October: The Physical Therapy Month
For those of you who don’t know, October is the month for recognizing physical therapy as a profession and for celebrating the dedicated physical therapists who invest so much of their time and effort on the recovery and wellbeing of their patients. (Related topic: shoulder impingement physical therapy)
The American Physical Therapy Association has established the #ChoosePT campaign for Physical Therapy Month 2018 in the hopes that it will raise awareness around the opioid epidemic and how the Physical Therapy is the safest alternative when it comes to managing pain. In fact, the Center for Disease Control and Prevention (CDC) recommends physical therapy as the safest and most effective way to deal with non-cancer related pain, which represents a healthier alternative to opioids.
Some of the many tools used by physical therapists to manage pain include:
Exercise: A study following 20,000 people over 11 years showed how those who exercised on a regular basis experienced less pain. Further, on those who exercised more than 3 times per week, the chronic widespread pain was 28% less common but, more importantly, depending on your injury or your specific needs, physical therapists can prescribe exercise that specifically targets those needs.
Manual Therapy: From carpal tunnel syndrome to low back pain, the most recent studies recommend a hands-on approach to treating pain, which can effectively reduce pain and improve movement at the same time. Physical therapists may use manipulation, joint and soft tissue mobilizations, and dry needling, as well as other strategies that will have a beneficial effect on your health.
Education: A research amongst military personnel demonstrated that people with back pain who had received a 45-minute educational session about pain, were more likely to seek treatment in comparison to their peers who didn’t receive education about pain. During these sessions, physical therapists will talk with the patients to make sure they understand their individual pain history and help set realistic expectations about the treatment.
Teamwork: Thanks to recent studies it’s been demonstrated that developing a positive relationship between physical therapist and patient, and actively participating in your own recovery process can have a massive impact on your recovery success. This is likely because physical therapists are able to directly work with you and assess how your pain responds to treatment.
At CT Sports Physical Therapy & Wellness, we strive to provide the best quality care available for our clients regardless of their condition, including rotator cuff ruptures physical therapy Weston CT, tennis elbow physical therapy Weston CT, shoulder impingement physical therapy and golfers elbow physical therapy Wilton CT. From tailored wellness programs to encouragement and education, our goal is to help you achieve better health. We are the only Physical Therapy Practice to carry advanced certifications as Sports Clinical Specialists in Norwalk, CT. Make an appointment today by calling us at (203) 957-8100.
Is Plantar Fasciitis Not Letting You Run?
If you run frequently, you are prone to suffer from plantar fasciitis. Whether you do it as your workout of choice or just as part of your training and fitness routine, you need to understand what this common injury is and what it represents for your running schedule. (Related topic: physical therapist New Canaan CT)
Although plantar fasciitis is very common, it is often misunderstood, leading towards its exacerbation when you’re standing on your feet all day in poor arch supports, in your dress, or work shoes.
Running long distances or for extended periods of time, combined with long work days on your feet in dress shoes that don’t have the appropriate inserts for arch support can cause Plantar Fasciitis, a long-lasting injury that’s often mistaken with Heel Spurs as the heel of the foot really hurts – especially in the morning immediately after waking. After an intense session of exercise, for example, an obstacle course racing event, it’s not uncommon to present symptoms of plantar fasciitis in one or both feet. Some people wake up one morning and realize they can’t walk on their entire feet for about 20 minutes – only from the mid to forefoot.
Since in most cases people can’t just rest until the pain goes away or wait till the injury improves on its own, there are a few things you can do, leading up to your visit to an expert. This is one of the cases in which you must seek out help from a specialized physician, but it is important to follow through with a therapy program that can help you feel better in the meantime.
The classic recipe to alleviate your plantar fasciitis before heading to the doctor is the widely known rest, ice, Motrin and, although that it is hardly medical advice, it’s still an effective approach to any activity that causes pain.
Just like with any other injury, rest from the activity that caused it is always advised. Ice and anti-inflammatory medication will help with any internal swelling and ease some pain. Then, you can get started with some therapy techniques if you have a mild case of plantar fasciitis.
You can use a tennis ball or lacrosse ball and push hard against it with your foot against the floor. Roll from the bottom of your toes to the base of your heel. Keep in mind that this will produce significant pain, so listen to your body and do not overdo it. But if you start to see results of decreased pain, continue with some rolling and some stretching of the foot and calf region.
