4 Common Orthopaedic Trauma Injuries & How We Treat Them

Article featured on MedStar Health

How We Treat Common Othropaedic Trauma Injuries

Lower Extremity Fractures

We see a large number of lower extremity injuries from individuals getting struck by cars, such as a tibial plateau fracture, which occurs when you break the bone on the top part of your tibia, right below your knee. This often happens because a car’s bumper strikes someone from the side at about knee level. Other common lower extremity injuries, such as a femur fracture and pelvic fracture, occur the most in the spring and summer, when people are out riding their motorcycles, bicycles, and motorized scooters.

Treatment for lower extremity fractures typically involves a surgeon realigning a patient’s affected bone and joints to their natural positions and holding them in place with plates and screws in a way that allows for them to heal properly.

While bones typically take about three months to heal, the hardware we insert during surgery sometimes is strong enough to support patients’ weight, allowing them to walk right after surgery. But speak to your doctor to see what to expect from your surgery, as some fractures, such as those close to joints, need to be fixed with hardware that is not designed to support the patient’s weight, resulting in people waiting weeks to months to put weight on their legs. Once patients are able to bear weight again, physical therapists can help them with strength and flexibility exercises to minimize stiffness and regain muscle loss. Social workers also can help patients plan for disability insurance or any time off work while they recover.

Wrist Injuries

We often see individuals with wrist injuries after they try to catch themselves when they slip and fall. This is especially common during the winter months, when snow and ice are on the ground. One of the most common wrist injuries we see is a fractured distal radius (broken wrist).

Treatment for a distal radius fracture typically involves patients either wearing a cast for around six weeks to allow the wrist to heal or undergoing surgery to better align the wrist and stabilize it  in order for it to heal properly.

Bones That Don’t Heal Properly

Some people are referred to us by their primary care doctors or other orthopaedic specialists because they’re having complications from previous fractures, such as a bone healing crookedly or not healing at all (nonunion).

To treat a nonunion, we first try to identify whether the patient’s bones aren’t receiving enough blood supply or the patient is lacking vitamins and minerals, such as vitamin D, which are necessary for proper bone healing. If neither is the case, we typically can get the bone to begin healing by retrieving bone from another part of the body and inserting it into the fracture site of the bone that isn’t healing properly.  We may need to also stabilize the bone differently from what was tried initially.

For bones that heal crookedly, we may need to cut the bone to realign it to the proper position.  We then stabilize it to hold it in that position. Depending on the situation, this can be performed all on the inside of the body or by using a system on the outside of the body that connects with a computer program.

Bone Infections

Some patients are referred to us because of osteomyelitis, a complicated bone infection. Osteomyelitis often can occur after trauma and can affect any bone. Without the proper treatment, osteomyelitis can spread to the tissues near the bone, kill the bone, and prevent any fractures from healing.

We treat these bone infections with surgery in which we open up the bone, remove as much of the infection as possible, and prescribe the patient antibiotics to both kill any remaining traces of the infection and keep it away long-term.

Can You Prevent Orthopaedic Trauma Injuries?

Unfortunately, many orthopedic trauma injuries are due to random events, such as someone running a red light and hitting another person’s car. There isn’t much we can do to prevent these types of events.

But it’s possible for you to avoid some traumatic injuries by carefully selecting what activities you want to participate in and understanding your physical limits. If you’re riding a motorcycle or bicycle, for example, make sure you’re moving at a safe pace and are always aware of your surroundings. If you’re on a ski trip, don’t ski on the hardest trail without having the appropriate skill level.

What Should People Do in an Emergency?

If an individual experiences an orthopaedic trauma injury, such as a severely injured limb, call 911 right away to request an ambulance. While the ambulance is on the way, it’s important for the injured person to stay calm and keep the affected arm or leg still. This can not only reduce the pain but also help prevent further injury to the soft tissues surrounding the injured bones. If there’s newspaper or cardboard nearby, try rolling it up to form a makeshift splint.

