Myofascial Pain, What’s That?

Myofascial Pain, What’s That?

Did you know that nearly half of women develop myofascial pain syndrome within the first year of Breast Cancer Surgery? Therefore this is a very common source of pain that individuals experience after surgery. What is myofascial pain syndrome? Is it treatable in Physical Therapy? Well, watch the video below to find out more.

1. Lacomba M, del Moral, O, Zazo J, Gerwin R, Goni A. The Incidence of Myofascial Pain Syndrome In Breast Cancer Surgery: A prospective study. The Clinical Journal of Pain. 26(4):320-325, MAY 2010

2. Silver JK. Cancer Rehabilitation and prehabilitation may reduce disability and early retirement. Cancer. 2014 Jul 15; 120(14) 2072-6.

Axillary Web Syndrome

Did you know that a stressed lymph vessel or group of vessels could actually cause pain and limited shoulder motion? Well, that is a real possibility at any point along the journey of cancer-related treatment. However, the good news is that when axillary cording is diagnosed early and treated quickly the symptoms are usually completely resolved. The longer it persists, the more difficult it is to treat. This is why early detection and intervention is so important. If you would like to learn more about axillary cording, click on the link to watch my video further explaining this condition and the treatment options that exist.

  1. Foldi, E., & Foldi, M. (2006). Foldi’s Textbook of Lymphology for Physicians and Physical Therapists. German: Uban & Fisher.

Preoperative Assessment Enables the Early Diagnosis and Successful Treatment of Lymphedema

From The American Cancer Society

The authors of this article proposed a new approach to treating breast cancer-related lymphedema. By requiring a pre-operative measurement baseline to bilateral upper extremities for each patient, physical therapists were better able to predict subclinical lymphedema by surveilling the patient every 3 months post-op up to 18 months. If >3% increase in upper limb volume was present, the physical therapist fitted the patient with a Jobst ready-made, 20- to 30 mmHg compression sleeve for 4 weeks. Once limb volume reduced, the sleeve was worn only during more rigorous activities or if symptoms increased.

The study found that by requiring the pre-operative screening and conservative management, patients demonstrated significantly reduced lymph volume compared with the control. Additionally, the patients did not require the more intensive and costly decongestive therapy utilized in managing life-long lymphedema. The shift in practice toward a surveillance-style will help therapists improve early diagnosis of subclinical lymphedema levels in hopes to prevent costly and more intensive care later.

Source: Costello M, Puentedura E, Cleland J, Ciccone C. The immediate effects of soft tissue mobilization versus therapeutic ultrasound for patients with neck and arm pain with evidence of neural mechanosensitivity: a randomized clinical trial. JMMT.

We Care – Breast Cancer Therapy

The Premier Experience

If you’ve already had physical therapy, you know how difficult it can be to find quality personal care, especially when you are facing cancer treatment. That’s why we designed a physical therapy center where comfort, exceptional treatment and convenience are at the center of your health care universe.

Then there are the people who will guide you as you manage your cancer treatment. Dedicated professionals who know you by name; compassionate individuals with outstanding skills and credentials.

We’re here to make sure your needs are met, your questions are fully answered, your pain is reduced and your ability to perform at or close to your peak is restored quickly and safely.

Physical Therapy and Cancer Treatment

Patients with breast cancer often face some type of surgery, whether it is a lumpectomy, lymph node removal, mastectomy or breast reconstruction. Patients who have other types of breast cancer treatment such as radiation or chemotherapy can experience side effects including Cancer Related Fatigue and scar tissue formation. Premier Physical Therapists are trained to help patients manage side effects of surgical and non-surgical treatments.

