Tag Archives: fatigue

concussion treatment

Concussion Treatment and What to Expect

concussion treatment

Concussion Treatment and What To Expect

Physical Therapy Appointment

  • Our goal is to alleviate all concussion-related symptoms so that you may return to a normal, symptom-free life.
  • Vestibular, oculomotor, cognitive, and cardiovascular exercises will be incorporated into your treatment. Some exercises will bring on symptoms, which is normal. By introducing symptoms in a controlled manner, we are retraining the brain to adapt to these demands.
  • To monitor your symptoms while you are here, imagine that when you come in you have a “gas tank” or work capacity of 100%. We would like to work until your brain is at 50%. The goal is to fatigue your brain to make it stronger, not to make it hurt.
  • In the first 24 hours after therapy, you may experience an increase in symptoms, fatigue, and emotional changes.
  • Routine activities such as work and school may bring on symptoms. you should work until symptoms appear, then rest until they are gone. Finding your limit and not going beyond it will contribute to your success.
  • Symptoms can be limited at home, school, and work by minimizing screen time, especially at night and learning when your body and brain need to rest.
  • Exercises will slowly increase in duration and intensity as your treatment progresses and your brain begins to heal.

This information about concussion treatment was written by Rehab Associates of Central Virginia, they are dedicated to working with one another as a team across their sub-specialty practices and their physician partners. For more information click here.

More PTandMe concussions articles can be found here:


concussion physical therapy   


Physical Therapy Appointment

How much water do you need to stay hydrated

How Much Water Do You Need to Stay Hydrated

How much water do you need to stay hydrated

Fluid Intake is Essential for Good Health.

Water is needed to regulate temperature, maintain joint health, and deliver essential vitamins and minerals. Dehydration leads to impaired nerve and muscle function due to the body’s imbalance of sodium and potassium. Brain and muscle function become impaired causing decreased muscle coordination and impaired athletic performance.

Early signs and symptoms of dehydration include headaches, dry mouth, chills, dry skin, excessive thirst, and fatigue. The color of one’s urine is a good indicator of proper hydration. Improper hydration will cause your urine to become dark yellow. Signs of worsening dehydration are increased body temperature, heart rate, and body temperature. If you become confused, have vision disturbances, and have difficulty breathing, seek immediate medical attention.

Your risk of dehydration increases when you sweat excessively, increase your exercise intensity and duration when the temperature is high and at high altitudes.

How much water do you need to stay hydrated?

Staying hydrated on a normal day:

According to the National Academies of Sciences, Engineering and Medicine, the amount needed varies.

  • Men – 3.7 liters per day
  • Women – 2.7 liters per day

This covers water you receive from all sources – including the foods you eat. Most people can easily reach this amount in their daily eating and drinking habits.

Staying hydrated on a hot summer day:

When you’re active outside, the amount increases. The CDC recommends 1 cup every 15-20 minutes – about 1 quart an hour. Drinking in short intervals is more effective than drinking large
amounts infrequently.

Staying hydrated when you workout:

The American Council on Fitness suggests these guidelines for moderate to high-intensity exercise:

  • Drink 17-20 ounces of water 2-3 hours before working out
  • Drink 8 ounces of fluid 20-30 minutes before exercising or during the warm-up.
  •  Drink 7-10 ounces every 10-20 minutes during exercise.
  •  Drink an additional 8 ounces of fluid within 30 minutes after exercising.
  •  Drink 16-24 ounces for every pound of body weight lost after exercise.

Many sports teams will weigh the athletes before and after practice to determine the amount of fluid lost. The recommended weight loss limit due to fluid loss is 2% of your body weight per day. It is recommended that you drink 16-24 ounces of water for every pound lost.


But it shows us how much fluid we can lose during higher levels of exercise and why it is so important to stay hydrated. It is essential to drink water before, during, and after practices and games. Especially in the warmer months.

water bottle

Are Sports Drinks Better Than Water?

Definitely in taste, but nothing hydrates the body better than water. Sports drinks do provide more potassium, minerals, and other electrolytes which will help you sustain your performance during exercise and may help you recover significantly faster in workouts over one hour in duration. The biggest problem with sports drinks is the sugar content. Many of them have multiple servings per bottle. Glucose is essential but you do not need as much as you will find in most sports drinks. I recommend a combination of water and a low-sugar sports drink. Research also indicates that chocolate milk may help the athlete recover more quickly when consumed after exercise due to its carbohydrate and protein content.

You should consult your pediatrician or family physician if you feel that you or your child has problems with dehydration.

physical therapy near me   Physical Therapy Appointment

Cancer Fatigue Physical Therapy

Physical Therapy can Help Battle Cancer Related Fatigue

Should you Consider a Physical Therapy Cancer Fatigue Program?

