Friday, February 5, 2016

SUPERBOWL WEEKEND and the controversial CONCUSSION topic...



I have a concussion..what's next?!



According to the league, there were 182 reported concussions from 2015 regular-season games. There were 115 in 2014, 148 in 2013, and 173 in 2012. NFL senior VP of health and safety policy Jeff Miller said the league is figuring out why the number rose so much this season.    -  ESPN 
http://espn.go.com/nfl/story/_/id/14672860/nfl-says-diagnosed-concussions-way-season 



So what to do if you have been diagnosed with a concussion?
1.       Listen to the MD and relax.  After a concussion the brain’s metabolic activity increases greatly and if you don’t rest like they advise you to you may end up with a metabolic deficit leading to difficulty healing your brain.
2.       Limit computer and cell phone use.
3.       Take naps when tired.   It’s your body telling you it needs to
rest and reboot.
4.       You might even need some time off from school or work.
MOST concussions resolve in about 7-10 days if you follow the MD’s directions, but for those whose symptoms do not subside you may be having delayed healing due to having a postconcussional syndrome. If this is the case, it’s time to see a vestibular/concussion specialist.

Don’t worry we have one here at PTW! Just call Stephanie McDougal, PT, DPT at our Montgomeryville location for an evaluation. 

 PTW’s Stephanie McDougal, PT, DPT provides expert clinical care and is a vestibular/concussion specialist at our Montgomeryville Clinic, located in the Costco Shopping center on Upper State Road, just off route 309.   For an initial evaluation, call Steph at 215 855 1160 today for an appointment as soon as possible!

Tuesday, February 2, 2016

Say "NO" to 6 More Weeks of PAIN!




NO SHADOWS HERE!

We learned from Bill Murry in Groundhog Day that if you keep doing the same thing, expect the same results.  Folks with chronic pain often know this feeling, attempting some of life’s simplest activities only to have a joint pain or back attack, year after year.

Other than these 9 athletes http://healthguides.healthgrades.com/article/9-famous-athletes-who-overcame-arthritis )  , We know there are about 100 million folks out there with chronic pain, causing loss of work, recreation, and functional abilities sometimes for years.  Chronic pain can be severe, intermittent, and usually is defined as pain > 6 months. 
Common sources of chronic pain include joint pain, often from arthritis, tendonitis, labral tears, and meniscus tears.  The pain that occurs radiates from the joint or spine, creating a “cause and effect” cascade that affects the muscles (weakens), the joint space (narrows it), or the tendons (shortens, stiffer), all affecting function.  At some point, folks need to change routines, activities, to break out of the “degenerative cascade” of chronic pain.



That’s where a professional can help.

Hands on manual techniques!
In our clinics, we often will help folks having challenges managing chronic pain, often our hands, modalities, and education.  Understanding the cause is often as important as treating the pain. Movement is the common theme in the article mentioned above, as experts of movement sciences, Physical Therapists can help! 

Call us today for a break in the cascade of chronic pain. 

Robert Babb, PT, MBA
Bob is the founder and President of The Physical Therapy & Wellness Institute. He is a licensed Physical Therapist with over 33 years of experience in the
Physical Therapy field, starting as a Physical Therapist technician/assistant in
 the U.S Navy in 1983. Bob has lectured nationally the business of physical therapy
 and has authored numerous industry articles on the subjects of aquatic therapy,
orthopedic skills, and management principles.  He is a graduate of Temple University,
and served 6 years in various physical therapy centers while in the United States Navy.
 Since 2002, his work at PTW has helped the team treat over 25,000 new patients,
open five locations, and employ over 45 local residents. 



Thursday, January 28, 2016

Who Cares??



Shoveling Back Pain



From the desk of Robert Babb, PT, MBA




We noticed an increase in low back pain customers over the past 2 weeks, guessing the 25 inches of snow had something to do with it.  From the evidence, we look to the Journal of Orthopaedic & Sports Physical Therapy®, to learn what best interventions (strong evidence they work) are out there for your back pain.

 http://www.jospt.org/doi/pdfplus/10.2519/jospt.2012.42.4.A1

1.     Education and counseling makes a difference:
a.     A good PT does not promote extended bed-rest, we are enablers not disablers
Its good exercise to shovel, just do it right!
b.     Evidence drive PTs will provide in-depth, explanations for the specific cause of the patient’s low back pain, including discussions regarding;
                                               i.     The anatomical/structural strength inherent in the human spine
                                             ii.     Explanations of pain perception and the science behind it
                                            iii.     The prognosis of low back pain, which in most cases is favorable
                                            iv.     Strategies on how to stay enabled, including coping strategies that decrease fear and self disability
                                              v.     Encouragement of early resumption of normal or vocational activities, enabling even with some pain.
                                            vi.     Education on pain relief as short term to help function long term

2.     Other areas discussed that have strong evidence include
a.     Manual Therapy and mobilizations
b.     Trunk strengthening, coordination, and endurance exercises
                                               i.     Postural muscles are red, build for endurance (vs. White muscle fibers)
c.     Traction

If you are going or considering going to Physical Therapy for new or chronic back pain, ask yourself:
1.      
            How do you know you are getting best practices?   Is the PT and practice;
a.     Engaging; 
                                               i.     Understanding your specific work and play expectations, limitations?
b.     Respectful of your time? 
                                               i.     Did they review your case before your first visit?
See PTW first for your back pain, new or old!
c.     Solution based? 
                                               i.     Do they offer solutions, pain relief, prognosis, manuals, and exercise specifically for you?

Find another physical therapist provider if they are not.

At PTW, we ask our patients (customers) to challenge us if we are not challenging them towards restoration of function, every exercise, every visit, and every minute they spend with us.  We challenge ourselves to strive for industry best care, evidence based care, all to make your time with us worthwhile and meaningful.


If the shovel got the best of your back, are you getting the best PT practices to get you back?



Bob is the founder and President of The Physical Therapy & Wellness Institute. He is a licensed Physical Therapist with over 33 years of experience in the Physical Therapy field, starting as a Physical Therapist technician/assistant in the U.S Navy in 1983. Bob has lectured nationally the business of physical therapy and has authored numerous industry articles on the subjects of aquatic therapy, orthopedic skills, and management principles.  He is a graduate of Temple University, and served 6 years in various physical therapy centers while in the United States Navy. Since 2002, his work at PTW has helped the team treat over 29,000 new patients, open five locations, and employ over 45 local residents.