The Best Physical Therapists in NYC
We moved right around the corner to a bigger and more beautiful space! We were officially in the space on Monday, October 31st, 2022.
Please note our new address:
ActiveCare Physical Therapy ®
29 West 38th Street, #601
between 5th & 6th Avenues
New York, NY 10018
We look forward to continuing to work with you and hope you enjoy our new location!
Karena & The Team at ActiveCare Physical Therapy
Massage guns are wireless portable devices used to massage and provide vibration to soft tissues to soothe muscle stiffness and soreness. They are called ‘vibration therapy’ and ‘percussive massage treatment,’ due to their function and sound.
Massage guns are getting more popular than ever due to their benefits. They are most popular among people who work out vigorously or perform extreme physical activity. Here is a detailed outlook on everything you need to know about massage guns, what they are, how they work, and whether they are worth it.
Massage guns are wireless handheld devices that appear like power drills. They mostly come with rechargeable batteries and with different attachments. They are mainly used to relieve muscle tension and soreness, especially after a workout or vigorous physical activity.
These vibration guns provide you with vibration therapy, or a feeling of your muscles being worked by a person for relaxation of stiff and sore muscles. These massage guns not only reduce stiffness and soreness of your muscles, but also increase blood flow resulting in enhanced flexibility and looser muscles.
To use a massage gun, you have to place it on your muscles and turn on the device. It will start to percuss (move up and down) and vibrate at a lower movement amplitude and higher frequency which promotes recovery of your sore muscles from a workout.
An effective massage gun can be used whenever you want to relieve muscle tension, after a workout, or even before the session for increased flexibility. You place it on the area that feels stiff or sore, and add as much pressure as you want.
You can keep massaging the desired area from 15 seconds to up to two minutes. Some machines also have monitors connected to an app to indicate how much pressure you should exert for how much time.
Always avoid bony areas, especially if you have had an injury or surgery in the past and there are any skin issues. Consult with your health care provider first if you experience any significant existing medical condition related to muscles and bones.
Massage guns are readily available, so you should choose one carefully. A top-quality massage gun can cost you several hundred dollars, so you should always check online reviews before buying one.
Massage guns come in different sizes and shapes, giving you many options to choose from. Some come with adjustable handles and heads that give you the liberty to reach different areas of your body that are not easy to reach.
Consider the muscles and areas you want to work to choose the appropriate pressure and size. For massage guns you can take on the go, get a smaller size as it can easily fit in a backpack.
Go for a massage gun with enhanced settings and features, so you can adjust the pressure and vibration movements to your comfort level. You want this device to relax your muscles and not worsen the pressure and stiffness.
Massage guns are an effective device that can efficiently relieve muscle soreness and stiffness. They provide comfort and relaxation after a workout session or any aggressive form of physical activity.
How effective is pilates for rehabilitation? Getting injured can throw a wrench in your plans, and cause a lot of inconvenience. Moreover, it can cause sideline you from your normal routine and cause you to feel dejected. On the other hand, it might signal the beginning of a voyage of rediscovery, fresh ideas, and untapped strength.
According to studies, Pilates is beneficial for rehabilitation, since it helps lessen pain and incapacity. The leading Pilates training institutes now provide specialized programs for PTs (physiotherapists) and other medical professionals because Pilates for rehabilitation is becoming more and more common in physiotherapy clinics and hospitals worldwide.
Pilates for rehabilitation is a growing phenomenon, and if you are thinking about its impact and benefits, here are some critical factors for you to understand the importance of Pilates for rehabilitation.
Many weekend warriors, who spend the week sitting down before getting intensely into an extreme sport without training, suffer injuries. Injuries to the back, wrist, hip, shoulders, and knees are most common. Pilates is an excellent approach to getting the body ready for regular activities, sports, or other demanding forms of training. It aids both injury prevention and injury recovery.
Due to its rehabilitative character, doctors and physical therapists advocate Pilates as the preferred therapy for rehabilitation. It’s a full body workout that encourages strength, agility, and good posture. The practice of pilates satisfies the requirement for both flexibility and stability in a healthy body. Pilate movements can be altered to suit the needs of injured clients. Several kinds of pilate exercises and variations work on the injured area to build strength and support.
No form of exercise, including Pilates, can ensure that you won’t get hurt. Being physically active and in tune with your body can positively impact how badly you are hurt and how quickly you may recover.
You can gain internal strength and stability with a regular Pilates routine. It enhances bone density, balance, and range of motion, aligning and balancing the body’s muscles. Pilates promotes proprioception, the ability to perceive and know one’s position in space. All of this adds to improved body reflexes and balance, which helps shield against slips, trips, and injuries brought on by overuse or repeated motions.
Pilates for rehabilitation concentrates on the person’s demands, proprioception and posture. Most conventional exercise emphasizes weight reduction or gains with increased sessions or heavy weights. The emphasis in Pilates is placed on maintaining proper mobility across the entire body to gain strength through stability.
Employing pilates for rehabilitation helps to bring balance and functionality to the body by strengthening the weak areas. Pilates is both a short and long term answer, since it will safely enhance your present condition while steadily preparing you for more complex moves.
