The Role of Physical Therapy in Managing Chronic Neck Pain

Chronic neck pain can make daily tasks difficult and uncomfortable. This type of pain can result from poor posture, repetitive movements, or old injuries. If you are suffering from ongoing neck pain, physical therapy can offer an effective and non-invasive solution. 

What Causes Chronic Neck Pain?

Chronic neck pain can have several causes, such as:

  • Poor posture: Sitting or standing with your head forward for long periods can strain your neck.
  • Repetitive strain: Constantly looking down at your phone or holding your neck in one position can lead to stiffness and pain.
  • Injuries: Old injuries, like whiplash or falls, can cause long-term pain if not treated properly.
  • Arthritis: Degenerative joint conditions such as arthritis can contribute to ongoing pain and stiffness.

How Physical Therapy Works

Physical therapy targets the root causes of neck pain. By strengthening muscles, correcting posture, and using hands-on techniques, physical therapy helps reduce pain and restore mobility. 

Treatment Techniques

Some of the common treatments used for chronic neck pain include:

  • Manual therapy: Hands-on techniques, such as massage and joint mobilization, help reduce stiffness and improve movement.
  • Stretching exercises: These exercises help loosen the muscles in your neck and shoulders to improve flexibility.
  • Strengthening exercises: Building up the muscles that support your neck can reduce strain and improve posture.
  • Posture correction: Learning how to maintain good posture can prevent future pain.

From Frustration to Freedom: A Patient’s Journey

I came to Bacci and Glin PT two months ago with chronic neck pain and stiffness, rendering me almost paralyzed in my neck. Each therapy session has gradually improved my quality of life and pain. Since my first session, I have not had any episodes. Dr. Bob and his staff are very friendly, attentive and professional. After months of therapy I must say I’m going to miss my biweekly visits, but I’m thankful that I made a full recovery. Thank you Bacci and Glin PT for giving me my quality-of-life back .

– Sarah R.

Frequently Asked Questions

  1. How long will it take to feel better?
    Many patients start noticing improvements within a few weeks of regular therapy sessions.
  2. Will therapy be painful?
    Therapy shouldn’t cause pain. Your therapist will adjust the treatment intensity to your comfort level.
  3. Do I need a referral?
    In most cases, a referral isn’t required, but it’s best to check with your insurance provider.
  4. How often will I need therapy?
    Most patients visit 1-3 times per week, depending on their specific condition.
  5. Can physical therapy help with mild pain?
    Yes, addressing mild pain early can prevent it from becoming more serious.

Take the First Step Toward Pain Relief

If you’re tired of living with chronic neck pain, Bacci & Glinn Physical Therapy can help. Don’t let pain hold you back—schedule your appointment today to start your journey toward recovery.

Contact our Visalia office at (559) 733-2478 or our Hanford office at (559) 582-1027 and take the first step toward feeling better.

References:

“Effects of scapular treatment on chronic neck pain: a systematic review and meta-analysis of randomized controlled trials.” BMC Musculoskeletal Disorders, 2023. Link

Michaleff, Z.A. et al. “Effectiveness of specific neck exercise for nonspecific neck pain: A randomized controlled trial.” Physical Therapy, 2023. Link

Recovering from Shoulder Injuries: How Physical Therapy Can Help

Shoulder injuries can disrupt daily life, making it hard to perform simple tasks like lifting objects, reaching overhead, or even getting dressed. From rotator cuff tears to frozen shoulder, these injuries often cause pain, stiffness, and limited mobility. Physical therapy is a proven way to help you recover from these injuries, reduce pain, and regain movement without the need for invasive treatments.

We’ll explore how physical therapy can help shoulder injury recovery and what you can expect during your sessions.

Common Shoulder Injuries

Your shoulder is a complex joint that allows a wide range of movement. However, its complexity also makes it prone to injury. Some common shoulder injuries include:

  • Rotator cuff injuries – Damage to the muscles and tendons that support shoulder movement.
  • Frozen shoulder – Stiffness and pain that limit the shoulder’s range of motion.
  • Shoulder impingement – Tendons in the shoulder are pinched or irritated, causing pain.
  • Dislocations and fractures – Injuries from falls, trauma, or overuse.

These injuries can occur from repetitive motion, sports, accidents, or even the natural wear and tear that comes with aging.

How Physical Therapy Helps Shoulder Recovery

1. Reducing Pain and Swelling

Physical therapy focuses on non-invasive techniques to reduce pain and inflammation. Therapists use methods like manual therapy, ultrasound therapy, and targeted exercises to ease discomfort. Research has shown that physical therapy leads to significant pain reduction and improved function in shoulder injuries.

