves and your blood vessels. This all causes the neurological symptoms and pain common to migraine. Experts refer to conditions like this as centrally mediated pain disorders.

Migraine drugs go to your central nervous system to treat pain. But, unlike these medications, physical therapy focuses on treating the muscles and joints outside your brain and spinal cord.

Physical therapy techniques can help temporarily lessen your pain during a migraine attack. These techniques are especially helpful if you use them during the beginning of a migraine. They include:

Massage. Your physical therapist can teach your family members or other loved ones how to perform certain massages to ease your migraine symptoms.

Manual cervical traction. This non-invasive procedure can ease neck pain from your migraines. It can help separate the bones, joints, and disks in your neck. Cervical traction can help relieve tension from your nerves and stretch your neck muscles.

Self-help methods. Your physical therapist can teach you how to use ice and heat to ease your symptoms. They can also give you self-relaxation tips to lessen pain during a migraine.

Stretching. Certain stretches can help you feel better during a migraine. Your physical therapist will show you movements to help with specific pain areas in your body.

In addition, your physical therapist should give you instructions for exercises to do at home. They might give you handouts or send you video links on how to perform the movements correctly. If you’re unsure about a specific exercise, ask your physical therapist for more guidance.

Experts don’t yet have enough information to suggest that physical therapy should be a part of all migraine treatment plans. But there are some potential benefits of physical therapy that may ease your pain. Physical therapy techniques may:

  • Treat migraine-related musculoskeletal problems
  • Help ease vestibular symptoms (such as vertigo, dizziness, loss of balance, and sensitivity to motion)
  • Improve postural control impairment (issues related to your stability)

It’s always important to talk to your doctor before you start any new treatment for migraine. Your care team can help you decide if physical therapy could help your symptoms or not.

Some people with this condition have exercise-triggered migraine attacks. For this reason, physical therapy may actually make certain people’s symptoms worse.

It’s important to know if physical therapy could be a trigger rather than a treatment for your migraine pain. One study found that 38% of people with migraine had worsened symptoms from physical activity. In the same study, experts found that those with exercise-triggered migraines had neck pain as a beginning symptom during regular attacks.

Since physical therapy for migraine addresses your muscles and joints, each person’s response to the treatment may be different. Your success with physical therapy has a lot to do with how much your muscles and joints are involved in your migraine pain.

Physical therapy as a migraine treatment might not be as effective if you:

  • Rarely have migraines (they happen once a month, give or take)
  • Have classic symptoms (like neurologic signs such as aura) with clear triggers

Not all physical therapy facilities will provide the right care for your migraine symptoms. It’s important to discuss your needs with your primary doctor first. They can help point you in the right direction.

You should also do your own research on physical therapists. As you search for an expert:

  • Consider your wants and needs to ensure you find a provider that’s right for you.
  • Ask questions if you’re unsure about what they specialize in.
  • Ask about how much experience your provider has.
  • Ensure that your physical therapist is licensed.
  • Look for a location that’s suitable for you.
  • Visit the facility before and make sure you like the atmosphere.
  • If you want to use health insurance, ensure that the facility takes your insurance.

Once you find a physical therapist, it’s important that you communicate your needs to them. Remember that you and your therapist are partners in your physical care. To get the best results, it’s crucial that you speak up about what works and what doesn’t.

If you don’t feel that your physical therapist meets your needs, it’s OK to have a discussion with them or switch providers. Your well-being is the most important thing when exploring options in your migraine care.

👉 Don’t let migraines control your life any longer. Discover the power of physical therapy to reduce the frequency and severity of your attacks with a targeted, non-pharmacological approach. Schedule your appointment today in Charlotte at (704) 803-8038 and follow us on Instagram @uncommonphysicaltherapy for more inspiration and tips.

Reference: [https://www.webmd.com/migraines-headaches/physical-therapy-for-migraine]

A Simple Guide to Using Heat and Ice for Pain

Posted on by Taimoor Baig

When an injury causes pain, the first question often is: Should I use heat or ice? Using the wrong one can make things worse. This simple guide helps you choose the right remedy to safely and effectively relieve your pain.

Heat and ice are both powerful tools for recovery, but knowing when to use them is key. Ice is generally best for reducing swelling and calming down sharp, acute pain after an injury, while heat helps relax tight muscles and ease stiffness from chronic conditions. Not sure which one is right for your situation? That’s where the guidance of a licensed physical therapist can make all the difference. At Uncommon Physical Therapy, Davis and his team will walk you through when and how to use heat or ice, so you can get the most relief and avoid setbacks.

Heat boosts the flow of blood and nutrients to an area of the body. It often works best for morning stiffness or to warm up muscles before activity. Cold slows blood flow, reducing swelling and pain. It’s often best for short-term pain, like that from a sprain or a strain.

But does it matter which one you use for an injury? This article will help you sort it out.

When Either Heat Or Cold Will Do

Soothe aches and pains caused by conditions like osteoarthritis, rheumatoid arthritis, back pain, fibromyalgia, and neck pain with either heat or cold. Each can give you relief from these symptoms:

  • Muscle aches, spasms, and pains
  • Lower and upper back pain
  • Stiff, swollen, or tender joints
  • Neck stiffness
  • Finger, hand, or wrist pain
  • Knee pain

For short-term pain relief of any of these conditions, apply a hot or cold compress using any of these items:

  • An electric heating pad
  • A gel pack that can be microwaved or frozen
  • A bag of ice or frozen vegetables
  • A washcloth or small towel soaked in hot or cold water (wring it out, fold it, and apply to the sore area)
Whether you use heat or cold, be sure to wrap the pack in a thin towel to help protect your skin.

 

Apply to the painful area for 15-20 minutes several times each day.

Whether you use heat or cold, you may notice your skin looks a little pinker after applying the compress. That’s normal, but let your skin return to its normal color and temperature before applying fresh ice or heat.

Call your doctor if you notice any of the following signs after removing the compress. These symptoms mean the temperature was too extreme and may have caused skin damage:

  • Skin that’s purplish-red, dark red, or a spotty red and white color
  • Hives
  • Swelling
  • Blisters

Hydrotherapy

Showers and baths aren’t just for mornings. When you’re hurting, stand under or settle into warm water for a few minutes to help soothe and relax you. (If you’re over 70 or have heart problems, check with your doctor before getting into a hot tub.)

