Fast Acting Pain Relief with Long Lasting Results

We are the experts in gentle pain and injury solutions. Our progressive techniques are sure to produce the results that you desire with your pain relief. As a patient, you will undergo a complete physical exam, one on one with a skilled therapist who will listen, understand, and be quick in determining your needs. Even if you have tried other treatments and therapies, we offer programs that are right for you, and are proven to be the MOST effective for people suffering from:
 

Shoulder & Hand/Wrist Pain
Headache
Hip & Knee Pain
Jaw Pain
Ankle & Foot Pain
Elbow Pain
Neck & Head Pain
Back Pain

 Benefits of Our Programs:

• Reduced pain
• Start seeing immediate results
• Learn how to avoid future problems
• Live life more enjoyably
• Return to a more active lifestyle
• Sleep better
• Increased flexibility & movement
• Improved core stability


Physical Therapy in Clermont, FL is not the same everywhere you go. Katie Hohman and the Hohman Rehab team are caring and compassionate yet  they are the best at what they do.  The programs being offered here by their licensed physical therapists range from neck and back pain relief to golf rehab program.  You’ll find some of the best physical therapists Clermont and Florida has to offer, and you’ll find services not being offered by other facilities such as fall prevention and Lymphedema programs designed to work! If you are looking to relieve pain or improve the quality of your life, we guarantee you find the best therapist FL has to offer. Some of the reasons this physical therapy facility is unlike any other lies in their caring staff, revolutionary pain relief procedures, and the 830laser. They truly are the experts in relieving pain and improving the quality of life of their patients. Call today and get a free screening to determine if we are the right place for you.
              
             
Hohman Rehab is now a proud member of the  Mesothelioma Community Resource Network.  For comprehensive mesothelioma information,  please visit the Mesothelioma Cancer  Alliance today. 


Sternocleidomastoid Syndrome

The sternocleidomastoid (SCM) muscle is one of the most complex muscles in the body.  Dysfunction of the SCM can produce pain in the neck, throat, headaches, numbness/tingling in the face, head or neck, disequilibrium and balance deficits as well as blurred vision, conjunctivitis  and eyelid drooping. 

                The SCM has two components the clavicular head and sternal head.  Both muscles originate from the superior nuchal line along the back of the skull.  The clavicular portion attaches to the posterior and lateral part of the clavicle and the sternal portion attaches below the sternal notch.  The SCM is a unique muscle because it works both bilaterally and unilaterally.  Unilaterally, the SCM causes side bending to the same side and turning the head to the opposite side.  Bilaterally it causes the head to bend forward at the lower cervical level, and the head to extend at the upper cervical level. 

Muscles can develop “trigger points”, which are very tight, rope-like bands of muscle that are sensitive to pressure.  The pain from these trigger points is usually reported as dull and aching, until pressed which can cause referred pain patterns extending away from the trigger point.  Trigger points in the clavicular division of the SCM can cause referred pain to the eye, the chest, the cheek and is important in the sense of equilibrium and balance.  Trigger points in the sternal portion of SCM can cause in the forehead, behind the ear and is frequently involved in chronic headaches. 

Physical therapy can be an effective tool to treat SCM syndrome.  The use of specific stretches designed to reduce muscle tension are easy ways to improve symptoms at home.  Trigger point release through ischemic compression techniques by a therapist can help improve trigger points and reduce muscle tension type headaches.  Exercise to improve posture can help reduce risk of overuse of the SCM.

It is important to see a physician for any new headache or dizziness symptoms as they can be related to a more severe condition.

“HIIT” Training…What is all the fuss about?

“HIIT” training, or High intensity interval training, is a recently popular technique to burn calories and get in top shape.  The work-outs use several very intense intervals of cardio followed by short rest periods for the body to recover.  The work-outs are typically between 5-30 minutes, which makes them convenient for even the busiest person. 

