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Cupping for Musculoskeletal Injuries

Cupping therapy is an ancient form of alternative medicine in which a therapist puts special cups on your skin for a few minutes to create suction. People get it for many purposes, including to help with pain, inflammation, blood flow, relaxation and well-being, and as a type of deep-tissue massage.

Cupping is a wonderful option to improve fascial mobility and decrease muscle pain.

Rehab Guru Physical Therapy offers cupping.  Cupping does not hurt, in fact it helps loosen up the soft tissue and loosen the muscles, it increases the blood flow through tight muscles and works great with improving tissue mobiility.  For more info visit our cupping therapy page and also we'd love it if you connect with us on Facebook.

3 Ways to Improve your posture

Is Bad Posture Affecting Your Life?

Bad posture can affect your life in more ways than you might imagine. When your posture is poor, your body is misaligned and excessive and repeated strain is put on muscles that are ill-equipped for such use. This can have a serious impact on your health. Poor posture contributes to back, neck and shoulder pain. It can also impair organ function and is a cause of chest pain, muscle soreness and, in extreme cases, curvature of the spine.

Incorrect posture doesn’t happen overnight: rather it is the result of years of unconscious slouching, sloping and hunching–when sitting, standing or even sleeping. We all know how easy it is to slouch when we’re tired, but the bad news is that poor posture isn’t just a result of tiredness, it’s also a cause of it: when your muscles aren’t working properly to support your head, fatigue is the result.

This is why it’s vital to try to maintain good posture whenever possible. This may require retraining your body to naturally default to positions where the right set of muscles are keeping you upright and aligned.

You don’t necessarily have to spend money on gadgets to improve your posture; just paying attention to how you sit and stand, and doing a few exercises, can lead to good results.

Maintain Your Posture When Sitting

The human body is not designed to spend long periods sitting in a chair, but many of us spend our entire days doing just that. Aside from trying to reduce the time you spend sitting–by getting up from your desk when you can, or by doing more of your job standing–the best thing you can do is to make sure your chair is properly supporting you, and that you in turn are using the chair correctly.

Modern office chairs are endlessly adjustable; it’s a good idea to spend some time experimenting with your own. The most important thing to remember is that your lumbar region should be well supported. Adjust the chair so its lumbar support fits snugly with your lower back, and try to avoid the temptation to inch forward.

Additionally, your elbows should be at your side when you use your keyboard, and your eye level should be at the top of your monitor. Try to remember to rest your feet flat on the floor.

Employers are obliged to make sure their staff can work comfortably, so if you find your chair doesn’t support you as well as it could, you should ask for a different one.

Good Posture When Standing

The most important thing to do when standing is to find your center. This is when your mass is evenly distributed through your body and each muscle supports only the weight it’s evolved to bear.

To achieve this, you should stand with your feet shoulder-width apart, and make sure you’re carrying your weight on the balls of your feet, rather than your heels. Keep your shoulders squared and your head straight. Pretend you are balancing a book on your head and stand so that it wouldn’t fall off.

The good thing is, when you master good standing posture, you’ll not only be healthier, you’ll look more confident too.

Posture During Exercises

Regular exercise will improve your posture, but if you suspect yours is particularly bad there are some areas it’s worth concentrating on. Ideally, you should look to strengthen your core–that is, your abs and back. Having underdeveloped core muscles is both a symptom and a cause of poor posture. Try to incorporate core-strengthening exercises, such as sit-ups and the plank, into your daily routine.

Bad posture doesn’t happen overnight and it can’t be cured overnight either. If you want to improve yours (and in so doing improve your health), you must always be mindful of how you stand and sit.

If you are worried that poor posture is doing long-term damage to your health–or if you’re in pain–it’s a good idea to see a physical therapy specialist. They will recommend treatment, changes to your daily routine or an exercise plan that will help bring your body back towards balance and alignment.

