Tag Archives: treatment techniques

physical therapy

Try Physical Therapy First

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Benefits of Physical Therapy Over Pain Killers and Surgery:

  • Conservative treatment with physical therapy has no side effects
  • Treat the cause of the problem and not just the symptoms
  • The best effect is getting you more involved in a healthy lifestyle
  • Affordable and covered under most insurance plans

As Physical Therapists We Provide:

  • Improved awareness
  • Increase strength and flexibility
  • Education and exercise designed to prevent future injuries
  • A program that increases your overall strength and flexibility
  • Modifications of movement for daily living

spine doctor

DID YOU KNOW THAT IF YOU HAVE…

BACK PAIN
If you are experiencing physical pain going to physical or occupational therapy for a musculoskeletal screening first may result in long term solutions without the use of expensive prescriptions or tests such as MRI’s, and reduces the risk of re-injury.
Source: http://www.ncbi.nlm.nih.gov/m/pubmed/22614792/

KNEE INJURY
Physical Therapy is equally effective In treating degenerative knee disease. One of the most common orthopedic procedures in the United States — knee arthroscopic surgery — is proving to be an unnecessary course of action for many patients who have a torn meniscus in their knee.
Source: New England Journal Of Medicine: http://www.nejm.org/doi/full/10.1056/NEJMoa1305189?query=featured_home&

CONCUSSION
Physical Therapists are key to helping in the recovery from concussion by monitoring the physical, mental, and emotional symptoms of an athlete to determine when they are no longer symptomatic.
Source: http://www.momsteam.com/health-safety/post-concussion-treatment-physical-therapy-can-help

We understand that you are concerned with maintaining your health. So ask your medical provider if physical therapy is the right choice for you. By trying physical therapy first, it is likely that you can reduce or remove the need for surgery, as well as remove the risk of dependence on prescription pain killers.

What Should I Tell My Physical Therapist?

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If you have never been to a physical therapist before you may have some questions about your care and expectations. Here are some general questions and points about physical therapy you may want to talk about during your initial evaluation.

Talk about the pain you are experiencing.
Go into detail about what sort of activities you have trouble with and where the pain is coming from.  The more details you can provide the more it will help your therapist develop a treatment plan.

How did your injury happen and/or when did your pain begin?
Did you have an injury or accident, or did the pain develop gradually over an extended period of time? Whether it’s sports, work or surgical post-op related your PT can guide you to recovery following an injury. As part of physical therapy, they can teach you exercises, stretches, and techniques using specialized equipment to address your pain.

What are your recovery goals?
If you have specific goals in relation to your recovery, let your therapist know. Do you want to be able to run a marathon, or is the goal to cook dinner and be able to reach up into your cabinets? Maybe your goal is to have enough strength to play with the grand kids. Your Physical Therapist needs this information when designing a treatment plan that best suits your needs. Whether you’re a professional athlete who’s suffered an injury or an orthopedic patient who needs assistance following surgery, your recovery starts with physical therapy.

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Give your physical therapist you primary care provider’s information.
Good communication between your physical therapist and your primary care provider can help eliminate the need for unnecessary drugs/medications and provide great detail about your medical history. Your physical therapist can help clarify referral guidelines and the decision-making process as well.

Tell your physical therapist about any medications you are currently taking.
Different medications can cause adverse side effects due to physical activity and your physical therapist wants to make sure you are ready for physical therapy. Make sure you have a detailed list of your medications and be ready to discuss them at your evaluation.

Always tell your physical therapist your pain levels and how you feel your progress is going.
Physical Therapy is intended to make changes in your body.  As physical therapists make changes to your tissues and mechanics, the stresses on your body will change, and may change where you feel the pain or symptoms. Be open with your physical therapist. If you have any questions about your treatment or want to go over any pain you are experiencing let your physical therapist know and they can go over it with you. Chances are what you are experiencing is completely normal and part of the healing process.

For more information about physical therapy programs and treatment techniques visit our About Physical Therapy section by clicking here.

Need to find a physical therapist? Visit our Find A PT Page

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Can Physical Therapy Help Kids with Arthritis?

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Did you know that physical therapy can help kids with arthritis? Juvenile Rheumatoid Arthritis (JRA), also called Stills disease, is the most common form of arthritis seen in children and young adults.Children commonly complain of joint pain and stiffness, along with an occasional fever.

JRA can impact fine movements and overall mobility if left untreated. While medical therapy is the mainstay of treatment, physical therapy and rehabilitation are essential to restoring full movement and quality of life.

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How does physical therapy help?
Physical therapists are trained experts at delivering a variety of treatments to help reduce pain and improve joint movement. A child experiencing pain and dysfunction can feel isolated and left out, unable to participate in group activities with other children. A physical therapist can help the child to improve muscle tone, strength and reduce joint inflammation. This helps children regain the quality of life they deserve; allowing them to live with less pain and enjoy the benefits of unrestricted movement.