It is common to find the most pain in the morning when you wake up. However, it can be decreased by sleeping in a boot that keeps the foot from dropping when sleeping. Another idea is to sleep with a pillow under the covers (tucked in at the foot of the bed or against the wall) and push against it all night while sleeping. The boot device tends to work better, though, as it is the drop foot of sleeping that tightens the plantar fascia overnight.
You may also find that it hurts to run at first, but after warming up between 5 and 10, you will feel no pain during the run. Nevertheless, the pain usually comes back after cooling down and walking/sitting in dress shoes or work boots. To avoid this, make sure you have good inserts for your dress shoes too.
A combination of the aforementioned along with a trip to your physician and your PT can make the difference and have you running painlessly in no time.
At CT Sports Physical Therapy & Wellness, we strive to provide the best quality care available for our clients regardless of their condition, including rotator cuff physical therapy, plantar fasciitis physical therapy Fairfield, CT, shoulder impingement physical therapy and golfers elbow physical therapy Wilton CT. From tailored wellness programs to encouragement and education, our goal is to help you achieve better health. We are the only Physical Therapy Practice to carry advanced certifications as Sports Clinical Specialists in Norwalk, CT. Make an appointment today by calling us at (203) 957-8100.
Avoid Tennis Elbow, Even if You Don’t Play Tennis
It’s the middle of the summer and tennis season is here. From the epic Wimbledon tournament to tennis courts all over the world, tennis is all the rage this time of the year. (Related topic: tennis elbow physical therapy New Canaan CT)
However, you don’t actually need to play tennis to become acquainted with tennis elbow. Although the injury is, of course, more common amongst people who practice this discipline, other people who might not be familiar with tennis, can definitely identify with the painful and tired elbows of a tennis elbow.
The common residual pain radiating from the elbow to the wrist and the tenderness on the outside of the elbow is known as a tennis elbow. Nevertheless, other symptoms might be involved, such as some limitations in movement. During the morning hours, stiffness is rather common, as it is the feeling of pain from gripping and from other movements of the wrist, which include lifting – especially with the palm down –, pain while pouring from a container or sweeping or, in some cases, using a toothbrush, knife or fork.
Anyone who does repetitive movements using the wrist, forearm, and elbow is at a higher risk of suffering from tennis elbow, especially, if gripping something at the same time, like a tennis racket, a hammer or a baseball, amongst others.
But what exactly happens when you have tennis elbow? Well, the lateral side of your elbow or the outer portion of it is affected by tennis elbow as the extensors and, more specifically, the tendons of the extensors that attach to the outside of the upper arm bone (humerus) at the elbow suffer a serious nuisance that causes pain.
The 20 muscles of your forearm control a wide variety of movements in your hand, fingers, wrist and the forearm itself. The flexors of your elbow control the flexing of your wrist, hands, and fingers. The extensors control the respective activities of those sections also. And the rotators (pronator/supinator) control the torsion of those areas. There may be different causes of tennis elbow symptoms but, generally, there is some tearing or other damage to the common tendon of the extensors at the elbow.
For this injury to occur, there is no need for playing tennis. In fact, recent research suggests that over half the cases are caused by some kind of trauma like getting hit on the elbow or doing a sudden forceful pull or extension.
At CT Sports Physical Therapy & Wellness, we strive to provide the best quality care available for our clients regardless of their condition, including rotator cuff physical therapy, orthopedic physical therapy Fairfield CT, tendonitis physical therapy Weston CT and tennis elbow physical therapy New Canaan CT. From tailored wellness programs to encouragement and education, our goal is to help you achieve better health. We are the only Physical Therapy Practice to carry advanced certifications as Sports Clinical Specialists in Norwalk, CT. Make an appointment today calling at (203) 957-8100.
Physical Therapist vs. Personal Trainer
Exercising is an important part of many people’s live, as regular physical activity is crucial for maintaining a good health. However, there are people who are more invested in the fitness aspect of their lives than others. Many of them seek out the help from professionals in the subject and some of them reach a point in which they’re not very sure if they should turn to a personal trainer or physical therapist to achieve the results they want. (Related topic: rotator cuff physical therapy)
This is not a choice that all occasional joggers or pro athletes will face; chances are the latter works with a team that includes both, and the former won’t have this need either. Nevertheless, for fitness aficionados and people who have sustained some kind of injury, the dilemma might be more common than you think. If you have to do so or even if you want to learn how to choose, keep reading.