If someone has an open fracture—when there’s an open wound or break in the skin near the broken bone, what used to be referred to as a compound fracture—or has any injury that causes excessive bleeding, applying pressure on the area helps reduce the bleeding while they wait for emergency medical professionals to arrive.


The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

How Does Exercising Keep the Brain Young?

Article featured on MedicalNewsToday

Exercise greatly benefits brain health, improving cognition, mood and reducing the risk of neurodegenerative diseases. Several new studies have demonstrated the profound impact of exercise on various biological systems, further explaining its ability to enhance health and fight disease. In this Special Feature, we explore the most recent research on how exercise can protect brain health as we age.

Exercise is linked to increased muscle strength, improved heart health, lower blood sugar and numerous other health benefits.

Activities such as running on a treadmill, biking up a steep hill, lifting weights or taking a brisk lunchtime walk offer a wide range of advantages that go beyond enhancing physical appearance or stamina.

Evidence from studies suggests that regular physical activity could boost mood, alleviate stress, and sharpen cognitive function, underscoring the deep connection between body and mind.

However, different people can respond quite differently to various forms of exercise, such as aerobic workouts or strength training.

While it is well-known that regular exercise is crucial for a healthy lifestyle, some older research has suggested that intense exercise might have negative effects.

More recent research, however, showed that elite athletes experienced slightly extended life expectancies over the decades.

Exercise significantly enhances brain health by improving cognition, mood and by reducing the risk of neurodegenerative diseases through promoting neurogenesis and synaptic plasticity.

What does the latest evidence and expert opinion have to say about the ways in which regular physical activity helps maintain brain, as well as general, health as we age?

How exercise affects the body at the molecular level

In a new collaborative effort led by Stanford Medicine, researchers have explored the underlying mechanisms through which exercise promotes overall health, particularly brain health.

By understanding how exercise affects different organs at the molecular level, health care providers could tailor exercise recommendations more effectively.

This knowledge could also pave the way for developing drug therapies that mimic the benefits of exercise for those who are unable to engage in physical activity.

The study — whose findings appear in Nature — involved nearly 10,000 measurements across almost 20 types of tissues to examine the impact of 8 weeks of endurance exercise in lab rats trained to run on tiny treadmills.

Its conclusion reveals remarkable effects of exercise on the immune system, stress response, energy production and metabolism.

The researchers identified significant connections between exercise and molecules and genes that are already known to be involved in numerous human diseases and tissue recovery.

How endurance training affects the body

The Nature study examined the effects of 8 weeks of endurance training on various biological systems, including gene expression (the transcriptome), proteins (the proteome), fats (the lipidome), metabolites (the metabolome), DNA chemical tags (the epigenome) and the immune system.

The researchers conducted analyses on different tissues in rats trained to run increasing distances and compared these with the tissues of sedentary rats.

They focused on mitochondria in the leg muscles, the heart, liver, kidney, white adipose tissue — which accumulates as body fat — as well as lungs, brain, and brown adipose tissue — a metabolically active fat that burns calories.

This comprehensive approach generated hundreds of thousands of results for non-epigenetic changes and over 2 million distinct epigenetic changes in the mitochondria, providing a rich database for future research.

Alongside the primary goal of creating a database, some notable findings emerged. For instance, the expression of mitochondrial genes changed with exercise across different tissues.

Researchers found that training upregulated genes in the mitochondria of skeletal muscle of rats that are downregulated in the mitochondria in the skeletal muscle of individuals with type 2 diabetes.

They also showed that training upregulated genes in the mitochondria in the livers of rats, that are down regulated in people with cirrhosis.

These two findings suggest that endurance training may help improve muscular function in diabetes, as well as boost liver health.

Does biological sex affect how we respond to exercise?

Finally, the researchers identified sex differences in how male and female rats’ tissues responded to exercise.

