Dubuque Physical Therapy | Sports & Orthopedic PT

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5 Signs You’re One Workout Away from an Injury (And How to Prevent It)

5 Signs You’re One Workout Away from an Injury (And How to Prevent It)

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At Dubuque Physical Therapy we see many patients who come in with injuries that could have been avoided if they had just listened to their bodies 24 hours earlier. Your body is actually pretty chatty, you just have to know the language it’s speaking.

Here are the 5 red flags that you are on the brink of an injury, and exactly what you should do instead.

1. The “Nagging” localized Pain

We all know the feeling of “good” muscle soreness (DOMS) that feels like a dull ache across a whole muscle group. But if you have a sharp, stabbing, or localized pain in a specific joint or tendon that doesn’t go away after your warm-up, that’s a major red flag.

      • The Fix: Stop the specific movement that triggers it. Switch to a low-impact activity or focus on a different body part for 48 hours.

2. Your Form is Breaking Down

If you’re on your third set and you find yourself “cheating”—using momentum, arching your back, or swinging your arms—to finish a rep, you are in the danger zone. When your primary muscles fatigue, your body recruits smaller “helper” muscles that aren’t designed for that load.

      • The Fix: Check your ego at the door. Drop the weight or reduce the reps. Quality will always beat quantity when it comes to long-term gains.

3. You’re Feeling “Heavy” or Lethargic

Sometimes the sign isn’t a physical pain, but a systemic one. If your usual weights feel twice as heavy as they did last week, or if your resting heart rate is higher than normal, you might be experiencing Overtraining Syndrome.

      • The Fix: Take a “Deload Week.” Reduce your intensity by 30-50% or take two full days off. Your muscles actually grow while you rest, not while you work!

4. Reduced Range of Motion

Are you feeling unusually stiff? If you can’t reach the same depth in your squat or your shoulders feel “tight” and restricted during an overhead press, your tissues are likely inflamed or overworked. Forcing a joint through a range it isn’t ready for is a recipe for a tear.

      • The Fix: Spend 15 minutes on dynamic stretching and mobility work. If the tightness doesn’t release, make it a mobility-only day.

5. You’re Relying on Ibuprofen to Get Through

If you find yourself reaching for Ibuprofen before your workout just to “numb the ache” so you can perform, stop right there. Masking pain is like turning off a smoke alarm while the fire is still burning.

      • The Fix: Address the root cause. Pain is a signal, not an inconvenience to be silenced.

 

Don’t Wait for the “Pop”

 

Most injuries don’t happen out of thin air; they are the result of ignored whispers that eventually turned into a scream. If any of these signs sound familiar, your body is asking for professional help.

Let’s get you back to 100% before a small ache becomes a big problem. Whether it’s a quick screen or a full assessment, we are here to help you move better and stay in the game. and let’s keep you moving safely!

Moving Through Fibromyalgia
Moving Through Fibromyalgia With Physical Therapy

Nearly 5 million people in the United States have fibromyalgia. This chronic condition causes widespread pain, fatigue, and cognitive issues. It can be difficult to manage and can severely impact quality of life. The best treatment plans combine exercise, modalities and education. Physical therapists are experts in all three, so they’re the perfect practitioner to help!

Exercise 

Currently, recommendations for the management of fibromyalgia include patient education and non-pharmacological interventions. The right exercise routine can help with pain, fatigue, sleep disturbances, depression, and more. A combination of strengthening, stretching and aerobic exercise is the most effective. You and your PT will work together to find the right type and intensity of exercise to best manage your symptoms.

Modalities

Moving Through Fibromyalgia With Physical Therapy

Exercise isn’t the only tool the PT has to help people with fibromyalgia though. Gentle manual therapy and massage have been shown to help reduce pain and muscle stiffness caused by fibromyalgia. Physical therapists also use modalities to reduce symptoms.

