Category Archives: General Information

PT News July 2018

July 26, 2018 Teresa Stockton - Back, Blog, General Information, PT News

This Month in PT News. Featuring published articles from PTandMe partnering clinics!

1. Early Referral to Physical Therapy for Low Back Pain Reduces Cost and Improves Outcomes
Written by Mishock Physical Therapy with physical therapy locations throughout Montgomery, Berks and Chester, PA Counties.

Low back pain (LBP) is a common and costly medical condition associated with significant physical pain, impaired function, and loss of productivity. LBP is the leading cause of disability in the US exceeding $100 billion per year in treatment, reduced productivity and lost wages. Approximately, 70 million adults have LBP in any given 3 month period of time. (Health Stats, 2015). Read more

2. Men. Do You Feel Like You’ve Been Kicked in the Groin?
Written by the Therapy Team at Ability Rehabilitation with Physical Therapy locations throughout Central, FL

Are you experiencing groin pain without a known injury? Do you have urinary hesitancy, urgency or frequency? Have you been diagnosed with prostatitis, and given antibiotics but achieved little to no relief? Read more

3. Improve Your Mobility with These Range of Motion Exercises
Written by the Therapy Team at Desert Hand and Physical Therapy in Phoenix, AZ

Range of Motion Exercises, or ROM exercises, are important movement patterns designed to regain mobility in a joint such as the shoulder, knee, wrist or fingers. Regularly moving your joints can help reduce pain, keep your joints flexible, and improve strength and balance. Read more

PT News June 2018

June 28, 2018 Teresa Stockton - Blog, General Information, PT News, Sports and Fitness

This Month in PT News. Featuring articles from PTandMe partnering clinics!

1. Walking: An Effective Tool for Weight Loss and Maintenance
Written by The Jackson Clinics with locations throughout Northern VA.

The simplest exercise available is placing one foot in front of the other and walking. Because this is something we do every day, it is often overlooked as a valuable tool for weight loss. Read more

2. The Roles of an Athletic Trainer
Written by the Therapy Team at The Center for Physical Rehabilitation with locations throughout Great Rapids, MI

Athletic trainers not only help individuals return to the athletic field or a respective line of work but it also allows these athletic trainers to practice in a setting that best suits them and their interests. Read more

3. Why Should I Try Physical Therapy
Written by the Therapy Team at Excel Physical Therapy in Palmer & Wasilla AK

Do you suffer from aches and pains in your joints? Physical therapy can help! Most people who suffer from pain wait it out to see if it will subside on it’s own, but what is the cause of the pain? Read more

How to Stay Active When You Work a Desk Job

June 20, 2018 Teresa Stockton - Blog, General Information, Industrial Rehab

As the years go on, more and more jobs require sitting behind a desk or connecting with your computer screen, for what feels like infinite hours during the workweek. It has been determined that desk workers sit for more than 1,000 hours per year due to the sedentary lifestyle many businesses and jobs now require. An increase in stress levels, back and hip pain, digestion issues, and poor posture are all examples of health problems employees experience at their desks. In order to eliminate the aches and pains, motivate yourself and your coworkers to increase their active lifestyle both inside and outside of your work shift! With these helpful tips, you and your colleagues will want to hop out of that desk chair more often!

1. Take Walks Outside
Being static at your desk all day forces your body to not only adjust itself to a sitting position but a restraint to the outside world as well. Taking the time to step away from your desk to take walks outside can increase blood flow and allow your body to shake out any tension or pressure caused by sitting down. As your blood is flowing faster, your energy levels rise. This ultimately helps with alertness and concentration so you’re performing to the best of your ability while working. If your company has some strict guidelines when it comes to leaving the office, boost your activeness by walking a few extra blocks during your daily commute. This will give you several more minutes of exercise before going to work!

2. Participate in Fitness Events
Another fantastic way to motivate yourself and other employees in your workplace is by participating in different fitness events within the community! 5K walks and runs, fitness classes, and many volunteering opportunities all include a good amount of physical activity. Also, they’re a great way for you and your coworkers to not only be active but to support a charitable cause as well! If there aren’t any fitness-related events in your town that can host your work crowd, organize one! Be sure to register your event online to skillfully keep track of your RSVPs.