After 8 weeks, male rats lost about 5% of their body fat, while female rats did not lose a significant amount. However, the female rats maintained their initial fat percentage, whereas sedentary females gained an additional 4% body fat during the study.

The most dynamic difference was in mitochondrial gene expression after exercise in rats was in the adrenal glands.

The study authors propose that differences observed due to exercise are largely due to changes in mitochondrial genetic expression in organs and tissues responsible for maintaining energy balance.

Exercise’s rejuvenating effect on immune cells

Another study, this time completed by a research group from The University of Queensland in Australia, and published in Aging CellTrusted Source, demonstrated how exercise might deter or decelerate cognitive decline as individuals age.

Researchers examined gene expression in individual brain cells of mice, discovering that exercise profoundly influences gene expression in microglia, the immune cells supporting brain function in the central nervous system.

Specifically, exercise reverted the gene expression patterns of aged microglia to patterns akin to those seen in young microglia.

Experiments depleting microglia demonstrated their necessity for the beneficial effects of exercise on the creation of new neurons in the hippocampus, a brain region vital for memory, learning and emotion.

This study also revealed that providing mice access to a running wheel prevented or reduced the presence of T cells in the hippocampus as they aged.

These immune cells are typically absent in the youthful brain but increase with age.

Co-corresponding author Jana Vukovic, PhD, assistant professor and head of the neuroimmunology and cognition laboratory at The University of Queensland, explained the key findings to Medical News Today.

Vukovic explained that: “[T]he aging process affects all of the different cell types in the brain with the greatest impact on the resident immune cells: microglia. Importantly, exercise reverts the microglial gene profile back to their youthful state.”

Understanding how exercise supports brain health “is a key question for many scientists globally,” Vukovic noted, adding that she and her colleagues “propose that exercise alters the immune landscape in the ageing brain and therefore enables the immune cells to continue to support nerve cell function.”

Exercise strengthens brain cell connections

Ryan Glatt, CPT, NBC-HWC, senior brain health coach and director of the FitBrain Program at Pacific Neuroscience Institute in Santa Monica, not involved in these studies, told MNT they “underscore the multifaceted benefits of exercise on brain health, particularly through gene regulation, mitochondrial function, and immune response.”

“They offer valuable insights by merging molecular biology with practical health interventions for aging populations,” he added.

For example, “exercise enhances synaptic plasticity and blood flow while reducing inflammation and increasing the expression of neurotrophic factors like BDNFTrusted Source,” Glatt explained. “These effects can synergistically improve memory, learning, and overall brain health.”

The best forms of exercise for a healthy aging brain

Vukovic noted that “there are ongoing studies to optimise exercise programs for elderly; however, Pilates is a good starting point for those who are looking to engage their muscles.”

Glatt agreed, adding that “aerobic exercises like cardiovascular exercise, strength training, and balance exercises are particularly beneficial to brain health, in both shared and unique ways.”

“Activities combining physical and cognitive challenges, like dance or tai chi, can be especially effective for certain aspects of brain health,” Glatt said.

Nevertheless, he cautioned that: “While exercise benefits brain health, individual variability due to genetics and baseline health can affect outcomes. Further research is needed to determine the long-term sustainability and optimal exercise types and intensities for different populations.”


The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

Most Common Spring Injuries


The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

How Exercising Safely Contributes to Orthopedic Health and Injury Prevention


The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

Aches & Pains From Training or Do You Have a Running Injury?

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

Tips for Mastering Acute Pain


The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

The Best Sports for a Great Workout

Article featured on Verwellfit

Let’s face it, spending hours in the gym can sometimes feel like a real grind, especially if you prefer competitive or recreational sports over traditional cardio and resistance training workouts. But if you’re trying to get fit or maintain a certain level of health, committing to a consistent workout schedule is likely toward the top of your to-do list.

The good news is, you don’t have to set foot in the gym to get be competitive or boost your overall fitness. In fact, you can get all of that, and much more, by participating in your favorite sports several days a week. Here are some sports that will help improve your fitness.

