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Dr. Wine and Wellness
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  • Low Back Support
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  • Lower Body Pains
  • Sustainable Movement
  • Health Recommendations
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Hip bursitis

Hip bursitis is a condition characterized by inflammation of the bursae, which are small fluid-filled sacs that cushion the bones, tendons, and muscles around the hip joint. The most common symptom is pain in the hip area that worsens with activities such as walking, climbing stairs, or prolonged sitting. It can be caused by repetitive activities, overuse, or direct trauma to the hip. Treatment typically involves rest, applying ice, anti-inflammatory medications, physical therapy exercises to strengthen the hip muscles, and, in some cases, corticosteroid injections. 

labral tear

Hip labral tears refer to damage or tearing of the labrum, a ring of cartilage that lines the socket of the hip joint. This condition can cause pain and discomfort in the hip or groin area, along with stiffness and limited range of motion. Labral tears can occur due to trauma, repetitive motions, hip impingement, or structural abnormalities. Treatment options include rest, physical therapy to strengthen the hip muscles, pain management, and in some cases, surgery to repair or remove the damaged labrum.

hip osteoarthritis

Hip osteoarthritis is a degenerative joint condition that affects the hip joint. It occurs when the cartilage that cushions the joint wears away over time, leading to pain, stiffness, and limited mobility. Hip osteoarthritis can be caused by factors such as age, genetics, previous joint injuries, or obesity. Treatment options typically focus on pain management, lifestyle modifications, physical therapy exercises to improve joint function and strength, and in severe cases, surgical interventions like hip replacement. 

Various Muscles Sprains/Strains

Hip muscle sprains and strains are common injuries that involve damage or stretching of the muscles around the hip joint. A sprain refers to a stretched or torn ligament, while a strain involves an injury to the muscle or tendon. These injuries can occur due to sudden movements, overuse, or trauma. Symptoms may include pain, swelling, muscle weakness, and limited range of motion. Treatment typically involves rest, applying ice, compression, and elevation (RICE), along with physical therapy exercises to restore strength, flexibility, and stability to the hip muscles. 


Anterior cruciate ligament (ACL) tear

The ACL is a ligament in the knee that helps stabilize the joint. An ACL tear can occur during sports or activities that involve sudden stops, changes in direction, or direct impact to the knee. Symptoms may include pain, swelling, instability, and difficulty bearing weight. Physical therapy for ACL tears focuses on reducing pain and swelling, restoring range of motion, strengthening the surrounding muscles, and improving balance and stability to support the knee joint.

Meniscus tear

The meniscus is a cartilage cushion between the thighbone and shinbone. A tear can happen due to sudden twisting or direct force to the knee. Symptoms may include pain, swelling, locking or catching sensation, and limited range of motion. Physical therapy aims to reduce pain and inflammation, improve knee mobility, strengthen the surrounding muscles, and restore functional activities by utilizing exercises, manual therapy, and targeted rehabilitation techniques.

Patellofemoral pain syndrome (PFPS)

PFPS is a condition characterized by pain around or behind the kneecap, often caused by factors like overuse, muscle imbalances, or improper alignment of the kneecap. Symptoms may worsen with activities such as running, jumping, or prolonged sitting. Physical therapy for PFPS involves addressing muscle imbalances, improving flexibility, correcting movement patterns, and strengthening the hip and knee muscles to reduce pain, improve joint alignment, and restore normal function.

Patellar tendonitis (Jumper's knee)

Patellar tendonitis is an overuse injury that causes pain and inflammation in the tendon connecting the kneecap to the shinbone. It commonly occurs in athletes who participate in activities involving repetitive jumping or knee bending. Physical therapy for patellar tendonitis includes rest, pain management techniques, targeted stretching and strengthening exercises, biomechanical correction, and activity modification to alleviate symptoms, promote healing, and gradually return to sports or activities.

Knee Osteoarthritis

Osteoarthritis is a degenerative joint condition that can affect the knee, leading to pain, stiffness, and reduced mobility. It typically occurs as a result of age, wear and tear, or previous knee injuries. Physical therapy for knee osteoarthritis focuses on managing pain, improving joint function, strengthening the surrounding muscles for better support, and implementing strategies such as weight management, activity modification, and assistive devices to enhance overall knee health and quality of life.