Try a warm shower or bath before you exercise to help loosen joints and muscles.

Use cool water after exercise to help calm deep, burning pain and reduce inflammation.

Or you can mix it up with a contrast bath to increase blood flow, reduce pain and swelling, and promote healing. Get two tubs or containers large enough for your painful area ready with warm and cold water. Soak in the warm tub for about 5 minutes and then plunge into the cold tub for about 1 minute. Go back to the warm for a few more minutes and then the cold for a minute. Repeat four or five times.

Warm Clothes

Want an easier — and less painful — start to your day? Warm your clothes in the dryer for a few minutes before you put them on. The heated garments may help ease morning pain and stiffness.

Heat Wraps

If heat helps ease your pain, try a continuous low-level heat wrap, available at drugstores. You can wear a heat wrap for up to 8 hours, even while you sleep. Follow the directions carefully.

Studies suggest that low-level, long-term heat applied directly on the skin can significantly reduce stiffness and tension and increase flexibility. The effects can last for 48 hours or longer.

Heated Wax Therapy

Another way to apply heat — especially to hands, elbows, and feet — is warm, melted paraffin.

You can buy paraffin wax kits at your local drugstore or beauty supply. A heated container safely melts the wax and mineral oil to make a paraffin bath. Dip your achy body part into the bath several times to build up a warm layer. Take it out of the bath, and cover it with plastic and wrap in a towel for 10-15 minutes until the wax cools. Unwrap and peel the wax away.

To avoid irritation and pain, make sure the skin that you treat has no cuts or sores.

Struggling with persistent pain? Let us help you find lasting comfort and confidence in your recovery. Schedule your appointment with Uncommon Physical Therapy in Charlotte today at (704) 803-8038, and follow us on Instagram @uncommonphysicaltherapy for more tips, insights, and inspiration.

Reference: [https://www.webmd.com/pain-management/cm/use-heat-ice-pain]

How to Keep Your Joints Healthy

Posted on by Taimoor Baig

Our joints are the unsung heroes of our bodies, enabling every movement. Yet, daily wear and tear, age, and injury can lead to pain and stiffness. Proactively caring for them is essential for an active life. This guide provides practical advice on how to keep your joints healthy for a lifetime.

Taking care of your joints isn’t just about exercises—it’s about having the right guidance and support along the way. At Uncommon Physical Therapy, you’ll work with our dedicated team—Davis, Cassie, and Justin—who combine expertise, compassion, and personalized care to help you move better, recover faster, and stay active for years to come. Whether you’re preventing joint problems or addressing existing pain, we’re here to help you every step of the way.

1. Stay in Motion

It’s the golden rule of joint health: The more you move, the less stiffness you’ll have. Whether you’re reading, working, or watching TV, change positions often. Take breaks from your desk or your chair and get active.

2. Safety First

Padding is your pal. So suit up when you do things like in-line skating or play contact sports. If your joints already ache, it might help to wear braces when you play tennis or golf.

3. Shed Some Pounds

Your size affects some of the strain on your hips, knees, and back. Even a little weight loss can help. Every pound you lose takes 4 pounds of pressure off the knees. Ask your doctor what’s the best way for you to get started.

4. Don’t Stretch Before Exercise

Flexibility helps you move better. Try to stretch daily or at least three times a week. But don’t do it when your muscles are cold. Do a light warm-up first, like walking for 10 minutes, to loosen up the joints, ligaments, and tendons around them.

5. Go Low-Impact

Which exercise is good? The best choices are activities that don’t pound your joints, like walking, bicycling, swimming, and strength training.

 

6. Flex Some Muscle

Get stronger to give your joints better support. Even a little more strength makes a difference. A physical therapist or certified trainer can show you what moves to do and how to do them. If you have joint problems, avoid quick, repetitive movements.

7. Work on Your Range

Are your joints too stiff? You’ll want to get back as much range of motion as you can. That’s the normal amount a joint can move in certain directions. Your doctor or physical therapist can recommend exercises to get yours where it should be.

8. Power Up Your Core

Stronger abs and back muscles help your balance. That means you’re less likely to fall or get injured. Add core (abdominal, back, and hip) strengthening exercises to your routine. Pilates and yoga are great workouts to try.

9. Know Your Limits

It’s normal to have some muscle aches after you exercise. But if you hurt for more than 48 hours, you may have overdone it. Don’t push so hard next time. Working through the pain can lead to an injury or damage.

10. Eat Fish

If you have RA joint pain, a fish dish could help. Fatty cold-water types like salmon and mackerel are good sources of omega-3 fatty acids, which help keep joints healthy. They also lower inflammation, which causes joint pain and tenderness in people with RA. Don’t like fish? Try fish oil capsules instead.

11. Keep Your Bones Strong

Calcium and vitamin D can help. Dairy products are the best sources of calcium, but other options are green, leafy vegetables like broccoli and kale. If you don’t get enough calcium from food, ask your doctor about supplements.

12. Target Your Posture

Stand and sit up straight to protect joints from your neck down to your knees. A walk can improve your posture, too. The faster you go, the harder your muscles work to keep you upright. Swimming can also help.

13. Ease Your Load

Take care of your joints when you lift and carry. Hang bags on your arms instead of your hands. That lets your bigger muscles and joints support the weight.

14. Chill Your Pain

Ice is a natural pain reliever. It numbs the ache and eases swelling. If you have a sore joint, apply a cold pack or ice wrapped in a towel. Leave it on for up to 20 minutes at a time. You can also try a bag of frozen vegetables wrapped in a towel. Never put ice right on your skin.

15. Supplements? Ask First

Stores are filled with products that promise to relieve joint pain. Glucosamine and SAM-e have the best research behind them. Talk to your doctor if you want to give supplements a try. They can help you decide what’s safe and what might affect your medicines or health conditions.

16. Treat Joint Injuries

They can add to the breakdown of cartilage in your joints. If you get hurt, see your doctor right away for treatment. Then take steps to avoid more damage. You may need to skip things that put too much stress on your joint or use a brace to keep it stable.