Road Cycling and Mountain Biking

Roads or trails, fast or slow, cycling is one of the best sports you can do for overall fitness. Not only do you get a fantastic aerobic workout, but your leg muscles—more specifically the quads, glutes, and hamstrings—will also feel the burn after putting in a few miles. Plus, research has shown that for cyclists, especially those with diabetes, cycling can lower risk of premature mortality.

There are also bikes appropriate for all ages and stages. Intermediate to advanced levels can participate in road cycling and mountain biking, while beginners can start with paved trails. If you’re looking to satisfy your competitive side, consider entering a road or mountain bike race.

Squash, Racquetball or Tennis

It’s not uncommon to see squash and racquetball courts full of people of all ages and fitness levels. That’s because a game of squash or racquetball can range from an entry-level sport to a highly competitive, intense workout. The key to making these fast-paced activities approachable for a beginner is to slow down the pace of the game.

Squash, racquetball, and even tennis target the muscles in your back, shoulders, arms, chest, quads, glutes, and hamstrings, while also working your core. Racquet sports have also been shown to lower the risk of cardiovascular disease mortality.

Combine that with the endurance, speed, balance, and agility, required to compete and you will quickly see how these two sports can give you a phenomenal workout while also burning a ton of calories.

18 Holes of Golf

Contrary to what you might think, you don’t need an expensive set of clubs to head out on the course. But, what you do need is a supportive pair of shoes.

In order for golf to make the list of best sports for fitness, you need to walk all 18 holes while carrying or pushing your clubs. When walking the course, golf can have multiple health benefits, including in cardiovascular and respiratory health. Plus, golf is a sport you can participate in at any life stage.

Water Sports—Rowing, Kayaking, Paddle Boarding, Canoeing 

Rowing, kayaking, canoeing, and paddle boarding offer a fun fitness solution for anyone who enjoys being outdoors. These sports all increase your heart rate, boost your muscular endurance and strength, and turn your body into a calorie-burning machine. If you’re looking to compete in a sport that requires rowing, consider joining an outrigger team.

Swimming

Activities that require your upper and lower body muscles to work together rank high on the “best sports for fitness” list. Swimming is the perfect full-body workout for anyone looking for an intense and competitive outlet that requires both strength and endurance. It’s also a smart solution for anyone needing a sport or activity that is easy on the joints.

Plus, swimming is a year-round sport with various levels of competition, so you always have something to work toward. If you’re interested in signing up for organized, competitive swim events, consider joining U.S. Masters Swimming.

Triathlon

Whether you’re a lifelong athlete looking to test your endurance and strength, or an exercise beginner needing a goal to work toward, training for a triathlon is the ultimate sport for fitness.

The combination of running, biking, and swimming will challenge every muscle in your body and boost your aerobic and anaerobic fitness.6 With distances ranging from the shorter sprint competition all the way up to a full Ironman event, there’s something for every fitness level.

Basketball and Volleyball

Basketball and volleyball offer the physical benefits of a great workout while giving you the chance to let your competitive side shine. These sports require you to perform sprints, pivots, jumps, and slams, which tax the cardiovascular system and strengthen every muscle in your body. Plus, if you are playing volleyball in the sand, your muscles will have to work harder.

While both sports are appropriate for most levels, it’s important to note that beginners should start with a skills and drills class, practicing with balls, before moving to games or matches. There is a lot of movement required for both sports, so the risk of injury is high, especially if you have never played either sport before.

 

While some of these activities require an organized team, special equipment, or a designated space to play, others just require time, energy, suitable apparel, such as a tracksuit, and your willingness to work hard and have fun.

You don’t need to spend a lot of money to get started in any one of these sports. Many recreational programs provide the space and the equipment, while a quick Google search can produce thousands of used items for sale. Just be sure to talk to a healthcare provider before adding a new activity to your exercise regimen.


The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

Why is Physical Therapy Vital After Hip Replacement?


