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HEALTH & FITNESS

                                              WHAT IS CAUSING

                                YOUR PAIN?

                by Paula Allia  W e are into the third month of                         already experienced. For example if you suddenly
      PT, DHSc, MTC, OCS                            2016. Many people started with      have pain in your right shoulder but for no known
                                                    a resolution to get into shape.     reason, it may be associated to your gall bladder. Your
“The overall                                        People may quit for many reasons.   left shoulder and scapula pain may be caused by your
            key to              Others have realized that exercising is as important    heart; The low back may be cause by kidney or liver
 understanding                  to each day as brushing the teeth!                      issues. Again, the first key is to notice if this pain is
                                                                                        familiar or not and rule out other medical conditions.
         pain and                  I frequently ask my older clients, “What is the
  dysfunction is                key to your longevity?” The common answers of              Once understanding that your pain truly is
                                those who persevere are:                                coming from the local area and not referred from
    to figure out                                                                       elsewhere, now do your due diligence with allowing
  if your pain is                  • Drink plenty of water each day                     yourself to pay attention to what you feel, what
   being caused                    • Get at least eight hours of sleep per night        makes the pain worse and better.
                                   • Staying strong
     by an active                  • Keeping weight under control                          If a joint has breakdown and degeneration of
                                   • Physically MOVE….just move…                        the bones, bone pain can be strong and a deep
  ”or passive                      As Fitness Together is completing its 12th year      ache. Ligaments check motions and contribute
                                in business in downtown Naples, those answers           to the joint’s stability. Usually a ligament that is
       structure.               continue each and every year. We are happy to say       causing pain gets painful when there is stress on
                                that in all of our time in business, our clients come   the structure. The menisci of a joint help to make
     Fitness Together           in with issues and improve their health with us. We     a joint congruent. If there is a partial tear in this
      335 14th Ave South        are proud of this! If they gets kinks along the way     structure, for example, in the knee, pain can occur
          Naples, FL 34102      we figure out why and adjust our programs. You see,     if the cartilage is lodged in the joint wrong the
              239.263.9348      using an eclectic approach to fitness and everyday      joint could lock. These anatomical parts are inert
                                life is our key to success.                             structures….Pain can be elicited from passive
 FitnessTogether.com/Naples        What we do hear, on occasion is about aching         movements of the joint.
                                joints and arthritis that affects many people’s lives.
                                What is actually causing the pain? Whether you             Other connective tissue structures that cause pain
                                exercise or not is important to figure out the cause    are tendons and muscles. These structures become
                                of you pain so that then you can do something           painful when actively moving or being tested. For
                                about it.                                               example, if you raise your shoulder using a certain
                                   Last month we discussed osteoarthritis that          muscle and there is pain and this pain worsens
                                is a degenerative process of the joint where one        with added resistance to that movement, chances
                                may experience pain and stiffness. You may rise         are the muscles are involved. If the movement does
                                with stiffness and as you move around the stiffness     not hurt with active motion but pain is worse with
                                dissipates and then later in the day once you are       passive movement, chances are the structure cause
                                sitting for a period of time, you may go to get up      the pain is not the muscle or tendon.
                                and once again have stiffness.
                                   The overall key to understanding pain and               As a Doctor of Physical Therapy, patients come
                                dysfunction is to figure out if your pain is being      in for evaluations with assumptions of what is
                                caused by an active or passive structure. Many          painful because a friend had the same problem.
                                connective tissue structures can cause pain. In         Never assume what the problem is and get
                                addition, some pain can actually be a referred pain     checked out so you have a better idea of the cause.
                                caused by an organ dysfunction.                         Treatments vary depending upon the structure hurt
                                   If you are experiencing pain in a joint, recognize   and one should never assume. Treat your body right
                                if the pain is familiar or differ from what you have    and if you have pain get checked out sooner than
                                                                                        later and take a proactive role in your health care.

                                                                                           To Your Health!

	50 										                                                                          Life in Naples | March 2016
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