More About Rehab Guru’s Blog:

Stop by our site regularly for the latest therapeutic treatment updates and news.  As always you can find our home page here:

PT and Myofascial Pain Syndrome

Finding Effective Treatment for Myofascial Pain Syndrome

One of the lesser-known disorders that causes debilitating discomfort and fatigue is myofascial pain syndrome, or MPS. It is somewhat similar to fibromyalgia, as the patient feels pain at trigger points and in muscles at various places in the body. The term myofascial refers to the connective tissue covering the muscles, which is medically known as fascia.

working out knots in upper backAbout Trigger Points

Trigger points are exceptionally sensitive areas of the muscles that may feel achy in general and especially uncomfortable when someone presses directly on them. People commonly refer to them as knots.

A person with MPS also experiences muscle discomfort in other areas that seem unrelated to the trigger points. Doctors call this referred pain.

Patients with this disorder may experience sudden muscle spasms at times with even more intense discomfort.

Diagnosing MPS

The condition is referred to as a syndrome because it is diagnosed through a group of symptoms associated with MPS. As of yet, there is no definitive diagnostic procedure like a blood test or imaging technique that can verify a patient has the disorder.

Treatment for MPS

A doctor may treat the knots with injections of a local anesthetic, or a combination of an anesthetic and a corticosteroid. This allows the muscle to relax.

Physical therapy can be very effective for these patients, and massage therapy is recommended as well.

Medication for Related Issues

Certain factors that aggravate MPS symptoms create a vicious cycle. Lack of sleep, for instance, can worsen symptoms, while chronic pain can easily disrupt sleep. Stress and depression make the patient feel worse physically, while the condition itself causes stress and emotional strain.

The doctor may prescribe pain relief medication or muscle relaxants that have sedating effects. The patient takes these before bedtime. Antidepressant medication may be helpful as well, as many of these drugs also are pain relievers. The patient then benefits both from mood improvement and reduced physical discomfort.

Seeking Help From a Therapist

Patients dealing with these debilitating symptoms are strongly encouraged to seek treatment at an integrated health center or a pain management clinic. Receiving a combination of conventional and complementary therapies tends to have the best results.

More About Rehab Guru’s Blog:

Stop by our site regularly for the latest physical therapy updates, news and treatments.  As always you can find our home page here:

tmd therapy

What Causes TMJ?


There are several factors which contribute to TMJ.  The temporomandibular joint (TMJ) can cause symptoms such as pain in the side of the face,  pain in the side of the head and ear pain.   Some contributing factors to TMJ include clinching, grinding, excessive chewing, and having dental work with your mouth open for a prolonged period of time.  TMJ can last for a short period of time or literally for years.  There is a good chance that TMJ pain can be relieved with the correct TMJ exercise.     Many times people who have TMJ think they have an ear infection because often the TMJ/TMD refers into the ear.  They spend time and money going to the ENT only to find out that their ear is just fine.  It is also often the case that dentists do not know where to send their patients who have jaw pain.

A common cause of jaw pain is irritation in the back of the joint.  When the jaw muscles get out of balance, the nerves bundle often gets irritated and compressed.  This results in pain with talking, chewing, or sometimes just sitting.  On occasion these symptoms start when someone has been to the dentist and has had to keep their mouth open for a length of time..
It is best to approach TMJ/TMD from a broad perspective.  The tempormandibular joint mechanics are strongly influenced by the neck positions,  the head position,  the tongue position and a persons ability to breath through their nose.  All these factors can influence the onset of jaw pain.  So take note of your sitting posture and keep your head in line with your shoulders.  If you have a painful click or popping in your jaw this can also be addressed with TMJ exercises.
Here are a few things to check on yourself if you are having TMJ pain:
1) How is your sitting posture?
2) Is your desk ergonomically correct?
3) Is your tongue on the roof of your mouth?
4) Are you a mouth breather or nose breather?
A knowledgeable physical therapist is a a good place to start with the treatment of TMJ.  Often a team approach between the dentist and the physical therapist will help to alleviate TMJ.  Many times an oral appliance along with hands on physical therapy techniques and exercises is a good approach to getting relief from jaw pain.
For more information see our TMJ Treatment page.