The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

What Are the Benefits of Foam Rolling?

Article featured on Healthline

Foam rolling is a self-myofascial release (SMR) technique. It can help relieve muscle tightness, soreness, and inflammation, and increase your joint range of motion.

Foam rolling can be an effective tool to add to your warm-up or cooldown, before and after exercise. And the benefits of foam rolling may vary from person to person.

Read on to learn the about foam rolling’s benefits and potential risks, plus how to add it to your routine.

1. Ease muscle pain

Foam rolling can be beneficial for easing sore muscles and reducing inflammation.

One small studyTrusted Source of eight male participants found evidence that foam rolling after exercise may help reduce delayed-onset muscle soreness. In the study, physically active men foam rolled for 20 minutes immediately after exercise in addition to 24 and 48 hours after exercising.

These participants saw a decrease in their delayed-onset muscle soreness when compared to exercising without foam rolling. They also performed physical exercises better than those who didn’t foam roll.

More research is needed in a larger, more diverse group of people to confirm how foam rolling affects muscle pain.

2. Increase range of motion

Foam rolling may help increase your range of motion, but more research is needed. Range of motion is important for flexibility and performance.

Researchers found evidence from one small studyTrusted Source of 11 adolescent athletes that a combination of foam rolling and static stretching was most effective for increasing range of motion. This was compared to static stretching or foam rolling alone.

More research is needed among a larger, more diverse group of people to fully understand the connection to foam rolling and range of motion.

For best results from foam rolling, try to stretch out and foam roll after each workout.

3. Temporarily reduce the appearance of cellulite

Providers of some foam rolling products claim the products can help loosen and break up your fascia. Fascia are the body’s connective tissues and contribute to the appearance of cellulite.

While foam rolling may help smooth out your skin temporarily, there is currently no scientific evidence that it can permanently reduce cellulite.

The best way to reduce cellulite is to maintain an active lifestyle and consume a healthy diet.

4. Relieve back pain

SMR may be effectiveTrusted Source for easing pain in the body. It may help ease tension in the back, too.

It’s important to take care when using a foam roller on the back, however. It’s easy to strain or injure your back further.

To use your foam roller for lower back pain, turn your foam roller so it’s vertical (in-line with your spine) and slowly roll the roller from side to side, still in line with your spine. Do this as opposed to keeping it horizontal, which can cause you to arch and strain your back.

You can also try lying on a foam massage ball or a tennis ball to work out knots in the back.

5. Manage fibromyalgia symptoms

SMR has shown promising results for the treatment of fibromyalgia symptoms.

In one studyTrusted Source of 66 adults living with fibromyalgia, participants who foam rolled for 20 weeks reported that they felt better and had less pain intensity, fatigue, stiffness, and depression than those who didn’t try SMR techniques. They also reported an increase in their range of motion.

While this study is promising, more research is needed to confirm the efficacy of foam rolling for treating fibromyalgia symptoms.

6. Help you to relax

Many people find foam rolling to be relaxing. Breaking up tightness in your muscles may help you feel less tense and calmer as a result. But little evidence exists to show that foam rolling helps with relaxation.

In one small studyTrusted Source, 20 female participants either foam rolled or rested for 30 minutes after walking on the treadmill. Researchers didn’t find that foam rolling significantly reduced stress levels more than resting.

More research is needed. In the meantime, if you find foam rolling to be relaxing, there’s no harm in adding it to your weekly routine.

Is foam rolling safe?

Foam rolling is generally considered safe to do if you experience muscle tightness or regularly exercise. But avoid foam rolling if you have a serious injury such as a muscle tear or break, unless your doctor or a physical therapist has cleared you first.

Also avoid rolling over small joints like your knees, elbows, and ankles, which could cause you to hyperextend or damage them. Instead, when foam rolling your legs, roll out your calves first and then your quads separately, avoiding the knee area.