The practice of pilates was established on its principles which stress the quality of movement by focusing on breathing, attention, flow, and precision. There is an old school belief that after becoming hurt, one should merely rest; yet inactivity is bad for general health. The body must continue to move, and Pilates for recovery enables this safely and gently. The injured person may find conventional types of physical activity and even rehabilitation too demanding, if not appropriately prescribed.
We can conclude that pilates for rehabilitation is an effective and safe way to treat injuries and get fit. If you are recently injured and are looking for a pilates rehabilitation session, call us at ActiveCare Physical Therapy® at (212) 777-4374. We would love to hear from you!
What are meniscus injuries? The knee is made up of numerous components that all fit together and cooperate to enable motion and the capacity to run and walk. The knee is occasionally susceptible to injury due to its intricate network of muscles, nerves, bones, and other parts. While some wounds may be minor and heal in a matter of weeks, some wounds may be more severe and require surgery to heal correctly.
The meniscus is a specific area deep in the knee that can give the feeling of a the knee being sore. Here is a deeper analysis into understanding what the meniscus is, how it may be hurt, and the best ways to recover from injury:
Two cartilage components, each with a c-shape and similar to a labrum, are located inside the knee. The meniscus, which consists of this spongy yet firm material, acts as a cushion to help the joint be protected from damage. The meniscus helps to balance the weight that is put on the knee in addition to serving as protection against compression.
The outer edge of the meniscus is vascularized (has a blood supply) while the inner edge is not. The meniscus plays a significant function in the knee and can become injured, resulting in various issues. They are susceptible to damage in a variety of ways. For example, a person may tear their meniscus by making a quick motion with their knee while having their feet firmly planted in a different place from the position of the knee or from repetitive stress on it.
Here are some of the most common kinds of meniscus injuries:
Longitudinal Tears: These tears are also called bucket handles, and they are located around the long axis of your meniscus, often displacing your inner margin and flipping up like a bucket handle.
Horizontal Tears: These tears are located horizontally on the same axis of the meniscus tissues.
Radial Tears: These tears start radiating from your medial rim to the lateral rim of your meniscus.
Oblique Tears: These are total thickness and length tears that run obliquely from your inner edge of the meniscus out into the body of your meniscus.
Complex Tears: These tears are a rare combination of more than one type of any of the tears mentioned above.
The symptoms of meniscus injuries can be medium to severe. Here are some significant symptoms:
The extent of the damage will determine how to treat a meniscus tear. A meniscus tear may typically be treated with anti-inflammatory medications and physical therapy sessions. In addition to reducing inflammation, this will also assist in maintaining muscle mass that supports the knee joint.
You can recover quickly when these therapies are applied in a few weeks. If the injury is much more significant but insufficient to require surgery, it might take a little longer. A doctor can prefer to suggest surgery to the patient if the meniscus injury is serious and does not respond to conservative care. In such a scenario, the patient might also be unable to engage in their usual activities until the injury fully recovers.
Meniscus injuries require physical therapy or surgery, depending on the severity of the injury, your level of function and your goals in activities or exercises. If you want the best option for your meniscus injury, contact us at ActiveCare Physical Therapy®. Or you can also call us at (212) 777-4374. We would love to hear from you!
What are some good posture exercises that you can add to your workout routine? If you aspire to look slim, fit, and elegant, having good posture should be your ultimate goal for starters. To improve your good posture, you have to do exercises that help you strengthen your lower back and abdominal muscles. These muscles connect to your pelvis and spine, providing the foundation for good posture.
When exercising, you use specific muscles to move your spine or torso. Many muscles are responsible for keeping your spine and pelvis comfortable and in a neutral position. You engage these muscles when performing sit-ups or planks. To maximize the benefits of your workout, Pilates, yoga, strength training, and fundamental fitness programs target your core with slow, controlled movements.
Adding posture exercises to your daily workout routine will improve your posture and increase your muscle strength. Here are some joint posture exercises that you can choose from.
This new crunch is also called the “curl-up”. This exercise works on your six-pack and the muscles that rotate around your torso and waist. Lie on your back and spread your feet flat on the floor. Reach your arms to your knees by placing your hands beneath the head without putting extra pressure on the neck.
While exhaling, you can pull your navel up and towards your spine. Curling your shoulders and head slowly off the floor, hold your breath for a few seconds, and lower back down. Repeat this movement three times.
This exercise helps activate your obliques, rectus abdominis, and transverse abdominis, the deepest muscle that help pull your abdomen upward and inward towards your spine which stabilizes the spine. You can do this exercise by lying on your back while keeping your legs straight and feet flexed. Reach your arms overhead and press down your lower back on the floor.
Pull your belly button into your spine as you exhale. Slowly roll up, lifting your arms off the floor, after which your shoulders, head and spine, one vertebrae at a time, come off the ground until you’re sitting upright with your abs still pulled in. Roll back down slowly one vertebrae at a time. Repeat three to five times, increasing the number of repetitions as your core strength improves.
