EXPERT
Dr. Bradley Aylor, M.D.
Physiatrist (Physical Medicine)
Dr. Bradley Aylor is a physiatrist practicing in Bozeman, MT. Dr. Aylor is a medical doctor specializing in physical medicine and rehabilitation. As a physiatrist, Dr. Aylor focuses on a patients ability to function, and can treat multiple conditions that affect the brain, nerves, spine, bones, muscles, joints, ligaments and tendons. Dr. Aylor can diagnose and treat pain that is a result of injury, disease or a disabling condition. Physiatrists often lead a team of physical therapists, occupational therapists and physicians in a patients treatment or prevention plan.
35 years
Experience
Dr. Bradley Aylor, M.D.
- Bozeman, MT
- University of Utah School of Medicine
- Accepting new patients
What Can You Do To Reduce The Risk Of Getting The COVID-19 Virus?
A lot of attention has been placed on the 6-foot rule for social distancing. There has also been a lot of talk about washing your hands. But I believe there has not been much...
How do I get rid of pain in between my shoulder blades?
There are multiple reasons to have pain between the shoulder blade and most of those are not serious though can persist for a very long time. The most common source would be READ MORE
There are multiple reasons to have pain between the shoulder blade and most of those are not serious though can persist for a very long time.
The most common source would be related to muscles and often termed myalgias. These can be related to your posture, nutrition, electrolytes, strength. The symptoms are often described as a burning sensation that worsens as long as the posture persists and is most commonly experienced with a prolonged car ride.
Pain between the shoulder blades however may also stem from the neck. these symptoms are often brought on by neck movements or at least worsened. They may be from cervical joint dysfunction and or discogenic pain from the cervical spine may also cause these symptoms. This would be termed as a referral pain pattern though may be an underlying source for myalgias as well.
A disc problem in the thoracic spine most commonly does not cause pain between the shoulder blades unless it is also accompanied with some radiating pain around the chest following the lines of the ribs. Pain from the joints in the thoracic spine can cause pain between the shoulder blades which can usually be sorted out by palpating over the spine itself with some additional provocation procedure to see if the pain alleviates. If so it would support a joint dysfunction.
We cannot forget pain from an internal organ such as gallbladder that can cause pain usually on the right side or pancreas causing pain on either side. An ulcer can also be a source of pain as well, These cases are more of an urgent matter and should be evaluated by a medical provider. Usually these symptom are not related to posture, position, activity or movement.
Hopefully this provides some insight. Just to let you know, I provide course to Personal Trainers on several topics to better understand the source of pain in different areas of the body and how to apply a specific training to address those areas. An example would be in regards to low back pain where we discussed the anatomy using radiographs CT scans, MRI's, Bone scans etc along with anatomy models and diagrams to demonstrate the various structures and sources of potential pain. We then explore how to Identify If there is a dysfunction and or the source of the symptoms along with a specific program to address those issues to bring an individual up to an optimal functioning status. If interested you can send an email to info@sportandspine.com to gain additional information.
The most common source would be related to muscles and often termed myalgias. These can be related to your posture, nutrition, electrolytes, strength. The symptoms are often described as a burning sensation that worsens as long as the posture persists and is most commonly experienced with a prolonged car ride.
Pain between the shoulder blades however may also stem from the neck. these symptoms are often brought on by neck movements or at least worsened. They may be from cervical joint dysfunction and or discogenic pain from the cervical spine may also cause these symptoms. This would be termed as a referral pain pattern though may be an underlying source for myalgias as well.
A disc problem in the thoracic spine most commonly does not cause pain between the shoulder blades unless it is also accompanied with some radiating pain around the chest following the lines of the ribs. Pain from the joints in the thoracic spine can cause pain between the shoulder blades which can usually be sorted out by palpating over the spine itself with some additional provocation procedure to see if the pain alleviates. If so it would support a joint dysfunction.
We cannot forget pain from an internal organ such as gallbladder that can cause pain usually on the right side or pancreas causing pain on either side. An ulcer can also be a source of pain as well, These cases are more of an urgent matter and should be evaluated by a medical provider. Usually these symptom are not related to posture, position, activity or movement.