Exercises for Hip and Knee Injuries

Bridges

Prone (laying on stomach) hip extensions

Side Lying Hip Abductions

  1. Start by lying flat on your back (supine position) on an exercise mat or a comfortable surface.
  2. Bend your knees, keeping your feet flat on the ground, hip-width apart.
  3. Position your arms alongside your body, with your palms facing down.
  4. Engage your core muscles and squeeze your glutes (buttocks).
  5. Press through your heels and lift your hips off the ground, raising your buttocks upward.
  6. Continue to lift until your body forms a straight line from your shoulders to your knees.
  7. Hold the lifted position for a few seconds, focusing on keeping your core and glutes engaged.
  8. Slowly lower your hips back down to the ground, returning to the starting position.
  9. Repeat the movement for the desired number of repetitions or as instructed by your healthcare professional or fitness trainer.

Side Lying Hip Abductions

Prone (laying on stomach) hip extensions

Side Lying Hip Abductions

  1. Lie on your side with your legs extended and stacked on top of each other. Ensure that your body is in a straight line from head to toe.
  2. Support your head with your bottom arm and place your top hand on the floor in front of you for stability.
  3. Keeping your leg straight, lift your top leg upward while maintaining control and without rolling your hips backward or forward.
  4. Lift the leg as high as you comfortably can, feeling the muscles on the side of your hip engage.
  5. Pause briefly at the top, then slowly lower your leg back down to the starting position.
  6. Repeat for the desired number of repetitions, then switch sides and perform the exercise on the opposite side as desired.

Prone (laying on stomach) hip extensions

Prone (laying on stomach) hip extensions

Prone (laying on stomach) hip extensions

  1. Lie face down on a mat or comfortable surface with your legs extended and your arms resting at your sides.
  2. Engage your core muscles to stabilize your spine and maintain a neutral position.
  3. Keep your legs straight and slowly lift one leg off the ground, focusing on using your gluteal muscles to lift the leg.
  4. Lift your leg as high as you comfortably can while maintaining control and without arching your back excessively.
  5. Pause briefly at the top of the movement, squeezing your glute muscles.
  6. Slowly lower your leg back down to the starting position.
  7. Repeat the movement with the opposite leg.
  8. Continue alternating legs for the desired number of repetitions.

Straight Leg Raise

Side lying Calm shells

Prone (laying on stomach) hip extensions

  1. Lie flat on your back on a mat or firm surface with your legs extended and your arms resting by your sides.
  2. Engage your core muscles to stabilize your lower back and maintain a neutral spine.
  3. Keeping one leg straight, slowly lift it upward off the ground, leading with your heel.
  4. Lift the leg as high as you comfortably can while maintaining control and without bending the knee or arching your back excessively.
  5. Pause briefly at the top of the movement, feeling the contraction in your hip and thigh muscles.
  6. Slowly lower your leg back down to the starting position with control.
  7. Repeat the movement with the opposite leg.
  8. Continue alternating legs for the desired number of repetitions.

Side lying Calm shells

Side lying Calm shells

Side lying Calm shells

  1. Begin by lying on your side with your legs bent at a 90-degree angle, knees stacked on top of each other, and your head supported with your bottom arm.
  2. Engage your core muscles to stabilize your body and maintain proper alignment.
  3. Keeping your feet together, slowly lift your top knee away from the bottom knee, opening up your legs like a clamshell.
  4. Lift your knee as high as you comfortably can without rotating your hips or leaning backward.
  5. Pause briefly at the top of the movement, feeling the activation in your hip muscles.
  6. Slowly lower your knee back down to meet the bottom knee.
  7. Repeat the movement for the desired number of repetitions.
  8. Flip over to the other side and perform the exercise on the opposite side.

Squats

Side lying Calm shells

Side lying Calm shells

  1. Stand with your feet shoulder-width apart, toes pointed slightly outward.
  2. Engage your core muscles and keep your chest lifted.
  3. Begin the movement by bending at your knees and hips, pushing your hips back as if you're sitting down on an imaginary chair.
  4. Lower your body until your thighs are parallel to the ground or as low as you can comfortably go while maintaining good form.
  5. Keep your knees in line with your toes, and avoid letting them collapse inward.
  6. Maintain a neutral spine throughout the movement, avoiding excessive rounding or arching.
  7. Press through your heels to push yourself back up to the starting position.
  8. Exhale as you push up and inhale as you lower down.
  9. Repeat the movement for the desired number of repetitions.


Ankle Sprain

An ankle sprain occurs when the ligaments that support the ankle joint are stretched or torn, usually due to a sudden twisting or rolling motion. Symptoms include pain, swelling, bruising, and difficulty bearing weight. Physical therapy for ankle sprains focuses on reducing pain and swelling, restoring range of motion, strengthening the ankle and lower leg muscles, and improving balance and stability to promote healing and prevent future sprains.