This exercise engages all core muscles with a focus on the obliques. Lie on your back, hands underneath your head, head and shoulders raised off the floor, knees drawn into your chest. Squeeze your belly button in and up into your spine as you exhale. Draw one knee in while straightening the other leg and bringing your opposite shoulder towards the bent knee. Repeat on the opposite side. Repeat five to ten times, increasing the number of repetitions as your core strength improves.
This exercise strengthens the back muscles that support your spine and keep you from slouching. Lie face down on your stomach, hands flat on the ground near your ribs. Straighten your legs behind you and push the tops of your feet further into the floor. Exhale, drawing your abdominal muscles in and up into your spine.
Extend your spine by raising your head and shoulders off the floor, using your back muscles. Slowly lower yourself back down. Repeat three to five times, increasing the number of repetitions as your lower back strengthens.
Working on these exercises can help you achieve good posture and lead to a balanced and healthy body. If you want to add more exercises and therapy sessions to your routine, connect with us at ActiveCare Physical Therapy. Call us at (212) 777-4374 to schedule your evaluation. We would be happy to hear from you!
How do you choose athletic shoes? Athletic shoes are also called sports shoes, gym shoes, and sneakers. They help in preventing injuries and enhancing performance, especially during sports and athletic activities. If you are looking for the best pair of athletic shoes, we are here to help. This article guides you regarding the kinds of athletic shoes and how to choose the best ones for yourself.
Athletic shoes can be differentiated based on design, weight, and material, among other factors. They provide different measures of protection for feet and increase productivity during athletic activity.
Following are some of the main kinds of athletic shoes:
Track shoes: These shoes are used for training styles and the unique needs of individual runners.
Field sports shoes: These shoes are studded, spiked, or cleated. These spikes and studs are detachable and replaceable, and their formation varies from sport to sport. The field shoes are mainly used for games like soccer, baseball, and football.
Running or walking shoes: These shoes are mainly used for jogging, walking, running, or exercising.
Specialty sports shoes: These are designed for sports such as aerobic dancing, bicycling or specific sports.
Court sports shoes: These shoes are designed for courts for games like volleyball, tennis, and basketball.
Outdoor sports shoes: These shoes are made for recreational activities, including hiking, fishing, boating, and hunting.
Based on the kind of athletic shoes you want to buy, here are some key factors that you need to consider while choosing the best athletic shoes for yourself:
For running shoes, go for proper cushioning that offers maximum shock absorption. If you want well-cushioned running shoes, go for ones that offer you flexibility, shock absorption, stability in the heel counter, and control. Other considerations are if the shoes are lightweight and offer good traction.
These shoes should be lightweight to provide shock absorption and avoid foot fatigue. Look for a good cushioning to ensure less stress on the ball of your foot.
If walking is your daily activity, go for a lightweight shoe that offers cushioning and support for your foot. A cushioned sole and a comfortable upper that is soft will also greatly help you with long distances.
For playing basketball, you should go for solid shoes with stiff soles that extend up around the ankle. This will provide you with enhanced stability and added support while decreasing the risk of injury and ankle sprain.
To play tennis, you need shoes that stabilize your quick movements side-to-side. These shoes should be flexible so you can move quickly and easily without interrupting the game.
The cross trainer shoes have almost all the qualities in the other athletic shoes. They are flexible from the front and offer lateral control. These shoes can go well for many sports and activity.
Working on the tips and advice mentioned above, you can easily choose the best athletic shoes for yourself. You can reach us at ActiveCare Physical Therapy if you want more information on athletics and athletic shoes. Or call us at (212) 777-4374 to schedule a free consultation. We would be happy to hear from you!
The Graston Technique is quickly gaining recognition inside and outside the physical therapy community. In 1994, an amateur athlete disappointed by his lack of improvement after suffering a knee injury gave birth to this technique.
The Graston Technique is renowned for its one-of-a-kind tools, incredible outcomes for acute and chronic wounds, and specialized training programs. These are exclusively accessible to licensed therapists, physicians, chiropractors, athletic trainers, and other healthcare professionals. If you are not quite familiar with this specialized technique, here are some more details:
The Graston Technique is a type of instrument-assisted soft tissue mobilization (IASTM) for the rehabilitation of injuries. IASTM is characterized as the application of devices or tools to help identify and treat movement dysfunction brought on by pain and affects the modifications of the muscles and ligaments.
Physical treatment using the Graston Technique is distinct from other IASTM products. This is a result of its special equipment and protocol, which has been studied and taught for over 20 years. Specialists design Graston massage instruments from medical grade stainless steel, with beveled edges and curves to detect myofascial limitations, unlike conventional tools manufactured from wood, ceramic, or stone.
Six Graston physiotherapy tools, ranging in size and shape from the neck to the sensitive areas of the foot and ankle, are used to treat different body sections. These instruments are only accessible to qualified professionals who have finished the in-person or online Graston therapy training courses.
