Great Stretch for Plantar Fasciitis

Plantar Fasciitis is one of the most common causes of heel pain. It involves inflammation and irritation of a thick band of tissue that connects the heel bone to the ball of the foot. An injury can occur when repeated weight bearing activities cause strain along the plantar fascia. It is an overuse injury that can happen to anyone but is more prevalent in runners or those who are on their feet for long periods each day.

Risk Factors that Contribute to Plantar Fasciitis

  • Poor foot and gait mechanics

  • Obesity

  • Age ranging from 40-60

  • Improper footwear or worn-out footwear

  • Tight Achilles tendon and Gastrocnemius/Soleus muscle

  • Prolonged standing on hard surfaces

How you can treat Plantar Fasciitis

  • Icing

  • Anti-Inflammatory medication

  • Physical Therapy

  • Orthotics

  • Night Splinting

Try this great Plantar Fascia Stretch


What to Expect with Total Knee Replacement Physical Therapy

Pritchette Physical Therapy treats many conditions related to the knee, this includes post-surgical total knee replacement surgery. Here is what to expect with total knee replacement physical therapy.

What is a Total Knee Replacement (TKR)?

A Total Knee Replacement (TKR), also known as knee arthroplasty, is a surgical procedure designed to replace the weight bearing surfaces of the knee joint to improve knee function and reduce knee pain.  It is commonly performed when the knee joint experiences rheumatoid arthritis and/or some form of knee joint deformity.

Partial Knee Replacements (PKR) are performed when it is reasonable to achieve a positive outcome with addressing only certain knee joint surfaces.

When is a Total Knee Replacement Surgery Performed?

The surgical procedure is performed by an Orthopedic surgeon after more conservative forms of treatment have been explored.  This includes physical therapy, oral anti-inflammatories, and injectables medication.

How should a person prepare for Total Knee Replacement Surgery?

Pre-surgical physical therapy is an excellent way to prepare for a Total Knee Replacement surgery.  It helps address pain and improves strength and stability of the knee joint prior to the procedure.  It also helps speed up the recovery process after the surgical procedure.

How long is the recovery process for a Total Knee Replacement?

Most procedures are performed in outpatient facilities, meaning the patient can return home same day.  While recovery time is on a case per case basis, one can expect to expect significant return to function within 4-6 weeks and a return to full activity within 2-3 months.

What restrictions should one expect after Total Knee Replacement?

While this will be communicated to the patient by the orthopedic surgeon or physical therapist, most patients return to full activity with no restrictions.  The patient should communicate what activities they would like to return to with their orthopedic surgeon and physical therapist to see if any precautions should be taken

What should be expected from physical therapy after Total Knee Replacement?

Most Total Knee Replacement surgeries are performed “outpatient” with a patient returning home that day.  Outpatient physical therapy is scheduled usually about a week after the procedure. 

For weeks 1 – 4, the goal is to reduce post-surgical swelling, increase range of motion of the knee, and begin light strengthening and stabilization of the knee.

For weeks 5-10, the goal is to achieve maximum range of motion of the knee, increase strengthening activities, and begin process to return to basic activity function.

For weeks 10 and on, the goal is to gradually return the patient to recreational activity function, maintain strength and endurance, and return patient to full function.

Ahwatukee Community Spotlight: Consult with Nurse Practitioner Oblas

We are fortunate to be able to serve Ahwatukee for your physical therapy, massage therapy, and personal training needs. There are many other great services and people that serve our community. Today we put the spotlight on Agnes Oblas, Nurse Practitioner.

You may already be familiar with Agnes, she was owner of New Paths to Healthcare and served the Ahwatukee community. She decided to close her practice in 2018, but couldn’t stay retired long. “Throughout these past couple of years, I’ve thought often of the people who were my patients and I’ve often wondered how they were doing, especially during COVID,” Oblas said. She asked herself, ‘Where do people go to get answers to their specific medical questions about themselves during these rough times? I mean, not just answers about the virus, but answers to their concerns regarding their own personal health in general”. She recognized that people were beginning to get familiar with telehealth and that making her years of experience available for consultations could help.

