Prevent Pain Stay Strong

Prevent Pain Stay Strong

You know exercise is important to your health. It helps you feel better physically, gives you energy, and helps you deal with the stress of your busy life.

But what do you do when life gets too busy to take an exercise class, go for a run, or get to the gym?

It’s easy to start skipping exercise when life gets busy, but that leads to less energy, and aches and pains cropping up. This makes you feel like exercising even less, and leads to a downward spiral. That means that finding time to exercise when life is busy is even more important.

If you can find 8 minutes, you can maintain your strength even on your busiest day.

Exercise doesn’t have to take lots of time. In fact, your 8 minutes don’t even have to be all together. You can break them up throughout the day. Doing one exercise for one minute every hour while at work counts just as much as doing 8 minutes of exercise after the kids are in bed and before you collapse on the couch. The following exercises use your body weight for resistance, so you don’t need any equipment. They also use many muscle groups at onces so you can maintain strength in your whole body in a short amount of time.

  1. The plank; Lying on your stomach, with your forearms on the ground, elbows under the shoulders, and arms parallel to the body. Toes tucked under, engage your stomach muscles and lift your body up. Hold for 20 seconds, rest 5 seconds, and repeat 3 times.
  2. Push up; (do on your knees if you need an easier version). 20 seconds of push ups, 10 seconds of rest and repeat.
  3. Quadruped -Start on your hands and knees with your hands under your shoulders, and you knees under your hips. Lift and reach with one arm and the opposite leg, maintaining a stable core. Hold 10 seconds and repeat on opposite side. Repeat 5 times.
  4. Bridge; Lying on back, with your knees bent, engage your abdominals and lift your hips. Hold 20 seconds, rest 5 seconds, and repeat 3 times.
  5. Lunge; Stand tall and take a large step forward with the right leg, shifting your weight forward. Lower your body until the right thigh is parallel to floor and your right shin is vertical. (do not let the knee shift past right toe). Return to the start and repeat on the other side. Repeat 20 times.
  6. Squat to heel raise; Feet shoulder width apart, core engaged and arms raised high above the head. Perform a squat and return to standing then rise onto your toes. Repeat 20 times.

#preventpain #staystrong

Some Americans Pay More for Back Pain Relief, But Are They Really Getting Less?

Some Americans Pay More for Back Pain Relief, But Are They Really Getting Less?

Payless recently conducted a very telling social experiment. You probably heard about the shoe chain’s stunt in the news but just to recap quickly, “The Payless Experiment” tricked consumers into buying their typically budget-friendly shoes at sky-high markups. To carry out the clever ruse, the discount retailer invited style influencers to a (fake) launch party for a new high-end label in one of Los Angeles’ glitziest shopping areas. The attendees believed that they were buying fashionable, high-quality footwear and therefore didn’t object to the three-figure price tags.

Aside from being a brilliant marketing ploy for Payless, what lessons does “The Payless Experiment” have for our current healthcare system, and specifically for patients suffering from low back pain? The experiment is a commentary on perceived vs. real value but also how easily people can be swayed into believing that something is reliable as presented. Think about someone who has had weeks of pain and dysfunction stemming from low back pain: she wants to find a solution that will relieve her symptoms. If a physician presents surgery as the best option—and she’s assured that her pain will go away—then it’s going to sound appealing, right?

Today’s consumer has so many choices when shopping for just about anything from apparel to healthcare. But while it’s customary to shop for the best price for a goose down jacket (without sacrificing quality), shopping around for the best solution (and value) for our ailments is less typical. Doing our due diligence in healthcare may ultimately bring us back to the first proposed solution, but it also may introduce us to solutions that we didn’t know existed.

In the case of low back pain, one such under-heralded solution is physical therapy. Physical therapy, yoga and acupuncture are gaining in popularity as equally (or more) effective and less costly than surgical procedures, injections, MRIs and pain relievers—and for good reason.

Physical therapists are trained to restore and improve patients’ mobility, reduce soft tissue pain, improve function and build muscle strength. They not only develop custom strategies to treat persistent or recurrent low back pain, but educate patients on the prevention of future issues. Some preventive techniques include adopting and following a regular exercise program and learning to lift correctly by keeping the object close to the body.