The Graston Technique for treating pain is most successful when used in conjunction with rehabilitative activities and modalities. The technique refers to the use of GT instruments and their specific strokes on soft tissues. The Graston Technique, followed by cardiovascular warming up to the tissue and treatment area, stretching, bracing, and other therapy, are the fundamental elements of this techniques protocol.
Here are the step-by-step procedures followed in the Graston technique:
It’s critical to treat these pain regions and identify the underlying reasons for the pain. Performing both encourages overall physical health. For instance, patients may seek the help of a therapist if they have neck pain from a car accident.
Before beginning to apply the technique for leg pain or other types of pain, the cardiovascular element is essential. This happens because it improves the atmosphere for healing by increasing the area’s blood circulation.
The practitioner applies the Graston Technique by utilizing precise pressure and strokes. They only employ the properly chosen treatment method for a short period, usually eight minutes for each body area.
The patient next performs strengthening exercises with low resistance and high repetitions to help with the mobility limitation. The practitioner then uses cryotherapy, which is often a cold pack. This lessens discomfort or edema following Graston Technique. This is especially beneficial for the hands, knees, and flat parts like the back or neck, where the ice pack can be concentrated. If vasoconstriction is contraindicated for the condition, then it will not be used.
The effectiveness of the Graston technique is attributed to its ability to mobilize scar tissue and the pain cycle. Soft tissue range of motion and flexibility alter as a result. Soft tissue constraints are made more evident by the Graston massage tools. Using the technique allows the provider to diagnose the soft tissue limitations and then apply the appropriate technique to release or mobilize the tissues.
The clinical health care advisor uses these instruments as therapeutic tools, manipulating them in various ways to address the soft tissue adhesion. To apply regulated micro-trauma to the area, they do this. The doctor causes micro-trauma to start an inflammatory response that aids in healing the injured area. The proper arrangement of collagen fibers is then redistributed, and collagen renewal is also stimulated by the Graston technique, which enhances tissue health, flexibility, range of motion, and mobility.
The Graston Technique is an instrument-based therapeutic procedure used to help people with injuries and wounds. If you are looking for a credible GT professional, contact us at ActiveCare Physical Therapy. Or call us at (212) 777-4374. We would love to hear from you!
Dr. Karena Wu joined PIX11 NY Living to demonstrate causes of poor posture and exercises to fix them. How to fix your posture is based on conscious awareness and exercises that strengthen the backside and lengthen the front side of the body. Poor posture can cause pain in the neck, shoulders and back as well as other issues in the organ systems, like heart, respiratory, digestion, metabolism and psychological systems. Dr. Wu instructed hosts Marysol Castro and Chris Cimino in how to correct their posture during their work day with a few exercises that turned on the muscles, opened up tight areas and decompressed the spine.
Dr. Wu is a certified Pilates instructor as well as one of NYC’s best physical therapists. She has been in practice for over 22 years and has been the owner of ActiveCare Physical Therapy since 2005. ActiveCare Physical Therapy is a Pilates based rehabilitation clinic that works on posture, core and body awareness. Host Chris Cimino showed techniques that a physical therapist would correct when doing exercises. The team at ActiveCare PT offers tailored exercises that are Pilates based and all one-on-one. We are also specialists in manual therapy. Studies demonstrate that manual therapy in combination with exercises provides the best outcomes for rehabilitation.
Dr. Wu offered up exercises that utilized multiple segments in movement, core activation, strengthening and stretching. These exercises can help fix your poor posture quickly and efficiently.
Posture is a component of rehabilitation that ActiveCare Physical Therapy and Dr. Karena Wu emphasize. Dr. Wu is a certified Pilates instructor in addition to a licensed Physical Therapist. Her training in Pilates emphasizes posture in both Pilates based rehab and physical therapy exercises. ActiveCare Physical Therapy treats with a holistic practice philosophy and posture is an integral part of our hands on care. The team at ActiveCare PT recommend postural products when clients require more continuous care outside of therapy. Dr. Wu was asked to comment on the Vibo Care posture corrector in this article. This postural corrective device works well for those who require more continuous stimulation that cannot be ignored as easily as the electronic posture reminders.
Posture is an important part of your health and poor posture can affect not just your musculoskeletal system, but other internal organ systems that can result in conditions that affect your body systemically. Other systems that can be affected are your cardiac, respiratory, digestive, metabolic and psychological systems. Exercise the best posture at all times to stay strong and healthy. Consult your local physical therapist to see how your posture measures up against the rest. Posture specific exercises can help the majority of our clients and discuss with your therapist if you need external assistive devices, like the Vibo Care in this article.
Read the full article here: https://www.health.com/mind-body/vibo-care-posture-corrector-amazon
Other Best PT blogs about posture:
Celebrity Physical Therapist Dr. Karena Wu has been working with clients for over 20 years. Injuries create conditions where excess fluid can accumulate in an area or joint. Dr. Wu and her team at ActiveCare Physical Therapy use light lymphatic massage with their hands or Graston Technique instruments to help move fluid to reduce swelling, increase muscle activation and reduce pain. Dr. Wu was asked to contribute to this story on Lymphatic Drainage Massage, what it is and how it can help after a musculoskeletal injury or if you have other systemic conditions. Click the link below to read how the best physical therapists in NYC treat with lymphatic drainage massage.