2. Improving Mobility

After a shoulder injury, you may find it difficult to perform basic tasks like reaching up or out to the side. Physical therapy uses gentle stretching exercises to help restore your shoulder’s range of motion. Over time, these exercises improve flexibility, allowing you to move more easily.

3. Strengthening Muscles

Strengthening exercises target the muscles around your shoulder to improve stability and prevent future injury. These exercises are designed to protect and support the shoulder while ensuring that it heals properly. Strengthening the rotator cuff, for example, is essential in recovering from most shoulder injuries.

4. Enhancing Flexibility

Tight muscles and tendons often restrict shoulder movement after an injury. Physical therapy incorporates flexibility exercises to stretch these tissues and improve joint function. These exercises not only help restore movement but also reduce the chances of the injury returning.

5. Preventing Future Injuries

Physical therapy isn’t just about recovery—it also helps you avoid future injuries. Therapists teach you how to perform everyday tasks with proper form, whether you’re lifting heavy objects or engaging in sports, to protect your shoulder from re-injury.

What to Expect During Physical Therapy

During your first visit, a physical therapist will assess your shoulder injury and create a personalized treatment plan. Sessions typically include:

  • Pain management techniques like ice, heat, or ultrasound.
  • Exercises to improve strength, flexibility, and mobility.
  • Guidance on proper movement techniques to prevent future injuries.
  • Instructions for at-home exercises to support your recovery between sessions.

Success Story: A Life-Changing Recovery

“Arnel had been dealing with a shoulder injury for the past years, which made it difficult to lift his arm without pain. After visiting Bacci and Glinn Physical Therapy in Visalia, he underwent a series of treatments with Bob and his team. Over time, Arnel experienced significant improvement, regaining mobility and becoming almost pain-free. The personalized care and effective treatment made a lasting difference in his recovery.”

Arnel D.

Frequently Asked Questions

  1. How long does it take to recover from a shoulder injury?
    Recovery times vary based on the severity of the injury. Some people may recover within a few weeks, while others might need several months of therapy.
  2. Can physical therapy prevent shoulder surgery?
    Yes, in many cases, physical therapy helps patients avoid surgery by improving mobility and reducing pain.
  3. What kind of exercises will I do during physical therapy?
    Your therapist will guide you through a variety of exercises designed to improve your shoulder’s strength, flexibility, and range of motion.
  4. Will I need to do exercises at home?
    Yes, at-home exercises are an important part of the recovery process. Your therapist will provide specific instructions to help you continue improving between sessions.
  5. What if my shoulder injury doesn’t improve with therapy?
    If you don’t see improvement with physical therapy, your therapist may recommend further evaluation or additional treatments, such as injections or surgery.

Start Your Recovery Today

Don’t let shoulder pain keep you from living your life. Physical therapy is an effective, non-invasive way to restore your shoulder’s strength and mobility. Schedule an appointment with Bacci and Glinn Physical Therapy today. 

Call our clinics in Visalia at (559) 733-2478 or Hanford at (559) 582-1027 and start your journey toward a pain-free life.

References:

Lewis, J. S. (2007). Rotator cuff tendinopathy: A model for the continuum of pathology and related management. Journal of Orthopaedic & Sports Physical Therapy. Link here.

Warner, J. J., Micheli, L. J., Arslanian, L. E., Kennedy, J., Kennedy, R. (1995). Rehabilitation of chronic shoulder pain: Comparative analysis of exercise protocol effectiveness. National Center for Biotechnology Information.  Link here.

Learn About the Top-Rated Physical Therapy Services for Chronic Pain in Visalia!

Chronic pain can be a debilitating condition affecting many individuals, making daily life challenging. Physical Therapy (PT) offers a beacon of hope, providing a non-pharmacological avenue to manage and alleviate chronic pain. In Visalia, Bacci & Glinn Physical Therapy stands out as a top-rated clinic dedicated to helping individuals overcome chronic pain and regain an active lifestyle.

Understanding Chronic Pain

What is Chronic Pain?

Chronic pain is persistent pain that lasts for weeks, months, or even years. It’s different from acute pain, which is temporary and usually arises from an injury or surgery.

Common Causes

  • Arthritis
  • Fibromyalgia
  • Post-surgical pain
  • Other musculoskeletal conditions

Importance of Early Management

Addressing chronic pain early can prevent it from becoming a more severe, long-term issue, often making the difference in a patient’s quality of life.

Why Choose Physical Therapy for Chronic Pain Management?

Physical Therapy helps alleviate chronic pain through tailored exercise programs, manual therapy, and educating patients on self-management techniques.

Holistic Approach

PT offers a holistic approach, encompassing not just exercises but lifestyle modifications and patient education to foster long-term relief and self-management.

