NYC's Premier Medi-Spa & Wellness Centers Manhattan Total Health is a full service Physical Therapy and Rehabilitation facility with 5 NYC locations.

What Causes Trigger Points?

If you’re experiencing pain in your head, neck, or back and you can’t identify its source, you may be suffering from a trigger point. Frequently treated with massage therapy, these areas of tightened muscle tissue can cause pain at the site, as well as referred pain in other parts of the body. The primary cause of trigger points is muscular overload. Keep reading to learn more.

Muscular Overload

Muscular overload can occur when an excessive physical load is put on a muscle or when a high demand is placed on the neuromuscular mechanisms which control the muscle. Types of muscular overload can be divided into several subcategories, and some of the common ones include exertion, overuse, postural, and muscle trauma overload.

Exertion Overload

This type of overload occurs when a particular muscle isn’t strong enough to handle a movement asked of it. Exertion overload often results when a person tries to brace themselves against the impact of a fall but also occurs when individuals attempt to lift a load that is too heavy.

Overuse Overload

One of the most common causes of muscular overload, overuse overload occurs when a muscle’s physical endurance is met and then exceeded during a task. Common causes of this condition are repetitive, everyday tasks like gardening, sweeping, typing, and sports activities.

Postural Overload

Consistent poor posture can overload muscles by placing them in an overstretched or over-shortened state for extended periods. Postural overload can be neurological or mechanical in nature and manifest in two common types. Degenerative postural overload occurs when disease or age leads to changes in posture. Antalgic postural overloads develop when individuals hold their body in a way to avoid pain from an injury.

Muscle Trauma Overload

Frequently the result of an automobile accident or a fall, muscle trauma overload occurs when physical injury to a muscle activates a trigger point.

Manhattan Total Health offers a variety of treatment options to help improve your health, including professional physical therapy, acupuncture, and massage therapy near New York, NY. To schedule a chiropractic care appointment with one of our qualified health professionals, call us today at (888) 614-9257.

Chiropractic Care After a Car Accident

Car accidents can be terrifying and overwhelming. If you’ve been in an auto accident, it’s vital to take measures to treat your injuries as soon as possible. While massage therapy can relieve some of your muscle pain, chiropractic care professionals can often directly treat injuries caused by car accidents.

Neck Strain

Whiplash, or neck strain, is one of the most common car accident-related injuries. When the impact of the collision forces your head to whip back and forth or side to side, the muscles and tissues in the neck can be stretched or torn. Whiplash symptoms can include pain, reduced range of motion, tenderness, and headaches. Immediate treatment for whiplash is crucial for reducing your pain, stiffness, and recovery time.

Herniated Disc

Car accidents frequently cause trauma to the lower back, often in the form of a herniated disc. Between the bones of your spine sit structures made of cushioning tissue called spinal discs. In an automobile accident, the impact of the collision can force one of these discs to slip out of place. When this occurs, the disc can irritate nearby nerves and cause pain, numbness, or loss of motion in the part of the body with which the nerve related. If you notice numbness or weakness in your legs, hands, or back, or experience back pain after an accident, you may need treatment for a herniated disc.

Chiropractic Care

When you visit a chiropractor for neck or back pain after a car accident, he can use a variety of techniques, such as spinal manipulation, mobility exercises, and ergonomic modifications, to treat your symptoms. Your chiropractor will evaluate your entire spine and may order an MRI or X-ray to determine the extent of your injuries.

If you’ve been in a car accident, the medical professionals at Manhattan Total Health may be able to treat your pain and prevent future mobility problems. In addition to massage and physical therapy, we offer chiropractic care in New York, NY. To schedule your appointment, call us today at (888) 614-9257.

Spotting an Ankle Sprain

An ankle sprain and a fractured ankle can result in similar symptoms. Both can involve swelling and discoloration of the area, both injuries can be quite painful, and both require medical attention, preferably from a sports medicine practitioner. But there are some key differences between sprains and breaks, which you can hear about when you watch this video.

It features a fire department captain. He demonstrates the visual differences between a sprain and a break, noting that deformities of the ankle are associated with a break, but not with a sprain. He also explains that patients with an ankle fracture cannot place any weight on the foot, but that those with an ankle sprain may be able to do so, although it’s painful.