As the holidays kick into high gear, you likely have a long list of gifts to buy. I’m willing to guess that you have a strategy in place for selecting appropriate gifts for each recipient. As you match the right price point, size and color to each person on your list this holiday season, think about approaching your healthcare needs with the same level of scrutiny. After all, finding the right solution at the right price for our health needs contributes to improved long-term outcomes and better piece of mind.

80% of Americans Experience Back Pain, But 100% of PTs Know How to Prevent It

Got back pain? You’re not alone. Eighty percent of Americans suffer from low back and neck pain at some point in their lives. Let that sink in. With such great odds that you—or someone close to you—will one day become a statistic, wouldn’t it make sense to arm yourself with preventive strategies and knowledge? Physical therapy is a good place to start.

By performing a thorough evaluation, a physical therapist can identify the muscular, postural and skeletal limitations that could one day lead to an episode of back pain. As part of the assessment, she will observe as you perform a series of exercises and then gather an account of your daily activity level and environmental factors like operating machinery or working at a desk 40 hours a week.

The PT will then use all of this knowledge to design a personalized exercise program and teach you a few APTA-approved strategies to prevent back pain:

• Use good body positioning at work, home and during recreational activities.
• Keep the load close to your body during lifting.
• Ask for help before lifting heavy objects.
• Maintain a regular physical fitness regimen—staying active can help to prevent injuries.

Lifestyle can play a big role in back pain. In fact, inactivity and incorrect body mechanics while participating in certain activities are two of the biggest contributors to back pain. In addition to the strategies listed above, it’s also helpful to pay attention to little things throughout your day that could add up to bigger problems down the line. Let’s go back to that desk job for a minute: How often do you get up to walk, stretch and move throughout the day? A good rule of thumb is to stand up or move every 30 minutes. You may get bonus points with your boss, too, as your productivity soars due to the increased activity.

While low back pain rarely becomes serious or life-threatening, it can be quite painful and interfere with our daily lives. Working with a physical therapist can help patients identify the factors that might contribute to back pain and help to develop a prevention plan. But the healthcare professionals are also a great place to turn when you’re seeking treatment for back pain or hoping to prevent a recurrence.

With such good odds that you could one day become a low back pain statistic, why not do everything in your power today to change your trajectory? Seems like another good reason to find an activity (or better yet, two or three activities) that you enjoy, make it a regular part of your day and stick to it!

Telerehab Could Ensure That You’re Completing Your Home Exercises Correctly

Telerehab Could Ensure That You’re Completing Your Home Exercises Correctly

Today’s physical therapy was successful by all measures: Your PT spent time listening to your symptoms, collected a thorough medical history, diagnosed your issue (tennis elbow), and sent you on your way with a bunch of exercises to do at home. During the appointment, you watched intently as the physical therapist demonstrated each home exercise and you understood the directions clearly at the time. There’s just one problem: Now that you’ve returned home, you can’t seem to replicate the exact elbow positioning that elicits the desired stretch. And the exercise handout isn’t helping.

To make matters worse, you’re headed out of town for the weekend and the PT clinic can’t accommodate you for an in-person appointment until next week. During that time, you have two options: Continue doing the exercise how you think it should be done and risk doing it incorrectly—and possibly doing harm—or not doing the exercise at all until you’re able to see your therapist.

Wouldn’t it be helpful if there was a way to show your PT what you’re doing—without leaving your house—so he could pinpoint the source of your problem and help you to adjust your movements for maximum benefit? That’s precisely the type of experience that telerehabilitation could bring to physical therapy. Being able to get timely and accurate feedback from a rehab professional can improve your chances of a quick and safe recovery.

Now you’re probably asking, “Why didn’t my PT tell me about this?” Well, telerehab is not (yet) a mainstream offering for physical therapy, but all signs indicate that more clinics will get on board in the coming years once they’ve tackled the regulatory and reimbursement issues. At some clinics, patients with certain diagnoses are given the option to schedule a “virtual visit” with their physical therapists. There also are a growing number of services that provide patients with a series of injury-appropriate videos—with clear demonstrations of the exercises that should be completed at home. This is just a sampling of the many ways that telemedicine will help to ensure that patients perform their home exercise programs correctly.

You’re probably familiar with the age-old notion that practice makes perfect, the very idea that proficiency of a particular activity or skill comes with regular practice. But in the case of rehabbing from an injury or illness, Vince Lombardi said it best: “Practice does not make perfect. Only perfect practice makes perfect.” And the hope is that telerehab is just what the therapists need to ensure that their patients adhere to their prescribed home programs and complete their exercises safely and accurately.

