Exercise plays a critical role in diabetes management and the prevention of type 2 diabetes. Diabetes is a condition characterized by the body’s inability to manage blood sugar levels properly. The body either does not produce enough insulin or does not respond normally to insulin, causing glucose levels in the blood to become too high. Physical therapists can help diabetic patients improve their physical fitness and engage in exercise safely through a targeted exercise program.

Basketball is a high-intensity sport, requiring running multi-directionally, shuffling the body laterally, jumping, and quick starts and stops. The intense physical demands of basketball heighten the risk of injury. Physical therapists work with basketball players to not only prepare them for a successful basketball season through a customized strength and conditioning program, but also address any in-season injuries and help athletes regain strength, mobility, balance, and function for a safe return to sport.

Rheumatoid arthritis (RA) is a chronic systemic autoimmune disease that involves inflammation of the synovial lining of joints, causing swelling, pain, stiffness, and eventual erosion of the affected joints over time. Physical therapy plays a key role in helping patients with RA maintain muscle strength, flexibility, and joint range of motion as well as prevent long-term disabilities through a targeted exercise program. Physical therapy works together with medical drug treatments to improve the quality of life, optimize overall fitness and cardiovascular health, and maintain the ability to perform daily activities in those with rheumatoid arthritis.

Gluteal tendinopathy involves inflammation and degeneration of the gluteal tendon due to overuse and excessive loading of the tendon, causing severe lateral hip pain. The key to tendon healing is appropriate, gradual loading to restore tendon strength and resilience to stressors. Physical therapy can decrease gluteal tendinopathy pain, appropriately load and strengthen the gluteal tendon, and improve the individual’s function and mobility through a progressive gluteal strengthening exercise program.

Improving an athlete’s sports performance with physical therapy can reduce the incidence of sports-related injuries by improving sports technique and body mechanics as well as enhancing the athlete’s strength, mobility, and power. Physical therapists can create a personalized sports conditioning and performance program to help athletes perform at an elite level. Check out 10 ways physical therapy can improve your sports performance!

Achilles tendinopathy is a common athletic injury caused by repetitive stress and overuse of the Achilles tendon, causing inflammation and irritation of the tendon. It most often occurs due to a sudden increase in training volume or intensity without adequate recovery time. Physical therapy exercise rehabilitation is the best intervention to address Achilles tendinopathy, restore strength and function in the lower extremity, and ensure a safe return to sports competition. Mangiarelli Rehabilitation physical therapist Bobby demonstrates 4 exercises you can do to address Achilles tendinopathy.

Osteoporosis is a bone disease characterized by low bone mineral density, decreased bone strength, and changes in bone structure that causes thin, brittle bones and an increased risk of bone fractures. Physical therapy plays a critical role in managing osteoporosis, helping those with osteoporosis maintain and build bone density through a customized therapeutic exercise program. Research has shown that aerobic and resistance exercise effectively stimulate bone osteogenesis in osteoporosis patients, improving bone density and reducing fall risk.

Mangiarelli Rehabilitation physical therapy assistant Patti demonstrates three exercises to improve posture. Good posture refers to proper alignment of the body in static and dynamic positions, holding the body against gravity with the least strain and tension on your muscles, joints, and ligaments. Physical therapists can assess and address any postural impairments, designing a personalized posture training program involving stretching, targeted strengthening, body mechanics instruction, and manual therapy.

FHL tendonitis is a common injury among ballet dancers that involves inflammation of the FHL tendon, often due to repetitive forceful movements or prolonged plantar flexion (toe pointing/dancing en pointe). The FHL tendon connects the calf muscle to the big toe, helping to flex the big toe and acting as a major stabilizer of the foot arch. Physical therapy can help dancers manage and address FHL tendonitis by strengthening the tendon and restoring range of motion and proper biomechanics in the foot and ankle complex through manual therapy, stretching, and therapeutic exercise.

Women who undergo treatment for breast cancer are at a heightened risk of developing lymphedema as breast cancer surgery and radiation therapy can disrupt the functioning of the lymphatic system. Lymphedema is a build-up of fluid under the skin due to inadequate drainage of the lymphatic system that leads to swelling in the affected area. Physical therapists play a key role in helping women manage breast cancer-related lymphedema, utilizing complete decongestive therapy to relieve pain, improve mobility and range of motion, and enhance overall quality of life.

Check our our infographic debunking 5 common physical therapy myths! October is National Physical Therapy Month, a month to celebrate and recognize the dedication of each of our physical therapists and physical therapy assistants at Mangiarelli Rehabilitation and provide education about the field of physical therapy. At Mangiarelli Rehabilitation, our focus is to provide evidence-based, patient-centered rehabilitative care customized to each patient’s specific needs, condition, and goals. However, there are a number of myths and misconceptions about physical therapy.