Perhaps, the reason you’re not seeing progress from your exercise routine is related to pain that you might be experiencing somewhere in your body that won’t let you do the exercises correctly. But, maybe, the reason you don’t see progress is because you’re not exercising in the way you’re supposed to. Now, how do you choose who you would ask for advice?
Whilst the role of a personal trainer and a physical therapist overlap here and there, a physical therapist’s scope of practice wildly differs from what a personal trainer does. Hence, making the choice doesn’t have to be very difficult.
If you’re facing mobility limitations of any kind caused by an injury or pain, you must see a physical therapist who can evaluate and diagnose whatever problem you might have before it turns into a more serious condition. Once you have a diagnosis, you can start a program to help you maximize movement by tailoring a personalized recovery program that includes exercises you’ll be able to execute independently later.
Keep in mind that you don’t have to be injured to see a physical therapist because they also provide preventative care. For example, if you suffer from low-back pain, they can help you avoid getting injured to prevent surgery. People who have had a baby also seek physical therapy to build strength before going back to their pre-pregnancy exercise program while others look for help with their posture or stiff neck from sitting at a desk or carrying weight.
If what you’re looking for, on the other hand, is assistance with your regular exercise routine or have been medically cleared to exercise, a personal trainer is your go-to solution. A personal trainer can take you through a series of exercises to test your flexibility and strength, and then create a program of exercises based on the areas that you need to improve. However, as a general rule, trainers don’t have the same education credentials as a physical therapist, and, therefore, they’re somewhat limited.
At CT Sports Physical Therapy & Wellness, we strive to provide the best quality care available for our clients regardless of their condition, includinglumbar spine physical therapy, plantar fasciitis physical therapy Fairfield, CT,rotator cuff physical therapy and tendonitis physical therapy Fairfield, CT. From tailored wellness programs to encouragement and education, our goal is to help you achieve a better health. We are the only Physical Therapy Practice to carry advanced certifications as Sports Clinical Specialists in Norwalk, CT. Make an appointment today calling at (203) 957-8100.
Physical Therapy Against Cancer
After the National Cancer Organization issued formal guidelines recommending exercise as part of cancer treatment, many have been questioning the effectiveness of this recommendation; particularly, given that many cancer patients under treatment experience periods of weakness in which exercising seems rather impossible. (Related topic: rotator cuff physical therapy)
However, this is not just about exercising or signing up at the nearest gym for spinning classes. This exercise routine should be embedded as part of standard practice in cancer care and viewed as physical therapy more than exercise itself.
Physical therapy can help in diminishing the adverse effects of cancer and its treatment. Therefore, all members of a multidisciplinary cancer team should promote physical activity and help their patients adhere to an exercise routine that benefits their condition, preferably, provided by a physical therapist with experience in cancer care.
The amount of evidence backing up the benefits of exercise during cancer treatment is indisputable and withholding exercise from patients is probably harmful. In fact, there are hundreds of studies showing real, tangible benefits of exercise for patients with a variety of different cancers and at different stages.
Of course, this doesn’t mean that cancer patients can stick to exercise and physical therapy only as a way of improving their condition. Treatment of the illness is still necessary. Nevertheless, physical therapy, as an extra aid for cancer patients’ care, is highly beneficial for the patients’ health and symptoms. Particularly, for patients undergoing cancer treatment, it’s documented that the benefits are rather abundant. An analysis of 61 clinical trials of women with all stages of breast cancer, those who underwent an exercise program during treatment had significantly improved quality of life, fitness, energy, and strength whilst considerably reducing anxiety, depression, and lower body mass index and waist circumference compared with the regular care groups.
Another analysis of 28 trials which involved over 1,000 participants with advanced cancers (including leukemia, lymphoma, multiple myeloma, lung, breast, GI, and prostate) showed that an exercise program during treatment was associated with significantly improved physical function, energy levels, weight/BMI, psychosocial function, sleep quality and overall quality of life.
Cancer patients must avoid inactivity and be as physically active as they are able in order to see the benefits. Physical therapists recommend at least 150 minutes of moderate-intensity or 75 minutes of vigorous-intensity aerobic exercise (e.g. walking, jogging, cycling, swimming) each week; and two to three resistance exercise (e.g., lifting weights) sessions each week involving moderate- to vigorous-intensity exercises targeting the major muscle groups.
