FROM THE ACHING KNEE BLOG

Kate just finished treating a buy louis vuitton washington dc patient who for the past 38 years has had a challenge with her kneecaps subluxing every single time she straightens either leg into full extension and when participating in low impact aerobics.  Oftentimes when buy louis vuitton washington dc this happens she experiences swelling in her knee joint which leads to buy louis vuitton washington dc pain.  She is buy louis vuitton washington dc a beautiful, active, intelligent woman who found her way to buy louis vuitton washington dc our clinic via a doctor who is in private practice, is buy louis vuitton washington dc progressive and seeks out professionals like Kate to treat his patients. 
The good news regarding this buy louis vuitton washington dc patient is that Kate was able to help this woman by applying the buy louis vuitton washington dc OnTrack® Treatment Method on both knees.  The woman broke down in tears because it buy louis vuitton washington dc was the first time in 38 years that she could move freely without her kneecaps subluxing and buy louis vuitton washington dc severely limiting her ability to be active and live a normal life.
The bad news regarding this buy louis vuitton washington dc patient is that until now, not one medical professional from whom she sought help in the buy louis vuitton washington dc past 38 years correctly diagnosed and treated her knee malady.  Although unpardonable, sadly this happens all too often.  
Patients frequently get caught up in a buy louis vuitton washington dc health care environment that can easily be compared to being up a buy louis vuitton washington dc creek without a paddle.  They get lost in the buy louis vuitton washington dc chaos and no one takes the time to really listen to buy louis vuitton washington dc them or take good care of them.  This happens more and buy louis vuitton washington dc more as medical professionals can no longer survive in private practice.  They succumb to buy louis vuitton washington dc joining large, bureaucratic, medical entities where they are double or even triple booked with patients, regularly running an buy louis vuitton washington dc hour or more behind schedule and spending only a few unfocused minutes with each patient.   If a buy louis vuitton washington dc patient needs physical therapy they are often sent to the buy louis vuitton washington dc clinic owned by the physician, which is allegedly illegal in California.  Or, the doctor will send them to a clinic that forces its’ therapists to see 4-6 patients per hour.  In our humble opinion, neither of these options is buy louis vuitton washington dc appropriate or acceptable.  No wonder people can buy louis vuitton washington dc bounce around for years without getting the help they so desperately need and buy louis vuitton washington dc deserve.
The Chief of Staff at Scripps Memorial Hospital in La Jolla, CA recently said, “I have buy louis vuitton washington dc learned that all accomplishments are directly proportional to the interest and buy louis vuitton washington dc passion each person contributes to getting “stuff” done.”  We agree whole heartedly with this.  At Kate Grace Physical Therapy we pride ourselves on getting “stuff” done.  It is buy louis vuitton washington dc NOT, nor will it ever be okay with us for a buy louis vuitton washington dc patient to live a compromised life for 38 years before getting good care.  Our patients will not sit in our lobby waiting to be seen.  Our therapists stay on-time all day, every day.  Our patients will be buy louis vuitton washington dc educated by our therapists so that they understand what is wrong with them and buy louis vuitton washington dc how we are going to fix it.  Our patients will be better after every visit.  We will invite each of our patients to buy louis vuitton washington dc advance their level of health beyond what it was when we met them.   And we will facilitate them in achieving this if they want our help.
We ask that buy louis vuitton washington dc you keep this in mind when you, a family member, friend, or buy louis vuitton washington dc co-worker needs medical attention.  You have buy louis vuitton washington dc a bunch of interested and passionate people whose primary goal is buy louis vuitton washington dc to make a positive contribution to people like you every day.  Call us, we can and will help!

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It seems as though the buy louis vuitton washington dc entire planet has been consumed with World Cup fever the past few weeks, and for good cause. This year’s tournament is living up to its’ high expectations. The United States’ first group win since 1930, and buy louis vuitton washington dc the many upsets, including defending champs not even emerging from group play!
While there have buy louis vuitton washington dc been great moments, there have also been some not so great moments. Many people cannot get the buy louis vuitton washington dc hive of bees, I mean vuvuzelas, from ringing in their ears for buy louis vuitton washington dc hours after the games are already over. Not to mention blown calls by referees; reversing goals from buy louis vuitton washington dc players called offsides when they weren’t, and buy louis vuitton washington dc not counting goals that were good by at least 3-4 feet. However, for buy louis vuitton washington dc myself and many others out there, the worst part of the buy louis vuitton washington dc World Cup is all of the FLOPPING!
Soccer players are buy louis vuitton washington dc notorious for flailing their bodies about at the very threat of contact, attempting to buy louis vuitton washington dc get a call in their favor. It seems that a buy louis vuitton washington dc lot of these soccer players could have quite the career on Broadway after they retire from buy louis vuitton washington dc the pitch. However, while at times these players will fake an buy louis vuitton washington dc injury, many of these great athletes push through painful injuries that buy louis vuitton washington dc would keep most of us off of the field. One of the buy louis vuitton washington dc painful injuries that plague soccer players from the World Cup to buy louis vuitton washington dc the high school fields is the dreaded Turf Toe.
Turf toe is buy louis vuitton washington dc an injury to the big toe when it is extended upward with high force. This injury often occurs in athletes who buy louis vuitton washington dc play soccer, football, and rugby. Turf toe received its name due to buy louis vuitton washington dc the large number of these injuries happening on artificial turf or buy louis vuitton washington dc surface. Turf toe typically occurs when an athletes shoe sticks to buy louis vuitton washington dc the turf while their bodyweight continues to go forward, causing the buy louis vuitton washington dc toe to hyperextend upward.
Turf toe usually presents with pain and buy louis vuitton washington dc inflammation at the base of the big toe, or 1st metatarsal joint. Pain with flexion or buy louis vuitton washington dc extension of the big toe is another common symptom. If the buy louis vuitton washington dc injury is severe enough, the ligaments and bone on the bottom of the buy louis vuitton washington dc big toe can be damaged. Turf toe sprains are categorized by 3 grades. Grade 1 is buy louis vuitton washington dc accompanied by mild pain, but not limiting a player from competition. Grade 2 can buy louis vuitton washington dc cause an athlete to have to rest 3-14 days, while grade 3 injuries can buy louis vuitton washington dc cause missed playing time of 2-6 weeks.
Treatment of turf toe is buy louis vuitton washington dc variable based on the grade of the injury. All injuries are buy louis vuitton washington dc acutely treated with rest, ice, compression, and elevation (RICE), as well as non-steroidal anti-inflammatory drugs (NSAIDS). Crutches are buy louis vuitton washington dc used for more severe sprains to allow the joint to buy louis vuitton washington dc heal without weight bearing. Your physical therapist can assist with further treatment through taping the buy louis vuitton washington dc joint to prevent motion. Therapeutic modalities such as ultrasound may be buy louis vuitton washington dc used to help increase the rate of healing. Typically, around 3-5 days after injury, pain free range of motion activities are buy louis vuitton washington dc initiated. All grades of injury can benefit from a rehabilitation and buy louis vuitton washington dc strengthening program developed by a physical therapist. Physical therapy plays an buy louis vuitton washington dc important role in recovery and prevention of hallux limitus (the buy louis vuitton washington dc development of arthritis in the joint, thereby decreasing range of motion). Once hallux limitus is buy louis vuitton washington dc developed, it can have a lasting effect on gait mechanics, leading to buy louis vuitton washington dc further injuries in other joints of the lower extremities.
So as you buy louis vuitton washington dc watch the rest of the World Cup and happen to see a buy louis vuitton washington dc player flip into the air from tripping over an imaginary line…just remember, real injuries CAN actually happen without contact.

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