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Tommy John is a common surgery performed on throwers, where the ulnar collateral ligament (UCL) is reconstructed to provide stability to the medial elbow. Over the past decade, Tommy John surgery has become more and more prevalent. Ensuring that a comprehensive rehabilitation is in place is a main ingredient for success and your return to the diamond. At C.H.O.O.S.E. Physical Therapy, we have a physical therapist on staff who has previous experience in Division I and II settings, specifically with the University of Miami’s baseball team. It is important to have a physical therapist to help you progress along the stages of rehabilitation while hitting your range of motion and strength goals with evidence-based practice. Here at C.H.O.O.S.E. Physical therapy, we offer Blood Flow Restriction (BFR) Training along with structured throwing programs backed by research used at the MLB and collegiate level. 

Experiencing numbness in your hands while raising your hand, or while sitting? Thoracic Outlet Syndrome is a diagnosis that can sometimes be overlooked. For those dealing with Thoracic Outlet Syndrome, there can be underlying issues, such as an elevated first rib, pec tightness, postural abnormalities, and lack of neural mobility. It is important to get an in-depth and comprehensive evaluation to address other components that may be playing a role. At C.H.O.O.S.E. Physical Therapy, we have an experienced staff with credentialed manual therapy degrees to provide pain relief along with symptom management. Our physical therapists place a large role on evidence-based practice, providing you with the most up-to-date and effective treatment techniques to allow you to reach your goals.  

Have you ever moved your head quickly, had a momentary muscle spasm, and then  couldn’t move your neck as well in one or more directions? Do you often feel the need to “pop” your neck or back? After you sit or sleep, do you have pain or difficulty moving? One of your facet joints could be “stuck.” This can happen at any part of your spine and is often treated by physical therapists, osteopaths, or chiropractors with mobilization and/or manipulation of the involved area. However, if this happens, often it is a sign of weakness in the spinal stabilizers. With “normal” movement, joints move throughout the available range of motion, and, with good muscular strength and control, will return easily to neutral spine position without this “catching” feeling. When weakness is present, a joint can get “stuck” at the end range of motion and not return to neutral. Increasing strength of the spinal stabilizers takes very specific exercises; otherwise, you will strengthen the wrong muscles, leading to even more frequent symptoms. 

Loss of range of motion in the shoulder can be significant, moderate, or mild. Pain often precedes the loss of range. Pain is usually located on the outer part of the upper arm, but, as it progresses, can radiate down the arm. One may experience pain with sleeping on their side. As for range of motion, external rotation is usually lost first and most significantly. There is often underlying pathology for the shoulder and/or neck, including but not limited to tendonitis, rotator cuff tear, trauma, bursitis, nerve compression, cervical radiculopathy, or diabetes. If neural symptoms are involved, then aggressive stretching can make the pain and loss of range worse. In almost all the patients that we see, there is nerve involvement that must be treated at the same time as the shoulder. Effective treatments include joint, neural, and soft tissue mobilization, class IV laser, and other modalities to decrease pain.