With her over 40 years of experience and connections to the medical field she felt it was time to open her new online telehealth business Consult with Nurse Practitioner Oblas. Agnes has established Consult with Nurse Practitioner Oblas as an avenue for patients to get answers and discuss medical issues which are confusing or problematic. It is an opportunity for patients to fully learn as much as they want in a relaxed and confidential environment. Learn more about Agnes Oblas, NP and her consulting services by visiting Consult with Nurse Practitioner Oblas.

Open House October 14th at our Ahwatukee Foothills Location

Pritchette Physical Therapy Ahwatukee Foothills is celebrating its 1 year anniversary and you are invited to join us! Join us for our Anniversary Celebration on October 14th from 5-7pm. We will be providing food, drink & fun door prizes. RSVP below to get entered into our event drawing!

Aquatic Therapy is a Great Option to Improve Balance

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Have you fallen recently or felt unstable? Fall injuries are one of the biggest risks as we age. Here are some sobering statistics:

  • Falls are the leading cause of death from injury among people 65 and older. And consist of approx 9,500 deaths per year

  • Risk of falls increases with age and is greater for women than men.

  • 1/3 of people over 65 fall annually.

  • 2/3 of those who fall will fall again within 6 months.

  • Among older adults, falls are the leading cause of both fatal and nonfatal injuries.

  • In 2010, 2.3 million nonfatal fall injuries among older adults were treated in emergency departments and more than 662,000 of these patients were hospitalized.

Maintaining strength and balance takes regular exercise. The challenge is that when you are unsteady, you avoid putting yourself in situations that put you at risk, so you continue to get worse.

Aquatic Therapy is a great option to improve balance in a safe, comfortable environment. Exercising in the water is helpful for many reasons:

  • Water causes buoyancy and reduces the stress on your feet, knees, and hips.

  • Water moves and "pushes" on the body increasing the balance challenges.

  • The water allows you to challenge yourself more as there is minimal risk to injury when balance is lost.

Pritchette Physical Therapy offers Aquatic Therapy to help improve your balance. Contact our office at 480-785-5415 to schedule your appointment.

Strength & Conditioning: What Most People Miss

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What matters most in strength & conditioning? The beauty of sports and the field of exercise science is that there is no ‘one-way fits all’ for athletic development. In fact, on the contrary, there are hundreds of different ways of getting an athlete to achieve the same goals. The million-dollar question is, which one is the best? The best strength coaches are the ones that can not only get an athlete to their goals faster than others, but also do it with the least amount of expense to that athlete. This may not seem like the old school mentality that, ‘the most successful athletes are the ones who beat the crap out of themselves day in and day out’. That mentality, though catchy for motivational videos, doesn’t paint the whole picture. Let me tell you what I mean.

The human body only has so much it can give on any given day/week/month/year. Imagine it like a debit card. You can use the money on that card freely for whatever you choose but the minute you overdraft, there’s going to be a steep cost involved. For an athlete, that overdraft could involve injuries, decreases in performance, exhaustion, etc.

So, lets break it down. Team practices, lifts, individual work, and everyday activities all result in expenses to the funds on that debit card. If we look deeper, even other forms of stress such as school/work load, relationship issues and financial stress can also deplete an athlete’s ‘total available balance’ for a given day.

On the other hand, there are also ways that we can draw an income or make direct deposits to refill that account as we go. These deposits come in the form of rest/sleep hygiene, proper nutrition and several forms of recovery strategies (ex. Stretching, foam rolling, ice baths, aquatic therapy). The higher the income, the more available funds we have at our disposal for athletic development.

The reason I tell you all this is to say that a great variety of skills coaches and strength coaches specialize in helping athletes ‘spend money’ from that account. Few, however, dedicate themselves to the intricate science behind continually refilling that bank account after expenditures. That’s like consistently spending money without a solid income and expecting to not overdraft or get into a lot of debt at some point down the road.

I don’t say all this to condemn tough training regimes. In fact, I’m all for pushing athletes to their limits given the appropriate circumstances. However, all this is to say that you need both sides of the story. If all we focus on is going hard in the gym and we disregard proper recovery strategies, an athlete will not progress as much as they could and it could put them at a high risk of injury. But, if an athlete has better recovery between workouts, they will not only be healthier and reap more benefits from their last training session but they will also be better prepared to capitalize on their next session. If your strength coach is not actively educating you on both sides of the story, then you might be working really hard while also leaving some free gains on the table. Awesome workouts mean nothing if an athlete ends up injured or burnt out when it comes time to perform.