Dubuque Physical Therapy | Sports & Orthopedic PT

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Pickleball – Dubuque is serving it up

If you haven’t heard of pickleball, you might be behind the times. According to the Sports & Fitness Industry Association, pickleball was the fastest-growing sport in the United States from 2019 to 2021 with an estimated 5 million people playing it. Pickleball offers a great workout, great community and great fun. Read on to find out more about this sport and how to get involved with it in the Dubuque Area.

This year, I have had the opportunity to work with a few pickleball players in physical therapy. Prior to working with them I knew a little about the game, had played it a few times myself and knew that it was growing in popularity, especially in the older adult population. What I didn’t know is that there is a Pickleball Club in Dubuque that gets together a few times every week to play. I had the opportunity to work with one of those players in physical therapy, and she invited me to one of their get togethers to educate the group on the importance of a warm up and cool down. I even got to practice those things with the members.

Let’s back it up. How about we start with a little background on what pickleball is.

Pickleball is like small scale tennis, or maybe like giant ping pong. Either way, it is fun, fast paced and great exercise. You can play singles or doubles pickleball, with each player holding a paddle and using a ball similar to a wiffleball. The rules follow closely to those of badminton.

Pickleball is beneficial to your health in many ways:

  • challenges your cardiovascular system – you will probably be breathing heavy after a good pickleball match!
  • requires flexibility in your spine and hips – that is why it is always a good idea to perform a good warm up and cool down.
  • works on your reflexes – because the pickleball court is small, it requires a quick reaction time to reach the ball before it hits the court.
  • it is a social game – being social and exercising are both so good for your mental health!

Like any other sport, if you don’t have the appropriate fitness level as your baseline, you are more likely to end up with an injury. Use a good, dynamic warm up (like the one I taught the Dubuque Pickleball Club) including marches, leg swings, spinal rotations, etc. to help reduce injuries. It is also to ease into it, playing for 30 minutes or less the first time and then gradually increasing the amount of time you play. To be a successful pickleball player, you’ll need good balance, spine and hip rotation, good leg strength and fast reflexes. All of those things are things a physical therapist can help you improve!

So where can I play??

In nice weather, Dubuque has a few outdoor pickleball courts. There are courts at Veterans Memorial Park near Wahlert High School and at Flora Park. In the winter, the options are a little more limited. The Peosta Community Center has courts that can be reserved 1 week in advance for non members and 2 weeks in advance for members. There is a daily fee for non members. Find out more on their website: https://www.cityofpeosta.org/community-centre/wellness-amenities. 

So, don’t snooze on pickle ball! Whether it’s outside during nice weather or indoors this winter, pickle ball is a great sport for people of all ages to help maintain your fitness and stay active!

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Don’t Keep Injury Secrets!

(used with permission from the APTA Private Practice Section)

You might be wondering who would keep an injury secret. The answer is – lots of people! The first thing that comes to your mind might be an athlete, like a football player, or maybe a baseball pitcher. But athletes aren’t the only ones that keep injury secrets. Performers like dancers keep injury secrets, and so do workers in all types of jobs. Why would anyone want to keep their injury secret instead of getting it treated and letting it heal? Read on…

Stigma

Don't Keep Injury Secrets!

Although there have been big improvements in the culture around sports, performing arts, and worker’s comp, some people still have the old “no pain, no gain” attitude. To some people, reporting an injury is an

 act of weakness, or a way of letting the team down. There can also be external pressure from coaches, parents, teammates, supervisors, or fans to keep playing or working.

Fear of Loss

With the focus on head injuries in recent years, athletes that get hit in the head know if they report concussion symptoms, they’re coming out of the game. Workers who get hurt on the job fear loss of pay, or loss of their job. Performers who get hurt might fear that their replacement will outshine them on the stage and take their place.

Competitive Advantage

While the first two reasons can apply to athletes, performers, workers and most any other group that might be hiding an injury, this one is limited to athletes. If an opposing team knows a player is injured, and what the injury is, they might be able to take advantage of it. For example, if a football team has a running quarterback that has an ankle injury, it will change how the opposing defense plays.