Services Offered at B&G PT

neck manual therapy

Bacci & Glinn Physical Therapy provides a range of specialized services to address chronic pain.

Individualized Treatment Plans

Every patient’s journey with chronic pain is distinctive, marked by individual circumstances, pain levels, and responses to treatment. That’s why at Bacci & Glinn Physical Therapy, a cornerstone of our approach is crafting individualized treatment plans that cater to each person’s unique needs.

Upon your first visit, a thorough assessment is conducted to understand not only the nature and extent of your pain but also your lifestyle, activities, and goals. This holistic evaluation lays the foundation for a tailor-made treatment plan designed to address your specific challenges and objectives. Our therapists work closely with you, adjusting the plan as necessary to ensure you are on the fastest road to recovery. This personalized attention underscores our commitment to delivering effective, patient-centered care, setting us apart as a top-rated physical therapy clinic in Visalia.

Manual Therapy

Manual therapy is a hands-on approach utilized by our skilled therapists to treat musculoskeletal pain and disability. This technique encompasses a variety of methods including joint manipulation and mobilization, as well as soft tissue techniques like massage and stretching.

The goal of manual therapy is to restore movement, alleviate pain, and enhance function. By applying targeted pressure or movement, our therapists can help alleviate muscle tension, improve circulation, and promote relaxation, all of which contribute to pain relief and improved mobility.

Manual therapy at Bacci & Glinn Physical Therapy is not a one-size-fits-all method. It’s adapted to each individual’s condition and response to treatment, demonstrating once again our dedication to providing personalized care that addresses the root cause of your pain, not just the symptoms.

Therapeutic Exercises

Therapeutic exercises form the backbone of any effective physical therapy regimen. At Bacci & Glinn Physical Therapy, we develop exercise programs tailored to each patient’s unique needs and goals. These exercises aim to restore and enhance the stability, strength, and mobility needed to support a pain-free life.

Whether it’s stretching exercises to improve flexibility, strengthening exercises to build muscle, or aerobic exercises to enhance endurance, our therapeutic exercises are designed to address the specific musculoskeletal issues contributing to your chronic pain. Our therapists guide you through each exercise, ensuring proper form to maximize benefits and prevent injury. Over time, these exercises can significantly improve your ability to move and function, marking a substantial step towards overcoming chronic pain.

Pain Education and Management Training

Knowledge is power, especially when it comes to managing chronic pain. At Bacci & Glinn Physical Therapy, we believe that educating our patients about their conditions and how to manage pain effectively is a crucial component of the treatment process.

Our pain education and management training include teaching patients about the mechanics of their bodies, the nature of their conditions, and the principles behind their treatment plans. We also provide practical strategies for managing pain in daily life, including ergonomic adjustments, relaxation techniques, and lifestyle modifications.

Furthermore, we empower our patients with the knowledge and tools they need to take an active role in their recovery. By understanding the intricacies of their conditions and how to manage pain effectively, our patients are better equipped to achieve their rehabilitation goals and maintain long-term relief from chronic pain.

Real-life Testimonials from B&G PT

The testimonials from real patients attest to the exceptional care provided at Bacci & Glinn Physical Therapy.

Marjorie’s Experience

“Marjorie had undergone five knee replacements and visited six other PT offices before finding B&G PT. She praises the professional and caring nature of the staff at B&G PT, which she says stands out among the rest.”

Marjorie mentions the exceptional staff at B&G PT, highlighting their professionalism and always-positive attitude, which created a happy and smiling environment.

Jose’s Recovery

“They are very professional. They have exceptional staff helping everybody in a great mood all the time; their goal is to ensure that everybody in there is happy and smiling. They did a great job very knowledgeable”

What to Expect During Your Visit to B&G PT

An initial assessment is conducted to understand the cause of pain and create a tailored treatment plan. The typical duration and frequency of PT sessions will be discussed to set the right expectations.

Getting Started with Your Chronic Pain Management Journey

Taking the first step towards managing chronic pain is crucial. Contact B&G PT to schedule an initial consultation and embark on your journey towards a pain-free life.

Contact Us Today at (559) 733-2478

Bacci & Glinn Physical Therapy provides top-rated services for managing chronic pain in Visalia. With a team of experienced therapists and a personalized approach to treatment, achieving a pain-free life is within reach. Reach out to B&G PT, and take the first step towards a better quality of life.

Core Ex + Manual Therapy for CLBP

Manual Therapy And Core-Strengthening Exercises Can Effectively Alleviate Chronic Low Back Pain

Low back pain is jarringly common. About one-half of all working Americans will experience symptoms at least once every year, and roughly 31 million are affected by it at any given point in time. So if you consider yourself part of this group, you have plenty of company.