Take a Bite out of your Jaw Pain


 I just got back from another conference on jaw pain.  This course was through the Academy of Cranio Facial pain. They provide intensive comprehensive training for TMJ and headache treatments. I have taken several continuing education courses on TMJ over the past 25 years that I have been practicing. What was unique about this course is that they addressed the cranial nerves and how they influence facial pain/jaw pain?  It is certain that jaw pain can be very debilitating and hard to diagnose.  After treating hundreds of TMJ patients, I have learned  that most people do not know where to seek relief from their jaw pain.  Often by the time they find a physical therapist with specialized TMJ training they have already put up with their symptoms literally for years.   Often with the work of a knowledgeable dentist and a skilled PT you jaw symptoms can be alleviated. Here’s a simple plan.   Find someone who has years of TMJ treatment experience.  Let your dentist know about your plan they can work together with your PT. For further questions shoot me an email or give us a call.  Diana Schwahn  PT, ATC, MA, CIDN,  Rehab Guru 402-740-8400
For More on our client’s success treating TMJ see their reviews on our google business page.

Rehab Guru Physical Therapy NEWS

Allow our professionals to treat your loved ones to a wonderful, personal experience that will leave them feeling healthier, more energetic, or even with a better Golf game! 

What we offer: 

Massage – Allow our skilled professionals to massage away tension, aches, pains and stress!

Facials – Get ready for Spring with a facial to reinvigorate your skin and give you a healthy glow! 

EB Cleanse therapy – Enjoy a relaxing foot bath as toxins are being pulled from your body with this exclusive technology! Leave our office feeling energized and ready to take on the day. 

Golf screens and assessments – Diana Schwahn, certified by the Titleist Performance Institute, is ready to give your professional or recreational golfer a quality assessment that will identify physical limitations, as well as identify patterns of movements. From there, a plan can be devised to correct or improve your handicap. Be ready to impress your golf partners! 

Gift Certificates for our services are available! Contact us today to choose the perfect one for your Omaha Valentine! 

Physical Therapy Home

Temporomandubular Joint Pain – Also known as TMJ

What is “TMJ” ?
The temporomandibular joint is the joint that connects your jaw to your skull. When this joint is injured or damaged, it can lead to a disorder called temporomandibular joint (TMJ) syndrome.

What Causes TMJ? 
Causes of temporomandibular joint (TMJ) syndrome include injury to the teeth or jaw, misalignment of the teeth or jaw, teeth grinding, poor posture, stress, arthritis, and gum chewing. However, there are several factors that contribute to overall facial pain, this can include neck pain, sitting posture, jaw alignment, daily habits and total body posture.

How Can I Treat this condition? 
Our philosophy for all treatment is to look at all possible causes and create a comprehensive plan for relief. We incorporate hands on techniques,  home stretching and patient education to treat those with facial pain.

Go here for more on the treatment of TMJ/TMD Pain

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Plantar Fasciitis – Identifying the condition, treatment options and prognosis

Rehab Guru Omaha - Plantar Fasciitis Ouch!Foot pain can be the most debilitating in every day life, since we all use our feet every day to move. Pain can affect how well we are able to work, take care of our families and so much more. Let us help relieve the pain and get you back on your feet! 

​What is Plantar Fasciitis?
The plantar fascia is the flat band of tissue (ligament) that connects your heel bone to your toes. It supports the arch of your foot. If you strain your plantar fascia, it gets weak, swollen, and irritated (inflamed). However there is hope! Here at Rehab Guru, we specialize in the treatment of foot conditions such as PF.

What causes Plantar Fasciitis?
There are several factors that contribute to plantar fasciitis.  Some of which are “flat feet”,  “high arches”, tight calves and poor walking mechanics.

What treatment options are best? 
Physical Therapy is the perfect treatment choice for foot pain. It has a very high success rate for healing when treated properly and as early as possible.

There is an option to receive injections for the pain, but we feel that our approach gets to the root of the problem, not just treat the symptoms. Since most foot pain is often related to muscle imbalances above the foot and ankle, we take a comprehensive look at your musculature, and give a well rounded plan to treat your condition, and relieve pain long term incorporating hands on techniques, home stretching, and patient education.  Go here for more on treating plantar fasciitis.

You can see our client reviews of past clients we’ve treated for plantar fascitis.

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50% off your first 30 minute session of Cupping Therapy or Dry Needling.