Common Injuries, Uncommon Solutions: How PT Goes Beyond Ice and Rest
- Jordon McIlvain, PT DPT
- Jun 25
- 3 min read

When injury strikes, most people reach for the old standbys: ice it, rest it, and hope for the best. While this advice might be enough for minor aches and pains, it barely scratches the surface of what it takes to heal properly—and stay injury-free long term. At Defiance Physical Therapy and Wellness, we see every day how modern physical therapy transforms recovery from passive to powerful.
Let’s look at some common injuries—and the uncommon, often unexpected solutions that physical therapy provides.
1. The “Nagging” Runner’s Knee (Patellofemoral Pain Syndrome)
Common Fix: Rest, brace, repeat
What PT Actually Does:
Most runners are told to stop running, slap on a brace, or change shoes. But without addressing the underlying mechanics, the pain comes back. Through movement analysis, targeted strengthening (especially hip and glute activation), and gait retraining, we help runners return to the road stronger than before. In many cases, we also discover that ankle mobility or core weakness is the real culprit.
Uncommon Solution: Neuromuscular re-education to correct running form and reduce knee load.
2. Shoulder Impingement That “Just Won’t Quit”
Common Fix: Ice it, stretch it, rest
What PT Actually Does:
Shoulder pain, especially from impingement, often stems from poor scapular movement and muscle imbalances—not just overuse. At Defiance PT, we look at the entire kinetic chain: how your thoracic spine moves, whether your rotator cuff is firing properly, and even how your core stabilizes under load.
Uncommon Solution: Manual therapy to improve joint glide + stability training for the shoulder blade.
3. Lower Back Pain from “Doing Nothing”
Common Fix: Pain meds, lay down, wait it out
What PT Actually Does:
Surprisingly, doing nothing is one of the worst things you can do for lower back pain. PT takes an active approach: assessing posture, core activation, hip mobility, and functional movement. We build a customized program that often includes breathing mechanics, pelvic floor awareness, and progressive loading to build real resilience.
Uncommon Solution: Guided graded exposure to movement that rebuilds confidence and reduces pain sensitivity.
4. Ankle Sprains That Keep Happening
Common Fix: Ice, wrap, rest
What PT Actually Does:
If you’ve sprained your ankle more than once, you probably have more than just weak ligaments—you may have proprioceptive deficits (your brain-body connection for balance and control). Our approach retrains your body to sense and respond to changes in terrain and position using balance drills, agility work, and joint stabilization.
Uncommon Solution: Reactive neuromuscular training (RNT) to restore real-world stability.
5. TMJ Pain (Jaw Pain) That Your Dentist Can’t Fix
Common Fix: Mouthguard, ibuprofen, stress reduction
What PT Actually Does:
TMJ dysfunction often involves tight neck and jaw muscles, postural strain, and sometimes even issues with how the upper back moves. PT for TMJ includes manual release of key muscles (like the masseter and temporalis), postural re-education, and breathing mechanics to reduce tension at the source.
Uncommon Solution: Intracranial and cervical manual therapy techniques to address the root causes, not just symptoms.
Why This Matters
You don’t have to settle for a passive recovery process. At Defiance Physical Therapy and Wellness, we believe in empowered healing—not just symptom management. Our clinicians use a science-driven, whole-body approach to treat injuries in context—not in isolation.
Whether you’re an athlete, an office worker, or someone dealing with chronic pain, physical therapy offers tools and techniques most people never realize are available—far beyond a bag of ice and a few days on the couch.
Ready to Break the Injury Cycle?
Book an evaluation with our team and discover how Defiance PT goes beyond traditional care to help you move, feel, and live better.
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