Dealing with low back pain can be troublesome and place a strain on everyday life. Typical movements like bending over to pick something off the ground or twisting your torso when looking to the side might suddenly give you pause and make you less mobile in the process. This is one of the main reasons that low back pain is also one of the leading causes for missed work due to disability.

Fortunately, most cases of low back pain will resolve on their own over a short period of time

Ninety-percent of people with back pain will experience complete resolution, but for about 10% of patients, pain will persist beyond three months, in which case it’s called “chronic” low back pain. When the condition becomes chronic, it often leads to greater disability and has an even stronger impact on one’s quality of life due to the frequency and severity of the pain. In addition, although only a small percentage of patients experience chronic low back pain, it accounts for 80% of the indirect costs because treating it is often more difficult.

Physical therapy, however, is an extremely effective treatment option for low back pain at any stage of its development. When treating chronic low back pain, physical therapists use many of the same principles that are used to treat acute low back pain—which is pain lasting for less than three months—but they place an even greater focus on education about the psychological aspects of pain, which are significant in these cases. Some of the interventions therapists use most frequently for chronic low back pain include manual (hands-on) therapy, stretching exercises, strengthening exercises for the back and core muscles, and education on the nature of chronic pain and how to break out of negative thinking patterns.

Study supports the value of manual therapy and core-strengthening exercises

The benefits of physical therapy for chronic low back pain were highlighted in a recently published study called a randomized-controlled trial, which is considered the gold standard for individual studies. For the study, 148 patients with chronic low back pain were randomly assigned to either cognitive functional therapy or a therapy program focused on core exercises and manual therapy. Cognitive functional therapy is an intervention led by physical therapists that integrates strategies from psychology and neuroscience into a comprehensive treatment regimen. Both interventions lasted for eight weeks, and patients were evaluated periodically for up to one year.

Results showed that one year later, both groups experienced improvements in disability and there was no difference in pain intensity between the two interventions. Therefore, this highlights how core-strengthening exercises and manual therapy are effective for patients with chronic low back pain in the long term.

If you’re dealing with chronic low back pain, we can help. Contact Bacci & Glinn Physical Therapy at 559-733-2478 (Visalia) or 559-582-1027 (Hanford) for more information or to schedule an appointment today.

Physical Therapy for Pinched Nerves in Visalia & Hanford

Physical Therapy Leads To Significant Benefits For Radiating Neck Pain

The spine contains nerves that send messages to and from the brain and all other parts of the body. For this reason, any time one of these nerves is affected, it can lead to problems not only in the spine, but in other body parts as well. One condition that involves spinal nerves is called cervical radiculopathy, in which pain and other symptoms radiate out from the neck to other areas of the body.

A Brief Anatomy Review

The spine is made up of 24 bones called vertebrae that are stacked on top of one another. Together, these bones connect to create a canal that protects the spinal cord from damage. The uppermost portion of the spine that begins at the base of the skull is called the cervical spine. It contains nerves that carry messages between the brain and muscles in the shoulders, arms, and hands. This is achieved through nerve roots that travel through the spinal canal and branch out through openings in the vertebrae called foramen.

Pinched Nerves Cause Radiating Pain

Cervical radiculopathy, which is also referred to as a pinched nerve, occurs any time one of the nerve roots in the neck is compressed or pinched when it branches away from the spinal cord. This is caused by any condition that injures or irritates nerves in the cervical region, including a herniated disc, spinal stenosis, or degenerative disc disease. In most cases, patients with cervical radiculopathy experience a burning pain that starts in the neck and travels down the arm. This pain can get worse from turning or straining the neck. Other symptoms include tingling, as well as weakness or loss of sensation in the shoulders, arms, or hands.

Some patients with cervical radiculopathy will get better on their own over time, while others will continue to be affected by symptoms for extended periods. For patients that fail to improve, conservative treatments—particularly physical therapy—are typically recommended as the first step. A standard physical therapy program for cervical radiculopathy will include a variety of stretching and strengthening exercises, as well as a manual therapy component. Manual therapy involves numerous hands-on mobilization and manipulation techniques that are intended to alleviate pain and improve mobility and function.

Big study conducted to better define effects of physical therapy

To assess the effectiveness of this intervention, a high-quality type of study called a randomized-controlled trial was conducted on patients who had cervical radiculopathy for at least three months, which was defined as neck pain that radiated to only one upper extremity with ≥1 level of root involvement. A total of 28 patients who fit the necessary criteria were randomly assigned to either the experimental group or the comparison group.