                Typically a HIIT session starts with a basic warm-up which could be anything from walking to cycling.  The workout consists of approximately 3-10 episodes of high intensity exercise interspersed with moderate intensity.  The activity varies from person to person, moderate activity could be walking or a light jog, and high intensity exercise could be jogging, walking an incline, stair climbing, or aerobics of some sort.  The primary goal is to raise the heart rate safely, and then allow it to lower during moderate intensity exercise. 

                Benefits include timeliness, aerobic exercise, increase in athletic performance, reduction in cardiovascular disease risks, and a reduction in fat.  There is also evidence suggesting HIIT decreases insulin resistance and improved glucose tolerance, important factors in reducing risk of diabetes.

My doctor says I have a tear In my Rotator Cuff… What Does That Mean?

The shoulder is comprised of three bones: the upper arm bone (humerus), the shoulder blade (scapula) and the collarbone (clavicle). The shoulder itself is a ball-and-socket joint, which includes the “ball,” or head of the upper arm bone that fits into a shallow socket in the shoulder blade. This ball-and-socket joint is surrounded by a group of muscles and tendons called the rotator cuff that works to keep the upper arm bone in place within the shoulder socket.  This group is comprised of four muscles: supraspinatus, infraspinatus, teres minor and subscapularis, which all come together as tendons to form a covering around the head of the humerus, attaching the upper arm to the shoulder blade and helps to lift and rotate the arm. Rotator cuff injuries occur due to injury or degeneration. Acute injury, including falling, heavy lifting or jerking motions can tear the rotator cuff. Most commonly, however, injury to the rotator cuff is a result of degeneration of the tendons that occurs slowly over time. Contributing factors to degeneration include, but are not limited to: repetitive stress, lack of blood supply and bone spurs.

When one or more of the rotator cuff tendons is torn, the tendon no longer fully attaches to the head of the humerus, causing limitations in strength and range of motion of the involved upper extremity. There can be a partial tear, in which there is damage to the soft tissues, but does not completely sever the muscle or tendon, or a full-thickness tear (complete tear), when the soft tissue splits into two pieces.

If you believe you may have a rotator cuff injury or your medical doctor has diagnosed you with this you may recognize some of the symptoms listed below:

Symptoms:  – Pain at rest and at night, particularly if lying on the affected shoulder

                        – Pain when lifting and lowering the arm or with specific movements

                        – Weakness when lifting or rotating the arm

                        – Crepitus or crackling sensation when moving the shoulder in certain positions

While your treatment will vary depending on the severity and extent of your injury there may be different options available to you.

Treatment:

Many patients respond well to non-surgical treatment to relieve their pain and improve the functioning of the involved shoulder. Non-surgical treatment options may include physical therapy, rest, activity modification, anti-inflammatory medication or steroid injection. However, if your pain has persisted longer than 6 months, there is an extensive tear present causing loss of function or you have a very active lifestyle your medical doctor may recommend surgical intervention to repair the damage to the rotator cuff tendons. Whether you receive conservative non-surgical treatment or surgery you will likely spend some time in physical therapy to restore range of motion, strength and function of the involved shoulder.

RC tear

 

The physical therapists at Hohman Rehab specialize in rotator cuff tears and repairs.  If you plan to have surgery, it is beneficial to receive physical therapy prior to your surgery to assure you are in optimal shape.  This will help to speed up the therapy process following your surgery.  Ask your doctor about pre-op rehab.  We treat patients with all insurances and self-pay programs in the Clermont 34711 area.

Safe exercise for Osteoporosis

Osteoporosis is a weakening of the bones due to a loss of calcium and minerals which can lead to fracture.  Osteoporosis is more common in women and can become severe and debilitating without treatment.  Osteoporosis can cause a forward flexed or “hunched” posture common in older adults. Exercise is a safe and effective tool that can improve posture, increase bone density and reduce risk of fractures. 

Benefits of exercise

Exercise can lead to improvement in posture, increase of muscle strength, reduction in pain, improved balance and improve confidence.

