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. 


Easing the Pain of Carpal Tunnel Syndrome

The median nerve that runs from the forearm into the palm of the hand can become pressed or squeezed at the wrist, leading to a condition known as carpal tunnel syndrome. Sufferers of carpal tunnel have symptoms of frequent burning, tingling, or itching numbness in the palm of the hand and fingers. Although little to no swelling is apparent, many individuals state feeling their fingers are “swollen and useless”. If untreated or undiagnosed, individuals can experience decreased grip strength, the withering away of the muscles at the base of the thumb, or have a hard time differentiating between hot and cold by touch.  Though this condition is fairly common, it is very treatable if detected early or treated responsibly.  To help ease the discomfort of those who suffer from this condition, there are non-surgical procedures that can be performed.

Stretches/exercises

Supervised or approved by a physical therapist, certain exercises utilized for stretching and strengthening can alleviate the tenderness of carpal tunnel syndrome.  Exercises such as wrist flexion, wrist extension, wrist lifts, hand squeezes, and finger bends can be done.  These exercises are most efficient in helping the patient ease the stiffness which occurs as a result of this condition.

carpal tunnel stretches

Wrist Splints

The overuse or positioning of the wrist for long periods of time can increase pain and numbness. The wrist tends to be the most vulnerable to pain after sleeping, due to twisting of the hands or making a fist unconsciously. These actions produce tremendous internal stress on the wrist. Wrist splints are recommended to support the wrist at a natural, slight angle to ease the stiff movements that may occur. Wrist Splints are used to hold the nerve in a more relaxed position.

wrist splint

Self-Awareness & Positioning

To prevent or reduce the pain felt within the wrist, make sure to take frequent breaks from activities that require straining or bending the wrist too often. When working on the computer, change the positioning of the keyboard to elbow height or lower to help relax the wrist while typing. At work, focus on good posture by keeping the shoulders back to avoid straining of the neck and shoulder muscles. Eventually, the tension in the neck and shoulders can cause problems in the wrists and hands. For performing tasks such as writing or typing, use the appropriate force necessary to prevent stress on the wrist and hands. Do not firmly grip writing tools or bang the keys of a keyboard.

wrist painWe treat patients in the Clermont 34711 area for Carpal Tunnel problems, as well as post-operative carpal tunnel release.

 

HOW TO LIFT WITHOUT HURTING YOUR BACK

Approximately 50% of outpatient physical therapy patients are treated for lower back pain. Lifting objects the correct way can help prevent injuries to the arms, legs, and lower back.

 malepainmed

Here are some tips for when you are thinking about lifting anything from the floor:

  1. Planning – Know what you are doing before lifting

If you are planning to move something heavy from one place to another, make sure that you have a plan! Is the path clear? Do you need someone to help you? If so, are both of you aware of what the plan is? This step will help you from prolonged periods of having to hold a heavy object.

  1. Keep the object as close to your body as possible

Having to reach out further than you need to will put more strain on the lower back. Getting close to the object and having a firm hold on it will help you become a stronger, more stable lifter!

  1. Spread your feet shoulder width apart

Doing this will create a solid base of support and make you more stable when lifting. If your feet are too close together, or too far apart it will hinder your movement.

  1. Bend your knees and keep your back straight

This step is one of the most important steps to lifting properly! Take a few moments to practice the movement before actually lifting anything. Focus on keeping your spine straight and bending your knees to lower yourself to the ground.

  1. Tighten your stomach muscles

This will help stabilize your spine and prevent you from losing a good lifting form when picking something up.

  1. Lift with your legs, NOT your back

Your legs are strong, let them do the work! Remember to bend at your knees to lower yourself to the ground, not your back.

  1. If an object is too heavy, get help

Don’t be ashamed to ask someone to help! It’s a lot easier to ask for help than to live with lower back pain.

DANGERS OF HAVING POOR WAIST TO HIP RATIO

The waist to hip ratio is done by measuring your waist at the most narrow point, then measuring your hips at the widest point.  Once you have both numbers, you would divide the waist measurement by the hip measurement.  This measurement is used to determine your belly fat or “visceral” fat.  Carrying weight in your mid section is much more dangerous than carrying weight around any other body parts of your body because of all the vital organs that reside in your mid section.

According to science, women should not have a number higher than 0.80, and men should be under 0.95.  If you have a number greater than these, then you are at a higher risk of the following:

  • Heart Disease
  • Stroke
  • Diabetes
How to fix it?

You have to accept there is no way to change where your body stores fat, because your genetics determine that.  Weight loss may not change your body shape, but it will reduce your size.  There is no way to lose weight in specific areas of the body.  For example, crunches might target abdominal muscles, but they don’t burn fat from the belly; running might use your lower half but it doesn’t mean that you’re burning fat from the legs alone.  The best way to get rid of fat is through regular cardio exercise and a healthy diet.  Cardio burns fat from all over the body.  But if you tend to store fat in a certain area it may take a little longer to reach that area of concern.  Stay consistent and you will lower your risk for future health problems by achieving a healthy weight.

Your first step is awareness and knowing where you stand with the waist to hip ratio.  Then determining what lifestyle changes are best for you.  Consult your doctor or physical therapist if you are new to dieting and exercise.

Cellulitis

Cellulitis (sel-u-LI-tis) is an infection of the skin or the tissues underlying the skin; characterized by swelling, redness, warmth and tenderness of the skin. While cellulitis is typically in a localized area, it may spread rapidly throughout the body, creating a life-threating condition, if left untreated. It is important to seek immediate medical attention if the symptoms of cellulitis occur.

The changes in the skin may be accompanied by a fever, and over time the area of redness tends to expand. Small red spots may appear on top of the reddened skin or small blisters may form or burst. Cellulitis occurs when one or more types of bacteria enter through a break in the skin. The two most common types of bacteria that cause cellulitis are streptococcus and staphylococcus.

Although cellulitis can occur anywhere on your body, the most common location is the lower leg. Bacteria is most likely to enter disrupted areas of skin, such as recent surgery sites, cuts, puncture wounds, ulcerations, athlete’s foot or dermatitis. People who have or have had peripheral vascular disease, diabetes, lymphedema, recent cardiovascular, pulmonary or dental procedures or those using immunosuppressive or corticosteroid medications are at increased risk of developing a skin infection. There are also certain types of insect or spider bites that can transmit the bacteria to start the infection.

Treatment of cellulitis is usually a prescription antibiotic prescribed by a medical doctor. Once on the antibiotic, the signs and symptoms typically disappear after a few days. The doctor may also recommend elevating the affected area which may speed recovery.

Symptoms: Localized skin redness and/or inflammation that increases in size as the infection spreads

                      Tight, glossy, “stretched” appearance of the skin

                      Pain or Tenderness of the area

                      Skin lesion/rash – sudden onset, usually with sharp borders, rapid growth

                      Warmth over the area of redness

                      Fever

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!

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