All patients participated in a verbal education session about pain and a unique program designed by a physical therapist that took place during 6 treatment sessions over 3–5 weeks. Patients in both groups also completed strengthening exercises that targeted the deep flexor muscles of the neck, but the manual therapy component of these programs differed. Patients in the experimental group were treated with a cervical mobilization technique in which the physical therapist applied pressure to various painful areas of the spine for several minutes at a time. For patients in the comparison group, the therapist only applied a minimal amount of pressure to one location of the spine and did not perform the actual cervical mobilization technique used in the experimental group.

Patients with Pinched Nerves in the Neck Did Better

Results showed that patients in the experimental group experienced greater improvements than the comparison group in pain intensity, neck function, and neck range of motion, as well as local pressure hypersensitivity, which means they were less sensitive to stimuli. Based on these findings, it appears that a manual therapy technique frequently used by physical therapists can lead to short-term benefits for this patient population. When combined with the other interventions typically featured in a physical therapy treatment program, the gains are likely even greater for patients.

Contact Us Today for Help with a Pinched Nerve in the Neck

Therefore, if you’re currently bothered by radiating neck pain, it may be time to see a physical therapist, and we can help.

Contact Bacci & Glinn Physical Therapy at 559-733-2478 (Visalia) or 559-582-1027 (Hanford) to learn more or schedule an appointment today.

PT for Breast Cancer Patients

Physical Therapist-Led Exercise Boosts Function
And Improves Quality Of Life In Breast Cancer Patients

Breast cancer is the second most common type of cancer in women, as about 1 in 8 women will be diagnosed with it at some point in their lives. Each year, about 240,000 new cases of breast cancer are detected, and about 40,000 women lose their lives to the disease. Over the past 10 years, the number of women diagnosed with breast cancer has remained stable, while the associated death rate has declined slightly. Still, breast cancer remains a major health concern for women today.

Many women diagnosed with breast cancer will undergo a surgical procedure at some point, such as a breast biopsy, lymph node biopsy or removal, lumpectomy, mastectomy, or breast reconstruction. Frequently, this is in addition to other common cancer interventions like radiation and/or chemotherapy. After completing these treatments, a sizable percentage of women go to experience various side effects, such as pain and stiffness in the chest, shoulder, and back muscles, or nerve irritation that can cause numbness, pain, and tingling.

Each patient’s recovery differs depending on the severity of the cancer and what treatments were used, but side effects often reduce flexibility and range of motion, which can prevent women from returning to their normal daily activities. In addition, many women that undergo various treatments and hospitalizations become deconditioned due to lack of physical activity, which can have further repercussions on their health.

Lack of research prompts new study on exercise for breast cancer patients

Therefore, general exercise and physical therapy are strongly recommended for women recovering from breast cancer treatment. A carefully designed physical therapy program will focus on improving qualities like strength, range of motion, and endurance to allow these women to reestablish their previous level of activity; however, research is lacking on structured exercise for breast cancer patients and if there are any safety concerns in high-risk patients. In response, a robust type of study called a randomized-controlled trial was conducted to evaluate the effectiveness of a physical therapist led exercise program for women at high risk for disability after breast cancer treatment.

For the study, 392 women newly diagnosed with breast cancer who were scheduled to have surgery and considered to be at high risk for upper limb disability served as the primary study group. These women were randomly and evenly assigned to either exercise plus usual care or usual care alone. Women in the usual care alone group received information leaflets recommending exercise and general advice for after surgery, and no further interventions were performed. Women in the exercise plus usual care group underwent a structured exercise program supervised by a physical therapist. The program consisted of various upper extremity exercises targeting the shoulder and was intended to restore range of motion of the shoulder, improve strength, and increase physical activity levels. All patients were assessed before and after completing these programs with various outcome measures.

Patients in the Exercise Group had a Better Outcome

Twelve months later, patients who underwent the exercise program reported significantly better scores on a questionnaire that measured disability of the shoulder, arm, and hand. These patients also reported less pain intensity and fewer activity limitations, participation restrictions, and impairments than the usual care alone group, and the intervention did not lead to any increase in complications or lymphedema symptoms. Finally, the exercise program, which only cost an average of $178 per patient, was found to be significantly more cost effective than usual care.

Call Us to Schedule Your Appointment

This study shows that physical therapy can lead to improved upper limb function, postoperative pain, arm symptoms, and physical quality of life at 12 months compared with usual care alone in women at high risk of upper limb disability after breast cancer treatment. So if you’re affected by breast cancer and scheduled to have surgery, we strongly encourage you to reach out to us to get set up for your postoperative program.

Contact Bacci & Glinn Physical Therapy at 559-733-2478 (Visalia) or 559-582-1027 (Hanford) to learn more or schedule an appointment today.