At CT Sports Physical Therapy & Wellness, we strive to provide the best quality care available for our clients regardless of their condition, including rotator cuff physical therapy, shoulder impingement physical therapy, orthopedic physical therapy New Canaan, CT, and sports physical therapy New Canaan, CT. From tailored wellness programs to encouragement and education, our goal is to help you achieve better health. We are the only Physical Therapy Practice to carry advanced certifications as Sports Clinical Specialists in Norwalk, CT. Make an appointment today by calling (203) 957-8100.
The Steep Cost of a Brace for your Ankle Sprain
It is no secret that suffering from an injury, usually implies rather costly medical care; even more, if your insurance doesn’t cover certain “durable medical equipment”. However, physical therapy can help a lot more and provide long-lasting relief for a fraction of the cost. (Related topic: rotator cuff physical therapy)
When you go to the hospital with an ankle sprain, chances are that the doctors at the emergency room will give you a steel-reinforced brace for the ankle that sustains the injury and send you home. But, what they might not tell you is that that brace may or may not be covered by your insurance, which translates into a rather steep fee that will have to come right out of your pocket.
If you have the chance, once you make it into the emergency room, ask for something less permanent that your insurance can cover. You can request that they refer you to a physical therapist for rehabilitation.
Nowadays, insurers often contract with selected medical supply companies to provide equipment, negotiating rates for other services. As a patient, it’s important to understand that physical therapists and senior payment specialists work with preferred providers, which can come in handy to know when your insurance won’t cover durable medical equipment bought over the counter but can cover a recovery plan under the care of a physical therapist.
To make matters more confusing, hospitals, urgent care centers, and physicians may themselves negotiate with insurers or Medicare to become an approved supplier of medical equipment for their patients, or they may contract with a medical supply company to provide those items. This is why it is so important to study carefully each insurance plan before you choose one.
Either way, an insurance plan that can cover your physical therapy is key to recover from injuries such as a wrist or ankle sprain. Rehabilitation is more effective and its effects are more durable than those that come from immobilization.
At CT Sports Physical Therapy & Wellness, we strive to provide the best quality care available for our clients regardless of their condition, including rotator cuff physical therapy, golfers elbow physical therapy Wilton, CT, shoulder impingement physical therapy and orthopedic physical therapy Weston, CT. From tailored wellness programs to encouragement and education, our goal is to help you achieve better health. We are the only Physical Therapy Practice to carry advanced certifications as Sports Clinical Specialists in Norwalk, CT. Make an appointment today calling at (203) 957-8100.
Physical Therapy Can Be the Alternative to Painkillers
Around 10 million people have to deal with chronic pain constantly, which leads them to use opioid medication for relief from the pain and discomfort. Further, The CDC has reported that 91 Americans die every day from opioid-related overdoses. (Related topic: tennis elbow physical therapy Weston, CT)
Chronic pain has certainly driven many people, even famous people to develop a prescription drug habit which many times has resulted in substance abuse, but Kathleen Mees from St. Anthony’s Medical Center says physical therapy is, in fact, an effective alternative to opioids.
Physical and occupational therapies treat pain through movement, manual therapy, patient education and other modalities. This approach helps address pain and functional deficits in the short term, but it also works toward assisting with long-term management of pain and prevention of other health problems, including neck and back pain, osteoarthritis, and fibromyalgia.
Conditions such as tennis elbow, lumbar pain or even ankle sprains that haven’t been properly treated can produce chronic pain and have a long lasting impact on the most sensitive patients. As the pain grows or continues to halt the normal functioning and development of those who suffer from chronic pain from an injury or any other medical condition, the risk of opioid addiction increases significantly. Nevertheless, although opioids can relieve pain, they are unable to treat or get rid of the root of the problem, unlike Physical Therapy.
Proper, customized physical therapy, however, can be the right solution for those people suffering from chronic pain derived from an injury or any other medical condition that results in it. Physical therapy is administered to patients that have been referred to a physical therapist by their physician. However, anyone experiencing pain – whether is chronic or not – can easily access a physical therapy center where they can receive a personalized attention and start a therapy program specifically tailored to his or her needs.
