Plantar Fasciitis: Will Physical Therapy Help My Foot Pain?

One out of 10 people in the United States experience persistent pain along the bottom of the foot, a condition known as plantar fasciitis. In this country alone, outpatient clinics receive more than 1 million visits a year from people seeking help for this type of foot pain. In 2014, the Orthopaedic Section of the American Physical Therapy Association published updated clinical practice guidelines on the best treatments for patients with plantar fasciitis. The guidelines present evidence that strongly suggests a combination of manual therapy and rehabilitative exercises to help patients with this foot condition. In a more recent study published in the February 2017 issue of JOSPT, researchers reviewed the records of people with plantar fasciitis who were sent to physical therapy to determine whether this treatment lessened their pain.

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Anterior Knee Pain: What Muscles Should I Strengthen?

Pain in the front of your knee or under your kneecap is often called patellofemoral pain. You may feel this pain after exercising or when you sit too long. The pain may be a nagging ache or an occasional sharp twinge. Because the pain is around the front of your knee, treatment has traditionally focused on the knee itself and may include taping or bracing the kneecap, or patella, and/or strengthening the thigh muscle—the quadriceps—that helps control your kneecap to improve the contact area between the kneecap and the thigh bone, or femur, beneath it. However, recent evidence suggests that strengthening your hip muscles can also help. The theory is that strong hip muscles can decrease the stress in your knee. A study published in the January 2018 issue of JOSPT provides new insights and evidence-based suggestions on how to strengthen your entire leg to decrease your knee pain and help you return to full activity.

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Neck Pain: Clinical Practice Guidelines Help Ensure Quality Care

What should patients with neck pain expect from physical therapy? Nine years ago, in 2008, physical therapists published the first neck pain clinical practice guidelines. These guidelines have been updated and are now available in the July 2017 issue of the JOSPT. As before, these guidelines make recommendations based on best practices from scientific research for evaluation, diagnosis, and nonsurgical treatment of neck pain. To update these guidelines, physical therapists teamed with the International Collaboration on Neck Pain to identify leading practices. These revised guidelines provide direction to clinicians as they screen, evaluate, diagnose, and make treatmentbased classifications of neck pain. They also outline the best nonsurgical treatment options based on the published literature. At the end of the day, the best care is a combination of the leading science, the clinical expertise of your health care provider, and your input as the patient. These guidelines help inform the first step in this process.

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Running and Osteoarthritis

You may have heard the phrase “exercise is medicine.” That’s because exercise, like running, is good for overall health and, specifically, our hearts, lungs, muscles, bones, and brains. Running can also help with weight loss, lower cholesterol levels, boost the immune system, fight depression, reduce stress, and improve mood. No wonder millions of people around the world exercise by running. However, some people are concerned about the impact of running on long- term joint health. Does running lead to higher rates of arthritis in knees and hips? While many researchers find that running protects bone health, others are concerned that this exercise poses a high risk for age-related changes to hips and knees. A study published in the June 2017 issue of JOSPT suggests that the difference in these outcomes depends on the frequency and intensity of running.

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  • I have seen Dr. Zuppa for a number of issues, including joint replacement therapy. His competent, confident, sociable manner help put you at ease during your therapeutic sessions. He spends a lot of time with you, as he doesn’t rely on machines; he’s really “hands-on”. He’s kind, compassionate, and really listens to you to determine your problem and then fully explains how his course of action will help you. I have referred several friends and family members to Angelo and all have given him rave reviews. He’s extremely competent and I recommend anyone seeking physical therapy to see Angelo. You won’t be disappointed.
  • As a 70 year old woman, I have had several opportunities to participate in physical therapy: torn meniscus, back, spine ailments, sciatica, and plantar fasciitis. I have seen a few physical therapists, but no one possesses the expertise and the compassion of Angelo Zuppa. Angelo’s patients receive his complete attention, his incredible skill, his compassion, and “joy". His evaluations are thorough and his treatments of my conditions were very successful. With Angelo’s treatment regimen, my torn meniscus healed without surgery and I now go biking, hiking, and down hill skiing with no problems. (He does expect that his patients participate in therapy and sends them home with exercises to enhance his treatments. Be sure to do them!) I drive 50 minutes to seek his service and would never go elsewhere! In fact, I wish I could think of a reason to seek treatment so I could see his friendly face and hear his infectious laugh! :)
  • After months of pain and multiple doctor visits, one physician suggested physical therapy and with a recommendation from a friend, I began seeing Dr. Caitlin Carpenter. During my first visit, I was impressed by her professionalism and bedside manner. She not only treated the target area, but pinpointed the root cause for the pain and has subsequently began treating those areas. Her hands-on, holistic approach has completely improved by life and I have been pain free under her care for the first time in months!
  • Angelo developed a treatment plan that specifically targeted my injury, allowing me to progress quickly. Additionally, his professional demeanor and his upbeat and welcoming personality made all his/my hard work a pleasure.
  • There are many good physical therapists and then there is Angelo "The Healer". He is amazing! His knowledge and approach has helped myself and many friend. My body thanks him everyday.

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