Ready to take the next step in protecting your joint health? Our expert physical therapists can provide personalized advice and treatment plans to help you stay active and pain-free. Schedule your appointment in Charlotte today at (704) 803-8038. For more inspiration and tips, you can follow us on Instagram.

Reference: [https://www.webmd.com/pain-management/ss/cm/slideshow-tips-joints-healthy]

Tingly Legs After Your Workout? Here’s What It Means

Posted on by Taimoor Baig

Experiencing tingling in your legs after a workout can be a peculiar sensation. This “pins and needles” feeling is your body communicating what’s happening internally. It can stem from increased blood flow, nerve compression, electrolyte imbalances, or even tight gear. Read on to explore what those tingling legs might be trying to tell you.

The tingle of your pre-workout kicking in is one thing, but feeling a tingling in your legs after a workout is another. It might seem concerning, but it’s not always a cause for alarm.

As blood flow increases to your body during exercise, your muscles enlarge to accommodate it. Although this helps power you through the task at hand, those swollen muscles can impinge on nerves and veins, causing tingling in your legs after running or another form of exercise.

In addition, new workout shoes can cause your legs to tingle, especially if you’ve tied them too tightly (or possibly even if they’re too loose), says Steven E. Mayer, MD, sports medicine physician at the Northwestern Medicine Running Medicine Clinic. Same goes for workout clothes if they fit too snuggly and cramp your circulation.

These common causes of tingling in the calves after exercise aren’t the only things that might cause the sensation, however.

“There are many causes of tingling in the leg, but the most important thing to do first is to make sure the description is accurate,” says Merije T. Chukumerije, MD, a cardiologist with Cedars-Sinai Medical Network. “Is it tingling, itching, pain, numbness or something else? The description is key in determining the cause.”

Plus, it’s important to know when the feeling might be more serious and require a trip to the doctor.

So, what causes that tingly, uncomfortable feeling in your legs that’s sometimes referred to as “pins and needles?” Below, we dive into eight potential reasons.

1. A Histamine Response

If you feel tingling ‌and‌ itching in your feet after exercise, perhaps traveling to your butt and lower abdomen, it could be a histamine response. Yes, it might feel like you’re “allergic to exercise,” but don’t retire your running shoes just yet.

“The body releases histamine as a means to improve circulation during exercise,” Dr. Chukumerije says. “This histamine release results in the same sensation one feels during an allergic reaction, causing an itching sensation in the locations of maximum histamine release during exercise, the muscles.”

Histamine plays an important role in helping your muscles combat fatigue, per a classic January 2012 study in ‌Biological and Pharmaceutical Bulletin‌. It helps deliver oxygen to your muscles and carry away carbon dioxide and other waste products to keep your body operating at maximum efficiency.

This is a good thing for your body — so most people won’t need to pop an allergy med before exercise. The substance helps your muscles produce nitric oxide, a compound that helps cells convert food into energy more efficiently and decreases with age, per a January 2018 research review in ‌Exercise and Sport Sciences Reviews‌.

Fix It

You generally don’t need to do anything about the natural histamine your body produces. But if the tingling really bothers you, talk to your doctor. In rare instances, an extreme allergic reaction could cause anaphylaxis, so it’s worth discussing your symptoms, especially if you experience chronic tingling in your legs after exercise.

2. Circulation Issues

During an intense workout, much of your blood is directed to your working muscles, and your blood vessels expand to accommodate the increased flow. However, as mentioned above, tight shoes or clothing can restrict your blood flow and lead to a tingling sensation.

Another potential, more serious cause of impaired circulation is peripheral artery disease (PAD) — a narrowing of the blood vessels — according to the American Heart Association (AHA).

“If the tingling or discomfort is due to peripheral artery disease, this is explained by plaque buildup, or atherosclerosis, in the arteries obstructing blood flow to the muscles, limiting the amount of nutrients and oxygen the muscles receive,” Dr. Chukumerije says.

This reduced blood flow can lead to ischemia, per the AHA, and symptoms include pain and tingling in the extremities, which can radiate up one or both legs. PAD may also cause your legs to ache or feel crampy.

Fix It

PAD requires medical treatment. If you experience the above symptoms, see your doctor for a proper diagnosis and treatment plan.

3. Low Electrolytes

Electrolytes like sodium, potassium, calcium and magnesium help regulate your nerve and muscle function and hydration levels and repair damaged tissue.

“Exercise causes changes in your body’s fluid balance to shift, and this can lead to electrolyte imbalances and/or dehydration, which can affect how the muscles contract and relax,” Dr. Chukumerije says.

This’s more likely if your sodium, calcium and potassium levels fall, because your muscles need those electrolytes to contract, according to the Cleveland Clinic.

Fix It

To keep your electrolyte levels balanced during and after a workout, drink plenty of water to stay hydrated. During longer or heated workouts, sports drinks containing calcium and potassium can also help.

For a helpful benchmark, you can aim to follow these hydration guidelines from the American Council on Exercise (ACE):

  • 17 to 20 ounces of water 2 to 3 hours before exercise
  • 8 ounces 20 to 30 minutes before exercise
  • 7 to 10 ounces every 10 to 20 minutes during exercise
  • 8 ounces of water or a sports drink within the 30 minutes after exercise

4. A Pinched Nerve

“For some, poor functioning nerves can cause tingling after exercise,” Dr. Chukumerije says. “This is due to dysfunctional peripheral nerves which may send erroneous messages to your brain.”

When the sensation of nerve pain in the legs after exercise runs down both sides, chances are the problem is in your lower back.

Spinal stenosis is a compression of the spinal cord in the lower back, and can be an indicator of arthritis, injury or aging, according to the Mayo Clinic.

Tingling or numbness is often accompanied by pain traveling down both legs that’s worse when standing up and eases up when you’re seated or bending forward. You might also have trouble with your balance or changes in bowel or bladder control.

The tingling could also be due to peripheral neuropathy, a nerve impingement that can be caused by structural issues or diabetes, per Johns Hopkins. Or perhaps it’s meralgia paresthetica, a nerve condition that can be caused diabetes or weight gain and causes numbness, burning pain and tingling along the outer thigh, per the Mayo Clinic.

“The most common thing we see after exercise from the nerve standpoint is called tarsal tunnel syndrome, where there is impingement at the ankle of a nerve that goes into the foot,” Dr. Mayer says.

