Discussing sleep position with patients is an important component of care. The way someone sleeps is rarely the cause of someone’s problem, but it can be one of the many factors that don’t allow their body to recover like it should. If the goal is to provide fast, long lasting relief than all factors need to be considered and sleep position can be a big one. Here is a general rule:
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When dealing with any type of knee problem we need to understand the relationship that the knee has with the other joints in the body, particularly the hip and the foot. It can be said that the knee is caught between the foot and the hip, and as such the foot, knee, and hip make up what is known as a kinetic chain. In fact, many of the muscles that act at the knee also cross either the hip or ankle joint. As a result of this relationship, with any knee problem both the foot and hip must always be closely examined as an abnormality in either area will greatly influence problems at the knee.
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The hip consists of a “ball-and-socket” joint that is formed between the Femoral Head and the Acetabulum, a part of the Pelvic Bone. As a result of its shape the hip joint is capable of a wide range of motion in all directions – forward and backwards, side-to-side, and rotation inwards and outwards. In addition to this large range of motion it is important to understand that because the hip joint joins the leg to the trunk there is a tremendous amount of force that must pass through this region with daily activities. Due to the high amount of force, combined with the large range of motion, the hip must rely on a complex system of muscles to control and protect the area.
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When talking about injuries there are 2 main types – acute and repetitive. Acute injuries occur following a single event, such as a fall or hard collision. Repetitive injuries, like the name implies, occur slowly over time as a result of performing the same motion over and over again.
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Using heat or ice as a form of treatment is easy, inexpensive, and can be very effective if done correctly. These forms of therapy, more or less, help control blood flow. Generally speaking, ice is used to constrict blood vessels with a goal of decreasing inflammation, while heat will increase blood flow and ultimately bring more oxygen to tissues. Although there are many specific conditions that may require one versus the other, the timing of when each are applied is important.
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The shoulder is designed to be mobile. It is a ball and socket joint, which allows for a wide range of movements. A lack of this motion or faulty movement can develop into pain or injury. Many people with shoulder issues are surprised when they learn that many conditions, including rotator cuff injuries, can be treated conservatively.
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