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.

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:
            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.