Competitive Advantage

These reasons all make some sense, but they’re also all shortsighted. Finishing a game, dancing tomorrow night, or working one more shift are never worth your long term health. Hiding a minor injury can turn it into a major one. It’s never weak to report an injury and you’re not letting your teammates, or coworkers down. If you’re not up to your best, you owe it to the people counting on you to let them know. Letting a healthy player, performer, or worker take your place is the right thing to do. If you’re injured, don’t hide it! Let the right people know, then go to the right person for help – your physical therapist!

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PT For Your Pelvis?

(used with permission from the APTA Private Practice Section)

Nobody is going to be surprised to hear that Physical Therapists work with muscles. But we bet a lot of people would be surprised to learn that the muscles inside your pelvis are included. While the pelvic muscles don’t get as much attention as the biceps or hamstrings, they can still cause problems that need treatment. Here are a few examples:

Urinary Incontinence

PT For Your Pelvis?

Urinary incontinence is the involuntary leakage of urine. More than 13 million people in the United States have this issue. There are different types of incontinence, but the most common are stress and urge incontinence.

  • Stress incontinence is when leakage happens during coughing, sneezing, or laughing.
  • Urge incontinence is a result of the bladder being overactive or unstable. People with urge incontinence often often have triggers that cause the involuntary loss of urine, such as hearing running water.

Pelvic Pain

This is defined as any pain that occurs either internally or externally in the pelvic or genital area. Both men and women can be affected, but it’s more common in women.

What’s the Cause?

Most incontinence is caused by issues with the pelvic muscles – either weakness or tightness. There can be other contributing factors like spasms that cause bladder contractions, or conditions like anxiety may increase the urge to empty the bladder.

PT For Your Pelvis?

Pelvic pain is also usually attributed to either tightness or weakness of the muscles of the pelvic floor. The pelvis is made up of three bones, forming three joints where they meet. These joints need to be stabilized by an outside force. The job of the muscles and ligaments in and around the pelvis is to  provide that stabilizing force. If the muscles are too tight, the joints will have an excessive amount of compression on them. Too loose, and the joints of the pelvis can experience shear forces. Both conditions result in pelvic pain.

What can PT do?

Because incontinence and pelvic pain are usually musculoskeletal conditions, physical therapy can offer a lot of effective treatments. Some examples include:

Exercise – strengthening or stretching of the pelvic muscles or the core can help correct imbalances, improve pelvic stability and reduce pain.

Biofeedback – This involves using sensors placed on the body while doing exercise to help the patient identify which muscle groups are working and bring awareness to areas of tightness or weakness.

Education – For incontinence,  learning how the bladder normally functions can help you to understand changes that can be made to improve symptoms. Learning about posture and how to improve alignment of the pelvis and the trunk can help to reduce pain and improve tolerance for positions like sitting and standing.

PT For Your Pelvis?

Manual Therapy – joint mobilizations, trigger point release, soft tissue massage, myofascial release, and other techniques can help improve mobility of the pelvic joints, decrease tone in spastic muscles, and reduce pain.

If you’re experiencing pelvic problems, a specially trained physical therapist can complete a comprehensive evaluation, help determine the cause, and design a customized treatment plan to help.

References:

  1. Research (peer-reviewed)
    1. Geriatric incontinence – https://pubmed.ncbi.nlm.nih.gov/34519024/
    2. Assess Pelvic Floor Guide – https://pubmed.ncbi.nlm.nih.gov/34807882/
    3. Pediatric pelvic floor – https://pubmed.ncbi.nlm.nih.gov/10458431/
    4. Using PTs for Pelvic floor – https://pubmed.ncbi.nlm.nih.gov/35353916/
    5. Urinary Incontinence prevalence – https://pubmed.ncbi.nlm.nih.gov/35173077/
    6. Physical Therapy Treatment of Pelvic pain – Physical Therapy Treatment of Pelvic Pain – PubMed (nih.gov)
  2. Articles and Content
    1. Pelvic floor muscles and training – https://pubmed.ncbi.nlm.nih.gov/35036386/
    2. Exercise in pregnancy (helping incontinence – one of the symptoms – https://pubmed.ncbi.nlm.nih.gov/34478617/