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Pain and Arthritis

“The Most Effective Pain Reliever Doesn't Come In a Pill.”

Patient Doing Lat Pulldown Jim Helping Patient on Body Phyx

Pain is a symptom of a problem.  

Physical Therapist can identify the problem and treat it.

 Back and Neck Pain                Arthritis Pain

Rotator Cuff Injury                 Frozen Shoulder

Plantar Fasciitis                       Sacroiliac Pain

Shoulder Pain                          Golfer’s Elbow

Tennis Elbow                          Bursitis

Headaches                                 Tendonitis

Knee Pain                                   Hip Pain

Carpal Tunnel Syndrome    

CHC Physical Therapists have phenomenal results in the treatment of pain.  Common causes of pain are shortened muscles and tendons caused by scar tissue, sprains and strains, injury, repetitive movement such as a golf and tennis swing, weakness, and arthritis.  

Pain Treatment at CHC Physical Therapy


A frequent cause of pain that is commonly not identified and therefore not treated is pain of nerve origin, specifically pain evolving from the connective tissue “tube” the nerve glides through.  Nerves are often ignored as an important part of the musculoskeletal system. 

Nerves travel alongside the muscles and tendons. When a muscle or tendon is hurt, it scars over and heals. The adjacent nerve can be caught up in the scarring process. Lingering PAIN in the area of the original injury that does not respond to treatment (including stretches) is most likely due to neural scarring. The nerve as a source of pain can be identified by physical therapists trained in treatment of the nerves and, treated appropriately, the PAIN is abolished quickly. This is frequently the cause of Hip, Knee, and Heel PAIN.  The injury that caused the present pain could have happened years ago. For example, that old football injury could be the cause of the pain experienced now with the golf swing.




The presence of arthritis in a joint does not mean that pain is inevitable.

Even a diagnosis of, "Bone on Bone" does not necessarily mean that pain is inevitable. Joint pain caused by arthritis can be treated and resolved. If arthritis alone were the cause of pain, the joint pain would be constant. It would always be there because the arthritis is always there.

The tissues surrounding the arthritic joint, influence the arthritic joint. Tight muscles and tendons and entrapped nerves in and around the arthritic joint affect the alignment of the joint’s articular surfaces. This change in alignment changes the way the joint surfaces make contact with each other. This change in alignment irritates the joint surfaces, particularly the arthritic joint. When the alignment and the free movement of the tissues surrounding the affective joint are restored, pain is resolved. Aging and old injuries cause mechanical changes in tissues surrounding the joint. Even poor posture can affect the alignment of the articular surfaces of the joints. No matter how old the injury or how old the joint, mechanical problems can be fixed.

Mechanical problems causing the arthritic joint to be painfull can be fixed conservatively with physical therapy.

Too frequently, much too frequently, surgery is considered as the only option for fixing a mechanical problem.

Don't accept a diagnosis of arthritis as the cause of pain. Do not feel that joint replacement is your only option.

Don’t abandon the golf game, running or gym program.

At CHC Physical Therapy we can identify and correct the mechanical changes in and around a painful joint. Most often, painless activity is restored.

It is worth a try.

Physical Therapists hear a variation of the following statements at least once a day: "My back (or knee, neck, etc.) hurts. But that pain is due to arthritis, so there isn't anything you can do for it." Or "My knee is bone on bone and there is arthritis in it. It is only a matter of time before I will have to get a new knee." These statements are simply not true!

An orthopedic surgeon once told a patient in front of me that: "Just because you the "Author" doesn't mean that you have to have the "itis". The "itis" this doctor was referring to was the pain and inflammation of arthritis.

Arthritis is a change in the surface of the bones and the joint where they articulate with each other. The muscles in the legs function as shock absorbers. The joints are for movement. What happens with arthritis that is responsible for pain:

  • Movement is lost (resulting in pain)
  • Muscles lose power (therefore cannot absorb shock before it gets to the joint}

What can Physical Therapy do to take away the pain of arthritis?

Arthritis and Body Phyx Treatment

  •  Restore lost movement
  • Restore muscle strength

Stay flexible





The solution to pain and performance decline is not always…….More stretches

                                                                                                                          More strengthening

                                                                                                                                 More endurance

In post-surgical joint repair, reconstruction or replacement it is often the ignored neural component that is not addressed in the rehabilitation process.  The result is less than optimal outcomes.

Inflammation is a consequence of repetitive movement or compression, injury and surgery.  Inflammation causes the formation of scar tissue.  The neural sheath can be “caught up” in this scarring process.  The nerve becomes entrapped.  The nerve’s ability to glide and slide to accommodate movement is limited.  This causes pain, inflammation and decreased performance.   The injury could have been the fall off your bike at 7 years old, the high school football injury or a recent episode of runner’s heel pain.

In the treatment of Pain and Performance, the Nervous System cannot be ignored.

Common Areas of Pain Caused By An Entrapped Nerve

Physical Therapists at CHC Physical Therapy are

Neuro-Orthopedic Physical Therapists. 