Convenience is the #1 Benefit to Attending Physical Therapy Sessions in the Comfort of Your Own Home

Convenience is the #1 Benefit to Attending Physical Therapy Sessions in the Comfort of Your Own Home

You’re sitting in your living room and glance at the clock: just five minutes until your physical therapy appointment is scheduled to start. You still need to lace up your shoes, grab your wallet, jump in the car and drive 10 miles across town. The walk from the parking alone will take five minutes! How will you ever make it on time?

With rapid advances in telehealth technologies, this scenario could soon become a thing of the past—at least for some of your physical therapy visits. Instead of racing out the door, it’s possible that soon you’ll be able to flip on a telerehabilitation system from your living room. While the arrival of telemedicine in the rehab world doesn’t mean that your care will be delivered entirely through a screen, it does mean that you’re likely to have fewer in-person appointments with your physical therapist.

While we still don’t know exactly what telemedicine will look like for physical therapy—or when it will become a mainstream offering—we do know that the benefits for both patients and clinicians are numerous. The #1 benefit that draws patients to telehealth services of any kind is convenience. Here are a few ways that televisits could make physical therapy appointments more convenient for patients:

  1. Saves precious time. Time spent traveling from the home, office or school to the physical therapy clinic (and back again) can really add up. While the time saved by visiting with a physical therapist virtually varies from patient to patient, who doesn’t need extra time (even five minutes!) to fold laundry, complete a homework assignment or answer the boss’ email?
  2. Puts more greenbacks in your wallet.Traveling to the outpatient clinic costs money— whether you travel by foot (sneakers and other appropriate attire), car (gas and parking), or by bus, train or rideshare service (fare). Other factors to consider are childcare costs and the wages lost by potentially missing work.
  3. Keeps stress levels in check.The details involved in getting to a physical therapy appointment can be stressful, especially for those with competing priorities like childcare responsibilities or travel barriers like unreliable transportation.

In today’s world of e-retailers and smartphones, convenience is important to consumers. Today’s consumers can use an app to have groceries delivered to the home in less than an hour or ask a voice assistant to play their favorite songs without getting up from the couch. Naturally the demand for a similar experience is spilling over into healthcare.

Beyond the obvious advantages of cost savings and convenience, telehealth technology would allow PTs to observe, guide and educate patients to ensure that they complete their home exercise programs and other rehab-related goals on-schedule and safely.

Do You Know Why You Have Back Pain Here’s How You Can Find Out

Do You Know Why You Have Back Pain? Here’s How You Can Find Out

Is the source of your low back pain a mystery? You’re not alone: Nine out of 10 patients don’t know the primary cause of their back pain. The problem is that most people seek treatment after they’ve begun exhibiting symptoms of back pain. While this may seem logical on the surface, we’re here to tell you that there’s a better way.

The key is to go to a physical therapist before you begin to see the signs and symptoms of back pain. I’m sure that right about now you’re asking, “Why would I do that?” One, because physical therapists are trained to recognize the physical dysfunctions that may one day lead to back pain. And two, because eight out of 10 Americans suffer from low back pain at some point in their lives, so the chances are good that you could become a statistic one day.

Seeing a physical therapist on an annual basis is one of the most effective ways to prevent back pain from occurring in the first place. Doesn’t that sound like the better alternative? Great, now that you’re on board, let’s talk about what you can expect during that annual physical therapy appointment. The first time you go, your physical therapist will collect a complete picture of your medical history. During subsequent visits, it’ll be important to update your physical therapist about any changes to your health during the previous 12 months, but it won’t be necessary to review your entire medical history again.

Next, your physical therapist will perform an examination using a variety of tests and measures including a movement screen. A movement screen is a screening tool that’s designed to identify imbalances in your mobility and stability that may contribute to limited function or other impairments. This gives your PT the ability to see how your back, hips, core, shoulders, knees and ankles perform during a series of carefully selected exercises.

The information gathered during an examination helps your physical therapist to identify changes from one year to the next, a critical step in assessing your risk for back pain and a host of other debilitating conditions. If a problem is identified early enough, then your physical therapist is better equipped to discuss preventive measures instead of designing a treatment plan. And that’s how you identify the root cause of back pain and derail issues before they even begin. Mystery solved.