Cancer treatments are rigorous and can take a toll on the body. If you are feeling tired all the time you’re not alone. The number one complaint of cancer patients, affecting 78% to 96% of those undergoing treatment, is cancer related fatigue(CRF). The goal in Physical Therapy is to help you become as independent as possible. Anyone who experiences signs and symptoms of pain or loss of function would benefit from an individualized physical therapy program.

Physical therapy can help you recover from:

  • Chronic pain
  • Leg pain
  • Shortness of breath after light activity
  • Difficulty walking short distance
  • Difficulty performing daily tasks
  • Extreme weariness and tiredness
  • Difficulty paying attention or concentrating

What to Expect from A Physical Therapy Cancer Fatigue Program

Licensed Physical Therapists provide specialized therapeutic services that address the needs of CRF patients. Therapy sessions last approximately thirty minutes to one hour, depending on the patient’s tolerance. The average number of visits per week is 2-3. The physical therapy program is concurrent with cancer therapy and may last throughout the entire treatment phase. Most programs require a thorough physical therapy evaluation and a team approach with your physician is maintained.

Consider it a stepping stone approach towards your recovery.

  • Address pain—which in turn can alleviate fatigue
  • Use non-drug based treatments such as physical modalities:
    – Soft tissue & joint mobilization
    – TENS
    – Heat/Cold
  • Coach patient on how to exercise
  • Alleviate musculoskeletal dysfunction
  • Improve posture
  • Combat effects of bed rest
  • Help to maintain muscle strength and flexibility, and restore muscle balance
  • Help to decrease depression by increasing endorphins
  • Improve balance
  • Improve endurance
  • Core body strengthening

Lady bandana

The Motivation Behind a Cancer Recovery Program

From a physical therapy perspective, one of the main reasons for helping cancer patients comes from seeing individuals for pain problems who were S/P cancer and chemo/radiation. When asked about their the post-treatment care, they said that either; there was none provided, or that they got a few sessions with a lymphedema nurse. Their fatigue and pain symptoms were not addressed.

In looking at what was offered in the community (with the exception of lymphedema nurses) there appeared to be no one addressing the cancer patients—once medical treatment had been completed.

Previous advice for cancer patients was often to get more rest and avoid activities that are physically challenging. Recent studies have shown that exercise was found to be effective in preventing or reducing CRF. No adverse effects of exercising have been reported. Identified as “remarkably underutilized”, exercise is one of the few interventions suggested to diminish CRF and other psychosocial symptoms. If you are struggling to regain your strength and endurance talk to your physical therapist and see if they offer a cancer-related fatigue program that can help you get back to doing the things you enjoy.

physical therapy near me

Information Provided by PTandMe Physical Therapy Partner, Advance Rehabilitation. Advance Rehabilitation has locations throughout GA and Northern FL. More information about Advance Rehabilitation can be found on their website at www.advancerehab.com.

For more information on cancer-related physical therapy programs click here:

holiday stress

Tips for Reducing ADHD Related Holiday Stress and Anxiety


Ah, the holidays. The lights. The carols. The food. The family. It’s the most wonderful time of year. Right? Well, for many of us, the holidays are far more jangled nerves than joyful noise. And if you or a loved one suffers from ADHD, the stress of the holidays can be almost too much to bear. If you have ADHD, you already know how lonely and frustrating it can be when the holidays roll around, and it seems that everyone in the world is in the holiday spirit but you.

Increased Stress, Fatigue, and Sadness are Common During the Holidays
The truth is, though, that the season of celebration is also the season of stress. No one is immune to the pressures of the season. But the disruption of normal, daily routines, the added responsibilities of social engagements and familial obligations, and the abundance of symptom-exacerbating holiday foods make the stresses of the holidays particularly acute for ADHD sufferers.

Nevertheless, whether you or someone close to you has ADHD, or you are just seeking to navigate the season with more pleasure and less pain this year, there are some simple things you can do to manage holiday stress. The following techniques, derived primarily from cognitive-behavioral therapy (CBT), might just help you relax and enjoy the magic of the season.

1. Make a Plan
As much as we hate to admit it, there are only so many hours in a day and there’s a limit to what we can accomplish in those hours. So take some time before the rush and tumult of the holidays begin to prioritize what you want, need, and must do for the holidays. Figure out what matters most to you and yours and set up a clear, incremental strategy for getting it done. Knowing you have a doable action plan in place and working a little each day on your holiday tasks can minimize stress, worry, and fatigue, leaving you with the time and energy to actually enjoy the season. Whether it’s allotting five minutes a day for writing holiday cards or two hours of online gift shopping each Saturday, the best way to eat the elephant is one bite at a time.