Physical therapists are movement specialists.  Their education focuses on movement and the anatomy of all the systems and structures in the body involved with movement:

  • This includes the movement of muscles, bones, joints and spine. 
  • Two important components of balance are the movement of the fluid in the vestibular canals of the inner ear and the tracking of the eye to tell our body where it is in space.   
  • Two important components of endurance are the respiratory system’s ability to cause the movement of air in and out of the lungs and the strength of cardiac tissue to pump the oxygen out into the body.
  • Good alignment (posture) is essential to optimal movement.

At CHC Physical Therapy we also specialize in the movement of the nervous system.

The ability of the nerves to glide and slide to accommodate movement in the musculoskeletal system is often ignored in the treatment of pain and performance.

        Golf Driving Tips

Think of the golf swing:

The nervous system has to be able to function while accommodating this movement. The spine has to be able to rotate. The hips and shoulders need full range of movement.  For all of this to happen, good alignment is essential.

Tennis posture

With tennis and all sports, the spine has to be able to move through the full range of movement in all directions.  “Bumping” into a block to movement will eventually cause pain.

Good Posture Runner Physical Therapy Heel, foot, shin and anterior knee pain experienced by runners is often attributed to heel spurs, plantar fasciitis, shin splints and patellar tendonitis.  Maybe these inflammatory processes caused the original episode of pain but an entrapped nerve in the area most probably causes the recurrent pain.
Girls Team Soccer For optimal balance, the eyes, inner ear and the mechano-sensory (musculoskeletal) systems have to work together.  Treatment focused on only one system will not maximize balance and good balance is essential in soccer.  To prevent injury and to maximize performance and power, optimal balance is essential.
baseball pitcher physical therapy

Chronic IT Band Syndrome often has a significant neural entrapment component.

Every system in the body that is involved with movement has to work optimally for maximum performance without pain or the risk of injury.  Balance, power and maximum range of movement of the neuro-musculoskeletal systems are essential for the pitcher to prevent shoulder pain and injury.  The nerves ability to glide and slide is essential for optimal shoulder function.  CHC Physical Therapy did a 100 patient clinical trial on the neural component of shoulder pain.  This trial demonstrated that there was an 85% reduction in shoulder pain with use of the Body Phyx equipment alone.  The study demonstrated that Body Phyx causes movement of neural tissues in and around the shoulder and arm. This would indicate that Body Phyx should be the main component of a shoulder program.

wrestlers physical therapy

From working with wrestlers at CHC Physical Therapy it has been observed that they have more loss of movement in the nervous system than any other athlete.  This could be explained by the static power exerted by the wrestler.  The effects of the neural tension, or the lack of the ability of the nerves to glide and slide to accommodate movement not only affects performance at onset, but it is often experienced later, much later, in life.  At this point pain, experienced with getting up from a chair, running, walking or a gym workout, is blamed on arthritis.  The nerves loss of ability to slide and glide is not determined by an x-ray or MRI.  Physical therapists at CHC Physical Therapy use evidence based tests to determine the presence of the loss of movement in the nervous system.


hockey player

Not all athletes wear helmets but even with a helmet; the head and upper neck are vulnerable to injury.  Concussions effect performance immediately after onset and for years down the road.  Concussions are frequently not diagnosed and even if diagnosed movement affected by the concussion is not restored.  This can be movement of all the systems discussed above:

  • The Nervous System
  • Balance, including The Vestibular System and Eye Tracking
  • The Musculoskeletal Systems
  • The Respiratory System and Heart muscle

Everyone would benefit from an evaluation that addresses all systems of the body involved with movement.

  • The Nervous System
  • Balance, including The Vestibular System and Eye Tracking
  • The Musculoskeletal Systems
  • The Respiratory System and Heart muscle


Contact Us

CHC Physical Therapy

To schedule onsite evaluations of teams at the school or sports facility. 

Individual evaluations are performed at CHC Physical Therapy

Not all stretches are equal.            Not all stretches are effective.          Stretches can cause pain and injury.


The Nervous System is not Static.

Nerve Entrapments are blocks that limit the gliding and sliding of a nerve to accommodate movement.

Causes of Nerve Entrapments:

  • Isolated Contusion
  • Repetitive Compression
  • Stretch
  • Surgical Injury

-- Kevin deWeber, MD, FAAFP, Military Sports Medicine Director, USUHS, Bethesda, MD


Physical Therapists at CHC Physical Therapy are Specialists in the Science of  “Mobilization of the Nervous System”

--  David S.Butler B.Phty, Grad Dip Adv Adv Manip Ther, M.A.P.A., M.M.P.A. Lecturer, School of Physiotherapy, University of South Australia

The Results...Amazing Outcomes!

"Thank you so very much for teaching and training me to have a stronger, more upright, realigned body. Thanks for giving me a more optimistic attitude about aging and keeping strong and healthy. Thanks for the encouragement and laughs.
I appreciated the friendliness, helpfulness, and encouragement offered by all your staff. It was a pleasure talking and working with them! I was also impressed by the cleanliness of your office, and the respect of privacy offered by curtains at each station.
May God continue to bless you so you can touch many more people with your strong determined positive teachings and therapy.

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