Wednesday, October 21, 2015

Dizzy Again?

From the desk of Steph McDougal, DPT
Room-Spinning Dizziness? 

You dizzy today?

If you are suffering from room-spinning dizziness that seems to just all of the sudden appeared when, it might just be Benign Paroxysmal Positional Vertigo (BPPV) or more commonly known as just vertigo.

Here are some common signs/symptoms of vertigo:
         -  Brief episodes of mild to intense dizziness.
·       - A sense that you or your surrounding are spinning or moving.
·       - Dizziness that is triggered by position changes of your head. (tiping your head up or down, lying    
               down, rolling over, or sitting up in bed, etc. )
·       - Symptoms that seem to have started with any precipitating cause.
·       - Nausea  and/or vomiting
·      -  Balance disturbances or feeling of unsteadiness

 So what’s going on?
Vertigo is a disorder of the inner ear, it is idiopathic in nature, meaning there is no known cause for it. It generally affects people age 50 or older and is more common in women than men.  It happens when small crystals in your ear become dislodged from and fall into these three loop-shaped structures called your semicircular canals. Because that is not where they should be you get a false sense of movement which leads you to feel dizzy. 

Have No Fear!
Stephanie McDougal, DPT, at the PTW Montgomeryville is an expert in BPPV, Vertigo, and Concussions, Steph can do a series of tests and treatments to help get those crystals back to where they should be, getting you back to your levels of function and performance once again. 

Monday, October 12, 2015

Celebrate (and we love to celebrate!!!) good health!!

Age Well

October is National Physical Therapy month, celebrating living healthy. 

Just this morning, we had the chance to spread the word on the North Penn's only radio station, WNPV 1440 am.  (

Here are some highlights of the talk....

Physical Therapist will help you get active, here are some facts...

1. Chronic pain doesn't have to be the boss of you.
Each year 116 million Americans experience chronic pain from arthritis or other conditions, costing billions of dollars in medical treatment, lost work time, and lost wages. Proper exercise, mobility, and pain management techniques can ease pain while moving and at rest, improving your overall quality of life.

2. You can get stronger when you're older.
Research shows that improvements in strength and physical function are possible in your 60s, 70s, and even 80s and older with an appropriate exercise program. Progressive resistance training, in which muscles are exercised against resistance that gets more difficult as strength improves, has been shown to prevent frailty.

3. You may not need surgery or drugs for low back pain. 
Low back pain is often over treated with surgery and drugs despite a wealth of scientific evidence demonstrating that physical therapy can be an effective alternative—and with much less risk than surgery and long-term use of prescription medications.

4. You can lower your risk of diabetes with exercise.
One in four Americans over the age of 60 has diabetes.  Obesity and physical inactivity can put you at risk for this disease. But a regular, appropriate physical activity routine is one of the best ways to prevent—and manage—type 1 and type 2 diabetes.

5. Exercise can help you avoid falls—and keep your independence
About one in three U.S. adults age 65 or older will fall each year. More than half of adults over 65 report problems with movement, including walking 1/4 mile, stooping and standing. Exercise can improve movement and balance and reduce your risk of falls. It can also reduce your risk of hip fractures (95 percent of which are caused by falls).

6. Your bones want you to exercise.
Osteoporosis or weak bones affects more than half of Americans over the age of 54. Exercises that keep you on your feet, like walking, jogging, or dancing, and exercises using resistance, such as weightlifting, can improve bone strength or reduce bone loss.

7. Your heart wants you to exercise.
Heart disease is the No. 1 cause of death in the US. One of the top ways of preventing it and other cardiovascular diseases? Exercise! Research shows that if you already have heart disease, appropriate exercise can improve your health.

8. Your brain wants you to exercise.
People who are physically active—even later in life—are less likely to develop memory problems or Alzheimer's disease, a condition which affects more than 40% of people over the age of 85.

Get on out to the Physical Therapy & Wellness Institute today to see how we can make a difference.

Saturday, September 12, 2015

Organizational Management, Healthcare, and Company Culture

In order to separate promotional content from business management content, we have added an additional Blog.

Please take a peak at it, your future reference for organizational management in the healthcare world.

Wednesday, September 9, 2015

Shut up and Listen!!

We’ve all experienced this scenario.  You go to a doctor’s office and wait for 30 minutes to have the nurse bring you back to the examination room.  Then, wait another 15 minutes to have the assistant come in and ask questions.  Finally, after another 15 minutes, a doctor comes in and spends an even shorter period of time with you before he leaves the room, all for you to end up with a prescription in your hand for some medicine that you never wanted in the first place.  Not only are you frustrated because you waited an hour but you felt like you didn’t get to fully explain the problems you are having so he can properly treat you. 

At PTW, we teach our clinicians to actively listen so we can help to meet our patients’ goals.   
Effective listening and communication skills are part of our training, such as;

  • Learning to let the patient talk.  Clinicians are not mind readers, so we have to listen.  During the subjective examination, more than half of the conversation should be spoken by the patient.  Not the clinician.
  • Body language.  Studies have shown that >50% of the communication is nonverbal.  Can we say eye contact?  Watching a patient’s body language often helps us understand the patient better. 
  • Ask open ended question and narrow it down with close ended questions.  Questions that start with “why” invite a defensive response but questions start with “what” leads to productive communication.
  • Process before you speak.  It’s okay to pause and respond thoroughly.  Very quick response can feel like there’s no understanding of what was said. 

Once a diagnosis is figured out, our clinicians understand how to summarize the problem in a simple way, and have a game plan with your goals in mind.  It is crucial to discuss the diagnosis and get the patient’s thoughts to come up with a mutually agreeable treatment plan to meet their goals.  

If your physical therapist does not listen, consider coming in to PTW for a complementary screening at any of our 5 locations.  

Andrew Seo, DPT
PTW Montgomeryville

Thursday, August 27, 2015

Concussion Season is open!

Fall sports brings us a busy time for us helping folks manage concussions.  From our in house expert at our Lansdale Physical Therapy Center...Dr. Jackie Yee...

Alert! Signs and symptoms of a concussion!
Traumatic brain injuries are a growing concern in America.   

From the CDC Heads up program, we get the following; A concussion is considered a mild traumatic brain injury is may be caused by an external force that directly contacts the head.  The direct impact of a solid object to the head may result in either a blunt or penetrating injury, which causes stress and strain to the components of the brain.

Seek medical attention IMMEDIATELY if you notice: 1
·        Headaches that get worse
·        Abnormal muscle weakness, poor coordination or numbness
·        Continuous complaints of nausea or vomiting
·        Slurred speech

What is the importance of physical therapy?   

Part of our profession is to determine if an athlete is a candidate for physical therapy to address symptom management, musculoskeletal limitations, and coordination in order to return to prior level of function.  Specific oculomotor, balance and musculoskeletal screens would be performed to determine whether the athlete is appropriate for physical therapy or whether the athlete should be referred to a specialist for further testing. 
Feel free to come to the office to pick up an information sheet about concussion or make an appointment for a consult to see if your athlete may be a candidate of physical therapy. 

Jackie Yee PT,  DPT, Cert MDT, Vestibular and Concussion Expert

Tuesday, August 11, 2015

Looking for a career in Physical Therapy?

Once again growing outpatient Physical Therapy Center that practices industry best, evidence driven Physical Therapy and Fitness, looking for a few like minded thinkers (which are sometimes hard to find!)

If you are:
excited about delivering great care
Read a lot about your practice
Are an active listener
And want to work in a special company culture, give us a call.

Part-Time Evening Openings now!

Full-Time Opening now!

Call Lindsey Earnest or Robert Babb at 215 855 9871 or email