The providers at Manhattan Total Health specialize in sports medicine, including the rehabilitation of ankle sprains for patients in New York, NY. To schedule an appointment with a physical therapist, call (888) 614-9257.

What You Should Know About Trigger Points

If you’ve been told that your pain could be caused by trigger points, it’s time to consider an appointment for massage therapy or acupuncture. Trigger points are a painful abnormality in the myofascial tissue. This is the connective tissue around the muscles. Trigger points may form when exposed to repetitive microtrauma or acute trauma. Sometimes, they may even be the result of long periods of inactivity, especially when accompanied by poor posture.

Phases of Trigger Points

Trigger points can be in one of two phases. During the active phase of a trigger point, pressing on the spot will cause pain in the area and referred pain in other areas. The underlying muscle is weakened and has limited flexibility. In severe cases, shortened muscles may even entrap the nearby nerves, which will cause additional symptoms. If left untreated, other nearby muscles might need to compensate for the loss of function. In turn, this can lead to the development of secondary trigger points and additional symptoms. The National Association of Myofascial Trigger Point Therapists refers to this problem as the “ overlapping (of) referred pain patterns.” The second phase of trigger points is the latent phase. They are less obvious than active trigger points, but can be painful if pressed. They might also cause restricted movement, dysfunctional muscle movement patterns, and stiffness and weakness. Latent trigger points can shift into the active phase.

Problems Caused by Trigger Points

Trigger points can give rise to a number of problems, including chronic low back pain, tension headaches, tinnitus, and temporomandibular joint (TMJ) disorder. Trigger points are often described as “mimickers.” In other words, a problem may be incorrectly diagnosed when it is actually attributable to trigger points. These can include rotator cuff pain, sciatica, plantar fasciitis, tendinitis, bursitis, and fibromyalgia.

At Manhattan Total Health, we take a multidisciplinary approach to helping our patients restore optimum functioning. Medical massage therapy and acupuncture sessions are available for patients with problematic trigger points and other musculoskeletal issues. Call (888) 614-9257 to schedule an appointment for massage therapy at a location in New York, NY.

Answering Your Questions About Physical Therapy

Physical therapy is a safe, effective, and non-surgical approach to restoring the optimum function of your body. It’s ideal for individuals who are recovering from a sports injury or work-related injury. Physical therapists also work with patients who are getting ready for surgery or recovering from it and those who are interested in reducing their risk of future sports injuries. If you’ve never been to a physical therapist before, feel free to call the clinic ahead of time to ask how you should prepare for your session.

Which problems can physical therapists treat?

Physical therapists work with patients with a wide range of conditions. Physical therapy is appropriate for chronic conditions such as osteoarthritis. It’s effective for adhesive capsulitis, rotator cuff tears, tendinitis, knee ligament tears, and ankle sprains. You might visit a physical therapist for an injury that might not be related to a sports activity, such as carpal tunnel syndrome. Physical therapists also work with patients who suffer from neck and spine problems, including radiculopathy, sciatica, and spondylolisthesis.

How should I prepare for my first appointment?

Wear comfortable, athletic clothing. Bring your insurance card, photo identification, and any relevant medical information such as imaging scans and test results.

How will a physical therapist evaluate me?

Your physical therapist will perform a comprehensive evaluation on your first appointment and periodic assessments of your progress thereafter. During your first visit, he or she will review your medical history, discuss your symptoms and diagnosis, and review any test results or imaging scans. The physical therapist will then assess your functional deficits, pain level, flexibility, strength, balance, posture, and endurance. Following your evaluation, your physical therapist will thoroughly explain your personalized treatment recommendations, including how often you should return for physical therapy sessions.

If you have any questions about your upcoming physical therapy appointment in New York, NY, call Manhattan Total Health at (888) 614-9257. We offer multiple locations in the greater NY area to meet the needs of our valued patients, including our new location in Gramercy. In addition to physical therapists, our dedicated providers include acupuncturists, clinical nutritionists, physiatrists, and licensed massage therapists.

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