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How to Prevent Trenching and Excavation Injuries

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How to Report a Work-Related Injury

5 Things to Look For in an Occupational Health Provider

Watson Scaphoid Shift Test

Video of the Week: Watson Scaphoid Shift Test

It’s the week we’ve all been waiting for! The Combined Sections Meeting of the American Physical Therapy Association kicks off Wednesday February 17, 2016 in Anaheim, California. Nova Medical Centers is proud to be sending our physical therapy team!

Last week we introduced you to Rick Perez Supervising Physical Therapist at Nova Medical Centers in Corpus Christi, TX, as he demonstrated a Phase 1 Shoulder Mobilization.

This week we introduce you to Allen Holmes, Supervising Physical Therapist at Nova Medical Centers in Chattanooga, TN. He will be demonstrating a Watson Scaphoid Shift Test. Both men will be representing Nova at CSM 2016 with poster presentations.


Allen Holmes demonstrates a Watson Scaphoid Shift Test for patients with possible scaphoid lunate ligament instability who fell with an extended wrist.

Follow Nova Medical Centers on YouTube for more videos.

Keeping Shoulders Healthy

Tips for Keeping Your Shoulders Healthy

A shoulder injury is nothing to shrug about. The good new is that there are things you can do to better protect your shoulders and keep them functioning as they should.

The role of the rotator cuff

The rotator cuff plays a large role in how your shoulders work. It is a group of tendons and muscles in the shoulder, linking the upper arm to the shoulder blade. The rotator cuff tendons increase the shoulder’s stability and the muscles allow the shoulder to rotate.

Some jobs, such as construction, and other factors, such as simply getting older, increase the risk of rotator cuff injury. Tears to the rotator cuff are more common in people over 40 and in work that requires repetitive overhead motion such as lifting. Even athletes who use repetitive motions such as tennis players, swimmers or baseball pitchers are at risk for shoulder injury.


When your rotator cuff is injured, it can be painful and limit your range of motion. It may feel like an ache in your shoulder or you may find it hard to sleep if you lie on your shoulder. Some tasks that you used to do with ease, such as lifting your arm to brush your hair or reaching behind your back, are harder to do. You also may feel weakness in your arm. A rotator cuff can be damaged as a result of a significant tear or degenerate over time due to progressive wear and tear.

What to do

If your pain is short-lived then get it evaluated by your family doctor. See your doctor right away if you have a sudden loss of motion following an injury because you could have a significant rotator cuff tear. If your pain lasts more than a few weeks, or if you’ve received a diagnosis from a doctor that you have a rotator cuff tear, your next step will be to be evaluated by a shoulder specialist because some surgical procedures are time sensitive.

For a minor injury

-Simply resting your shoulder may be all that is needed to resolve a minor shoulder injury.

-Applying ice and heat is another tactic for treating your shoulder pain. Applying a cold pack to your shoulder for 15 to 20 minutes every three to four hours can reduce inflammation and pain. When the pain and inflammation have gotten better, you can use hot packs or a heating pad to relax tense or sore muscles.

-Using over-the-counter pain relievers such as Ibuprofen (Advil, Motrin IB) or Naproxen Sodium (Aleve) or acetaminophen (Tylenol) can help with the pain.


If your job involves lifting overhead or other repetitive motions that could lead to shoulder injury then it’s a good idea to make exercising your shoulders a regular part of your routine.


For some simple exercises to strengthen your shoulders, click here.

Keeping Knees Strong

Tips For Keeping Knees Strong and Pain-Free

If you haven’t thought about your knees lately, that’s a good thing. It means they probably aren’t hurting you.  Knees, when they aren’t working as they should or are burdened by extra weight or other strains, make it difficult, even painful, to walk or do everyday tasks.

Healthy Weight

To keep your knees healthy, the first tip is to be sure you are at a healthy weight. Even if your weight inches up just a pound, that has an impact on your knees. Experts say one pound puts four additional pounds of pressure on your knees when you’re walking or going up stairs.

You may feel able to leap tall buildings, but don’t bound up stairs if you’re not in tip-top physical shape. If you weigh 150 pounds, bounding up a staircase can put as much as 600 pounds of pressure on your knees.

Smooth Surfaces

If you’ve had a knee injury or osteoarthritis, choose a sidewalk or well-worn path for walking rather than a grassy or uneven surface. The smoother surface can protect your knees from strain and decrease your chances of tripping.


Doing lunges and squats at the gym can be great exercise for your lower body. But don’t overdo it by bending beyond a 90-degree angle. Also, check to be sure your knee is directly over your foot.

Don’t neglect your inner thighs when exercising. Strong hip adductor muscles can assume some of the strain when you’re walking, lightening the burden on your knees.  Simply squeezing your knees together when you’re sitting is an easy way to start building inner thigh strength.

When you’re biking or taking a spin class, don’t set the seat too low. Make sure your knee fully straightens when the pedal reaches the lowest point.

Here are more ideas for other exercise to keep your knees strong.