"I have knee joint pain every time I walk stairs.”
“I get severe sciatica after sitting for more than 10 minutes.”
“My shoulder hurts every time I reach up overhead.”

Wouldn’t you love to know exactly what could help relieve your pain?

I can understand. The patients I see on a daily basis have the same questions and are seeking the same answers. They come to me with questions such as:

• What is causing my pain?
• What are my best treatment options?
• What steps can I take to feel better and get back to what I like to do?

Hi. My name is Janelle Trempe and I am an orthopedic physical therapist. Since 1991 I have been helping people with their joint pain conditions. At the core of what I do as a physical therapist is teaching: helping patients to understand their condition and providing them information on what they can do to improve their pain and return to the activities they enjoy.

The information contained here will help you do the same.

For example……
Have you ever had sciatica? It’s a common problem that I see in the clinic. Sciatica can have a number of causes including a bulging disc or spinal stenosis.

How do I tell which one it is? By identifying the pattern of the pain.

If the sciatica pain occurs with sitting or bending, then the cause is most likely a bulging disc. If the pain occurs after standing or walking and feels better with sitting, the cause is generally stenosis. Once the cause is determined the best treatment plan can be implemented. For a bulging disc, lumbar extension are the best treatment. For spinal stenosis, William’s flexionexercises will relieve the pain.

Most joint pain conditions are caused by trauma or overuse. Some joint conditions, such as rheumatoid arthritis, result from a systemic disease.

The basic keys to reliving pain and restoring function include:
• reducing inflammation
• maximizing the environment for healing
• restoring normal joint mobility
• improving related muscle strength
• restoring function

Understanding exactly how to do these things is what this site is all about.

Although not a substitute for medical care, since I practice evidence-based physical therapy, the information and recommendations provided here are supported by both medical research and years of experience.

Whether you have an ankle sprain, want to understand more about your knee osteoarthritis or are considering having rotator cuff surgery, the guidance given here will provide the answers you are seeking.

To your health,

Janelle Trempe PT, ATC

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Here is a sampling of some of my latest news articles:

What kind of information will you find on this site?

Rheumatoid arthritis symptoms
Arm yourself with information and recommendations for minimizing rheumatoid arthritis symptoms.

Finger joint pain
Is finger pain making your every day activities difficult? Learn causes and treatment recommendations for finger pain conditions.

Diabetic foot pain
What can you do to relieve your diabetic foot pain? Learn more about what you can do to both prevent and treat this foot condition.

Back pain remedies
Are you searching for back pain remedies? With the myriad of remedies available, learn which ones to use and to avoid.

Osteoarthritis treatment
Use these osteoarthritis treatment recommendations to help you make the best choices for treating your arthritis symptoms.

SI joint pain
SI pain can be difficult to diagnose. Learn more about this complicated condition and possible treatment recommendations.

Spinal stenosis
Spinal stenosis is a degenerative issue that generally progresses as we get older. Learn the typical symptoms and what treatment and exercises can help.

AC joint pain
AC pain is not the most common shoulder injury. Learn more about this condition and what steps you can take to minimize your pain.

Ankle joint pain
Are you experiencing ankle pain? Learn what the cause of the pain and what you can do for it.

Joint pain causes
What are the most common causes of joint symptoms? Discover what they are so you can control your pain symptoms.

What Causes Arthritis?
What Causes Arthritis? Find the answers to what may be causing your arthritis symptoms.

Hand Pain
Hand pain can be one of the most limiting conditions. Learn about potential hand pain conditions and your treatment options.

Wrist Joint Pain
Wrist pain can have a number of causes. Learn about possible causes and what you can do to relieve your wrist pain.

Sciatica Symptoms
Are you experiencing nerve related leg pain? Learn the potential cause of sciatica and what you can do to relieve it.

Thumb Joint Pain
If you are experiencing thumb pain, learn the potential causes and treatment recommendations to relieve your pain.

Foot Pain
Foot pain can come from a number of different sources. When our feet hurt, activity stops. Learn what may be causing your foot pain and treatment solutions.

Hip Pain
Hip pain can come from many sources. Learn what may be causing your pain and what you can do to relieve it.

Arthritis Water Exercise
Exercise is an important part of arthritis treatment. Learn if this form of exercise is right for you.

Knee Brace for Arthritis
Could you benefit from an Arthritis Knee Brace? Learn about types and benefits of knee braces.

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