Read this story here: www.womenshealthmag.com/health/lymphatic-drainage-massage
Dr. Wu is an expert clinician, business owner and entrepreneur. She has been the sole owner of ActiveCare Physical Therapy, PC in NYC for over 14 years and with her international staff, found the need for high quality physical and manual therapy abroad. She opened up her sister location in Mumbai, India in April 2017. The clinic offers the same customer service and the best manual therapy treatments emphasizing Pilates, IASTM and the Maitland Australian Approach.
Both clinics are continuing medical educational facilities. She is also an instructor for Maitland Australian Physiotherapy Seminars and brought over the first MAPS course to Mumbai in 2019. Dr. Wu works internationally to help bring the best quality care around the world and train those in that region on high quality manual therapy and assessments. Dr. Wu has been featured on local and national news outlets who often turn to her when they need her input on all issues related to physical therapy.
Sarah was born and raised in New Jersey. She received her Bachelor’s Degree in Physical Therapy from Misr University for Science and Technology in Giza, Egypt her degree was then translated in the US as a Master’s Degree in Physical Therapy. Sarah worked internationally with top medical practitioners from the Middle East, which helped diversify her physical therapy skills and pave her career path in NYC. She finds joy in being a part of her patient’s healing journey by obtaining the latest medical techniques and providing innovative solutions.
Her passion is helping patients have the best quality of life by practicing various techniques, like joint mobilizations, soft tissue mobilizations, myofascial tissue release, Kinesio taping, Graston Technique, and strength training exercises. Sarah keeps up with the latest and most recent research studies in the healthcare sector, specifically Physical Therapy, to have a well-rounded perspective for her patients.
Early on, Sarah was given the opportunity to teach college students alongside top professors in the industry. She believes that sharing her physical therapy knowledge and expertise will inspire many upcoming doctors.
Being an athlete and sports fan helped her understand the importance of physical health. Experiencing physical injuries firsthand piqued her interest in musculoskeletal and sports therapy, which is why she pursued a career in physical therapy. She believes in a holistic practice focused on manual therapy with her patients. She volunteered and worked for various charitable hospitals to help underprivileged communities.
Sarah’s mission to live a healthier lifestyle pushes her to explore new physical and mental activities such as dancing, meditations, and pilates. She encourages her patients to join her wellness journey by finding out what activity gives the best enjoyment to keep your body active. She looks forward to providing the best care and solutions for her patients.
Physical Therapy Case Studies
Written by Sharvari Satghare
Bill suffers from chronic neck pain and has a past history of shoulder injury. We have been through his journey with pain and discomfort and helped him regain his functional abilities. We incorporate manual therapy such as Maitland joint mobilization, trigger point release, and myofascial release to decrease pain and improve mobility of his neck and thoracic spine. Additionally, stretches for tight muscles and therapeutic exercises for active range of motion and strength are recommended for his core and shoulder muscles, respectively. We performed external rotation with retraction in order to retrain his posture and strengthen his muscles. Neck, shoulder, and upper back synergize to form a single chain and hence, we strive to work in a holistic manner. Ergonomics is an essential part of physical therapy. Accordingly, we rehabilitated Bill to help him pursue his hobby of photography and bike riding. We trained Bill with the correct mechanics to use his camera without forward head posture and reinforced appropriate upper back and arm position. We advised him to change his old mattress to improve his quality of sleep and introduced modifications for his position while riding the bike. Therabands and dumbbells are some of the other equipment that are utilized for progressing his plan of care. At the end of the session, home exercises are prescribed in order to maintain good compliance with therapy.
Evaluating patients at the beginning, middle, and end of the session, paying attention to details while communicating with patients, and developing individualized plans of care form the crux of patient care at ActiveCare Physical Therapy©. Our aim is to meet the patient’s goal and create a plan of management tailored to the patient’s expectations.
We work in a clean and sanitized environment following social distancing guidelines. By wearing masks, gloves, and maintaining 6 feet distance, we strive to deliver continuous patient-centered care in the best possible way.
Bonnie, a long term PT patient who is a fitness enthusiast. Her chief complaints are lower back pain and foot pain. Our sessions begin with asking her about her current complaint and confirming her goals. We utilize a specialized technique called the shotgun, a muscle energy technique, that corrects pelvic malalignment to reset the hip girdle. We incorporate a hands-on approach to treat specific areas. We also use a Pilates-based approach to encourage core strengthening and develop stability. We empower our patients to be actively involved in their plan of care. In this image, Bonnie is wearing her mask and gloves while exercising on the balance board to train her stability and proprioception. She has been supervised but is able to manage her exercises independently.
Educating patients is equally important. We communicate with patients to explain their condition and prognosis and set goals while working as a team. Additionally, we re-evaluate our patients routinely in order to analyze their progression and manage their complaints better. Even after discharge, our patients are like family to us, and we love checking on them and hearing back. Empathy is necessary to help others.