Safe forms of exercise

  • Stretching          

Gentle stretching, especially of the neck and shoulders is important to improve a “hunched” posture.  Stretching the hip flexors and hip rotators can reduce stress on the low back and improved flexed forward posture

  • Strength training

Strength training is important to build muscle strength which can contribute to slowed mineral loss and improved endurance to standing for long periods of time.  Important muscles to strengthen are the muscle between the shoulder blades and the gluteal to improve upright posture.

  • Weight-bearing cardiovascular exercise

It is important to load the bones with body weight to promote a decrease in mineral loss and increased calcium production.  Walking, using the elliptical machine, dance, cleaning and gardening are safe aerobic activities to try.

  • Balance activities

Balance exercises like yoga, tai chi or Pilates can improve overall joint stability and increase muscle strength, helping to support weak bones.  These activities can also assist with fall prevention.

 Activities to avoid

  • High impact training

Running, jumping, skipping can be dangerous on weakened bones due to their rapid, jerky movements.

  • Twisting

Twisting motions put increased stress on weakened bone, leading to higher risk of fracture

 

Physical therapists are specially trained to help you with the development of a program that will benefit you the most with aims to improve bone density.  We treat patients with osteoporosis in the Clermont 34711 area!

CROSSFIT / BOOT CAMP: BENEFITS AND RISKS

  • What is CrossFit?
    • Strength and conditioning program
    • Aims to improve cardiorespiratory endurance, stamina, strength, power, agility
    • Includes functional whole-body movements at high intensity that are constantly varied
    • Typical session:
      • Warm up
      • Skill development segment (choosing a skill you are currently working toward accomplishing, modifying the movement, and making gradual progressions)
      • Workout of the day “WOD” (a sequence of explosive exercises to be completed circuit-style without provided rest breaks, within a set time limit or as fast as you can)
      • Stretch
  • What is Boot Camp?
    • A military style whole-body workout
    • Includes wide variety of exercise techniques such as cardiovascular work, strength training, and plyometrics  (“jump training”)
    • Aims to improve muscular power and explosiveness (speed + strength = power)
  • What are the Benefits?
    • Improves muscular power which helps with specific sports
    • Improves muscular endurance
    • Increases metabolism since you burn the calories while at rest after the workout
    • Improves stamina
  • What are the Risks?
    • Beginners/first-timers are at increased risk for improper form and technique
    • High-intensity workout can be strenuous on the heart and joints
    • Timed sections can prompt participants to complete the movements quickly rather than safely
    • Increased risk of Rhabdomyolysis (break down of damaged muscle tissue, which gets released into the blood and harms the kidneys as they work to filter out the blood)
  • How to Decrease the Risks
    • Learn the fundamentals of each movement by breaking the whole movement down into separate parts
    • Understand the proper form for each exercise
    • Begin with light weight (or body weight), low reps, and slower speed; then build your way up changing one variable at a time
    • Leave enough time for a proper warm up and cool down
  • Exercise Examples
    • Burpees
    • Squat jumps
    • Push ups
    • Jumping jacks
    • Box jumps

Always make sure you discuss any new exercise routine with your doctor prior to starting and if any injuries arise.

Centralization vs Peripheralization

Low back pain is the second most common reason for visits to the doctor’s office, behind the common cold. It has been determined that approximately $86 billion dollars is spent annually on the treatment of neck and low back pain. When speaking about disorders of the spinal column, there are many conditions that a person can suffer from. Some of the more common spinal disorders include bulging and herniated discs, spinal stenosis, facet disorders, arthritis, and even fractures of the spine. In certain cases, the nerves that travel to and from the spine, referred to as “Spinal Nerves”, can become compressed and irritated. When this occurs it can create a variety of symptoms ranging from pins and needles, to numbness, to a painful burning and throbbing sensation.