Mangiarelli Rehabilitation physical therapist Sarah demonstrates three exercises to address piriformis syndrome. Piriformis syndrome is a condition that develops due to tightening of the piriformis muscle, which can irritate and compress the sciatic nerve and lead to significant pain in the buttocks, hip, lower back, and back of the leg. The piriformis muscle is a small muscle located in the gluteal region under which the sciatic nerve passes that stabilizes the hip and enables lower extremity movement. Physical therapists can relieve piriformis syndrome pain and restore normal movement and range of motion in the affected area through targeted strengthening exercises, manual therapy, and neural mobilization.

Pain neuroscience describes pain as an output of the brain in which the nervous system functions as an alarm for the brain about pain in the body and the brain interprets these signals to decide whether pain would be beneficial for healing, causing the nerves to increase their sensitivity in the injured area. In a patient with chronic pain, the nervous system remains hypervigilant, signaling to the brain that an area of the body is injured and painful, even when the tissue is no longer damaged. Combining physical therapy exercise and pain neuroscience education (PNE) helps chronic pain patients desensitize the sensitive chronic pain area through graded movement and understand the mechanism of pain in their body.

A Lisfranc injury occurs from a sudden trauma such as a fall, hard contact, or twisting of the foot that damages the bones or overstresses the ligaments of the Lisfranc joint. The Lisfranc joint is a complex joint in the midfoot where the metatarsal bones connect to the rest of your foot, joined by ligaments that stabilize the arch of the foot and transfer loads from the lower leg to the foot. Physical therapy after a Lisfranc injury can help manage pain and swelling, improve lower extremity mobility and strength, restore normal walking ability, and ensure a safe return to activity and sports competition.

A concussion is a mild traumatic brain injury that occurs when a sudden force causes the brain to crash into the skull, typically from a direct hit to the head or from a whiplash-type motion that can cause cognitive, sensory, and physical symptoms. Concussions are particularly high in the sport of football, resulting from helmet-to-helmet contact or whiplash-type motion from tackling. Physical therapists play a critical role in concussion management, utilizing an evidence-based, personalized, and gradual therapeutic exercise program to help athletes recover safely without exacerbating concussive symptoms.

The month of September is Healthy Aging Month, a month to promote ways individuals can stay healthy as they age. One of the best ways to support healthy aging is regular exercise under the guidance of a physical therapist. Physical therapists are experts in movement and exercise prescription, creating customized exercise programs to maintain and improve older adults’ balance, strength, and coordination and prevent falls.

Little league shoulder is an overuse injury seen in young baseball players that results from repetitive stress placed on the shoulder and humeral growth plates from overhead throwing. Over time, without sufficient rest time for healing of the tissues, the repetitive stress of throwing can cause the growth plate to become injured, inflamed, and even fracture in severe cases. Physical therapists play a key role in helping young athletes with little league shoulder recover, addressing muscle weaknesses, range of motion restrictions, and throwing mechanics with a targeted sport-specific therapeutic exercise program.

Osgood-Schlatter disease is an inflammatory condition of the knee caused by repetitive trauma to the patellar tendon during growth spurts that is common among active adolescents. Osgood-Schlatter disease is a common cause of knee pain in growing and active pre-teens and teens, affecting 1 in 10 adolescents. Osgood-Schlatter disease can be managed conservatively and effectively with physical therapy. Physical therapy can help teens with OS ease pain, increase muscle strength, and restore function for a safe return to sport.

Arthritis, a chronic, progressive condition characterized by inflammation of the joints, is the leading cause of disability in the United States, affecting more than 50 million people. Physical therapists can help reduce arthritic symptoms, slow the progression of the disease, and create a customized, comprehensive program to help arthritis patients move safely and improve function, strength, and range of motion in the affected joints. However, there are numerous misconceptions about who is affected by arthritis and how to treat it effectively. Check out our post debunking 6 myths about arthritis!

Sacroiliac joint dysfunction (SI joint) involves injury to the sacroiliac joint that typically presents as low back pain on one side of the body. The main function of the SI joints is to provide a stable yet flexible support to the upper body while distributing the load from the lower extremities throughout the rest of the body. SI joint dysfunction can arise due to an acute trauma to the joint, pregnancy and childbirth, or conditions like arthritis and scoliosis. Physical therapy can address SI joint pain, help to stabilize the joint, and improve function through targeted stretching and strengthening exercises and manual therapy.