Low back pain during pregnancy can be miserable for many new mothers, interfering with work, fun, sleep and daily activities. The pain usually begins in the 2nd trimester and generally located on one side of the low back and can cause radiating pain down the leg. Pain medication typically do not work for this type of pain and not recommended during pregnancy. Interventional treatment is usually physical therapy. Unfortunately, exercise is not helpful for this type of pain and in some exercise makes it worse.
Research shows acupuncture therapy and manual therapy are the most effective treatment. Our physical therapy clinic is extremely trained with excellent out-comes of 100% pain free after 1 to 3 visits. You do not need a prescription to schedule an appointment, but recommend contacting your physician before any treatment is started. Our clinic also provides same day service for patients experiencing severe pain.
Liddle, S. D., Pennick, V., & Liddle, S. D. (n.d.). Interventions for preventing and treating low‐back and pelvic pain during pregnancy. Cochrane Database of Systematic Reviews, 9.
Manual chest physical therapy and vibration is an aggressive patting to the chest with cupping hands followed by forced shaking of the chest. This technique helps relieve chest congestion and or bronchial blockage. Our clinic is highly trained in this type of therapy. At each visit we will evaluate your breath sounds, heart rate, respiratory rate, blood pressure and oxygen level. Manual chest PT and vibration is so successful most patients only require 1 to 3 visits to achieve 100% in breathing tolerance and capacity.
Diagnoses appropriate for chest PT are:
- Post Covid-19
- Bronchial blood clots
- Cystic fibrosis
- Bacterial infections
- Viral infections
- Fungal infections
- Interstitial pulmonary fibrosis
- Pulmonary edema
In addition to chest PT our clinic provides deep breathing exercise and cardio exercise to build strength and breathing tolerance allowing out patients to regain full function. You do not need a physician referral to get an appointment with us. However, we will attempt to email and / or call your primary care provider. Please call our office for an appointment 405-265-2255.
Frownfelter, D. L., Dean, E., & Dean, E. W. (2006). Cardiovascular and pulmonary physical therapy: Evidence and practice. Mosby.
Achilles tendinitis is an overuse injury of the Achilles tendon. The Achilles tendon is the thick band of tissue that connects your calf muscles to your heel bone. Types of overuse includes increasing speed or running long distances too quickly, suddenly adding hills or stair climbing to an exercise routine, stressing the calf muscle too soon after taking time off from exercising, or putting stress on the calf muscles when they are not yet ready for stress.
Achilles tendinitis can be common in all ages but is more common in older adult men due to the fact that the tendon weakens as we age, and also in young athletes due to repetitive stress and strain from intensive training. Other risk factors include poor flexibility, lack of range of motion, inverted foot structure, obesity/diabetes, poor exercise training program, poor footwear, or increased use of corticosteroids. There are two types of Achilles tendonitis:
- Insertional Achilles tendonitis which affects the lower portion of your tendon where it attaches to your heel bone.
- Noninsertional Achilles tendonitis which involves fibers in the middle portion of the tendon and tends to affect younger people who are active.
The pain associated with Achilles tendinitis typically begins as a mild ache in the back of the leg or above the heel after increased activity. Stiffness and tenderness can also occur with decreased use of the extremity. For example, an individual may experience stiffness with weight bearing when getting out of bed due to inactivity. People may also have difficulty wearing shoes due to increased swelling around the tendon site.
The most common treatment for acute tendinitis would be supportive care with rest and ice. This means stopping the activities that make pain worse and placing ice on the area that is inflamed and painful multiple times a day. Ankle taping to support the tendon has also been shown to be a helpful at home remedy. If pain persists and lingers, another option would be non-steroidal anti-inflammatory medication to assist with reducing pain and swelling. Physical therapy is a common route to take with both acute and chronic cases of Achilles tendinitis. Soft tissue mobilization and calf stretching are common treatments in physical therapy. There are also methods that have been proven helpful like cupping and dry needling. These can be performed on the tendon site if other conservative methods haven’t done the job.
Extracorporeal shockwave therapy can be used to stimulate healing. This is not a very common procedure and it has not shown consistent results. This is normally implemented on chronic cases of tendonitis when all conservative methods listed above have failed. ESWT uses high energy shockwave impulses to stimulate the healing process in damaged tendon tissue. It is a non-invasive procedure and is occasionally tried before surgery is considered.