When evaluating if your condition is improving or worsening, the severity of the pain or numbness is not as important the location of the symptoms. For example, if you feel symptoms in the buttock that are rated 9/10 on the pain scale (0/10 is no pain and 10/10 is debilitating pain) and after walking you notice the symptoms are now down to the back of the knee and rated 2/10, this is a sign that the condition has worsened even though the pain rating is much less.

Peripheralization is a term used to describe when these symptoms travel farther from the spine, typically down the extremities. This is a sign that the condition is worsening or an activity that you are performing is causing the symptoms to be exacerbated.

Centralization refers to the symptoms moving towards the spine, or “centralizing”. This is a positive sign that your condition is improving or the nerve root has had pressure removed from it.

We as Physical Therapists can use these signs to help diagnose and also treat neck and back disorders. For example, when we have a patient move their back in a certain direction such as bending forward and the patient reports they now have shooting pain down the back of the leg all the way to the foot, we can say that ‘Flexion’ (bending forward) causes Peripheralization of symptoms. If we then had this patient bend backwards into extension, and their symptoms were no longer felt in their foot but are now only in the buttock, this is a sign of Centralization. Based on this example, we would conclude that the patient’s condition responds favorably to extension and we would prescribe a series of stretches and exercises that are based on this motion.

If you need help determining which treatment options are right for you, call us today.  We treat back and neck pain the Clermont 34711 area!

Dangers of Poor Cardiovascular Health

The function of your cardiovascular system is to pump oxygen and nutrient-rich blood to the tissues of your body.  The “cardio” in the word cardiovascular refers to your heart.  Your heart’s contribution is its pumping action that moves the blood throughout your body.  The “vascular” refers to your blood vessels, which include the arterial system that carries blood from your heart to your organs, and the venous system which carries blood back from your organs to your heart.  With that basic understanding of the cardiovascular system, you can now see the importance of strengthening it through fitness!  Just as you would lift weights to strengthen your biceps, it is equally important to strengthen your heart.  Poor cardiovascular health can lead to:

  • Heart disease
  • Stroke
  • High blood pressure
  • Diabetes
  • Obesity

2 Tips to make a change:

  1. Get moving!  Grab a friend or family member and start taking walks.  If you’re a beginner its best to keep a pace slightly above a leisurely stroll.  Once you’ve conquered that, step it up.  Walk a little faster and then slowly turn it into a jog.  Make sure you keep slow and steady breaths and don’t over-do it!  It’s okay to push yourself but you need to listen to your body, and when it has had enough, stop.
  2. Make better choices in your diet.  Cut back on the fried food and red meat, and increase your lead proteins and veggies.  When consuming large amounts of junk food, plaque can build up in your arteries and block blood flow to your heart.  Eating better can help you live longer.

For help choosing a program that is right for you call and speak to one of our physical therapists in the Clermont 34711 area!

5 Tips to help reduce swelling at home

  1. Drink lots of water – It is often a misconception that putting more fluid into your body will ultimately cause more accumulation of fluid in your ankles, or legs, or arms.  This is entirely untrue.  The water you drink actually helps keep your skin stay hydrated and helps maintain good elasticity.  A tough, hardening of the skin called fibrosis can occur if you have poorly hydrated skin with the pressure of swelling on it for months/years.
  2. Move around – The more active you are the better.  As you move, your muscles contract and relax, causing a “pumping” motion again your circulatory and lymphatic system.  This type of “muscle pumping” will help work against gravity to move the excess fluid out of your limbs and into your kidneys to be excreted.
  3. Massage your legs/arms – Using an unscented and neutral pH lotion (skin pH is around 5), rub the lotion from the furthest point on your arm (fingers/hand) or leg (foot/ankle), up towards your body.  You always want to do this in that particular direction to influence excess fluid to move up into your trunk lymphatic system and out of your body.
  4. Keep clean – When you have swelling in a limb, there is more pressure on the skin.  With more pressure on your skin, the more porous your cells become which allows for an easier transmission of bacteria.  It is more important to maintain good hygiene practices to prevent any accumulation of bacteria.  Use a lotion that has a pH similar to that of your skin (around a 5) and avoid anything with fragrances.  It is also recommended to avoid using a razor blade or electric razor.  These can harbor bacteria in the blades and when used, can cause mirco-tears in your skin that make them more susceptible to bacteria.  Use a hair-removing lotion when possible.
  5. Compression – Even you aren’t to the goal of wearing a properly fitting compression garment, it’s important to know the difference between good compression and too tight.  You do not want to wear anything that is going to cut off your circulation and worsen your swelling; avoid tight jewelry and any clothes that create a tighter band around a small area, such a low ankle socks.  If you have puffy ankles, try to wear high-top shoes that can provide more support around your ankles and feet versus wearing flip-flops.  