3. If Possible, Work at a Standing Desk
This might sound crazy to some, but remaining in a sitting position for numerous hours can be kind of exhausting. Your body might feel fine within the first hour or two of your day, but when the fourth and fifth hours hit, pain and pressure become prominent in areas such as your neck, back, and shoulders. Worrying about your discomforts at your job can be stressful. To reduce the built-up soreness, try working to a standing desk for a while to switch your body’s normal sitting position to lessen those body aches. Standing at a desk can also assist in lowering blood sugar levels, which can be quite valuable to your health!

4. Take the Time to Stretch
Stretching your muscles can relieve a lot of stress placed on the body from sitting for long periods of time. Lengthening your joints can reduce the tightness that you might be feeling throughout the day. During your stretching session, hearing strange cracks or noises is normal. These are actually little “bubbles of nitrogen” that form around your joints that can pop when you extended your muscles.

The improvement of your mental, physical and metabolic health comes with changing your daily routine from consistently inactive to a day full of movement. It is vital to spread awareness about the harmful effects that can come with working a desk job, and how exercise can benefit the way your body feels and make going to work less immovable. Make sure to motivate other desk workers to pursue an active lifestyle to help boost the amount active workplaces!

Eat Well, Exercise Well, Be Well: Dietary and Fitness Guidelines

March 7, 2018 Teresa Stockton - Blog, General Information

When it comes to the secrets of living a healthy life, it seems that there are no secrets. From diet gurus to celebrities, everyone seems to have the answers on healthy living. Since the 1980s, the United States government has also weighed in, with dietary guidelines that it publishes every 5 years. The intent is to provide research-backed diet and physical activity recommendations to reduce the risk of diseases linked to poor diet and activity, such as high blood pressure, heart disease, and type 2 diabetes. Here is a round-up of the government’s latest key recommendations from the publication, 2015-2020 Dietary Guidelines for Americans.

EAT WELL

Calories, Calories, Calories
In recent years, obesity has been a national concern, since it has been associated with serious conditions like cancer, heart disease, and type 2 diabetes. Controlling total calorie intake is essential to maintaining ideal body weight. If you are trying to lose weight, you will need to expend more calories than you take in. This means getting plenty of exercise and cutting down on foods that are high in calories.

So how many calories should you be consuming? This depends on several factors, such as age, gender, height, weight, and physical activity level. To keep calories under control, you want to focus on eating foods full of many nutrients, especially potassium, fiber, vitamin D, and calcium. You may want to talk with your doctor or a registered dietitian about an eating plan that is right for you. In general, try to keep calories in check. Aim to meet calorie needs, but not exceed them. Reducing portion size and eating more meals at home are great ways to avoid exceeding calorie needs. In addition, eating foods high in nutrients but lower in calories can help.

Foods to Enjoy

Eat a lot of fruits and vegetables—Fresh fruits and vegetables are lower in calories compared to processed foods. Focus on color when eating fruits and vegetables. Dark green, red, and orange vegetables are especially packed with good-for-you nutrients. When preparing a meal, try and fill half your plate with fruits and vegetables.
Eat a lot of whole grains—Examples of whole grains are brown rice, oatmeal, bulgur, and whole-wheat pasta. Your goal should be to make half your grains whole grains.
Have more dairy—Focus on low- or non-fat milk, cheese, and yogurt.
It is okay to eat certain fats—Some fats are okay to consume in moderation. These are monosaturated or polyunsaturated fats, which are found in foods like nuts and fish.
Power up on protein—Seafood, lean meats, poultry, beans, and soy products are good sources of protein. Be sure to choose protein foods that are low in saturated fat and calories.

Food to Eat Less

Limit refined grains—Examples of refined grains are white bread, corn flakes, grits, regular pasta, and white rice. These foods tend to be high in calories and sugar but low in fiber.
Limit foods containing added sugars—This includes sugar-sweetened drinks and snacks.
Limit foods high in saturated fats—This includes certain kinds of meat and dairy products (whole milk, cream, and butter). Less than 10% of calories should come from saturated fats.
Keep trans fat consumption as low as possible—You can do this by limiting foods containing solid fats and partially hydrogenated oils, such as margarine and baked goods.
Limit salt intake—Too much of it can increase your risk for high blood pressure, which can lead to kidney damage, heart disease, and stroke. On a daily basis, adults should consume less than 2,300 mg of sodium.
If you drink alcohol, do so in moderation —Women should consume no more than 1 alcoholic drink a day, while men should consume no more than 2 drinks a day. Also, keep track of the calories in each drink. Mixed drinks tend to have higher calories.