How Much Physical Activity Do Kids Need?

Recently we have seen a rise of diseases in children that in the past had only been seen in adults. Things like obesity, type 2 diabetes, and high blood pressure are being seen more frequently in children. One of the best ways to combat the rise of these diseases is to make sure that your kids are getting enough physical activity.

The Department of Health and Human Services has developed guidelines recommending that youth ages 6-17 participate in 60 minutes or more of physical activity 7 days/ week. This is total activity time, so 1 hour, 2 30 minute sessions, or 4 sessions of 15 minutes each in a day would all satisfy this recommendation. Most of this activity should be at either moderate or vigorous intensity.

An easy way to distinguish vigorous vs moderate intensity exercise is as follows:

Moderate intensity allows you to talk but not sing during or right after activity

Vigorous intensity allows you to say only a few words at a time

As part of the 60 minutes daily, it is recommended that children participate in muscle strengthening activities 3 days/wk and bone strengthening activities 3 days/wk. Some activities that would fit into these categories are listed below:

Muscle Strengthening Activities

  1. Games like tug of war
  2. Climbing playground equipment
  3. Push ups, pull ups, or sit ups
  4. Activities like crab walking, bear walking, or wheelbarrow with a partner

Bone Strengthening Activities

  1. Hopscotch
  2. Jumping rope
  3. Skipping
  4. Sports that include jumping like basketball or volleyball

To get and keep kids participating, physical activity should be fun and incorporated into playful activities that are age appropriate. Being involved in physical education in school is important, especially if children are not involved in extracurricular activities that meet the requirements. Summer camps can be a great way to keep kids active during summer vacation.

For more information check out:

  1. https://health.gov/paguidelines/midcourse/youth-fact-sheet.pdf
  2. https://www.cdc.gov/healthyschools/physicalactivity/facts.htm

One Annual Health Checkup That’s Probably Missing from Your Calendar: Physical Therapy

Some health habits are instilled in us at a young age. For as long as you can remember, for example, you made annual treks in the family minivan to both the pediatrician and the dentist. As you entered adulthood, you probably transitioned to a primary care physician, and maybe even a different dentist better equipped to address adult needs. Anytime you’ve moved or switched insurance carriers, one of your first priorities has been to track down new providers. Now you may even choose to schedule visits more than once a year, when necessary. You probably figure that between the two healthcare professionals, all of your health needs are covered, right?

As it turns out, these healthcare professionals aren’t specifically trained to assess your musculoskeletal system, which is comprised of your muscles, bones, cartilage, tendons, ligaments, joints and other connective tissues. Then who is the right healthcare professional to ensure that these essential internal structures are working properly and helping to support, stabilize and move your body? A physical therapist.
At a yearly physical therapy “checkup,” your PT will gather your medical history and observe as you participate in screening tests and other assessments to establish a baseline of your physical abilities, fitness level and personal health. Physical therapists are educated on how your musculoskeletal system functions properly and are trained to identify dysfunctions before they grow into bigger problems.

To maximize the encounter with your physical therapist, it’s important to be prepared before your appointment. To ensure that you cover everything and address any issues you may be having, make a list that includes:
• Health issues like diabetes or high blood pressure • Current medications, including supplements • Physical fitness activities • New activities you’re considering • Fitness goals
The information exchange between you and your PT is critical to forming an ongoing relationship, and to ensuring that you’re functioning and moving at top form. By understanding what sports and recreational activities you’re currently participating in and the fitness goals you’re aiming to achieve, your PT will be better prepared to make recommendations and tailor a home exercise program designed to help you achieve your goals.

Making wellness a part of your everyday life and taking steps to ensure that your musculoskeletal system is functioning at top notch can be very empowering and rewarding. Why not begin—or continue—that journey with a physical therapist? Now that you know how to prepare for a physical therapy checkup, and understand what you can expect during the appointment, the next step is to call and schedule your annual visit.

Early Sport Specialization: What Parents Need To Know

Early Sport Specialization: What Parents Need To Know

It is becoming more popular for young athletes to specialize in a single sport. The advantages seem obvious. Putting in more time early and “outworking” the competition should lead to a better chance of success later right? Even though that seems to make intuitive sense, early specialization may not be giving kids the advantages parents think and comes with some risks.