Fix It

Take a break from your workout routine and get a thorough medical evaluation if your tingly legs give you cause for concern.

Speak to your doctor if you fall during a workout and then have chronic leg tingling. They can help determine what’s causing the sensation and whether or not it’s coming from a pinched nerve, and then recommend the best treatment for the tingling feeling.

5. Back Issues

If tingling isn’t normally part of your exercise experience and you haven’t added any new constrictive clothing to your wardrobe, a sudden onset of leg tingling after walking or any other physical activity could indicate injury.

Injury to your lower spine’s sacroiliac (SI) joint — such as when you take a misstep on gym equipment or step unexpectedly onto an uneven surface when jogging — can cause tingling down the leg on one side of the body, according to June 2017 research in ‌Clinical Neurology and Neurosurgery‌.

Some people are particularly susceptible to SI injury when they experience hormonal changes due to menstrual periods or pregnancy that cause ligaments to soften, causing hypermobility of the joint.

A herniated disc can also cause tingling, burning and pain down one leg and is common in those who are aging or have arthritis of the spine, per the American Association of Neurological Surgeons (AANS). Sciatica can cause similar symptoms, per the National Library of Medicine.

Fix It

“If the pain is coming from the lumbar area — like a sciatic nerve problem — we would initiate physical therapy, which is almost always helpful and resolves the problem,” Dr. Mayer says.

But see your doctor for an evaluation instead of powering through the pain when it comes to back injuries. Failing to treat an injury appropriately can result in further problems — including being sidelined from your workouts for months.

6. A Neuroma

A neuroma occurs when a nerve bundle in your foot — usually between your third and fourth toes — becomes inflamed.

“The other most common thing we see that can give tingling into the foot during workouts is Morton’s neuroma, which is impingement of the nerve between the toes,” Dr. Mayer says.

It’s common in runners with hypermobile feet and is characterized by tingling pains that shoot up your leg, as well as numbness and a burning feeling in your foot, according to the American Podiatric Medical Association.

Fix It

Symptoms may come and go and should be treated with ice to reduce inflammation. Apply ice to the feet for 10 to 15 minutes ever hour for five to six hours. You can also use athletic shoe inserts designed for neuroma relief, which help reduce irritation during exercise by stabilizing the feet.

You can also manage your symptoms by applying padding directly to the affected area. To make sure you find the exact position, bend your toes back or press the sole of your foot until you find the most painful spot. If this doesn’t help, see a podiatrist.

7. Chronic Exertional Compartment Syndrome

A tingling sensation in your legs could be due to chronic exertional compartment syndrome. This is a fairly rare neuromuscular disorder that’s most likely to occur in people who engage in repetitive activities that involve impact, like running, per the Mayo Clinic.

“Exertional compartment syndrome is where the fascia layering the muscles causes tightness and can cause pain in the muscles as well as numbness into the leg or foot,” Dr. Mayer says.

The tingling usually affects the lower legs, and other symptoms can include pain, tightness and swelling in the affected limb.

Treatment

This condition is likely to arise soon after you start exercising and get progressively worse during your session. At first, the symptoms will disappear shortly after you stop exercising. However, if exertional compartment syndrome gets worse, your symptoms might linger for several days. If this is the case, stop exercising and see a doctor.

8. Entrapment Syndrome

Entrapment syndrome is another rare but relatively serious condition that can cause tingling in your legs, per the Cleveland Clinic.

The tingling sensation comes from trapped blood in the popliteal artery, which is situated behind your knee. If the artery becomes pinched, the amount of blood delivered to your lower leg is reduced, which results in a tingling sensation and sometimes feelings of heaviness or pain.

Fix It

Repetitive bending of your legs while running can cause the artery to become pinched in your calf muscle. Usually, the artery is relieved from the compression after you stop running, but in some cases, surgery is required to free the artery again so it can properly deliver blood again.

When to See a Doctor About Chronic Tingling After Exercise

“Most of the time, tingling in the legs after exercise is benign and will resolve after a few minutes of rest,” Dr. Chukumerije says. “The most common cause of tingling in the legs are muscles that are depleted of nutrients due to dehydration and/or electrolyte imbalances.”

If the tingling is minor and doesn’t bother you, it’s fine to go about your day. As the blood is no longer needed for strenuous exercise, some of the blood flow will leave your muscles and the tingly feeling may stop.

It helps if you’ve got a smart recovery program in place after you exercise, per the National Institute for Fitness and Sport. Rest, hydrate and fuel your body with nutrient-dense foods to help your legs repair. Massages, alternating hot and cold showers or icing muscles can also reduce muscle swelling that may make your legs feel tingly.

If your tingling doesn’t go away after a reasonable amount of time — say, an hour or so after you stop exercising — consider chronicling it in a workout journal. Note when you first noticed the tingling: Does it appear after you’ve been working out for several minutes or only after stopping?

Jot down exactly where you’re feeling the sensation. For example, new running shoes can rub nerves on the top of your foot that make your legs tingle after walking if they’re laced too tightly. Tingling in muscles after exercise that runs down the back of your thighs could indicate problems in your lower back.

Your notes will come in handy, particularly if your tingling appears only intermittently. Are you wearing a particular item of clothing that could be cutting off blood flow or pressing on a nerve? Do you feel any pain in your body at the same time, whether you think it’s related or not?

Careful note-taking can help you communicate with your doctor and get an accurate diagnosis should the sensation become a regular part of your exercise routine.

“Early identification and treatment can help save limbs and lives,” Dr. Chukumerije says.

Experiencing tingling in your legs after exercise? Don’t just wonder what your body’s telling you – find out for sure. Our expert physical therapists can diagnose the cause and create a personalized plan to relieve your symptoms and get you back to your best. Schedule your appointment in North Charlotte today at (704) 803-8038. For more inspiration and tips, you can follow us on Instagram.

Reference: [https://www.livestrong.com/article/484735-tingling-legs-after-exercise/]

Neck Pain Relief

Posted on by Taimoor Baig

Neck pain can turn everyday activities—like driving, working, or even sleeping—into frustrating challenges. Physical therapy offers targeted solutions to relieve pain, restore mobility, and prevent future issues through personalized exercises, manual therapy, and posture correction. In this blog, we’ll explore possible causes for your neck pain. Ready to say goodbye to stiffness and headaches? Let’s get started!