If pain persists for more than 6 months after all conservative treatments, then surgery should be considered. The specific type of surgery will depend on the location of the tendinitis and the amount of damage to the tendon. Physical therapy is recommended after an Achilles tendon surgery and is an important part of recovery. Many patients require a year of rehab from start to finish before they are pain free.
Prevention of Achilles tendinitis can be taken in many ways. First, by wearing proper footwear that allows cushioning and arch support. Second, by slowly increasing activities and easing into new routines. And lastly, making it a priority to stretch and strengthen your calf muscles daily to improve agility and make the tendon less prone to injury.
Wound dehiscence is an opening of incision edges and can be ether full or partial. It can become a very serious issue if not treated. Contact your medical doctor, surgeon or wound care specialist for help in the healing. Your medical doctor and / or surgeon may refer you to a wound care specialist to help with the management and healing. There are many reasons why dehiscence occurs and it is usually no fault of your surgeons or you.
General reasons include:
- Infection at or around incision site
- Weight / pressure at or around incision
- Taut sutures
- New injury at or around incision site
- Fragile skin and / or muscle near or at incision
- Improper suturing
- High or long-term use of corticosteroids
Population at risk include:
- Obesity or being over weight
- Poor nutrition and eating habits
- Diabetes Mellitus type I and II
- Cancer in or around site
- Previous scars or radiation in or around site
- Lifting or exercising to early after surgery
- Increased pressure at or around suture site from fluid collection, tissue inflammation, excessive coughing or vomiting
- Anyone taking high or long-term corticosteroids
- Other medical conditions that could compromise healing
Signs and symptoms include:
- Bleeding in or around site
- Swelling in or around site
- Redness in or around site
- Ruptured sutures
- Open incision site
Your medical doctor, surgeon or wound care specialist will need to diagnose the wound and may include:
- Infection using fluid samples from the wound
- Blood test
- CT scan
Possible treatment might include:
- Oral antibiotics
- Wound care dressing changes
- Referral for wound care specialist
- Wound vac
- Return to surgery
Dehiscence prevention might include:
- Antibiotics before or after surgery
- Light pressure around incision
- Keep incision clean and dry
Duffek, C. (2019, September). Wound Dehiscence. http://web.b.ebscohost.com/rrc/delivery?vid=14&sid=6d25b6f2-e306-4d9e-a56f-0bb1337653e6%40sessionmgr101.
Whirlpool for burn care.
Yukon Wound Care & Rehabilitation
Local Wound Care
Yukon Wound Care and Rehabilitation is located in Yukon Oklahoma. However, we have many patients that travel from surrounding cities to see us for various reasons. First, our location is simple to find and close to interstate I-40 and the Kilpatrick Turnpike for easy quick access. It’s usually no more than a 20 to 30 minute drive or less. We have patients that come from El Reno, Tuttle, Union City and other rural areas that say the drive is short and worth the trip. Second, our wound care is specifically tailored for each individual need and wound type. We provide personal one-on-one care with quick healing times. Our clinic is a small family owned practice allowing us more time with our patients to remove dressings, manage drainage and evaluate each wound at every visit. All wounds are bandaged and secured with evidence-based products without expensive cost. In most cases, we can work with your insurance company and have them pay for the cost of supplies. Our clinic also makes accommodations for regular referring physicians and previous patients with same day service and walk-in availability.
One case study that our clinic healed quickly was a female from Tuttle, Oklahoma with a large abdominal wound from a surgical procedure. The wound size and depth measured 7.0 x 4.0 x 5.0 cm. Initially we used a wound vac to manage drainage and reduce depth, then switched to an easier closure dressing. Her wound healed in less than a month. Her and her family were so grateful. They wrote raving reviews for us and refer friends and family as much as possible.
- Negative pressure therapy (wound vac)
- Compression therapy
- Infection Control
- Patient and family education
- Ankle Brachial Index
- Venous insufficiency ulcers
- Surgical wounds
- Pressure ulcers
- Trauma wounds
- Wounds from circulation problems
- Diabetic ulcers
- Colostomy care
- Ileostomy care
- Fistula care
- Hidradenitis suppurativa
- Radiation burns and tissue damage
- Spider bites
We can treat up you without a referral from your physician and you can contact us at 405 265-2255.