Preparing Your Plate
Remembering which foods to limit, and which to eat more of, may be daunting. To help you remember, the United States Department of Agriculture created a simple image of a sectioned plate as a guideline for healthy eating. The Choose My Plate guidelines emphasize nutrient-dense foods and beverages, such as vegetables, fruits, whole grains, low- or non-fat milk, beans, and nuts. If remembering how much and what to eat is a chore, you can just keep these simple things in mind to ensure that you are eating well when you sit down for a meal:

Fill half your plate with fruits and vegetables.
When eating grains, make sure half your grains are whole grains.
Choose fat-free and low-fat (1%) milk products.
Avoid oversized portions.
Enjoy your food, but be mindful of how much you are eating. Try to eat less.
Drink water instead of sugary drinks.
When cooking, try to use less or no salt in the recipe. When you eat your meals, do not add any extra salt. Over time, you will adjust to less salt in your food.

You can find specific information on the ChooseMyPlate website.

Exercise Well
A nutritious diet and exercise go together for maintaining a healthy lifestyle. To achieve and maintain a healthy body weight, adults should aim for 150 minutes of moderate to intense physical activity each week. Some examples of activities are brisk walking, biking, and swimming. Before starting any kind of exercise program, be sure to check with your doctor if you have any health issues that may limit your exercise program.

Be Well
Guidelines provide the foundation for a healthy lifestyle. But living a healthy lifestyle takes discipline and a positive attitude. Working with your doctor and perhaps other professionals, like a dietitian or fitness trainer, can be helpful in keeping you motivated and on track for reaching your health goals. Also, a healthy lifestyle should not be a chore, but something enjoyable.

Make exercise fun—a weekend hike, a lunch-hour walk with co-workers, or a pick-up game of basketball with your neighbor are just some ideas. And when mealtimes roll around, put on your creative chef hat! Come up with new approaches to breakfast, lunch, and dinner menus that incorporate fresh, nutrient-dense foods, and get friends and family involved in preparing meals. Experiment with herbs and spices to flavor your meals instead of the old salt standby. Armed with guidance, support, and motivation, a healthy lifestyle is within your reach!

Written by Marjorie Montemayor-Quellenberg, MA

RESOURCES:
Choose My Plate—US Department of Agriculture
http://www.choosemyplate.gov

Eat Right—Academy of Nutrition and Dietetics
http://www.eatright.org

CANADIAN RESOURCES:
Health Canada
http://www.hc-sc.gc.ca

Dietitians of Canada
http://www.dietitians.ca

REFERENCES:

2015-2020 Dietary guidelines for Americans. US Department of Agriculture and US Department of Health and Human Services. Available at: https://health.gov/dietaryguidelines/2015/guidelines/. Accessed February 14, 2017.

BMI calculator. ChooseMyPlate—US Department of Agriculture website. Available at: http://www.choosemyplate.gov/weight-management-calories/weight-management.html. Accessed February 14, 2017.

Dietary interventions for cardiovascular disease prevention. EBSCO DynaMed Plus website. Available at: http://www.ebscohost.com/dynamed. Updated February 5, 2015. Accessed March 9, 2015.

What is MyPlate? US Department of Agriculture ChooseMyPlate website. Available at: https://www.choosemyplate.gov/MyPlate. Accessed February 14, 2017.

Last reviewed February 2017 by Michael Woods, MD, FAAP

EBSCO Information Services is fully accredited by URAC. URAC is an independent, nonprofit health care accrediting organization dedicated to promoting health care quality through accreditation, certification and commendation.

Role of Exercise in Type 2 Diabetes

February 7, 2018 Teresa Stockton - Blog, General Information

Lifestyle changes play an important role in managing type 2 diabetes. Activity decreases blood glucose and regular exercise helps by improving the way your body uses glucose.It can also reduce the risk of diabetes complications like heart disease.

How it Works
Glucose is a type of sugar that is used for energy. It is present in the blood and stored in the muscle and liver. A hormone called insulin helps most of the glucose move from the blood into cells. For those with type 2 diabetes, the body is resistant to insulin and over time the body has trouble making insulin at all. As a result, glucose has trouble getting to the cells, the body doesn’t get enough energy, and glucose builds up in the blood.