All of the therapists at ActiveCare Physical Therapy© are compassionate and committed to rehabilitating their patients throughout the healing process. We love taking care of our patients by communicating with them, empowering them and helping them be more functional.
International celebrity physical therapist Dr. Karena Wu contributes to this story in The Washington Post. Dr. Wu uses these small but powerful pieces of equipment in her clinics to challenge her patients. Weighted cuffs and vests add resistance and stability training. To learn how to use them correctly and enhance your workout without injury, read this article.
NYC’s Best Physical Therapist Dr. Karena Wu is like the ‘Jane Fonda’ of physical therapists. Dr. Wu rehabilitates the young, the old, the famous and the elite athletes of pro beach volleyball. Her go-to exercises include foundational, individual muscle exercises. These isolated muscles need retraining in strength and endurance so that the body can move effortlessly and painlessly. Dr. Wu was asked to contribute to this story on ankle weights for both simple and compound movements.
Massage guns are great tools for self-massage. This at home piece of equipment is helpful for anyone, from the young to the old. International Physical Therapist Dr. Karena Wu uses and recommends these for her clients in the clinic and for their travels. There are many types but Dr. Wu and her peers discuss their top 4 picks in this article.
ActiveCare Physical Therapy specializes in Pilates based rehabilitation. Celebrity Physical Therapist, Dr. Karena Wu has incorporated Pilates into rehab since 2005. Her team of highly skilled physical therapists utilize this holistic exercise to treat multiple orthopedic injuries.
NYC’s Best Rated Physical Therapist, Dr. Karena Wu and her team at ActiveCare Physical Therapy emphasize posture in their care. As a Pilates based rehabilitation facility, postural awareness is one of the foundational principles in Pilates and is incorporated at the start of recovery and throughout. Dr. Wu’s top pick for lumbar support cushions is the McKenzie lumbar roll. This roll was developed by a New Zealand physical therapist, Robin McKenzie and comes in two densities. This support serves as a reminder to sit up and use your own muscles when you get stuck working at the desk.
Back to school: How to choose a backpack that won’t hurt your back
NYC’s Best Physical Therapist Dr. Karena Wu discusses the new school year. Back to school means shopping for backpacks. Picking the right one can be challenging. Dr. Wu discusses how much weight you should carry and what to look for in a backpack. Picking a functional but fun backpack can be helpful to avoid stresses on the body.
Massage guns are great at home tools that help with soft tissue tightness and pain. The rapid percussion of the massage gun head can help bring blood flow to an area, loosen the soft tissues and relieve pain, stiffness and tightness. Celebrity Physical Therapist Dr. Karena Wu promotes massage guns in the clinic, at home and in sports. Massage guns are a great way to cover a lot of area, warm up tissues quickly and help maintain the musculoskeletal system or rehabilitate an injured area.
NYC’s Best Physical Therapist Dr. Karena Wu was asked to discuss the changes of aging. With over 21 years of experience, Dr. Wu has worked in outpatient orthopedics with patients of all ages. Her work includes hands-on rehabilitation, holistic care and patient education on the client’s condition and prognosis. Her team at ActiveCare Physical Therapy emphasize the educational component of a patient’s journey in recovery. Dr. Wu contributes to this story on the effects of aging on your tissues as we try to maintain fitness. She also recommends five daily stretches and the importance of them over and beyond the musculoskeletal health.
Can you get physical therapy for plantar fasciitis? Plantar fasciitis causes pain at the bottom of your heel. Your plantar fascia is ligament that connects the heel with the front side of the foot. Resembling a web, it works like a shock absorber and the curve of your foot, which helps you to walk.
Plantar fasciitis is among the most common orthopedic complaints. During your daily life, you experience a lot of wear and tear in your plantar fascia ligaments. When you put a lot of pressure on your ligaments, they suffer from damage and tears. When this ligament suffers from damage, it becomes inflamed, and you feel pain and stiffness due to this inflammation.
However, the real cause of plantar fasciitis is not clear. In a study, it was suggested that this condition involves degeneration then inflammation of the plantar fascia (Source). The better name of this condition may be plantar fasciosis because the meaning of fasciitis is inflammation of the fascia.
The symptoms of plantar fasciitis appear when you suddenly increase your activities. You may feel a stabbing type of pain on the bottom of the heel, and a sensation that your arch is stiffed and tender. If you are suffering from plantar fasciitis, you may experience pain:
The pain can rise and fall during the day time, and when your body warms up after you perform various activities, the pain gets worse. In severe cases, you may start limping.
Mobilizing your fascial bond on the plantar region of your foot is essential to modify your scar tissue and increase flexibility in weight-bearing demands. As rolling a ball on the bottom of your foot in order to lower the tension on the muscle can help with mobility, it is not deep enough to concentrate on the restrictions. Physical therapists can specifically target the primary restricted areas, but you can also target the limitations in the mobility of your foot and ankle by keeping your foot from getting used to the ground while evening weight distribution when you are walking.
