Sports Injury Rehabilitation
Dr. Kelberman spent over 30 years becoming a master at treating injured and traumatized people. His specialty is called Applied Kinesiology. Whether you’re 90 years old or just 2, a weekend warrior, pro athlete, or in a car accident, he can put together a treatment protocol for your comfort and safety to restore normal function, eliminate pain and provide the key elements for wellness.
Foot and Ankle CareOur office is fantastic at treating foot related conditions, such as Plantar Fascitis, Metatarsalgia, Neuromas, tendonitis, foot and ankle sprains, calf tears, flat feet, achilles tendonitis, bursitis, shin splints, bunions, stress fractures, foot and calf cramps and tarsal tunnel syndrome.Custom foot OrthoticsWe still believe that the best way to make custom orthotics is by plaster casting the feet in a non-weight bearing position. Many offices use foam molds that you step into thus giving you a mold of a deformed foot. Dr. Kelberman has trained with many Podiatrists and feels the end result is superior if you both plaster cast the feet and figure out which part of the foot is giving you the dysfunction. It’s not just about how the foot looks. Looks can be deceiving. For example: There are two arches in the foot not one. The metatarsal arch and the longitudinal arch. Additional you need to consider the rearfoot and the forefoot. All of these areas must be taken into consideration when creating an orthotic. There are many materials available for your orthotics. You don’t always have to have hard orthotics. Sometimes softer is better. Especially with people who have lost there foot fat pads (common when aging) and diabetic patients.
What is Tendonitis and Bursitis?Tendinitis is typically from over use and repetitive movement. It’s an inflammation or irritation of a tendon, which is the thick ends of a muscle that attaches the muscle to bone. Remember muscles move bones.Bursitis is created when there is chronic imbalances in a joint that leads to an irritation and inflammation of the joint bursa.
What Is Bursitis?
Bursitis is the inflammation or irritation of the bursa. The bursa is a sac filled with lubricating fluid, located between tissues such as bone, muscle, tendons, and skin, that decreases rubbing, friction, and irritation.
What Causes Bursitis?
Bursitis is most often caused by repetitive, minor impact on the area, or from a sudden, more serious injury. Age also plays a role. As tendons age they are able to tolerate stress less, are less elastic, and are easier to tear.
Overuse or injury to the joint at work or play can also increase a person’s risk of bursitis. Examples of high-risk activities include gardening, raking, carpentry, shoveling, painting, scrubbing, tennis, golf, skiing, throwing, and pitching. Incorrect posture at work or home and poor stretching or conditioning before exercise can also lead to bursitis.
Achilles tendonitis is a common injury for all athletes who run or jump. It is frequently due to associated muscles not functioning, creating an overuse of the gastrocnemius and soleus groups because they are the strongest muscle/tendon in the lower legs. Like many areas of the body, if there is regional imbalance, the strongest muscles will try to exert a compensatory effort and usually over work in an unconscious effort to stay in balance. How miraculous our bodies really are.
Treatment for Tendinitis
Stop the activity that created it and use ice initially. Very hard for athletes who are determined to stay on a training regime.
Anti inflammatory approaches are effective and vary widely. The standard medical approach is to take anti inflammatory drugs. These can be effective, but can also cause stomach, gut and liver or kidney issues, when taken for extended periods of time, especially with sensitive people. The medications can be replaced by use herbal anti inflammatory supplements. They might include herbs like tumeric and ginger or essential fatty acids,. You know them as oil formulas such as fish oil, flax seed oil, coconut oil, krill oil, black currant seed oil, sesame seed oil, etc. They are called essential fatty acids because our bodies cannot make them. We must eat them. They are the GOOD FATS from oils. Another area that frequently comes into play is the state of adrenal function. If the person or athlete has been overtraining, which is a very common reason for the injury in the first place, then their adrenals may be exhausted and the resultant person has little natural anti inflammatory reserves to heal themselves.
Stretching not strength training is utilized. Specific stretching to increase the muscles length unless there is also a tear in that tendon.
Torn tendons are categorized into 3 groups depending on how badly they are torn.
Strain. A small number of muscle fibers are damaged. Rehab is effective.
Partial rupture. Up to 50% of the muscle is damaged. Frequently rehab is effective however some may require reconstructive injection therapy. PRP or stem cell injections are very effective.
Complete rupture. The muscle is completely torn. Always a surgical repair. And should be done right away (within two weeks of the original injury whenever possible). May have to wait if there is massive swelling of the inured area.