During exercise your working muscles have a greater need for energy and therefore glucose. As a result, glucose can enter the muscles and cells with far less insulin. This leads to a drop in blood glucose levels during exercise and for a few hours after while the muscles recover. This causes an immediate though temporary decrease in blood glucose.

Over time, regular activity can make the body less insulin resistant during activity or rest. This can lead to more long term benefits and may lead to a decrease in the need for medication.

In addition to helping control diabetes, exercise can also improve your overall health by decreasing weight, the risk of cardiovascular disease, and blood vessel damage.

Exercise Recommendations
It is important that you talk to a doctor before starting an exercise program. You and your doctor can work together to choose an exercise program that is right for you.

For greatest benefits, you will need to do both aerobic exercises and strength training. Aerobic exercises include things like walking, bicycling, and swimming. Strength training exercises and classes use things like weight machines, free weights, and resistance bands. Adults should aim for:

At least 150 minutes per week of moderate-to-vigorous intensity aerobic exercise
2-3 days of strength training per week
Try not to go more than 2 days without some type of activity

Look for opportunities during the day to add to your overall activity level. Take the stairs instead of the elevator, take a short walk during the day, or walk instead of taking the car. Even 10 minutes of activity can provide some immediate benefits.

Safety Steps
Certain diabetes medication can lead to a dip in blood glucose called hypoglycemia. Talk to your doctor to understand if this may be a problem for you. Be aware of signs of hypoglycemia during exercise such as dizziness, shaking, or confusion. If you have these symptoms, stop exercising and manage hypoglycemia. Let your doctor know about any episodes, since your medication may need to be adjusted.

Diabetes can also affect the nerves and blood flow to the feet. Inspect your feet frequently, since diabetes can sometimes lessen your ability to feel pain from a foot injury.

Keep in mind that exercise is only one piece of an overall diabetes management plan. You will also need to control your blood glucose levels with good nutrition.

by Cynthia M. Johnson, MA

RESOURCES:
American Diabetes Association
http://www.diabetes.org

Centers for Disease Control and Prevention
http://www.cdc.gov

CANADIAN RESOURCES:
Health Canada
http://www.hc-sc.gc.ca

Public Health Agency of Canada
http://www.phac-aspc.gc.ca

REFERENCES:

Physical activity for type 2 diabetes. EBSCO DynaMed Plus website. Available at: https://www.dynamed.com/topics/dmp~AN~T270048/Physical-activity-for-type-2-diabetes. Accessed February 20, 2017.

Physical activity is important. American Diabetes Association website. Available at: http://www.diabetes.org/food-and-fitness/fitness/physical-activity-is-important.html. Updated December 27, 2016. Accessed February 20, 2017.

What we recommend. American Diabetes Association website. Available at: http://www.diabetes.org/food-and-fitness/fitness/types-of-activity/what-we-recommend.html. Updated May 19, 2015. Accessed February 20, 2017.

How to Manage Your Type 2 Diabetes with Diet. Available at: https://www.jenreviews.com/diabetes/ Accessed November 2018

Last reviewed December 2017 by EBSCO Medical Review Board Michael Woods, MD, FAAP Last Updated: 12/22/2017

When Is the Time Right for Physical Therapy?

January 19, 2018 Teresa Stockton - Blog, General Information

Often, we end up in physical therapy based on the referral of our physician after dealing with and injury for a certain period of time. However, physical therapy can be used for many different ailments and can actually help cut down the time off work, off of sports and promote healing much faster.

Physical therapy can be used for many of your minor and major injuries. Following surgeries or traumas (accidents, dislocations, fractures, sprains) it can cause a considerable reduction in swelling and allow things to heal 75-80% faster than if without therapy. It has been shown that following surgery, the quicker someone goes for therapy, the less likely they are to stiffen up or have complications due to loss of range of motion. It also helps to significantly reduce pain and swelling.

Physical therapy is not only used following surgeries or sports injuries, but can be extremely helpful in preventing symptoms from getting worse and developing into more problems. If you’ve been having pain in your shoulder for 3 months or so, your body now has altered the way it moves your shoulder and in turn, you have developed some compensation patterns which could cause things to develop into other areas, such as your neck from your altered movements. This then, can lead to more significant problems which could have been easily avoided if therapy had been started and symptoms had gotten under control.