If you are having any problems with foot swelling, ankle swelling or limb swelling in general, contact the therapists at Hohman Rehab to help you find a good solution for you.  We treat patients with swelling in the Clermont 34711 area.

The Dangers of Poor Flexibility

What is flexibility?

Flexibility is defined as the ability to easily bend an object.  Flexibility is necessary for normal activities that require bending, twisting, and reaching.  Maintaining good range of motion allows you to do everyday tasks.  You can increase flexibility through careful stretching of the muscles.  In addition to making normal activities possible and pain-free, flexible muscles relieve stress, promote good posture, reduce the risk of pain and injury, and allow ease of movement throughout life.  Good flexibility also reduces your risk of low back pain which many people experience.  With poor flexibility comes the risk of:

  • Headache
  • Stress
  • Imbalanced Body
  • Imbalanced Mind
  • Excessive Stress on Joints

Pain will develop in muscles or joints where there is strain caused by poor flexibility.  You don’t have to live with pain!

What should you do now?

1. Start with simple stretches that work the major muscle groups, like hip flexors.  Lay face up on a tall surface, such as your bed.  Stay close to the edge and allow your right leg to drop off the side of your bed.  Hopefully, your foot does not touch the ground so you can feel a deeper stretch.  Next, grab your left knee and pull it into your chest with the right leg still off the edge of the bed.  Hold this position for 60 seconds, then relax.  Repeat two more times and then switch legs.

2. Low back pain is commonly due to tension in the upper thighs known as the backside of your hamstrings.  Stretching is an easy non-invasive way to help with the pain.  Standing with feet together, slowly bend at the waist to reach down and attempt to touch your toes.  Do not bounce!  Hold for 60 seconds and repeat 3 times.  If you prefer to sit you have the option of completing the same stretch while sitting down and placing your legs straight out in front of you.  Bend at the waist once again, and reach for your toes.

3.  Join a functional fitness class!  Make it fun by doing it with others.  Consider a yoga class, which can have great effects on the mind and body!

Hohman Rehab & Sports Therapy is now offering a chair yoga class every Tuesday from 11-11:30am.  We cater to the Clermont 34711 area, and if you’re interested in attending, please call (352)404-6908 to RSVP!

McConnell Taping

McConnell Taping is one of the most common treatment techniques for Patellofemoral knee pain utilized in Physical Therapy clinics. The technique was developed by Jenny McConnell, a physical therapist, in 1984.  The technique is utilized to assist in keeping the knee in proper alignment and reducing pain symptoms while developing essential muscles in the upper leg.

Knee pain can occur for a variety of reasons, with misalignment being one possibility.  This is known as a problem with the tracking of the knee cap, which can occur due to weakness in the quadriceps, tightness in the IT band or structural problems.  The purpose of McConnell taping is to shift the patella medially to correct alignment and prevent the patella from rubbing repetitively on the femur. 

Patients can wear the tape while they perform exercises, which can assist in activation of the proper quadriceps muscles to assist in alignment of the patella. With practice, the taping should help re-teach muscles and correct the underlying problem, meaning the patient would not need the tape anymore.  

The physical therapists at Hohman Rehab are experts in relieving knee pain and use McConnell taping to assist with this when needed.  We treat knee pain in the Clermont 34711 area!

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