This information was written by Oregon Spine and Physical Therapy, a physical therapy group located in Eugene, Oregon. At Oregon Spine & Physical Therapy, your care begins with a comprehensive evaluation of your condition by your physical therapist. This initial assessment will allow the physical therapist to accurately reach a diagnosis and then prepare your appropriate, personal treatment plan. For more information click here.

PT News

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

1. What does RICE and MEAT have to do with Physical Therapy?
Written by the Therapy Team at Cornerstone Physical Therapy. located in Canal Winchester, OH

When you hear the words rice and meat, we won’t blame you for thinking about food! In the physical therapy world, the RICE method (rest, ice, compression, and elevation) has long been the recommended treatment for sports injuries. Read more

girl running 2. Slow and Steady Still Wins the Race
Written by the Therapy Team at the Jackson Clinics Physical Therapy – Middleburg, VA

As the days get longer and warmer, we’re more apt to engage in outdoor activities like walking and running. Spring also begins the season for charity 5k races and half marathons―great inspirations for starting a new exercise program. Read more

pregnant lady 3. Staying Active During Pregnancy
Written by Jennifer Ryskamp, PTA at the Center for Physical Rehabilitation – Grand Rapids, MI

I wanted to take this opportunity to connect with my fellow women who are currently pregnant, and let you know that you are not alone. I am speaking specifically to those who have historically always been very active and are now finding themselves forced to slow down due to the immensely wonderful and yet altogether difficult task of growing another human being. Read more

Baseball Video Throwing Analysis

Baseball Video Throwing Analysis

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Slow motion 2-D video throwing analysis for baseball players of all skill levels. The purpose of a baseball video throwing analysis is to break down the act of throwing to screen for abnormalities and deviations that may cause potential damage to the shoulder or elbow. Goals are injury prevention and optimizing performance by instructing players on the most efficient and effective mechanics of throwing. Includes evidence-based strengthening exercises and stretches from a certified strength & conditioning specialist. Provides player with proper arm care techniques, systematic warm-ups, cool-downs, throwing protocols, bullpen guidance and much more.

VIDEO ANALYSIS PROGRAMS TYPICALLY INCLUDE:
• Private Evaluation with a Physical Therapist
• Videography
• Biomechanical Analysis and Grading
• Recommendations on Areas for Improvement

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WHY YOU SHOULD CONSIDER A VIDEO ANAYLSIS AS A PITCHER:
• Physical Therapy has proven to be immediately valuable in the rehabilitation of injuries and prevention of further damage to the shoulder or elbow
• Video analysis is the only technology available to view each phase of the throwing motion from all possible angles to screen and detect mechanical flaws that are causing injury
• Objective data obtained from the analysis is put through a rigorous grading process (The 8 Cylinders of Pitching) which determines the biomechanical efficiency of the throwing motion
• A structured rehabilitation and prevention program that incorporates the latest evidence-based interventions proven to be effective specifically to baseball players
• A baseball program will rehabilitate and optimize a player’s performance in a safe, scientifically sound manner and maintain good health through their careers.

Increase Risk of Stroke

Long Work Hours May Increase Risk of Stroke

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Stroke is a brain injury caused by an interruption in blood flow. It is a leading cause of death in the US, and can also cause disability, decreased quality of life and increased healthcare expenses. There are many lifestyle factors that affect you risk of stroke including diet, exercise, smoking and stress. Other lifestyle habits like long periods of standing or long work hours are also being reviewed for their impact on stroke risk.

Earlier research has suggested that long working hours may be linked to stroke, but the evidence is limited. Researchers wanted to determine if there was a possible connection between long work hours and the risk of stroke. The study, published in Lancet, found that employees who work long hours have a higher risk of stroke than those who do not.

About the Study
The systematic review of observational studies included 528,908 men and women from Europe, the U.S. and Australia who were free from history of stroke at the beginning of the study. The participants volunteered their work hours and were tracked for the development of stroke. During an average 7.2 year follow up there were 1,722 stroke-related events.

Compared to those who worked standard hours (35-40 hours/week), participants who worked 49-54 and more than 55 hours a week had an increased risk of stroke.

The effects remained apparent even when other stroke factors like age, sex and health history were accounted for.

How Does This Affect You?
A systematic review pools a large number of trials to create a larger pool of data. The larger the pool of data, the more reliable outcomes are. However, the review is only as reliable as the trials that are included. The included studies were all observational studies which means a direct cause and effect link could not be established and the studies can only show a potential link between factors.

There is a reasonable link between extra work hours and stroke since longer hours are often associated with extra stress and less relaxation time. If you have long work hours, you may want to talk to your doctor about your personal risk factors for stroke and follow other stroke prevention methods such as:
• Exercising regularly
• Maintaining a healthy weight
• Eating more fruits, vegetables and whole grains and limiting dietary salt and fat
• If you smoke, talking to your doctor about way to quit
• Increasing your consumption of fish
• Drinking alcohol in moderation
• Managing chronic medical conditions, such as high blood pressure, high cholesterol and diabetes

Rehabilitation doesn’t reverse the effects of a stroke. Its goals are to build your strength, capability and confidence so you can continue your daily activities despite the effects of your stroke.

stroke

What is a Stroke?
A stroke is a disease that affects the arteries leading to and within the brain. It is the No. 5 cause of death and a leading cause of disability in the United States.

