Edward Hernandez

Repetitive motions, wrong technique, frequent overhead reaching, forceful exertion and keeping
shoulder in one position too long are the most common causes of tendonitis.

Edward Hernandez, Physical Therapist with Miami Orthopedics & Sports Medicine Institute, says a repetitive motion is one of the main causes of tendonitis, because it sees both in sport and in everyday life. Rotator cuff tears are very common shoulder injuries. Edward Hernandez, Physical Therapist with
Miami Orthopedics & Sports Medicine Institute, explains with a digital imaging how this condition
occurs.

In most of the cases the patient needs surgery to repair that tendon and a long-term rehab.

The specialist says bursitis is another common shoulder injury. Edward Hernandez, Physical Therapist with Miami Orthopedics & Sports Medicine Institute,
explains seven ways to prevent injuries: listen to your body, stay in shape, exercise the right way,
warm up, cross-train, be careful at work and don’t strain to reach anything.

He recommends getting evaluated by a professional when the first symptom appears, because
more damage to the shoulder can be avoided. The shoulder has a lot of freedom of movement. There is a lot of different planes of movement
involved in it, says Edward Hernandez, Physical Therapist with Miami Orthopedics & Sports
Medicine Institute.
He affirms soft tissue plays a big factor in the shoulder complex. Muscles and tendons give stability
to it.
The expert also explains how tendonitis happens. Edward Hernandez, Physical Therapist with Miami Orthopedics & Sports Medicine Institute,
explains the medical term for frozen shoulder is adhesive capsulitis.
He describes how frozen shoulder occurs. He explains the joint capsule shrivels and starts
stiffening. The patient begins to lose range of motion and mobility in the shoulder and It’s
associated with a lot of pain.

This condition is more prevalent in women above the age of 40. There’s no specific reason that
they’ve been able to find why this happens. Sometimes, diabetes can be associated with it, he
affirms.

Frozen shoulder can improve on its own, he says. Edward Hernandez, Physical Therapist at Miami Orthopedics and Sports Medicine Institute, explains patients will have surgery and be sent home the same day from the hospital. They are going to undergo physical therapy within a couple of days. “The idea behind that is we want to get the patient into physical therapy as quickly as possible to get moving as quickly as possible,” he says.

He assures after physical therapy no patient is having issues, like arthritis, because the outcomes are very good and patients are able to get back to their daily activities. Pain in joints, warmth and redness in joints, swollen joints, stiff joints, trouble moving joints in
normal way and grinding feeling of joint when moved are the most common symptoms of arthritis of
the shoulder.

Edward Hernandez, Physical Therapist with Miami Orthopedics & Sports Medicine Institute,
explains pain is one of the classic symptoms of arthritis. It can be pain with activity or pain at rest.

The expert also explains what crepitus means. Edward Hernandez, Physical Therapist at Miami Orthopedics and Sports Medicine Institute, says meniscal tears are very common. “A meniscus is a circular structure and there are two of them, one on the lateral and one on the medial side of the knee. Basically, it’s a cartilage that sits between the femur and the tibia,” he explains.

He points out meniscus are shock absorbers that attenuate forces or compressive forces. So when a patient has a tear, it could be from a type of traumatic injury or maybe a misstep or a fall. According to the National Institutes of Health, female athletes are three and a half times more at risk of having an ACL injury compared to men.
Edward Hernandez, Physical Therapist at Miami Orthopedics and Sports Medicine Institute, says this happens for different reasons. One of them is that in women, there is an imbalance between the muscles in the front of the thigh, which are called the quadriceps group and the hamstring muscle group.

According to him, some research has found that the ideal ratio between quadriceps strength and hamstring strength is about sixty percent, so the solution is working on the hamstring muscle group and getting that ratio to align. Edward Hernandez, Physical Therapist at Miami Orthopedics and Sports Medicine Institute, says there is a very good opportunity as a physical therapist to come in and intervene after a meniscal tear has been diagnosed.

He points out conservative therapy should always be the first line of treatment. “I see a lot of patients come in with meniscal tears and we have the ability to have the patient come in, get the swelling down, re-strengthen all the knee, support musculature around the knee and have them slowly but progressively get back to all the things that they were enjoying before the meniscus tears,” he highlights. The most common rotator cuff tear symptoms are: dull ache deep in shoulder, disturbed sleep,
inability to lift arm, difficulty to reach behind people’s back and arm weakness.
Edward Hernandez, Physical Therapist with Miami Orthopedics & Sports Medicine Institute, affirms It’s a common presentation an ache in the shoulder and usually patients will report that they feel it deep within their shoulder area.

He adds his work group is very conservative, because first they analyze the patient’s conditions,
then they evaluate traditional treatments and they leave the surgery as a last option. Depending on
the case, with rehab and some techniques it is possible to avoid surgery. Rotator cuff tears are very common shoulder injuries. Edward Hernandez, Physical Therapist with
Miami Orthopedics & Sports Medicine Institute, explains with a digital imaging how this condition
occurs.

In most of the cases the patient needs surgery to repair that tendon and a long-term rehab.

The specialist says bursitis is another common shoulder injury. Edward Hernandez, Physical Therapist with Miami Orthopedics & Sports Medicine Institute,
explains seven ways to prevent injuries: listen to your body, stay in shape, exercise the right way,
warm up, cross-train, be careful at work and don’t strain to reach anything.

He recommends getting evaluated by a professional when the first symptom appears, because
more damage to the shoulder can be avoided. Repetitive motions, wrong technique, frequent overhead reaching, forceful exertion and keeping
shoulder in one position too long are the most common causes of tendonitis.

Edward Hernandez, Physical Therapist with Miami Orthopedics & Sports Medicine Institute, says a repetitive motion is one of the main causes of tendonitis, because it sees both in sport and in everyday life. The shoulder has a lot of freedom of movement. There is a lot of different planes of movement involved in it, says Edward Hernandez, Physical Therapist with Miami Orthopedics & Sports Medicine Institute.
He affirms soft tissue plays a big factor in the shoulder complex. Muscles and tendons give stability to it.
The expert also explains how tendonitis happens. Edward Hernandez, Physical Therapist with Miami Orthopedics & Sports Medicine Institute,
explains the medical term for frozen shoulder is adhesive capsulitis.
He describes how frozen shoulder occurs. He explains the joint capsule shrivels and starts
stiffening. The patient begins to lose range of motion and mobility in the shoulder and it’s
associated with a lot of pain.

This condition is more prevalent in women above the age of 40. There’s no specific reason that
they’ve been able to find why this happens. Sometimes, diabetes can be associated with it, he
affirms.

Frozen shoulder can improve on its own, he says. Pain in joints, warmth and redness in joints, swollen joints, stiff joints, trouble moving joints in
normal way and grinding feeling of joint when moved are the most common symptoms of arthritis of
the shoulder.

Edward Hernandez, Physical Therapist with Miami Orthopedics & Sports Medicine Institute,
explains pain is one of the classic symptoms of arthritis. It can be pain with activity or pain at rest.

The expert also explains what crepitus means. The most common rotator cuff tear symptoms are: dull ache deep in shoulder, disturbed sleep,
inability to lift arm, difficulty to reach behind people’s back and arm weakness.
Edward Hernandez, Physical Therapist with Miami Orthopedics & Sports Medicine Institute, affirms it’s a common presentation an ache in the shoulder and usually patients will report that they feel it deep within their shoulder area.

He adds his work group is very conservative, because first they analyze the patient’s conditions,
then they evaluate traditional treatments and they leave the surgery as a last option. Depending on
the case, with rehab and some techniques it is possible to avoid surgery.

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