These programs often lead to a full recovery from the injuries and relief of the pain, which can completely override the need for opioids or at least reduce the intake of painkillers, not to mention, shortening the timeframe in which patients have to take pain medication altogether.
At CT Sports Physical Therapy & Wellness, we strive to provide the best quality care available for our clients regardless of their condition, including lumbar spine physical therapy Wilton, CT, plantar fasciitis physical therapy Weston, CT and tennis elbow physical therapy Weston, CT. From tailored wellness programs to encouragement and education, our goal is to help you achieve better health. We are the only Physical Therapy Practice to carry advanced certifications as Sports Clinical Specialists in Norwalk, CT. Make an appointment today by calling at (203) 957-8100.
Focusing on Your Shoulder Can Relieve Tennis Elbow
For some people who’ve tried almost everything, tennis elbow can be a quite stubborn issue. Many people claim to have tried it all, from pills to countless specialists, and no progress or results have become evident.
If you’re familiar with this issue, then don’t lose hope. Many people in the same situation have been diagnosed with tennis elbow or lateral epicondylitis, and once they’ve received the right diagnosis implementing the pertinent treatment has led to outstanding recoveries and significant improvements.
Many patients of tennis elbow continue to suffer for months, and even for years, as root cause of the malady is often overlooked, unless it’s diagnosed and studied by a specialist. Further, tennis elbow has little to do with the elbow, and results from weak rotator cuff muscle in the shoulder.
The existing treatment for tennis elbow is mostly focused on the elbow itself, which brings about an array of limitations.This is precisely one of the indicators that the root cause is often less understood. In fact, a recent study that analyzed close to 400 patients over the last seven years suggests that this weak shoulder muscle is the causative factor in 99% of the patients suffering from the tennis elbow condition.
In this case, it is recommended to focus on a rotator cuff strengthening and scapular stabilization exercise program, which usually leads to almost immediate relief when it comes to tennis elbow. Some experts claim to have recorded an outstanding 99% success after using this approach to treat people suffering from tennis elbow.
For these patients, it’s highly recommended to follow a personalized exercise program, which is the most reliable, cost-effective and permanent solution to the issue. “The treating physiotherapist must focus on weak shoulder rotator cuff muscle to arrive at the complete resolution of the problem”, said Dr. Babhulkar, an expert on the subject.
He also stated that the diagnosis is quite simple and a simple clinical examination can determine if it’s tennis elbow what has been bothering the patient. However, it is possible that the tennis elbow is resistant to rehabilitation even after attempting to strengthen the rotator cuff, needless to say, this is a rare situation. If that is the case, further examination might be necessary to determine if the rotator cuff has a partial tear or there could be neurological weakness of the rotator cuff.
At CT Sports Physical Therapy & Wellness, we strive to provide the best quality care available for our clients regardless of their condition, including lumbar spine physical therapy, plantar fasciitis physical therapy Fairfield, CT and tennis elbow physical therapy Fairfield, CT. From tailored wellness programs to encouragement and education, our goal is to help you achieve better health. We are the only Physical Therapy Practice to carry advanced certifications as Sports Clinical Specialists in Norwalk, CT. Make an appointment today calling at (203) 957-8100
Exercises that Will Help You Be Cured of Back Pain
The biggest part of the population suffered or has suffered from back pain at least once. Apart from going to the doctor and find a good physical therapist who can help you with the right program to heal your spine, you can also do these exercises that will help you solve this problem. [Related topic: lumbar spine physical therapy Fairfield, CT]
Back pain is a symptomatology that any of us might have suffered at least once, caused mainly by bad postures when we sit or other times, even when we walk. As well as the 80% of the western world, most of the sedentary population suffers from these issues at least once; some of this people even suffer chronically from that issue on a daily basis. As a general rule, the remedy for relieving this back pain is to practice a series of soft movements to help us get better.
The Mayo clinic is one of the most prestigious clinics in all the US, considered for many as the first of the country and pioneer in the treatment of many conditions. They recommend a series of stretching and strengthening exercises that relieve and make our backs stronger. These are simple exercises that we can do at home and in which we won’t spend more than a couple of minutes.
If you have the time, it will be good if you do these exercises in the morning after waking up and at night before sleeping.
Knees to the Chest
Lying face up with your feet on the ground and your knees bent, move your knee trying to reach your chest with it, you can help yourself using your hands. Stay in position for 15 seconds and change leg. Repeat this at least 10 times with each leg.