 

THE ADVANTAGES

The obvious advantage is skill acquisition. Baseball players use the off-season to work on hitting or pitching mechanics, basketball players work on their shooting, and tennis players might work to develop their serve. Specific skills like these do take time and repetition to develop. Athletes who spend more time developing them will likely have more skill. But what are the costs?

 

THE DISADVANTAGES

Focusing on specific skill acquisition comes at the cost of overall athletic development. Athletes who participate in many sports gain more athleticism and tend to have more strength, balance, speed, and agility.

Athletes who participate in a variety of sports give their bones, muscles, and tendons exposure to a wide variety of forces. Athletes who specialize early have more repetitive stress that puts them at a higher risk of injury.

Specializing early in a sport puts athletes at risk of burnout and psychological fatigue. When athletes participate in club sports, travel teams, or extra off-season practice for the wrong reasons or when they’re not fully invested mentally and emotionally, it can be detrimental. Athletes who suffer psychological burnout are much more likely to lose interest in their sport, or even worse – physical activity in general.

Lastly, research has not supported the idea that early specialization leads to long term success. In fact, it shows the opposite. A study of international athletes looked at the time that they began specialization. It found that the elite athletes played multiple sports during their developmental years (defined in the article as 11 and younger). Near-elite athletes specialized at a younger age. The study concluded that waiting to specialize until the athlete reaches physical maturity could be more likely to result in elite status. A study of Olympians came to the same conclusion. A 2014 survey by the USOC found that Olympians averaged 3 sports per year from ages 10 – 14, and 2 sports per year from 15 – 18.

CONCLUSION

Early specialization may lead to earlier acquisition of sport specific skills, but comes with multiple disadvantages:

  1. Focusing on specific skills comes at the cost of developing general athleticism
  2. Athletes who specialize early have a higher risk for injury
  3.  Early specialization is associated with burnout
  4. Elite athletes and Olympians tend to have been multi-sport athletes who specialized late, indicating that early specialization does not lead to long-term success

For athletes who aspire to play at collegiate or higher levels, specialization becomes necessary at some point. While the right time to specialize will vary from athlete to athlete, there are some guidelines.

  1. An athlete’s age can be used to gauge how many hours a week they should be practicing a specific sport (A 12 year old should spend no more than 12 hours a week on a certain sport)
  2. For most sports, waiting until an athlete has reached skeletal maturity is generally recommended
  3. Specialization should happen when the athlete chooses to do so, without external pressures
Ask a physical therapist to

Ask a Physical Therapist to

Let’s talk about the last time you—or someone close to youinterviewed for a new job. Chances are that the first step was a phone screen with your potential employer, and when you passed that portion of the process with flying colors, you were then invited for an in-person interview. At that stage, the employer probably asked you to answer a series of questions and to demonstrate your skills through a test or two. The process is set up in a way that narrows down the options until the most suitable candidate is found. Makes sense, right?

Just as job recruiters screen applicants to find the best fit for an open position, your PT will ask you to perform a series of exercises so that she can observe and understand your body mechanics to uncover any issues or limitations. Used in combination with a full evaluation and assessment, these so-called movement screens are just one tool in identifying the most appropriate treatment or prevention program for you. But unlike that test you may have taken during a job interview, the screen is not testing your skills or abilities, it’s simply a way of identifying how your body functions during a variety of movements.

Now that spring is in full swing, it’s the perfect time of year to make an appointment with your physical therapist for a movement screen. The warmer weather means more time spent outdoors participating in sports and other recreational activities that may be physically demanding. A PT checkup that includes a movement screen will ensure that you’re physically able to engage in popular spring and summer adventures, whether it’s exploring in the woods, tending to your garden, or swimming at your family’s lake house.

Physical therapists perform movement screens for a variety of reasons, including:

  • • To identify areas of strength and weakness
  • • To uncover issues or rule them out
  • • To determine readiness to begin a safe exercise program
  • • To improve sport performance (for both novice and elite athletes)

A movement screen is something that you can have done whether you have a nagging injury or are simply ready to kickstart your activity level after a long hiatus. Gaining an understanding of how your body performs during basic exercises such as squats and lunges helps your PT ensure that you can safely jump on a bike or into a pool this summer. And just like an employer screens candidates to identify the one individual who is likely to thrive on the job for many years to come, a movement screen can help you develop a lasting and fulfilling relationship with the activities you enjoy most.