HILT and LLLT for Tennis Elbow

Two Types of Laser Therapy Effective For Common Elbow Condition

Lateral epicondylitis is an overuse injury that involves the lateral epicondyle, which is the bony bump on the outside of the elbow. As an overuse injury, it results from repetitive strain and eventual weakening of the muscles in the elbow, which eventually leads to microscopic tears in the tendon that attaches the lateral epicondyle. Individuals with jobs that include lots of gripping or extending the wrist—like plumbers, painters, and contractors—as well as athletes who play tennis and other racquet sports have an increased risk for developing lateral epicondylitis due to the movements used in these professions and sports. For this reason, it is often referred to as tennis elbow.

Various Treatments are Available for Tennis Elbow

Some of the most common treatments for tennis elbow include:

  • Pain-relieving
  • Medications,
  • Injections,
  • Orthotics, Taping,
  • Exercise and
  • Manual therapy.

A Newer Treatment, Deep Tissue Laser Therapy, is Promising

Laser therapy is a noninvasive intervention that’s emerging as another treatment option for various musculoskeletal conditions, including tennis elbow. A laser—an acronym for light amplification by stimulated emission of radiation—is a device that emits light through a process called optical amplification. These lasers are created artificially, and they produce a monochromatic (one color) light of a single wavelength in a very tight, narrow beam.

Low-level laser therapy (LLLT) makes use of these beams of light with the intention of reducing injury-related pain. LLLT utilizes a red infrared light and directs it to areas that are damaged from injury. When this laser targets a painful region of the body, particular changes take place within the cells in a process called photobiomodulation that alleviates pain. High-intensity laser therapy (HILT) utilizes the same principles as LLLT, but with a higher-powered laser, which can penetrate deeper in the body through bone, soft tissue, and muscle. As a result, HILT can stimulate joints at a deeper level and treat a wider area than LLLT, which could potentially be more effective for speeding up the healing process and reducing pain levels.

Both types of laser therapy lead to short-term improvements

Both LLLT and HILT were evaluated in a recent study on patients with tennis elbow. For the study, a sample of 60 patients diagnosed with tennis elbow were randomly assigned to receive laser therapy with either HILT or LLLT. HILT was applied to the painful area of the lateral epicondyle in two phases over three weeks, with the first three sessions (phase I) intended to provide pain-relieving effects and the following six sessions (phase II) intended to provide biostimulatory effects. LLLT was administered to the most painful areas of the elbow with three sessions per week over three weeks. All patients were also instructed to wear strapped bandages, which applied moderate pressure to the forearm muscles through gel pads for additional pain relief.

All patients were evaluated before and after the three-week laser therapy programs for various outcome measures, including hand grip strength, pain levels, quality of life, and physical function. After completing treatment, patients’ scores in both groups improved significantly in all outcome measures assessed.

Better Results for High Intensity Laser Treatment

When results were compared, it was found that the HILT group reported greater improvements in handgrip strength, upper limb function, and quality of life, but the differences were not considered statistically significant. These findings suggest that both LLLT and HILT may be effective for tennis elbow in the short term, with HILT providing slightly greater overall benefits; however, additional research is needed to confirm these results with larger sample sizes and longer follow-ups.

If you’re dealing with tennis elbow or any other painful musculoskeletal condition, you may be a candidate for laser therapy, which we offer at Bacci & Glinn Physical Therapy as a supplemental intervention to a comprehensive physical therapy program.

Contact us at 559-733-2478 (Visalia) or 559-582-1027 (Hanford) to learn more or schedule an appointment today.

Best Lower Back Pain Treatment in Visalia – It’s Prevention and It May Extend Your Life

Preventing lower back pain my extend your life.  But, if you are experiencing lumbar pain, and are looking for the best back pain treatment in Visalia, we can help.

More on Prevention and Longevity

Low back pain is incredibly common. About one-half of all working Americans will experience symptoms at least once every year, and roughly 31 million are affected by it at any given point in time.

So if you consider yourself part of this group, you have plenty of company.

Dealing with low back pain can be troublesome and place a strain on everyday life. Typical movements like bending over to pick something off the ground or twisting your torso when looking to the side might suddenly give you pause and make you less mobile in the process. This is one of the main reasons low back pain is also one of the leading causes for missed work due to disability.

Anyone Can Experience Lower Back Pain

Low back pain is most prevalent in individuals between the ages of 30-60, which is mainly due to the aging process. Anyone can get low back pain and it can develop for a variety of reasons, but there are certain factors that are believed to increase one’s chances. These risk factors include older age, poor physical fitness, a sedentary lifestyle, being overweight, diseases like arthritis and cancer, occupations that strain the back, smoking, depression, and anxiety.

Fortunately, most cases of low back pain will resolve on their own in a short period of time, but up to 10% of individuals will go on to develop chronic low back pain when it lasts for more than three months. When the condition becomes chronic, it can have an even more significant impact on quality of life, and it also becomes more difficult to treat.