• A stroke occurs when a blood vessel that carries oxygen and nutrients to the brain is either blocked by a clot or bursts (or ruptures). When that happens, part of the brain cannot get the blood (and oxygen) it needs, so it and brain cells die.

What are the Effects of Stroke?
The brain is an extremely complex organ that controls various body functions. If a stroke occurs and blood flow can’t reach the region that controls a particular body function, that part of the body won’t work as it should. Rehabilitation is probably one of the most important phases of recovery for many stroke survivors. The effects of stroke may mean that you must change, relearn or redefine how you live. Stroke rehabilitation helps you return to independent living.

Rehabilitation doesn’t reverse the effects of a stroke. Its goals are to build your strength, capability and confidence so you can continue your daily activities despite the effects of your stroke.

What Will I Do in Rehabilitation?
What you do in rehabilitation depends on what you need to become independent. You may work to improve your independence in many areas. These include:
• Self-care skills such as feeding, grooming, bathing, toileting and dressing
• Mobility skills such as transferring, walking or self-propelling a wheelchair
• Communication skills in speech and language
• Cognitive skills such as memory or problem solving
• Social skills for interacting with other people

by Cynthia M. Johnson, MA

RESOURCES:

Family Doctor—American Academy of Family Physicians
http://familydoctor.org

American Stroke Association
http://www.strokeassociation.org

Kivimäki M, Jokela M, et al. Long working hours and risk of coronary heart disease and stroke: a systematic review and meta-analysis of published and unpublished data for 603,838 individuals. Lancet. 2015 Oct 31;386(10005):1739-1746. Available at: http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2815%2960295-1/fulltext. Accessed January 19, 2016.

Risk factors for stroke or transient ischemic attack. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated December 28, 2015. Accessed January 19, 2016.

Last reviewed January 2016 by Michael Woods, MD

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.

PT News

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

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1. The Rapid Recovery Blueprint
Written by the Therapy Team at Cornerstone Physical Therapy

Exercise tends to break down muscle fibers while rest allows muscles to recuperate and emerge stronger. The appropriate amount of exercise, followed by recovery leads to an ongoing cycle of improvement over time. Strength and endurance improve, creating a foundation for long-term health. Read more

GymSeniors

2. Can We Get Stronger as We Age?
Written by the Therapy Team at the Jackson Clinics Physical Therapy

The answer to that question is – absolutely! After age 40 or so, we all begin to lose muscle strength and bone density, and our hormone production slows. Read more

shoulderInjury

3. Overtraining Doesn’t Help, It Hurts
Written by the Therapy Team at Momentum Physical Therapy

Working to achieve a sports or fitness goal can drive many people to overtrain in an effort to get stronger, better, faster. Our PT’s have seen many injuries related to overtraining. Read more

OT Month

April is Occupational Therapy Month

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This month we celebrate occupational therapy, which helps individuals get back to doing all the things they love on a daily basis. Occupational therapy enables people of all ages live life to its fullest by helping them promote health, prevent or live better with injury, illness or disability. It is a practice deeply rooted in science and is evidence-based, meaning that the plan designed for each individual is supported by data, experience and “best practices” that have been developed and proven over time.

Occupational therapists and occupational therapy assistants focus on “doing” whatever occupations or activities are meaningful to the individual. It is occupational therapy’s purpose to get beyond problems to the solutions that assure living life to its fullest. These solutions may be adaptations for how to do a task, changes to the surroundings or helping individuals to alter their own behaviors.

When working with an occupational therapy practitioner, strategies and modifications are customized for each individual to resolve problems, improve function and support everyday living activities. The goal is to maximize potential. Through these therapeutic approaches, occupational therapy helps individuals design their lives, develop needed skills, adjust their environments (ex: home, school or work) and build health-promoting habits and routines that will allow them to thrive.

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By taking the full picture into account a person’s psychological, physical, emotional and social makeup as well as their environment—occupational therapy assists clients to do the following:

• Achieve goals
• Function at the highest possible level
• Concentrate on what matters most to them
• Maintain or rebuild their independence
• Participate in daily activities that they need or want to do

Written by the American Occupational Therapy Association.
For more information, go to: www.aota.org

Scoliosis: Early Detection = Better Outcomes

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Scoliosis is a medical condition in which the spine is curved either front to back or side to side and is often rotated to one side or the other. It can occur at birth (congenitally), develop over time having no obvious cause, but often seen related to posture and growth (idiopathically) or due to an injury or the other condition (secondarily), such as cerebral palsy or muscular dystrophy.
The most common type is adolescent idiopathic scoliosis. It usually develops between the ages of 10 and 15, during periods of rapid growth. There are two kinds of curves, single or “C” curves and double or “S” curves. “C” curves are slightly more common than “S” curves. The curve can occur in the upper back (thoracic), lower back (lumbar), or a combination of both.
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