Both of these methods improve the mobility of soft tissues with the help of unique crafted tools. These tools are specially designed to target soft tissues and connective restrictions in your body. Physical therapists are trained in one of these techniques, and directly target the restriction areas and adjust the scar tissue that is causing chronic pain, limited mobility, and stiffness. Once the pain and mobility improve, you will regain your foot’s functionality.
Dry needling is a type of trigger point therapy that releases muscle restriction, which is mainly responsible for pain and altered movement. With this method, your therapist doesn’t treat your plantar fascia directly. Rather, they target knots in the hamstring and proximal calf muscles to provide favorable benefits.
Low-Dye is a kind of taping that avoids flattening of your arch. This offers pain relief and support to your plantar fascia while performing weight-bearing tasks. Low-Dye is a rehabilitative technique that uses specially designed tape to provide muscle support, which eventually promotes the natural healing method of your body. This will help improve your foot’s function without limiting natural mobility. Patients who improve their conditions with Kinesio taping also benefited from orthotics.
While people with high or low arches are likely to develop fasciitis, the choice of shoes may differ. Your physical therapist will not only advise you on how you can accommodate your foot on the ground but also offer recommendations for shoes that can reduce your pain while you stand or walk.
Your physical therapist may ask you the following questions to better understand your condition:
If you ignore plantar fasciitis, it may end up in chronic heel pain that affects your daily activities. Unless you change your way of walking to relieve plantar fasciitis, the condition may lead to back, hip, knee, or foot problems. So it is essential to visit a Physical therapist as soon as possible.
Bursitis is an inflammation of the fluid filled sac that sits between tendons and bones. The purpose of the bursa is to minimize friction when the tendon pulls on the bone during movement. If muscles and tendons are tight, they can compress the bursa and cause irritation. The bursa is a passive structure so oftentimes you will feel more pain at rest versus with movement.
Treatment for bursitis is to reduce the irritation and inflammation in the bursa. Modalities that reduce inflammation and swelling will help reduce the pain. A physical therapist will determine if the overlying muscles need to be stretched or strengthened to reduce pressure on the bursa. Kinesiology tape, ultrasound, soft tissue mobilization, stretches and strengthening exercises will be utilized to help reduce the pain.
Bursitis can resolve in a few days to a few weeks. Rest is also commonly prescribed and patients will be educated about their condition and what activity modifications are required.
What is plantar fasciitis? The plantar fascia is a very dense fibrous band of connective tissue that sits under the foot. Plantar fasciitis occurs when this tissue gets inflamed and irritated when the calf muscles get tight from overuse and there is a log of pressure in the foot. Common patient complaints will be pain on the bottom and inside of the heel especially first thing in the morning and after prolonged sitting.
Causes of plantar fasciitis can be from wearing heels, standing too long, being overweight, having high arches, tight heel cords or wearing unsupportive shoes. Treatment for plantar fasciitis includes reducing the inflammation, stretching the muscles and connective tissue, mobilizing the subtalar joint and rigid and kinesiology taping to maintain joint positioning to reduce tension on the fascia. A physical therapist can guide you in wearing night splints, resting, wearing supportive inserts and exercises to stretch and strengthen the lower leg musculature.
Plantar fasciitis can take months to resolve because of the constant use of our feet and the wear and tear they endure. If physical therapy does not resolve it quickly, injections can be an adjunct option during your rehabilitation.
If you need physical therapy for plantar fasciitis, call us at ActiveCare Physical Therapy in NYC. We have extensive experience treating the foot and many other common conditions requiring physical therapy. Get in touch with us to schedule an appointment or use the easy online today!
If you are suffering from a serious injury, went through surgery, or had a stroke, your doctor might recommend a rehabilitation physical therapist so that you can recover. With rehabilitation therapy, you will experience a controlled medical environment that will help you recover from your condition. Moreover, you will be able to redevelop your strength, relearn the skills that you lost, or find a new way to perform various activities that might be difficult for you now.
Therapists and rehabilitation experts will help you recover from any physical changes that your injury caused, chronic disease, or medical conditions. There are various types of rehabilitation specialists, including occupational therapists, physical therapists, and speech therapists.
Occupational therapists will help you perform tasks that you need for every-day working and living. These therapists work with people who have mental, physical, or developmental disabilities. This includes patients who experienced a stroke and have lost functionality on one side of the body. Furthermore, patients who have lung or heart disease, breathing or activity limitations, suffer from diabetes, or amputees also need therapy. They help their clients to find a new way to work, eat, cook, or dress. They may visit their patients at their workplace or at their home so that they can find adaptive equipment or guide them to do things in new ways. Occupational therapists have a doctoral or master’s degree and earn licensing through their state.
You might be of any age to receive occupational therapy services. From newborns to seniors, all people require these therapists. Occupational therapists can help you in endless ways, such as:
Physical therapists help you when you have a disability, medical condition, or injury that limits your ability to function or even move. Physical therapists will test your ability to move and your strength. Then, they will create a treatment plan. The main focus of treatment is to restore function, reduce pain, improve mobility, or prevent any further disability from occurring. Physical Therapists also treat patients who had a stroke, amputation, chronic disease, or injury. To become a physical therapist, a person should have 2-years of masters or 3-year doctoral degree. They also need a license from the state. Common therapies of a physical therapist include:
Respiratory Therapists care and treat people with breathing problems. They help patients with all ages, starting from premature babies to older aged-people with lung disease, emphysema, or asthma. Respiratory therapists need a license in most states. Along with a license, they also need an associate’s degree; however, many respiratory therapists also have a bachelor’s degree.