According to Scientists, Here’s Why You Want to Avoid Chronic Back Pain

According to a recent review, having chronic back pain may reduce one’s life expectancy as well.

For the review, researchers performed a systematic search for published studies that evaluated the impact of low back pain on the risk for death (mortality) in patients. This search led to 11 studies being included in the review, which included data on more than 80,000 patients who were monitored for 5–23 years. Results showed that mild back pain did not have any long-term associations with mortality and is therefore unlikely to impact the length of one’s life. However, patients with chronic back were found to have a modestly higher mortality risk compared to those who didn’t have back pain.

Address Lower Back Pain Quickly with One of the Best Lower Back Pain Treatment Options in Visalia or Hanford

 

These findings suggest that over time, chronic low back pain may reduce one’s life expectancy through various mechanisms, such as greater disability, reduced quality of life, and physical inactivity. Therefore, it stands to reason that addressing low back pain early and preventing it from progressing to the chronic stage may improve an individual’s quality of life and extend their lifespan.

One of the safest and most effective ways to alleviate low back pain is through a course of physical therapy, which is based on personalized treatment programs that teach patients various exercises and movement-based techniques that reduce pain and increase function.

Don’t Let Pain Get In Your Way – We Can Help

To learn more about what we can do for your low back pain, contact Bacci & Glinn Physical Therapy today:

559-733-2478 (Visalia)

559-582-1027 (Hanford) 

Benefits of PT Over Other Interventions for Pain

Seeing a physical therapist first will save you time and money while helping you avoid unnecessary tests and interventions

Every October, physical therapists around the country come together to celebrate National Physical Therapy Month. The purpose of this annual campaign is to highlight the many ways that physical therapy can benefit individuals of all ages and ability levels with an individualized approach to treatment. In honor of these efforts, we’d like to discuss a few of the key reasons why seeing a physical therapist first for any sort of pain is always the best treatment decision that you can make.

For anyone that encounters pain or gets injured, relief often becomes the number one priority. There are many treatment options available to address painful issues, and it may be difficult to determine which approach is best for you. But regardless of your condition or its severity, one universal truth applies: trying physical therapy first is a smart move that will usually help you avoid other unnecessary tests and treatments down the road.

Physical therapy is not a magical cure-all that will immediately fix any physical problem, but it does have an incredibly wide range of applications and is appropriate for the vast majority of painful conditions. Every physical therapy treatment program is individually tailored with each patient’s abilities and goals in mind, and by carefully guiding them with exercises and movement-based techniques, significant improvements can usually during treatment and upon discharge.

Physical therapy vs. surgery, injections, and opioids

Other commonly used treatment options for pain include surgery, injections, and prescription medications like opioids, but research continuously shows that physical therapy is a superior option that will save patients money and time while leading to similar—if not superior—outcomes.

For example, one study showed that physical therapy was just as effective as surgery in the midterm and long term for reducing pain and improving function and flexibility in patients with various tendon disorders. Similarly, another study found only minimal differences after five years between patients treated surgically compared to those who had physical therapy for ACL tears. Surgery has great value that can often lead to positive outcomes, and it may be necessary in certain situations, but it does come with some potential downsides as well. These include high costs, long recovery times, and risks associated with the procedure. Physical therapy, on the other hand, is universally regarded as an affordable, safe intervention with minimal to no associated risks.

Physical therapy can also help patients avoid taking prescription drugs like opioids, which are a significant problem in the country today due to alarmingly high rates of addiction, overdose, and death. One study of 454 patients with low back pain found that those who participated in physical therapy had a lower chance of being prescribed opioids in the following year, while another found that those who saw a physical therapist early were 33% less likely to use narcotic analgesics like opioids and 50% less likely to receive non-surgical invasive procedures than patients who did not.

Do Not Wait if You Have Pain – It’s Likely to Cost You Money

The earlier a patient sees a physical therapist, the more likely they will be to experience positive outcomes with lower overall healthcare costs. This is exemplified in other research, in which 308 patients with neck pain were divided into different groups depending on when they consulted a physical therapist: early (within 14 days), delayed (15-90 days), or late (91-364 days). Results showed that early physical therapy was associated with an average savings of $2,172 on healthcare costs over one year compared to late physical therapy, as well as a lower risk for patients being prescribed opioids, having a spinal injection, or undergoing an imaging test.

Physical therapy in hospitals associated with higher costs

Avoiding the hospital for elective reasons like surgery will further lower costs for patients, as receiving physical therapy in a hospital is typically lower than when it is received at a clinic or office. One study compared these costs, and results showed that the average prices were 41% higher for therapeutic exercises and 64% higher for manual (hands-on) therapy in a hospital than a community setting. A 15-minute session of manual therapy, for example, was an average of $58 in a hospital versus $35 in a clinic.