Remember, the quicker you get into therapy following an injury or persistent pain, the quicker your response time will be to therapy. If you are having some issues, talk to your physician about starting therapy. You don’t have to wait until it has a complete impact on your life or your recreational activities. Stop pain in your life and feel better by visiting one of our PT & Me physical therapists today.

PTandMe and How to Find Physical Therapy Near You

January 12, 2018 Teresa Stockton - Blog, General Information

PTandMe is your online guide to physical therapy. We make it easy for you to look up common conditions, see how physical therapy will benefit you directly, and most importantly, we make it easy for you to find physical therapy. If you are in pain, and need to find a licensed physical therapist in your area – we are the best place to look. To learn more about Physical Therapy click here.

The PTandMe injury center is unique in that it provides information on common conditions that physical therapists treat as well as gives you a glimpse into what physical therapy treatment may look like for your condition. Physical therapists are the musculoskeletal experts, so when it comes injury or musculoskeletal pain – you are in the right place. The injury center covers diagnoses from head to toe. To visit the PTandMe injury center click here.

In addition to the injury center, PTandMe sends out great health and wellness tips each month through the Therapy Connection newsletter & weekly PT & Me blog posts. We partner with over 550 physical therapy clinic nationwide, so the topics covered are relevant and directly from licensed professionals in the field. Featured articles, recipes and fun trivia questions make these resources a great learning tool for everyone.

When it comes to finding physical therapy and scheduling your first appointment, PTandMe makes it easy. We have collected an online database of our partnering clinics throughout the United States so that you can easily access them from your phone or home computer. To find a physical therapist near you visit our “Find a PT” search page by clicking here.

If you are on the fence about going to physical therapy, or simply want more information about it, PTandMe makes it easy for you to find the information you need quickly. The faster you start to treat pain or an injury, the better the long term benefits, so don’t wait to try physical therapy. Get started today and find physical therapy clinics near you!

Direct Access: Physical Therapy Without A Physician Referral

November 2, 2017 Teresa Stockton - Blog, General Information

Did you know that almost all states allow consumers to be treated by a qualified physical therapist without a referral from a physician? It is called direct access and most of our PT&Me partnering locations are able to provide direct access to physical therapy to your community.

EXPERIENCED PHYSICAL THERAPISTS

Quality and consistency of care are the cornerstones of our partnered clinics. Everything the clinics do is directed towards developing and fostering these behaviors. Quality means doing things that work. Licensed physical therapists design programs of care that have been proven to be effective treatment interventions. You can expect individualized, hands-on care.

HONEST AND TRUSTWORTHY

Your well being is our primary concern. Our direct access physical therapy clinics will always do what is best for you. After your initial physical therapy evaluation, your physical therapist will recommend the appropriate plan of care for you. They will not waste your time or money if physical therapy is not your best option for a full and quick recovery.

PHYSICIAN PARTNERS

Our partnered direct access physical therapy clinics have wonderful relationships with numerous physicians in and around your community. If you choose to receive physical therapy via direct access, your therapist will communicate appropriately with your physician at your discretion. If you are new to the area or you do not have a physician and need one, they will be happy to help facilitate a referral to a doctor for you.

* Not applicable to patients in federal or state funded programs, such as Medicare, Medicaid or Tricare

For more information about direct access physical therapy and to see if your state participates, go here:

This article was written by STAR Physical Therapy – with over 65 locations throughout TN. For more information on STAR Physical Therapy, visit them online at www.STARpt.com

Protect Yourself from Tickborne Illnesses

August 15, 2017 Teresa Stockton - Blog, General Information

They may be small, but the bite from just one infected tick can cause symptoms that range from fever and chills to severe infections. However, you can protect yourself from tickborne illnesses, such as Lyme Disease and Rocky Mountain spotted fever, by avoiding areas where ticks are present and preventing ticks from getting on your body.

AVOID TICK HABITATS
Ticks can be found in the northeastern, northwestern, mid-Atlantic, or upper north-central regions of the United States. They are most active in warmer months from April to September. However, they can be active when temperatures are above 40°F (4.4°C).
Tips for reducing your exposure to ticks include:

Avoid moist, shaded, wooded, or grassy areas.
Stay on cleared, well-traveled paths, and walk in the center of trails to avoid overgrown grass and brush.
Avoid sitting on the ground or on stone walls.
You can discourage ticks from your property if you:
Remove leaf litter, brush, and woodpiles from around your home and the edges of your yard.
Mow the grass often.
Discourage animals that carry ticks from coming onto your property.