Feet to the Chest
Pretty similar to the past exercise, but this time you won’t alternate your legs, this time you will try to reach your chest with your knees with both legs at the same time.
Lying Face up
With your feet on the ground and your knees bent, put both legs together, as a block, maintaining your shoulders always on the floor, twist your hips to touch the floor in the left or right side of your body. Repeat this exercise five times for each side.
Still in the same position, lying face up on the ground with your knees bent, but now you elevate your glutes from the ground and maintain for five seconds. You relax lying again completely on the ground and you squeeze your abs. Maintain the position for a couple of seconds, to initiate again a new complete movement, repeat the exercise at least 8 times, you can increase the repetitions depending on your physical state.
On your Knees
Putting your hands on the ground, as a 4 legged animal, push your abs and lumbar vertebrae towards the floor, while you rise up your head and shoulders. After that, do the opposite movement, elevate your abs and lumbar vertebrae and bring back your head and shoulders. Repeat this exercise at least 8 times
At CT Sports Physical Therapy & Wellness, we strive to provide the best quality care available for our clients regardless of their condition, including lumbar spine physical therapy Fairfield, CT, plantar fasciitis physical therapy Fairfield, CT and tennis elbow physical therapy Fairfield, CT. From tailored wellness programs to encouragement and education, our goal is to help you achieve better health. We are the only Physical Therapy Practice to carry advanced certifications as Sports Clinical Specialists in Norwalk, CT. Make an appointment today calling at (203) 957-8100.
Exercises for Lumbar Stabilization
In order to strengthen your muscles and support your spine, stabilization exercises are important during physical therapy as these can help prevent lower back pain. With the help of your physical therapist, you can find a way to maintain a neutral spine position.
Some of the goals of a lumbar stabilization exercise routine are:
- Reducing the amount of pain in the back
- Recovering control over the spine during daily activity, its mobility and force
- Healing soft-tissue injury, such as muscle strain and torn ligaments
- Minimizing the chance of back injury due to repetitive motions or sudden movements or stresses
Before undergoing a lumbar stabilization exercise program, you need to be evaluated by your physical therapist and a physician who would work together to develop a therapy plan tailored for your specific needs. However, there are a few exercises that you can do to improve your condition and procure lumbar stabilization.
This is a passive exercise that requires little muscle effort. Whilst laying on the floor with your knees bent and your feet on the floor. Find the neutral spine position and maintain it. Straighten one of your legs slowly, lifting the heel toward the ceiling while supporting the back of the thigh with both hands. Hold it there for 10 to 30 seconds and repeat with the other leg. Do 3 repetitions. If you prefer, you can make the leg muscles static by using a wall to straighten the leg while resting the leg muscles.
Challenge the neutral spine with this dynamic exercise for the hip abductors. Lie on one side with your lower arm bent under head and upper arm resting with your hand on the floor near your chest. Bend both your knees and flex your hips. Find the neutral spine position and slowly raise your upper leg 8 to 10 inches and then lower. Do 5 to 10 repetitions and repeat on the opposite side.
Lay on the floor with your knees bent and feet flat on the floor and tighten your stomach muscles and pull the lower back to the floor. Hold it there for 10 seconds, and do 3 to 5 repetitions. This is an active exercise from a position where the abdominal muscles are isolated and used to move the spine.
This advanced stabilization exercise introduces an unpredictable movement that must respond to the movement of the ball. Lay on floor with both your feet propped up on the exercise ball with your legs straight and your arms relaxed to the sides. Find the neutral spine position and hold while slowly tightening the buttocks muscles to lift the buttocks off the floor 2 to 3 inches.
Stretching and Aerobic Conditioning
Aside from doing strengthening exercises such as the aforementioned, stretching and aerobic conditioning is just as important when it comes to lumbar stabilization. Flexibility is crucial for a successful lumbar stabilization training, since it allows the muscles to assume the neutral position with ease. Further, cardiovascular conditioning is important part for the development of total body muscle strength and endurance, which are key points of any lumbar spine stabilization program. However, keeping a neutral spine during aerobic exercise is for the more advanced patients and it protects the healing back while working out.
Stabilization exercises are rather rigorous and therefore may not be well tolerated by all patients. It may be advisable for elderly patients or patients in significant pain to use other less strenuous means of physical therapy.