Neck pain, or cervicalgia, can last from days to years, depending on the cause. Common causes include physical strain, poor posture, mental stress, osteoarthritis, spinal stenosis, herniated disk, pinched nerve, tumors and other health conditions.

What is neck pain (cervicalgia)?

Neck pain, sometimes called cervicalgia, is pain in or around your spine beneath your head. Your neck is also known as your cervical spine. Neck pain is a common symptom of many different injuries and medical conditions.

You might have axial neck pain (felt mostly in your neck) or radicular neck pain (pain that shoots into other areas, such as your shoulders or arms). It can be acute (lasting from days to six weeks) or chronic (lasting longer than three months).

Neck pain can interfere with your daily activities and reduce your quality of life if it’s not treated.

Fortunately, most causes of neck pain aren’t serious and improve with conservative treatments, like pain medicine, exercise and stress management.

What does neck pain feel like?

Some people describe the pain as:

  • A persistent ache.
  • A stabbing or burning pain.
  • A shooting pain that travels from their neck to their shoulders or arms.

Other symptoms

Neck pain may involve other symptoms, including:

  • Headache.
  • Stiffness in your neck, shoulders and upper back.
  • Being unable to turn your neck or tilt your head.
  • Numbness or tingling (pins and needles) feeling in your shoulders or arms.

Who is affected by neck pain?

Neck pain is common, affecting 10% to 20% of adults. It’s more common in women. Your chance of developing it increases with age.

Possible Causes

What are the possible causes of neck pain?

Neck pain has many potential causes, including:

  • Aging: As you age, natural wear and tear can cause parts of your cervical spine to deteriorate, or degenerate, causing pain. Degenerative conditions such as osteoarthritis (the wearing down of joint cartilage) and spinal stenosis (narrowing of the spaces in your spine) can lead to neck pain. Over time, stress and repeated movements can cause the disks in your spine to weaken, causing a herniated disk or pinched nerve.
  • Physical strain: Overusing your neck muscles during repetitive or strenuous activities can lead to stiffness and pain. Poor posture, weak abdominal muscles and heavier body weight can affect your spine’s alignment and contribute to neck pain. For example, straining your neck to view a computer screen for long periods is a common cause of neck pain.
  • Mental stress: Tightening your neck muscles because you’re stressed can lead to neck pain and stiffness. Many people who tighten these muscles when they’re stressed or agitated don’t realize they do it until their neck starts hurting.
  • Injury: Trauma and other injuries can damage muscles, ligaments, disks, vertebral joints and nerve roots in your spinal cord and lead to neck pain. Whiplash during automobile accidents is a common injury that causes neck pain.
  • Growths: Masses, including tumors, cysts and bone spurs, can put pressure on the nerves in your neck, causing pain.
  • Other health conditions: Neck pain is a symptom of many health conditions, including meningitis, rheumatoid arthritis and cancer.

Care and Treatment

How is neck pain diagnosed?

Usually, a medical history and a physical exam are enough for a healthcare provider to diagnose the cause of neck pain. A healthcare provider will first eliminate serious causes of neck pain, like pressure on your spinal cord, myelopathy, an infection or cancer.

  • Medical history: Your provider will ask about previous neck injuries that may have caused whiplash or a herniated disk. They may ask about work or other activities that could strain your neck. They’ll ask about your pain, including when it started, where it’s located, how long it lasts and how intense it is.
  • Physical exam: Your provider will check your head and neck alignment and observe your range of motion when you move your neck. They’ll feel your neck and supporting muscles to check for tenderness and signs of strain.
  • Imaging tests usually aren’t necessary to identify what’s causing neck pain. Still, a provider may take images of the inside of your neck if they suspect a serious injury or if you’re experiencing severe pain that doesn’t improve.
  • X-rays: X-rays can show problems with your bones or soft tissues that may be causing neck pain. An X-ray can show issues with cervical alignment, fractures and slipped disks, and they can detect arthritis.
  • Magnetic resonance imaging (MRI): An MRI can show problems with your spinal cord, nerves, bone marrow and soft tissue. It can show if a disk has slipped out of place, signs of infection and masses that may be causing neck pain, like a cyst or tumor.
  • Computed tomography (CT) scan: A CT scan may be used if an MRI isn’t available. It can show bone spurs and signs of bone deterioration.

In rare instances, your provider may order additional tests, including:

  • Electrodiagnostic tests: These tests check the function of nerves and your muscle response. Tests include nerve conduction studies and, rarely, a myelogram if an MRI is contraindicated.
  • Lab tests: These tests can help your provider identify causes of neck pain other than musculoskeletal injuries, like infections, rheumatological conditions or cancers. Tests include a complete blood count (CBC), urinalysis and markers of inflammation, among others.

How is neck pain managed or treated?

Treatment aims to relieve your pain and improve movement in your neck. Most causes of neck pain eventually improve and can be managed at home. Your provider will suggest treatments to manage your symptoms, including:

  • Pain medications and muscle relaxers: Medicines, including nonsteroidal anti-inflammatory drugs (NSAIDs) to ease neck pain and inflammation, and muscle relaxants to help your neck muscles heal, are common first-line treatments for neck pain.
  • Physical therapy: You may work with a physical therapist or a fitness trainer to learn exercises and movements that strengthen the muscles and tendons in your neck and improve flexibility.
  • Transcutaneous electrical nerve stimulation (TENS) unit: A TENS unit applies a low-level electrical current to your skin near your nerves to disrupt the pain signal causing discomfort. Always check with a healthcare provider before using a TENS unit.
  • Steroid injections: A shot near the nerve roots can reduce inflammation and relieve pain.
  • Alternative therapies: Your provider may recommend acupuncture to relieve pain, or massage to help loosen tightened muscles contributing to your discomfort. You may see an osteopath or chiropractor to align your spine.
  • Surgery: Most causes of neck pain don’t require surgery. Still, you may need surgery if one or more of the vertebrae in your spine has shifted out of place or is putting pressure on your nerves.

If your pain is severe, you may need to work with a spine or pain specialist.

What can I do to relieve neck pain at home?