On top of all of this, you can see a physical therapist much sooner than your primary care doctor and many other healthcare professionals. While it could take several days, weeks, or longer to get an appointment with many healthcare professionals, many physical therapy practices can schedule in as soon as the next day. This yields further dividends, since the sooner you see a physical therapist, the better your outcome will be.

With this in mind, if you’re currently dealing with a painful condition of any sort, we strongly recommend seeing us before consulting with your primary care doctor. We can quickly identify the source of your problem and get you started on a tailor-made treatment program right away that factors in your needs, abilities, goals, and preferences.

Contact Us at (559) 733-2478 for more information.

Chronic Pain Treatment Visalia – Is Surgery a Good Idea?

Chronic Pain Treatment Visalia – Evidence to support surgery for chronic pain conditions is severely lacking

October is National Physical Therapy Month, an annual campaign intended to increase awareness of the countless and wide-reaching benefits of physical therapy. Among these is the fact that physical therapy is one of the best treatment options available for chronic pain, an extremely common issue in healthcare today. In honor of the month, we’d like to discuss why physical therapy is usually the most effective option for chronic pain treatment here in Visalia or Hanford, and why interventions like surgery fail to completely address all components of these complex issues.

But to understand why physical therapy is appropriate for chronic pain, we must first explain what it is and how it differs from acute pain.

Acute vs. Chronic Pain

Acute pain is fairly straightforward: it’s the type of pain we experience after an injury like a broken wrist, which is a normal sensation triggered in the nervous system to alert you that something is wrong with the body and it needs to be addressed. Chronic pain is much different: the pain signals that are sent out by the nervous system continue to fire and tell the body that something is wrong for weeks, months, or even years. It’s believed that this is due to the body incorrectly sensing pain due for reasons related to one’s psychological state and long-term perception of pain. While an injury or damage to the body may be responsible for the original pain message, for some patients there is no clear reason the body acts in this way, which often makes the condition even more difficult to treat.

One in Three Americans Suffer with Chronic Pain Include Those in Visalia and Hanford

Nearly 100 million Americans have chronic pain to some extent, which is more than the number of people with diabetes, heart disease, and cancer combined. We know this because a. we see this search – chronic pain treatment Visalia on our web analytics and we also care for patients with chronic pain. Chronic pain comes in many forms, and has been described as a throbbing, shooting, aching, burning, or freezing pain. There is also a wide array of conditions that can cause chronic pain, including headaches, low back pain, cancer pain, and arthritis pain.

Physical therapists are movement experts that understand the importance of managing chronic pain with a multifaceted approach that considers each patient’s psychological wellbeing as well as their physical state. Other interventions, like surgery, only focus on addressing the physical aspects of the patient’s condition. As a result, even if the anatomical damage believed to be responsible for the painful symptoms is corrected, it does not necessarily guarantee that the patient will experience relief from their chronic pain.

This uncertainty is one of the many reasons surgery is not typically recommended for chronic pain conditions. Others include the high costs of surgical procedures, the extensive recovery usually required afterwards, and the associated risks involved in performing any type of surgery. Nonetheless, chronic pain is among the most common indications for surgery, particularly for prevalent conditions like arthritis and back pain.

Widespread Use of Surgery without Supportive Evidence?

Despite the frequency by which surgery is used to treat chronic pain, it’s been questioned whether there is sufficient evidence to support this type approach. To explore this question, a study was conducted that collected and reviewed the number of high-quality trials—called randomized-controlled trials—in which common surgical procedures for chronic pain were compared to not performing the procedure. The study also measured the number of randomized-controlled trials (RCTs) that were supportive of surgery and the proportion that used patient blinding, which is an important component of any robust individual study.

This search identified a total of 6,734 RCTs, but only 64 of these (less than 1%) compared a surgical procedure to not performing the procedure. Furthermore, only 9 (14%) of these 64 RCTs were favorable to surgery, and when considering individual procedures, the majority of studies did not favor surgery. Lastly, 12 (19%) of the included RCTs used patient blinding, which is a rather low proportion.

Based on these findings, researchers concluded that there have been very few studies comparing common surgical procedures for chronic pain to not performing the procedure, and most of the studies that did evaluate these procedures were not in favor of surgery. This highlights an imperative need for more high-quality research that assesses the effectiveness of surgery for chronic pain to support the use of this practice.

In the meantime, physical therapy remains a much safer and less expensive option for chronic pain that factors in the intricate nature of these conditions and addresses them with a multifaceted treatment approach.

Contact us to learn more about physical therapy for chronic pain treatment in Visalia or Hanford, or to schedule an appointment.

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