2. Be Realistic
Yes, you’re good. You’re a rock star. But as awesome as you are, you’re still just one person. And trying to do it all is just not possible—and it’s also just not fair. The answer? Delegate! Have a sister who is a Mozart in the kitchen? Put her in charge of the meal preparation. Have a spouse who’s a Picasso of design? Let him handle the holiday decorating. Not only will this take some of the pressure off you, but it will enable you to enjoy what the holidays are really all about anyway: spending time and making memories with those you love.


3. Forget Perfection
Face it, life is not a Frank Capra movie (and even good old George Bailey had it pretty rough there for a while). So let go of the fantasy of a Capra Christmas or a humdinger of a Chanukah. Inevitably, something is going to get lost or broken; invariably someone’s going to burn the bread or forget the cookies. And, yes, somebody is going to hurt anyone’s feelings. But that’s life. Real life—the good, the bad, and the ugly. Just remember that the imperfections are what make it real, unique, and, in the long run, beautiful. These screw-ups and squabbles that we put such desperate pressure on ourselves to prevent in our pursuit of some fictitious “perfect” holiday are exactly the things we will remember so fondly, and laugh about most heartily with our dear ones, in the years to come.

4. Practice Extreme Self-Care
No matter what the greeting card companies say, the holidays are not the time for self-sacrifice. The only thing playing the martyr will get you is stress, exhaustion, and resentment. Ho, ho, ho. Instead of running yourself ragged, make sure that you do what you need to do to recharge your batteries, to nourish your mind, body, and spirit. Take an hour each day to do something that gives you joy: a warm bath, a long walk, a good book—a nap.

While you’re at it, don’t forget about exercise and nutrition. Indulging in holiday treats is fine. Complete denial will only lead to resentment. But everything in moderation. Rich, highly processed, sugary, and fatty foods can worsen ADHD symptoms. Be selective about what, when, and how much you eat, and remember that exercise, whether an hour of yoga or a brisk bike ride, can help to dispel the brain fog borne of these less-than-healthy foods—not to mention working off some of that holiday stress when it does come!

Begin Reducing Your Stress Today!
Whether you or a loved one has ADHD, or you only want to thrive and not just survive this holiday season, these few simple techniques can make it possible. For more information about ADD/ADHD in adults, please read: https://openforest.net/attention-deficit-disorder-adults/, Wishing you and yours less stress and more joy this holiday season!

Looking for a way to help manage ADHD? You can find natural remedies  here.

Written by Terri Beth Miller, MA, PhD. She is freelance writer and contributor to Open Forest, the online mental health self-help website.


concussion signs

Concussions in High School Athletics are On the Rise

Concussion Signs

Concussions in high school athletics have been increasing dramatically.  According to the National High School Sports-Related Injury Surveillance Study, in the 2005-2006 school year 9% of high school athletic injuries were diagnosed as a concussion/head injury. The 2013-14 school year showed concussions to be at 21.9%.   With this kind of increase it’s important to be aware of the warning signs and how to respond to them.

What is a concussion?

A concussion is a type of brain injury that changes the way the brain normally works. Concussions can have a more serious effect on a young,developing brain and need to be addressed correctly.

What are common concussion signs and symptoms?

You can’t see a concussion. Signs and symptoms of concussion can show up right after an injury or may not appear or be noticed until hours or days after the injury. It is important to watch for changes in how your child or teen is acting or feeling, if symptoms are getting worse, or if s/he just “doesn’t feel right.” Most concussions occur without loss of consciousness. If your child or teen reports one or more of the symptoms of concussion listed below, or if you notice the symptoms yourself, seek medical attention right away. Children and teens are among those at greatest risk for concussion.

Signs and Symptoms


Be alert for symptoms that worsen over time. Your child or teen should be seen in an emergency department right away if s/he has:

  • One pupil (the black part in the middle of the eye) larger than the other
  • Drowsiness or cannot be awakened
  • A headache that gets worse and does not go away
  • Weakness, numbness, or decreased coordination
  • Repeated vomiting or nausea
  • Slurred speech
  • Convulsions or seizures
  • Difficulty recognizing people or places
  • Increasing confusion, restlessness, or agitation
  • Unusual behavior
  • Loss of consciousness (even a brief loss of consciousness should be taken seriously)


What should I do if my child or teen is showing concussion signs?

Help them take time to get better. If your child or teen has a concussion, her or his brain needs time to heal. Your child or teen may need to limit activities while s/he is recovering from a concussion. Exercising or activities that involve a lot of concentration, such as studying,working on the computer, or playing video games may cause concussion symptoms (such as headache or tiredness) to reappear or get worse. After a concussion,physical and cognitive activities—such as concentration and learning—should be carefully managed and monitored by a health care professional.

To see the full report of high school injuries click here

For more information visit www.cdc.gov/concussion


Additional articles from PTandMe about concussions can be found here:

concussion baseline testing    

concussion treatment   concussion physical therapy