In addition to taking pain relief medications, you can take steps at home to relieve neck pain, including:

  • Hot therapy: Take a hot shower or place a hot towel or heating pad (on the lowest setting) on the site of your pain for 15 minutes every few hours. The heat loosens your muscles and promotes blood flow.
  • Cold therapy: Place a cold pack or a bag of frozen vegetables (wrapped in a thin towel to protect your skin) for 15 minutes every few hours. The cold narrows your blood vessels, reducing inflammation and swelling. Use cold instead of heat immediately after an injury.
  • Exercise: Follow your healthcare provider’s guidance on neck exercises you can try to relieve neck pain and improve your range of motion. Don’t attempt exercises if you have a serious neck injury or a pinched nerve.
  • Stress reduction techniques: Mindfulness, meditation, breathing exercises and yoga can help relieve tension in your body that may contribute to neck pain.
  • Quit smoking: Smoking damages bone structure, accelerates degenerative disk disease and slows healing.

How long does neck pain (cervicalgia) take to heal?

Healing time depends on what’s causing your neck pain. Neck pain caused by common issues like strains and stress usually improves within a week or two. It may take a few months before the pain disappears entirely.

How can I prevent neck pain?

You can take steps to prevent neck pain related to strains and tense muscles.

  • Practice good posture. Position electronic devices, like computers and phones, so you don’t have to slouch or strain your neck when using them. Keep your shoulders aligned and your back straight when seated so you’re not straining your neck. Adjust the seats in your car to maintain good posture while traveling.
  • Adjust your sleep position.Maintain good posture when you’re asleep. If you sleep on your back or side, use a pillow to support your head so your head and neck are aligned with the rest of your body. If you sleep on your back, place a pillow underneath your knees to take additional pressure off your low back. Avoid sleeping on your stomach with your head turned.
  • Stay active.You can use many of the same exercises used to relieve neck pain to prevent it. If you work a job that involves sitting for long periods, take occasional breaks to move around and stretch your entire body, including your neck muscles.
  • Don’t carry heavy weight on your shoulders.Avoid carrying heavy objects like book bags or suitcases over your shoulder. Instead, consider using luggage or bags with wheels.
  • Exercise your upper back extensor muscles. It’s normal to lose strength in your upper back as you age. As a result, your shoulders rock forward, and your head tips forward in a position in front of your spine. This positioning puts additional strain on your neck and upper back.

Exercises that can help strengthen your upper back extensor muscles include:

  • Scapular squeezes: Pinch your shoulder blades together 10 times.
  • Standing push-ups: Do push-ups in a doorframe, allowing your shoulders to go past your hands 10 times.
  • Theraband rowing: Wrap the middle of a theraband around a doorknob so it’s stable. While standing, grab an end with each hand. Pull your hands toward your waist 10 times.

When To Call the Doctor

When should I call the doctor if I have neck pain?

Contact a healthcare provider if you have neck pain that interferes with work or other daily activities. In rare cases, neck pain can be a sign of a medical emergency.

Seek urgent medical care if your neck pain:

  • Develops after an accident.
  • Involves a loss of bowel or bladder control.
  • Persists whether you’re moving or staying still.
  • Involves a headache, dizziness, nausea or vomiting.
  • Occurs with chills, fever or unexplained weight loss.
  • Occurs with numbness or tingling in your arms, shoulders or legs.
  • Occurs with weakness in your legs or loss of coordination in your arms or legs.
  • Doesn’t get better with over-the-counter medications.
  • Doesn’t improve after one week.

Ready to break free from neck pain? Our PTs specialize in lasting solutions.
Outstanding in-person physical therapy is still unparalleled for patient success! You will receive the highest level of commitment from everyone on the Uncommon Physical Therapy staff. Every patient has unique goals for therapy; our mission is to do everything needed to help you achieve yours, uncommonly well. As it says in our ethos, “success is uncommon and not to be enjoyed by the common man.” We hold ourselves to a higher standard — we want to be a part of your success story.

Schedule your appointment in Charlotte today at (704) 803-8038. For more inspiration and tips, you can follow us on Instagram.

Reference: [https://my.clevelandclinic.org/health/symptoms/21179-neck-pain]

Healing Hands, Not Assembly Lines: The Uncommon PT Story with Davis Bradley

Posted on by Taimoor Baig

As Heard on the Voices in Health and Wellness Podcast
Redefining what physical therapy can feel like.

Davis Bradley, founder of Uncommon Physical Therapy, was recently featured on the Voices in Health and Wellness podcast — a show highlighting trailblazers who are transforming how care is delivered. In this episode, Davis shares how Uncommon PT was built with one goal in mind: to raise the standard for what patients can expect from physical therapy.

“Success for me isn’t being the best therapist in the room. It’s building a team where I’m eventually the least best — because we’ve all grown that much together.”
– Davis Bradley, Founder

In the episode, Davis discusses:

  • Why patient phone calls are returned within 30 minutes of referral
  • How hour-long, one-on-one sessions create better outcomes and relationships
  • The philosophy behind greeting every patient in the waiting room
  • A balanced model that honors both insurance guidelines and patient needs
  • The importance of building a sustainable, people-first workplace for therapists
  • How redefining “success” can transform patient experience and team culture

🎧 Listen to the episode now and see why patients — and practitioners — are calling Uncommon PT the most refreshing care experience they’ve ever had.

Davis Bradley

Schedule your appointment today at (704) 803-8038. For more inspiration and tips, you can follow us on Instagram. We look forward to supporting you on your health journey!

Physical Therapy to Manage TMJ Disorders

Posted on by Taimoor Baig

Temporomandibular joint (TMJ) disorders can cause pain and dysfunction in the jaw joint and surrounding muscles, leading to symptoms like pain, clicking, and limited movement. Physical therapy offers a treatment approach for managing TMJ disorders. Through exercises, manual therapy, and education, we can reduce pain and improve jaw function for individuals experiencing these issues.

We treat all general aches and pains! If you went to your doctor and they recommended PT, we most likely treat your diagnosis or will help you find a PT who does if we do not. We are a knowledgeable, caring team that will take care of you from start to finish. Come on in and get your questions answered — we can’t wait to meet you. 