PREVENT TICKS FROM GETTING ON YOUR BODY
Proper clothing can help protect you from tick bites when you enter areas that may have ticks. When spending time outdoors:

Wear long pants and a long-sleeved shirt. Light-colored clothing will make it easier for you to see any ticks that may get on you.
Tuck your shirt into your pants and tuck your pants into your socks.
Wear a hat. Braid or tie back long hair.
Wear closed toed shoes.

Insect repellant can also prevent tick bites. Repellents containing 20%-30% N,N-diethyl-meta-toluamide (DEET) can be applied to clothes and exposed skin. Repellents that have 0.5% permethrin can be applied to pants, socks, and shoes, but not to skin. Be sure to read product instructions carefully. For example:

Do not apply near your eyes, nose, or mouth.
Do not apply to children’s hands.
Reapply as directed.
Wash your skin when you return indoors.

PERFORM TICK CHECKS
After you spend time outdoors in a high-risk area:

Use a mirror to do a full-body tick check on yourself. You should also check any children who are in your care. Make sure to check for hidden areas, such as the hair, around the ears, under the arms, and in skin folds.
Examine your clothing for ticks that may attach to you after you come home.
Take a shower and wash your hair within 2 hours of coming indoors.
Put clothes worn outdoors in the dryer on high heat for 10 minutes to kill any unseen ticks.
If you have pets that spend time in high-risk areas, perform daily tick checks to prevent them from spreading to humans.

REMOVE TICKS FROM YOUR BODY

If you do find a tick, remove it by doing the following:
Use a pair of fine-pointed tweezers to grasp the tick by the head, as close to the skin as possible.
Pull directly outward. Use gentle but firm force. Do not twist the tick out. Try not to crush the tick’s body or handle it with bare fingers. This can spread the infection.
Wipe the site with an antiseptic to prevent infection.

KNOW THE SIGNS OF TICKBORNE ILLNESSES

Symptoms of a tickborne illness can occur weeks after exposure. Even if you have taken precautions, be sure to contact your doctor right away if you have recently spent time in a high-risk area and have fever and chills, aches and pains, and a distinctive rash.

by Cynthia M. Johnson, MA

RESOURCES:
Centers for Disease Control and Prevention
http://www.cdc.gov

Healthy Children—American Academy of Pediatrics
https://www.healthychildren.org

CANADIAN RESOURCES:
Canadian Paediatric Society
http://www.cps.ca

Health Canada
http://www.hc-sc.gc.ca

REFERENCES:

Preventing ticks on your pets. US Centers for Disease Control and Prevention website. Available at: https://www.cdc.gov/ticks/avoid/on_pets.html. Updated June 1, 2015. Accessed March 24, 2017.

Symptoms of tickborne illness. US Centers for Disease Control and Prevention website. Available at: https://www.cdc.gov/ticks/symptoms.html. Updated June 1, 2015. Accessed February 20, 2017.

Tick avoidance and removal. EBSCO DynaMed Plus website. Available at: https://www.dynamed.com/topics/dmp~AN~T901539/Tick-avoidance-and-removal. Accessed February 20, 2017.

Michael Woods, MD June 2017

Last reviewed June 2017 by Michael Woods, MD

Healthy Recipes 101: Vanilla Protein Shake – PTandMe

June 27, 2017 Teresa Stockton - Blog, General Information

Healthy Recipes 101 features fit and lean recipes to help you feel great!

VANILLA PROTEIN SHAKE
If you are looking for a healthy meal replacement, this is it! This vanilla protein shake was given to us by a colleague, who we have on good authority, drinks these regularly.

Ingredients
• 1-1/2 1-1/2 cups unsweetened Vanilla Almond Milk
• 1 scoop Vanilla Protein Powder
• 1 tbsp. flaxseed oil or ground flaxseed meal
• ¼ tbsp. of cinnamon
• 1 -2 packets of Stevia to sweeten (optional)

Directions
Put everything into a blender and process until smooth. Enjoy!

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