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Plantar Fasciitis

The plantar fascia, or aponeurosis, is a thick connective tissue that begins at the bottom surface of the heel and extends towards the toes. This fascia supports the arch of the foot and can be irritated and very painful with weight bearing.

Plantar fasciitis is a common cause of foot pain in adults. Pain is typically worse in the morning, especially with the first few steps when getting out of bed. Some causes of this pain can be an increase in activity, wearing a new pair of shoes, or weight gain.

Physical therapists can diagnose and treat this condition using a variety of techniques including ultrasound, iontophoresis, kinesiotape, manual therapy, exercise, and stretching.

The team at Premiere would love to help you with your foot pain!


Blood Flow Restriction

Blood Flow Restriction (BFR) is a great tool for increasing muscle strength and size. This machine implements a tourniquet that restricts 80% of the blood flow to the leg, or 50% of blood flow to the arm. While wearing this tourniquet for a few minutes, a low-load exercise is performed to stress the muscles without stressing the joints under heavy weights. Performing exercises with restricted blood flow allows for muscle protein synthesis (muscles' ability to grow) as well as a release of human growth hormone.

BFR can specifically help with a faster recovery after a leg surgery. After an injury or not weight bearing through the leg, the muscles quickly atrophy. Some gentle leg exercises can be performed directly after surgery to increase the strength of the leg, especially the quadriceps muscles, without causing pain or damage to the surgical site.  

BFR training is not limited to after surgery. Come in for a visit to determine if your physical pain can be alleviated by strength training with our blood flow restriction machine!


Tendinitis

Tendons are the attachments of muscles to bones, and the suffix "itis" means inflammation. Inflammation of the tendons is a common injury that can occur, usually with a new activity or increase of activity.

You may have heard your tendinitis called "Golfer's Elbow," "Tennis Elbow," or "Runner's Knee." The approach to treating this has several facets. You may need to rest from your aggravating motion or activity to let this area heal, as well as use anti-inflammatory treatments. Your doctor may suggest a steroid injection to directly affect the swelling. Keeping the joint and surrounding muscles stretched is helpful, as well as strengthening your muscles.

Physical Therapy treatments can help decrease your pain and get you back into the activity that you love!


Direct Access

Did you know that Arkansas is a "Direct Access State"?? This means that you can have a Physical Therapy evaluation without first having a doctor's evaluation or prescription. While some conditions do need medical attention, for minor injuries, you can save time and money by checking in with your local Physical Therapist first.

While direct access is acknowledged in every state now, your insurance may still require a doctor's prescription in order to reimburse your PT visits. Feel free to call our clinic, and we can help you understand your provider's policies so that you know how to proceed. We look forward to meeting you!


Dry Needling

Dry needling is a technique to treat pain or movement impairments by inserting thin needles into your muscle trigger points. Trigger points are knotted areas in your muscle that are highly sensitive and painful when touched. Dry needling is used to stimulate the tissue- no medicine is injected. The aim of dry needling is to achieve a twitch response in order to release tension or pain. The needle used is very thin, and most patients do not even feel it enter into the skin.

When you come for your appointment, your therapist will spend time evaluating your pain to determine the best treatment plan. During treatment, you may experience different sensations such as muscle soreness, aching and twitching- that is a good sign! Electrical stimulation can also be used to enhance results. The most common result is relaxation of the muscle and decrease in pain and dysfunction.

A few problems that can be treated are: hamstring tightness, calf tightness or spasms, glute pain, tendinitis, neck or back pain, shoulder pain, headaches, and jaw pain.

Come in for a visit to see if your pain can be alleviated by trying dry needling!


TMD

Temporomandibular joint disorder (TMD) is a common condition that can cause pain and limits normal functions like opening the mouth and chewing. TMD can be caused by: bad postural habits, chronic jaw clenching, problems with teeth alignment, "lockjaw", displacement, arthritis, and other things.

You may experience headaches, feel pain when chewing certain foods, have difficulty fully opening your mouth, or hear popping sounds in your jaw.

Many people do not know that physical therapists are able to examine and treat for many of these symptoms related to TMD. Your PT will evaluate your posture and observe how your cervical spine moves, as well as if there are any abnormalities in your jaw motion. If your PT determines there is a dysfunction in any of these areas, there are many treatment methods that may be used. Treatments may include: posture education, improving jaw movement, special pain treatments (ultrasound, iontophoresis, electrical stimulation, dry needling, etc.),  or if your problem is an alignment issue, you will be referred to a dentist who specializes in TMD.

General tips in preventing TMD problems:

  • Place any work you are focusing on directly in front of you and not off to the side.
  • Avoid repetitive chewing, such as chewing gum.
  • Avoid smoking.
  • Avoid eating hard or chewy foods.
  • Avoid sleeping on your stomach, which forces the neck to rotate to one direction.

Come in for a visit to see if your pain can be alleviated by trying dry needling!

 

What People Are Saying

"Thank you so much for getting me to a place where my knee surgeon is saying I am making him look good. The truth is that I am making you look great because you are a GREAT therapist. Thanks Premiere!!."


"We send the majority of our physical therapy patients to Premiere for physical therapy. All of our patients love Steven and the staff! We are very happy with the care our patients receive. - Dr. DW."


"Over the years I have had physical therapy at three different clinics. My experience at Premiere was the best of the three experiences. The results have been great and the time at your clinic was enjoyable. Thank you for your sincere concern and medical skills. - Mike C"