If you’ve ever had pain or discomfort in your jaw, neck, or around your ears, you might have experienced TMJ dysfunction, or temporomandibular joint dysfunction. This condition can cause pain and problems with how your jaw moves. While it can feel uncomfortable, physical therapy can help reduce the pain and improve jaw movement.

What is TMJ dysfunction?

The temporomandibular joint connects the jaw to the skull and is located in front of your ears on each side of your face. The joint allows you to open and close your mouth, chew, talk, and even yawn. When this joint doesn’t work correctly, or if the muscles around it become tight or irritated, it leads to TMJ dysfunction.

What are some TMJ dysfunction symptoms?

Some common symptoms of TMJ dysfunction include:

  • jaw pain or tenderness
  • clicking or popping sounds when you open or close your mouth
  • difficulty chewing or opening your mouth wide
  • pain around your ears or neck
  • headaches or dizziness

What causes TMJ dysfunction?

TMJ dysfunction can happen for many reasons. Common causes of TMJ dysfunction include:

  • Teeth grinding or jaw clenching, typically associated with stress or anxiety
  • Injury or trauma, such as a car accident, sports injury, or recent dental work
  • Arthritis, although this is a much less common cause of TMJ dysfunction

How can physical therapy help TMJ dysfunction?

Studies have shown that physical therapy can significantly reduce the pain and discomfort associated with TMJ dysfunction. Physical therapists are trained to help you with exercises, stretches, and techniques to reduce pain from TMJ dysfunction and improve the jaw’s movement.

Improving jaw movement

Through physical therapy, you can learn specific exercises to move your jaw better. These exercises may focus on stretching the muscles to reduce tightness, strengthening the muscles to make them function better, and improving coordination so your jaw moves smoothly without pain or clicking.

Reducing pain and tension

TMJ dysfunction often causes pain and tension in the jaw muscles. A physical therapist can use manual therapy techniques, such as soft tissue work or joint mobilization, to relieve this tension, decreasing the pain you might feel when you open your mouth or chew.

Exercise

Exercises for jaw pain are tailored to each patient, and may involve jaw specific exercises, or exercises to strengthen or loosen the neck, shoulder, and spine. Additionally, general exercises that move the whole body, such as aerobic exercises, can help to reduce stress and some pain, either of which could be contributing to TMJ dysfunction.

Relaxation techniques

Since stress is a common cause of jaw clenching and teeth grinding, physical therapists can teach you ways to relax your jaw as well as managing stress levels overall. Learning how to manage stress and tension through relaxation techniques, such as deep breathing, meditation, or mindfulness strategies can make a big difference.

Education on habits and lifestyle changes

Sometimes, habits such as chewing gum too much or biting your nails can make TMJ dysfunction worse. A physical therapist can help you identify these habits and suggest alternatives. They can also provide advice on how to sleep better or which foods may aggravate your jaw.

Treatment for TMJ dysfunction

If you think you might have TMJ dysfunction, talk with your primary care provider or dentist about your symptoms. It can be helpful to take notes about your pain or jaw mobility issues so you are prepared for any questions they may have. Your primary care provider or dentist can help determine if physical therapy is right for you.

Invest in your jaw comfort today! Explore straightforward strategies to alleviate TMJ discomfort and enhance your jaw movement through physical therapy. Schedule your appointment in Charlotte today at (704) 803-8038. For more inspiration and tips, you can follow us on Instagram.

Reference: [https://www.brownhealth.org/be-well/tmj-what-it-and-how-physical-therapy-can-help]

How Can I Prevent a Sports Injury?

Posted on by Taimoor Baig

Pushing your physical limits in sports is exhilarating, but it also places significant stress on your body, making injuries a potential setback. Physical therapy plays a crucial role not only in recovery but also in prevention. Check out how targeted physical therapy strategies can significantly reduce your risk of sports-related injuries. 

Uncommon Physical Therapy exists to change the expectations of Outpatient Orthopedic Physical Therapy. Your commitment of time and financial resources for in-person physical therapy is something we value and respect. Every patient has unique goals for therapy; our mission is to do everything needed to help you achieve yours — uncommonly well. As it says in our ethos, “success is uncommon and not to be enjoyed by the common man.” We hold ourselves to a higher standard — we want to be a part of your success story. Come on in! We can’t wait to meet you!

Exercise is good for the body and with the proper precautions, sports injuries can often be prevented. The quality of protective equipment – padding, helmets, shoes, mouth guards – has helped to improve safety in sports. But, you can still be susceptible to injury. Always contact your healthcare provider before starting any type of physical activity, especially vigorous types of exercises or sports.

Causes of sports injuries may include:

  • Improper or poor training practices
  • Wearing improper sporting gear
  • Being in poor health condition
  • Improper warm-up or stretching practices before a sporting event or exercise

Common sports injuries include:

  • Sprains and strains
  • Joint injuries (knee)
  • Muscle injuries
  • Dislocations
  • Fractures
  • Achilles tendon injuries
  • Pain along the shin bone

How can I prevent a sports injury?

The following are some basic steps to prevent a sports injury:

  • Develop a fitness plan that includes cardiovascular exercise, strength training, and flexibility. This will help decrease your chance of injury.
  • Alternate exercising different muscle groups and exercise every other day.
  • Cooldown properly after exercise or sports. It should take 2 times as long as your warm-ups.
  • Stay hydrated. Drink water to prevent dehydration, heat exhaustion, and heatstroke.
  • Stretching exercises can improve the ability of muscles to contract and perform, reducing the risk of injury. Each stretch should start slowly until you reach a point of muscle tension. Stretching should not be painful. Aim to hold each stretch for up to 20 seconds.
  • Use the right equipment or gear and wear shoes that provide support and that may correct certain foot problems that can lead to injury.
  • Learn the right techniques to play your sport.
  • Rest when tired, Avoid exercise when you are tired or in pain.
  • Always take your time during strength training and go through the full range of motion with each repetition.
  • If you do sustain a sports injury, make sure you participate in adequate rehabilitation before resuming strenuous activity.

Don’t let injuries sideline your passion. Schedule your appointment in Charlotte today at (704) 803-8038 to develop a personalized injury prevention plan. Let us help you stay strong, agile, and in the game. For more inspiration and tips, you can follow us on Instagram.