Foam rolling may help relieve tension during pregnancy. Just get cleared by your doctor first and avoid lying on your back to foam roll later in your pregnancy. You also should skip rolling out the calves in your third trimester. This may cause premature labor. Talk to your doctor if you are concerned.

How to choose a foam roller

A foam roller is usually cylinder-shaped and made of dense foam. But you can find foam rollers in a range of sizes and shapes, and in various levels of firmness.

It may take some trial and error to find the foam roller that’s right for you. Try out different foam rollers before purchasing to find one that is comfortable for you to use.

Here are some of the different types of foam rollers available online:

  • Smooth rollers are known for having a smooth, dense foam surface. They are best for people new to foam rolling. They offer even texture and aren’t as intense as a textured roller. This option is less expensive, too.
  • Textured rollers have ridges and knobs on them. They are used to work deeper into muscles, and work out knots and tension.
  • Foam-covered massage sticks can be used to deeply massage your legs or upper back.
  • Foam massage balls can be used for targeted muscle areas. For example, to work out knots in shoulders.

When choosing a foam roller, you’ll also want to take the shape and size into consideration. A shorter roller is more effective for smaller areas like the arms and calves, for example. Shorter rollers are also are more portable if you plan to travel with your roller.

How to start foam rolling

If you’ve never foam rolled before, you may want to learn a few basics before you get started. You can find endless “foam rolling for beginners” videos online that will explain how to safely roll out different parts of the body.

Or if you exercise at a gym with foam rollers, you can also ask a trainer to walk you through how to use one. You can also try foam rolling classes to learn how to use it effectively.

In general, follow these tips to get started:

  • Start with light pressure and build up as you get used to foam rolling. You may find it painful to foam roll at first if your muscles are tight. To adjust pressure, reduce the amount of body weight you’re putting onto the roller. For example, if you’re rolling out your calf, use your arms to help support your body and take some of your body weight off of the roller.
  • Slowly roll tender areas for 10 seconds to start, then work up to 30 to 60 seconds at a time.
  • Drink plenty of water after foam rolling to help with recovery.

If you want more tips, here are 8 foam rolling moves you can try.

Takeaway

Foam rolling can be an effective way to reduce muscle tension before starting your workout. That’s especially the case if you have any leftover tension from exercising over the previous few days.

Foam rolling can also be an important tool to use while cooling down after exercise.

If you add a foam roller to your warm-up and cooldown routine, you may find yourself feeling less sore in the days following.

If you regularly sit or stand for your job, or just have aches and pains, foam rolling can also be useful.

Always talk to your doctor before adding any new tools to your daily routine.


The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

What to Know About Forearm Muscles

Article featured on WebMD

Many muscles make up the forearm, extending from your elbow joint to your hand. The ulna and radius bones form a rotational joint that allows your forearm to turn the palm of your hand either up or down. Two large arteries, also known as the ulna and radius, run the length of the forearm and branch into smaller arteries that service your forearm’s musculature.

The bones in your forearm are prone to being broken because people often instinctually extend their forearm trying to break a fall or protect their face, which could lead to a fracture. The muscles in your forearm that allow you to bring about different movements can be categorized as anterior and posterior.

These are the muscles that can be found in your forearm:

The Anterior Compartment 

The anterior superficial layer contains four muscles that originate from the medial epicondyle. The pronator teres muscle attaches to the shaft of the radius and is the most medial of the muscles in this layer. Its primary action is the pronation of the forearm. The flexor carpi radialis contributes to abduction and attaches to the base of metacarpals II and III.

Connecting to the flexor retinaculum and acting to flex at the wrist, the palmaris longus allows you to wave at a friend or say goodbye to a loved one. About 15% of the population does not have this muscle, though.

The flexor carpi ulnar is the most lateral of the muscles in the superficial layer, responsible for flexion and abduction at the wrist. It attaches the hand to the pisiform bone and base of the 5th metacarpal. This muscle allows you to move your wrist back and forth.