Examples include:
● electrical stimulation
● laser
● biofeedback
● dry needling in states where it is allowed

In addition to land-based exercise, some clinics also have the option of aquatic therapy. This combines the benefits of exercise with the warmth of a therapeutic pool.

Education

Education is another important component in treating fibromyalgia. A physical therapist spends more time with their patients than most other practitioners. They have the time to help you understand what’s going on, and what you can do about it. Research shows that people with more knowledge about their condition have better outcomes, more confidence, and cope better.

While there is no cure for fibromyalgia, physical therapists can help with pain management, strength, mobility, fatigue and function to help patients find relief from their symptoms.

Moving Through Fibromyalgia With Physical Therapy

References:

Research (peer-reviewed)
● Therex effectiveness – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5632473/
● PT for fibromyalgia – https://pubmed.ncbi.nlm.nih.gov/31140398/
● Exercises for fibro – https://pubmed.ncbi.nlm.nih.gov/29185675/
● Manual therapy for fibro – ​​https://pubmed.ncbi.nlm.nih.gov/32604939/
● Aquatic PT for fibro – https://pubmed.ncbi.nlm.nih.gov/23818412/
● Effectiveness of exercise with fatigue, etc for fibro – https://pubmed.ncbi.nlm.nih.gov/32721388/

Articles and Content
https://pubmed.ncbi.nlm.nih.gov/11028838/
https://pubmed.ncbi.nlm.nih.gov/36051912/
https://www.choosept.com/guide/physical-therapy-guide-fibromyalgia

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Have You Scheduled Your 2023 PT Exam?

(used with permission from the American Physical Therapy Association Private Practice Section)

Haven’t thought about having an annual PT exam? We’re biased, but we think you should. You see your optometrist and dentist regularly because your eyes and teeth are important. You get an annual physical from your family physician. You might even be getting ready to see your accountant to get your yearly taxes done.

But what about the rest of your body? Have you lost range of motion, or strength? How’s your balance and coordination? These all affect how you move. You might not notice small changes until you have problems like trouble lifting a heavy load, joint pain, or a sprained ankle from a stumble.

An annual PT exam can catch problems early, then correct them before they lead to something bigger.

What to Expect

An annual PT exam is quick and easy. Your annual visit may include:

  • A history of your injuries, as well as a health history
  • Assessment of your strength, balance, flexibility, etc.
  • A review of your movement goals (do you want to run a marathon? Get on and off the floor easily playing with your grandkids?)
  • A review and update of your exercise program

How Important Is Moving Well?

There is strong evidence suggesting that movement is a valuable predictor of future health and resilience against disease. Moving well can keep you healthier and help you live longer.

Here are some examples of the power of movement when it comes to predicting future health:

Gait Velocity

Gait velocity is how fast you walk. Studies have shown that if your typical walking speed is over 1 m/s or 3.3 ft/s, you’re likely able to complete typical daily activities independently. You’re also less likely to be hospitalized and less likely to have adverse events like falls.

Get On and Off the Floor

A series of studies suggest that if you can go from standing to sitting on the floor and back to standing without using your hands, you’re a lot less likely to die than someone who can’t. It’s called the sitting-rising test. You can find the instructions and examples with a quick internet search.

Notice that both gait velocity and the sitting-rising test aren’t specific to any one thing. The risk of hospitalization in the gait velocity studies was hospitalization for any reason. Death in the sitting-rising studies was death from anything. So science says that moving well is incredibly important to your overall health. It’s also important for your quality of life.

We think moving well is just as important as your teeth, eyes, and taxes. If you agree, get that annual PT exam scheduled!

References

Physical Therapists’ Role in Prevention, Wellness, Fitness, Health Promotion, and Management of Disease and Disability – https://www.apta.org/apta-and-you/leadership-and-governance/policies/pt-role-advocacy

Ability to sit and rise from the floor is closely correlated with all-cause mortality risk — ScienceDaily

Gait velocity as a single predictor of adverse events in healthy seniors aged 75 years and older – PubMed (nih.gov)