Reference: [https://www.hopkinsmedicine.org/health/conditions-and-diseases/sports-injuries/preventing-sports-injuries]

Physical Therapy for Stroke Recovery

Posted on by Taimoor Baig

Stroke survivors often face challenges like muscle weakness, balance issues, and difficulty with everyday tasks, but targeted PT interventions can make a significant difference. Here, we’ll explore how physical therapy can support stroke recovery, what to expect during treatment, and the inspiring progress many patients achieve with dedication and professional guidance.

We’d love to meet you and discuss your challenges — at Uncommon PT, we care for you throughout every phase of your treatment from scheduling your first appointment, during your treatment sessions, and even after you have been discharged! You become part of our Uncommon Physical Therapy Family. Let’s talk!

A stroke happens when blood flow to your brain is decreased or stopped. Many people need physical therapy following a stroke to help improve their ability to move and become more independent.

A stroke occurs when the blood flow to your brain is interrupted. This lack of blood flow deprives your brain cells of the oxygen they need to live.

Depending on where in your brain the stroke occurs, it can affect many parts of your body. More than 40%Trusted Source of stroke survivors have trouble with movement or other neurological functions.

Physical therapy, also sometimes known as physiotherapy, is one of the main rehabilitation therapies used to decrease disability and improve movement after a stroke. During physical therapy, your therapist uses treadmill training, strengthening, and a variety of other techniques to help you improve your movement.

In this article, we examine how physical therapy can help you recover from a stroke and what you can expect during your treatment.

How does physical therapy help people who have had a stroke? 

Physical therapy is the main rehabilitation therapy for most people Trusted Source who have a stroke.

According to a 2022 research review Trusted Source, about 40% of people who have a stroke have functional impairment of their movement. The long-term goal of stroke rehabilitation is to help you become as independent as possible.

Undergoing physical therapy can potentially help Trusted Source you regain:

  • strength
  • mobility
  • coordination
  • balance
  • proprioception (your sense of self-movement)

Research from 2017 Trusted Source suggests that doing intensive physical therapy shortly after a stroke is associated with decreased death rates and reduced complications. People who undergo continuous professional therapy tend to recover rapidlyTrusted Source.

Physical therapy can help you regain movement patterns such as:

  • walking
  • sitting
  • lying down
  • standing
  • getting out of a chair

What will physical therapy include?

Physical therapists use many techniques to help you regain movement after a stroke. Your program will be customized to your individual needs depending on factors such as:

  • your overall health
  • the type of movement you’ve lost
  • your degree of disability

Stroke rehabilitation usually starts in the hospital shortly after your stroke. At first, the program might focus on simple tasks like trying to pick up an object. Over time, your program may progress to help you relearn more complex motor tasks like walking.

Once you’re discharged from the hospital, your healthcare team will likely continue to recommend physical therapy either at home or at a clinic. Your physical therapist will typically give you exercises and stretches to do at home to help with your recovery.

Physical therapists use different techniques to help you recover. These include:

  • task-oriented training, where you go through real-life motions, such as getting up from a chair
  • strength training using weights, your body weight, or bands
  • walking or balance training
  • treadmill training
  • constraint-induced movement therapy, where your strong arm is constrained so you’re forced to use your weak arm
  • electrical stimulation to activate the nerves of your injured muscles
  • virtual reality or video game tools
  • bio feed back, which aims to help you gain control over your mind-body connection
  • aquatic therapy, where you do exercises in the water

In a 2020 review of studies Trusted Source, researchers found some evidence suggesting that aquatic therapy may be able to significantly improve a wide range of stroke-induced disabilities. However, the researchers noted that although the research is promising, more evidence is needed.

In addition to helping you regain lost movement, your physical therapist can also:

  • fit you for braces, a wheelchair, or other mobility aids
  • teach you how to use these mobility devices
  • provide training to your family or caregiver

How long do you need physical therapy after a stroke?

If you’re in stable condition, you may be able to start physical therapy as soon as 2 days Trusted Source after your stroke.

In a 2017 study Trusted Source, researchers found that in a group of 783 people admitted to one hospital with stroke, 75.8% were referred to physical therapy. The average time from admission to the hospital to getting a referral for physical therapy was 3 days.

According to the National Institutes of Health Trusted Source, adding intensive motor rehabilitation after 60–90 days to your standard rehab therapy may help improve outcomes.

The duration that you need to do physical therapy depends on the severity of your stroke and your level of disability. You may need to do physical therapy for months to years.

The most rapid recovery usually occurs within the first 3–4 months Trusted Source.

Typically, you’ll do several sessions per week.

What other types of therapy may be needed after a stroke?

Depending on the extent and complications of your stroke, you may have to do other types of rehabilitation therapy. According to the American Stroke Association Trusted Source, more than two-thirds of stroke survivors do some type of rehabilitation therapy.

Other types of therapy you may benefit from include:

  • speech therapy to help you relearn how to speak or communicate
  • occupational therapy to help you regain skills you need to perform everyday activities
  • vocational therapy to help you return to the workforce
  • cognitive behavioral therapy to help you deal with the changes in your life

Takeaway

Physical therapy is an important part of the rehabilitation process for many people who have had a stroke. It can potentially help you improve your recovery and minimize your disability.

During physical therapy, a therapist uses a variety of techniques to help you regain your ability to move, such as strengthening exercises, treadmill training, or having you perform everyday activities.

Your healthcare team can help you decide how long and how many times per week you should attend physical therapy.

Stroke recovery is a journey, and we’re here to help. Our experienced physical therapists can offer patients personalized treatment plans. Schedule your appointment in Charlotte today at (704) 803-8038. For more inspiration and tips, you can follow us on Instagram.

Reference: [https://www.healthline.com/health/stroke/physical-therapy-for-stroke-patients]

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Uncommon Physical Therapy has changed my life. I was suffering from horrible sciatica, hip and pelvic pain for 2 years. Now a couple of weeks later, I have been pain-free. I can sleep! Thank you so much!
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Uncommon PT -- They truly listened to what was happening with my pain. They gave me exercise and attention no other PT has. I was giving up on PT. This was my last try. It was 100% worth it.
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Great guy, Davis. Professional, intuitive, on the money. Time well spent. My shoulder is almost as good as new. Didn't think this progress was possible.
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