The Intermediate Layer 

Only one muscle makes up the intermediate layer, which originates from the medial condyle of the humerus and the radius. The flexor digitorum superficialis (FDS) lies between the deep and superficial muscle layers and splits into four tendons that attach to the middle phalanx of a finger. At the proximal interphalangeal joints (PIPJs) and the metacarpophalangeal joints (MCPJs), the FDS flexes the fingers and contributes to wrist flexion.

The Deep Layer 

The flexor digitorum profundus (FDP) splits into four tendons and originates at the ulna. This muscle attaches to the distal phalanx of each finger and allows flexion of the metacarpophalangeal joints and distal interphalangeal joints. Bending your ring, middle, index, and pinkie fingers is possible because of this muscle. The flexor pollicis longus extends laterally to the flexor digitorum profundus muscle.

This muscle attaches to the distal phalanx of the thumb and originates from the radius. It stretches laterally to the FDP and allows you to bend your thumb. A square-shaped muscle found in the FDL and FDP, the pronator quadratus attaches to the radius and originates from the ulna. The pronator quadratus allows you to pronate your forearm and is innervated by the median nerve.

Posterior Compartment 

The radial nerve innervates all the muscles in this compartment; it contains more muscles than the anterior compartment and can be split into the superficial and deep layers. Eight muscles are in the superficial layer, and five are in the deep compartment. Four of the five muscles in the deep layer act on your thumb and index finger.
The Superficial Layer The brachioradialis muscle attaches to the distal radius and originates from the lateral humerus. It allows you to flex your elbow and lift a glass of water to your mouth. Contributing to wrist abduction, the extensor carpi radialis longus muscle acts to extend the wrist. It attaches to the metacarpal III and originates from the lateral aspect of the humerus. The extensor digitorum splits into four tendons and connects to the distal phalanx of each of your fingers. Originating from the lateral epicondyle of the humerus, this muscle acts to extend your fingers at the PIJs and MCPJs.The extensor digiti minimi originates from the lateral epicondyle of the humerus and acts to extend the little finger. The extensor carpi ulnaris attaches to metacarpal V and originates from the lateral epicondyle of the humerus. It contributes to wrist abduction and acts to extend at the wrist. The anconeus is situated superior to the other muscles in the superficial layer. The anconeus attaches to the olecranon and originates from the lateral epicondyle. It acts to extend at your elbow joint.

The Deep Layer

The supinator muscle can be found in the deep layer and originates from the lateral epicondylitis of the humerus and the ulna. The deep radial nerve innervates this muscle.

The extensor pollicis brevis allows you to make a thumbs-up signal. It attaches to the proximal phalanx of the thumb and originates from the posterior radius. Your extensor pollicis longus muscle acts to extend the thumb and is attached to the distal phalanx of the thumb. The extensor indicis attaches to the distal phalanx of your index finger and also acts to extend it; this muscle originates from the interosseous membrane and the ulna.

Your abductor pollicis longus muscle attaches to metacarpal I and abducts the thumb. It sits between the radius and ulna and originates from the interosseous membrane.

From taking a heavy box up a flight of stairs to playing basketball, your forearm muscles are used in your daily life, and strengthening these muscles can also help increase your grip strength. A firm grip can help you in many ways in your everyday life.

Here are some exercises you can try to strengthen your arm muscles:

Find weighted objects like tires to carry and walk for as long as possible. Set it down and then pick it back up. Repeat this until you get tired. If you have access to a sturdy bar, try pull-ups or chin-ups. Other activities like gardening are an excellent way to keep your body in motion and strengthen your arms and hands. Pulling weeds and hammering nails can also help you achieve stronger forearms.

If you go to the gym, grab a couple of dumbbells, and hold them out in front of you until you are exhausted. Finger curls, dumbbell reverse curls, barbell reverse bicep curls, dumbbell wrist extensions, and hammer curls are great exercises you can try to strengthen your forearms.


The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

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