Hopefully this provides some insight. Just to let you know, I provide course to Personal Trainers on several topics to better understand the source of pain in different areas of the body and how to apply a specific training to address those areas. An example would be in regards to low back pain where we discussed the anatomy using radiographs CT scans, MRI's, Bone scans etc along with anatomy models and diagrams to demonstrate the various structures and sources of potential pain. We then explore how to Identify If there is a dysfunction and or the source of the symptoms along with a specific program to address those issues to bring an individual up to an optimal functioning status. If interested you can send an email to info@sportandspine.com to gain additional information.
My heel is hurting?
Pain in the heel that is worse in the morning when first stepping on the foot that can improve after walking for a while only to return the next morning is most likely planter READ MORE
Pain in the heel that is worse in the morning when first stepping on the foot that can improve after walking for a while only to return the next morning is most likely planter fasciitis. It is commonly considered that the fascia, a band of connective tissue that provides support to the bottom of the foot has been irritated or injured. During the night the injured tissue heels somewhat only to be return in the morning when the first steps are taken.
Though there are multiple ways to address the pain, I typically have found good results by performing an ultrasound guided PRP (platelet Rich Plasma) injection to the injured area in the sole of the foot along with wearing a foot brace (night splint) at night that will keep the foot in Dorsiflexion (foot pulled up) for a few weeks along with stretching the heel cords and also working on strengthening the foot intrinsics and other exercises depending the tolerance. Of course if your going to have to wear a night splint after the injection, it may be worth it to just obtain a night splint and do all the other treatment by yourself prior to going through the injection.
Now possibly the most important task is to identify why it occurred in the first place and address those issues so that you do not have to go through it again. Wish you well!
Though there are multiple ways to address the pain, I typically have found good results by performing an ultrasound guided PRP (platelet Rich Plasma) injection to the injured area in the sole of the foot along with wearing a foot brace (night splint) at night that will keep the foot in Dorsiflexion (foot pulled up) for a few weeks along with stretching the heel cords and also working on strengthening the foot intrinsics and other exercises depending the tolerance. Of course if your going to have to wear a night splint after the injection, it may be worth it to just obtain a night splint and do all the other treatment by yourself prior to going through the injection.
Now possibly the most important task is to identify why it occurred in the first place and address those issues so that you do not have to go through it again. Wish you well!
How do you get rid of a numb toe?
If it is the Great toe (big toe) the most common cause is a pinched nerve- specifically the L5 nerve root. (If the little toe- the S1 nerve root) I have seen a numb great toe READ MORE
If it is the Great toe (big toe) the most common cause is a pinched nerve- specifically the L5 nerve root. (If the little toe- the S1 nerve root) I have seen a numb great toe in people that are repeatedly kicking with the foot as in a traditional style football kick as opposed to kicking soccer style. If it is one of the other toes, it may be due to a Mortons Neuroma which is a pinched nerve between the toes, that may develop from improper footwear. There are a series of tests that your medical provider can do to assist in determining the specific source of your symptoms. You can always try to rest it and avoid tight fitting shoes. However if the symptoms are getting worse, recommend getting in to seeing someone to evaluate.
How do I stop my knees from hurting when I sit?
The most common reason for knee pain while sitting is due to Chondromalacia Patella, or in simple terms cartilage damage under the knee cap. There have been many surgical procedures READ MORE
The most common reason for knee pain while sitting is due to Chondromalacia Patella, or in simple terms cartilage damage under the knee cap. There have been many surgical procedures developed to address this condition, None that have been extremely beneficial. I would suggest that you first take the time and stretch the quadriceps muscle. That is the muscle in front of the thigh that crosses the knee and hip. When I say Stretch, I mean Stretch. Do a stretch multiple times in a day until it is stretched adequately and then check it on a daily basis to be sure it is stretched. There is a rather long explanation as to why this works but to keep this short and manageable just know I have found this to be extremely beneficial in my patients.