These types of therapists are also known as speech-language pathologists. They help patients who are unable to speak, communicate, or swallow properly. Such problems are mostly the result of cancer, brain injury, or a stroke. Speech therapists construct a program based on each of their patients. If a patient could not speak, the therapist may guide them to communicate through sign language, communication devices, and any other methods. For people who are unable to swallow, they teach them to strengthen their muscles or a different way to swallow liquids and food without choking. Speech therapists require a master’s degree and a license from their state.
If you are looking for rehabilitation therapists and require a rehabilitation program to recover from a condition or disability, call our clinic at (212) 777-4374. You can also visit our website for more information.
We have the best professional therapists who are available to help you with most common injuries and conditions, such as hip, neck or back pain, and any disability. They are ready to understand your problems and design a program to improve your health and daily life activities.
Team Activecare PT was honored this year to be named the Top Fundraising Team of the NYC Walk to Cure Arthritis! We raised over 25K this year with the help of our generous donors who include family, friends and patients. Team ActiveCare PT walked through midtown Manhattan to enjoy the beautiful weather and support this great cause which affects 54 million Americans. You can still donate even though the walk is done.
Please go to our team page: https://events.arthritis.org/team/ActiveCarePhysicalTherapy. Every little bit helps to find a cure for arthritis. Thank you for your support!
Have you ever wished that your physical therapist can teach you to move better at home? Do you find it hard to reach your appointments on time? You can try physical therapy telehealth, which is a one on one, live video appointment with your physical therapist. Telehealth is becoming famous nowadays and enables patients to talk and see their physical therapists and healthcare providers, from the convenience and comfort of your home.
There are four ways a physical therapist can deliver telehealth physical therapy services. Below you can find all the methods:
This is also called “synchronous” format and involves live interaction between both parties through video. You can also call this method real-time. This is the best and ideal type of delivery for treatments and evaluations.
You can also call this method ‘asynchronous’ format. This offers you to transfer medical or history records through a secure electronic means. You can send your x-rays, progressive notes, and much more through this method.
This involves remote monitoring of health and medical data of the patients through secure electronic means. This method is perfect for monitoring blood glucose and blood pressure, steps each day, and much more.
This offers education, public health notifications, and healthcare services over tablets, cell phone, and other electronic devices.
Here are some reasons when you should consider telehealth physical therapist:
You can stay in touch with your physical therapist after the first in-person visit. Telehealth physical therapy will also connect you with a professional physical therapist who has great experience, knows your condition, has board certification as a specialist, and is far from you. If you live in an area where you cannot find any physical therapist, you can use this method.
You can also discuss ways to maintain the safety of your house through a visual telehealth appointment. Your physical therapist can also guide you on what to do if you fall.
You can communicate with the physical therapist anywhere, anytime. Therefore, physical therapy sessions are possible for everyone. If you had a new injury and require quick advice and cannot leave your bed, you can discuss your condition with your physical therapist through telehealth physical therapy. So with telehealth physical therapy, you no longer need to compromise your health if you cannot visit the physical therapist in person.
During a visit to telehealth private physical therapy session, you will be working one on one with your physical therapist, without any distraction. You can also ask your caregivers or family members to join the appointment.
Patients who participated in telehealth physical therapy were likely to follow their home exercise program. Your physical therapist will share an effective and safe home exercise program that you can do at home according to your goals and needs. It is essential to stick to your prescribed exercise for long-term health benefits.
There is no waiting in the waiting area. And after your appointment, you can quickly start dealing with the activities you performed before the session without spending any time on the roads.
You do not have to drive. A telehealth appointment will reduce all your burdens of traveling to your appointments. Telehealth is perfect for caregivers and parents with children who are concerned about traveling for the appointment with their loved ones. Telehealth is also perfect for people who have no access to transportation that easily.
Most of the patients who went through telehealth physical therapy expressed satisfaction and would want to take the session again. Patients receive support and stay connected with their telehealth physical therapist. Having such support by staying at home and still going through rehabilitation is effective. According to some studies, telehealth has equal and better outcomes than traditional physical therapy methods. Who Can Join In Telehealth Physical Therapy?
People belonging to any age, who are having some medical condition or symptoms, can be the candidate for telehealth. Here are a few examples of conditions in which a physical therapist can help you through telehealth:
As now we spend more time at home practicing social distancing, each state is having difficulty in deciding whether physical therapy is viable. Physical therapy is essential for safely treating and repairing musculoskeletal injuries.
Therefore, if you are looking for a physical therapist for your condition regarding pain in your ligaments, tendons, or bones, you can call us at (212) 777-4374. Alternatively, visit our website for a better understanding of your condition.