Lymph node dissection often causes lymphedema, which causes the patient’s arm to swell and become immobilized. Premier’s expert therapists provides individualized care inluding:

• Pre-operative screenings

• Education on reducing lymphedema risk

• Lymphedema therapy

• Treatment for Axillary Web Syndrome

• Scar tissue work

• Post-breast reconstruction rehabilitation

Patients who undergo other types of breast cancer treatment, such as radiation or chemotherapy, can benefit from:

• Radiation precaution education

• Scar tissue work

• Management of chemotherapy side effects

• Overall shoulder stretching, strengthening and cardiovascular conditioning

According to the National Cancer Institute, 81% of cancer patients report experiencing Cancer Related Fatigue. Our therapists work with you to create a customized activity and rest program that makes the best use of your individual energy.

Premier Services

Our Cancer Rehabilitation Program includes treatment for patients diagnosed with other types of cancer, such as head and neck cancer, leukemia, lymphoma, lung cancer, melanoma, prostate cancer and colon cancer.

The Premier staff includes local members of the American Cancer Society, active participants of the Orthopedic and Oncology sections of the American Physical Therapy Association, and a board-certified  Orthopedic Physical Therapist Specialist. All are dedicated to providing individualized care based on the latest scientific evidence.

Yes Way, Galloway!

Part of Premier’s commitment to our community means supporting organizations like Jeff Galloway’s . Jeff Galloway’s Marathon and Half Marathon Training Programs are for all levels of runners, from beginning runners to Boston qualifiers. This Low-mileage, Injury-free Training Program is for those who have jobs, families, and a life!


The achievement of completing a marathon/half marathon training program and finishing the event will be your treasure for the rest of your life. The training schedule which follows is the latest evolution in a minimal mileage, low-impact training routine which has been used successfully by an estimated 100,000 marathoners since 1978.

Before Those First Steps!

There are very few people who should not exercise because of cardiovascular, structural, muscular, or other problems. It is very important to ensure that you are not in this risk category.

Before beginning any exercise, diet or other improvement program, be sure to have yourself and the program evaluated by specialists in the areas you are pursuing.The advice in this book is offered as such-advice from one exerciser to another. It is not mean to be a prescription and should be evaluated as noted above and below.

Specific structures and problems of individuals may require program modifications.In each area, find specialists who are also knowledgeable about the positive and other effects of exercise and running.Ask several respected leaders in the fitness community for recommendations of specialists.Always back off any exercise or program when you feel any risk of injury or health.The benefits come from regular exercise and steady adherence to a long-term program.Never radically increase the amount of exercise or drastically change diet and other health elements.Joining a group helps motivation!


Women’s Health

Women’s health revolves around many issues. We offer compassionate care and rehabilitation that emphasizes identification, correction and prevention of prenatal and postpartum musculoskeletal problems. We use a unique personal approach to evaluate, treat, prevent and educate you about women’s health issues such as:
  • Incontinence
  • Pelvic Pain
  • Pregnancy-Related Back Pain 
  • Headaches
  • Postural Imbalance 
  • Osteoporosis
  • Patellofemoral syndrome 
  • Carpal Tunnel Syndrome
  • Breast Cancer
  • Sacral/Pubic/Ilial Dysfunctions
  • Spinal Disorders 
  • Arthritis
Our physical therapists consider your lifestyle, goals, and support systems. We also consider nutritional, emotional, and attitudinal factors, and the roles they may play in back problems and other women’s health issues.  The healthcare experts at Premier want to help identify and correct the issues leading to your discomfort.  We employ a variety of hands-on manual therapies, including:
  • Manual Therapy
  • Joint Mobilization 
  • Soft-Tissue Manipulation
  • Myofascial release
  • Neural Mobilization
  • Muscle Energy Techniques
  • Stress Reduction
  • Massage Therapy
  • Personal Exercise Programs
  • Modalities
We have vast expertise and experience in pain relief and rehabilitation for all kinds of female musculoskeletal problems. We always put you first. In fact, no other rehab facility offers you as many value-added services and amenities – including private treatment rooms – as Premier. The health professionals at Premier have helped many women with musculoskeletal health issues. There’s an excellent chance we can help you, too.