Achilles Tendonitis

Achilles tendonitis is an inflammation of the Achilles tendon, the large tendon that connects the calf muscles to the heel bone. It commonly occurs due to overuse, improper footwear, or biomechanical issues. Symptoms may include pain, swelling, and stiffness along the back of the ankle. Physical therapy for Achilles tendonitis involves stretching and strengthening exercises, manual therapy, gait analysis, and biomechanical correction to alleviate symptoms, promote healing, and prevent recurrence.

Ankle Fracture

An ankle fracture refers to a break in one or more of the bones that make up the ankle joint. It can occur from a fall, sports injury, or trauma. Symptoms include severe pain, swelling, bruising, inability to bear weight, and deformity. Physical therapy for ankle fractures typically starts after the fracture has healed and focuses on restoring range of motion, strength, balance, and functional mobility through targeted exercises, gait training, and progressive weight-bearing activities.

Syndesmotic (High) Ankle Sprain

A syndesmotic ankle sprain, also known as a high ankle sprain, involves damage to the ligaments above the ankle joint, specifically the syndesmosis. It commonly occurs from excessive twisting or rotational forces. Symptoms may include pain above the ankle, difficulty walking, and swelling. Physical therapy for high ankle sprains aims to reduce pain and swelling, restore joint stability, improve range of motion, and strengthen the surrounding muscles through targeted exercises, bracing, and gradual return to functional activities.

Peroneal Tendonitis

Peroneal tendonitis refers to inflammation or irritation of the peroneal tendons, which run along the outer side of the ankle. It often occurs due to overuse, repetitive activities, or ankle instability. Symptoms may include pain, swelling, and weakness on the outside of the ankle. Physical therapy for peroneal tendonitis involves addressing contributing factors, such as muscle imbalances or faulty movement patterns, through exercises, manual therapy, and gait retraining to reduce pain, improve tendon function, and prevent future injury.


Calf Raises

Ankle Alphabet

Ankle Alphabet

  1. Stand with your feet hip-width apart, toes pointing forward. You can hold onto a stable surface, such as a chair or wall, for support if needed.
  2. Engage your core and keep your upper body upright and aligned.
  3. Slowly rise up onto the balls of your feet, lifting your heels off the ground. Focus on contracting your calf muscles.
  4. Hold the raised position for a moment, squeezing your calves.
  5. Lower your heels back down to the starting position in a controlled manner.
  6. Repeat the movement for the desired number of repetitions.

Ankle Alphabet

Ankle Alphabet

Ankle Alphabet

  1. Sit on a chair or the edge of a bed with your leg extended in front of you.
  2. Imagine tracing the letters of the alphabet with your toes. Start by moving your foot in an upward direction, as if drawing the letter 'A' or 'B' with your toes.
  3. Gradually move your foot in a clockwise or counterclockwise direction to trace the entire alphabet.
  4. Focus on moving your ankle through its full range of motion, making each letter as big and clear as possible.
  5. Repeat the process for a few rounds, ensuring you cover both clockwise and counterclockwise directions.
  6. Switch to the other foot and repeat the exercise.

Ankle Eversion and Inversion

Ankle Eversion and Inversion

Ankle Eversion and Inversion

Ankle Eversion:

  1. Sit on a chair with your feet flat on the floor.
  2. Place a resistance band around your forefoot and hold the ends of the band with your hands.
  3. Keep your heel planted on the ground and slowly turn your foot outward, against the resistance of the band.
  4. Control the movement as you return your foot to the starting position.
  5. Repeat for the desired number of repetitions and then switch to the other foot.

Ankle Inversion:

  1. Sit on a chair with your feet flat on the floor.
  2. Place a resistance band around your forefoot and hold the ends of the band with your hands.
  3. Keep your heel planted on the ground and slowly turn your foot inward, against the resistance of the band.
  4. Control the movement as you return your foot to the starting position.
  5. Repeat for the desired number of repetitions and then switch to the other foot.

Single Leg Balance

Ankle Eversion and Inversion

Ankle Eversion and Inversion

  1. Stand next to a wall or hold onto a stable surface for support if needed.
  2. Lift one foot off the ground and balance on the other foot.
  3. Find a focal point in front of you to help maintain balance and focus.
  4. Keep your standing leg slightly bent and engage your core for stability.
  5. Try to maintain your balance for as long as possible, aiming for 30 seconds to start with.
  6. If you feel comfortable, you can challenge yourself further by closing your eyes or performing small movements, such as raising your arms or extending your free leg.
  7. Repeat the exercise on the other leg.


* Disclaimer: The information provided here is for general informational purposes only and should not be considered as a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare professional regarding any medical condition, injury, or illness. The content provided is not intended to endorse any specific treatments, products, or healthcare providers. Reliance on any information provided in this conversation is solely at your own risk. It is strongly advised to consult with a medical professional for personalized advice tailored to your specific circumstances.

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