pain

We’re famous (kinda)!

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This month our Executive Director, Tasha, was featured on a podcast with a local nutritionist, Frances Arnold of Namaste Nutrition. You can listen to the podcast here or on iTunes. They talked about pelvic floor physical therapy and how a PT can help those with pelvic floor dysfunction (and much more!). Please give it a listen, give it a review, and share!

namaste

Learn more about PT for pelvic floor dysfunction at our website or at the various links on Frances’ podcast page. Thank you!

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CSM Wrap-Up

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Last week, I attended the American Physical Therapy Association’s (APTA) Combined Sections Meeting (CSM). CSM is the largest national conference which the APTA hosts. This year, the conference was in Anaheim, CA, and over 11,000 people were in attendance! This post will be a brief summary of my conference take-aways.

Two of the sessions I attended were clinical in nature. One involved how to incorporate pain science education into clinical care, and the other was about exercise prescription for neuromuscular re-education. The pain science session was incredible! Physical therapists are experts in helping manage musculoskeletal pain, and that includes chronic pain. There can be changes in the nervous system itself, causing the system which is responsible for helping us feel pain to become extra-sensitive. When this happens, you have to treat the alarm system (i.e., the nervous system) too. This won’t work though if the patient doesn’t understand what is contributing to their pain. Their pain is real, but it may not be just from the tissues. This session gave me some strategies to help teach my patients about pain in a way that is effective.

CSM

The other clinical session which I attended was about exercise prescription. My biggest take away from this is that many PTs are not prescribing exercise in a way that will result in the desired tissue changes (whether you’re shooting for endurance, power, coordination, etc). So often, the classic “3 sets of 10 reps” is prescribed. There is a time and place for that, but we must be clinically reasoning for each and every exercise dose we prescribe.  The speaker also gave us a few clinical pearls from select research papers that can bust some myths about common PT exercises. It’s always great to learn how research is either supporting or negating what we are doing so our practice can continue to improve.

I went to a few business sessions, and lastly, I went to some soft-skills sessions. I attended one patient panel and one lecture on relationship-centered care. The big take-away here is that we need to remember that we are treating people, not just “the total knee” or the “neck pain” guy. Every person has a different story, and we have to understand that story to best connect with them. We have to ask the right questions AND listen. By first developing the relationship, we will have the best chance at the helping the person achieve their goals and enjoy the therapy process.

I will begin to implement the things that I learned immediately and I will share what I learned with my colleagues. If you have any questions about what I learned or what else was happening at the conference, feel free to ask in the comment section!

Common Physical Therapy Myths

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by Tasha Parman, PT, Board-Certified Orthopedic Clinical Specialist

Have you or a loved one ever been to physical therapy? Have you heard of physical therapy? There are many myths about physical therapy in the public domain, and Natasha Parman, Executive Director of MOSAIC Physical Therapy, is here to address some of the most common myths she hears from her clients.

Tasha and Laura treating

  • “I need a referral to go to physical therapy.” In Washington state, you do not need a referral to be evaluated by a physical therapist. Some insurance companies do require a referral for payment, however, so it is recommended that you check with your insurance company beforehand.
  • “Physical therapy is painful.” As physical therapists, our goal is to help discover why you’re in pain and then provide treatment to reduce it. We sometimes have to provoke your symptoms to determine our plan of care, but we always do our best to work within your pain tolerance.
  • “Physical therapy is only for people who have had surgery.” Physical therapy is for anyone who isn’t moving as well as desired due to surgery, injury, illness, disease, or any other cause. Physical therapy is for people of all ages and all functional abilities.
  • “Physical therapy isn’t covered by my insurance.” Most insurance companies cover some amount of physical therapy. Your physical therapist’s office can help verify your benefits to determine your coverage and work within your allowed benefits.
  • “Any medical provider or trainer can provide physical therapy treatments to a client.” While some providers may advertise that they provide physical therapy (or physical rehabilitation, rehab therapy, etc), only licensed physical therapists or physical therapist assistants can provide and bill for physical therapy services.
  • “Surgery is my only option.” For many conditions, physical therapy has been shown to be as effective as or more effective than surgery. If your physical therapist thinks you are a candidate for surgery, then he or she will discuss that with you and the other members of your healthcare team.

If you have any questions about physical therapy, feel free to contact MOSAIC Physical Therapy at 425-673-5220. We would be happy to answer any of your questions.

May is National Arthritis Awareness Month

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Osteoarthritis (OA) affects an estimated 27 million Americans. Physical therapists can help those with OA have reduced pain, improved function, prevent disability, and learn self-management techniques. PTs and PTAs do this by prescribing individualized therapeutic exercise, neuromuscular re-education, manual therapy, and patient education. At MOSAIC PT, we also provide aquatic therapy, which can decrease the weight-bearing load through the joints and improve a patient’s ability to exercise. Consider referring your patients to PT to help them improve their quality of life.

“There is high-quality evidence that exercise and weight reduction reduce pain and improve physical function in patients with osteoarthritis…”

Jamtvedt, G. et al. Physical Therapy Interventions for Patients With Osteoarthritis of the Knee: An Overview of Systematic Reviews. Physical Therapy 2008 88: 123-136. 

 

Phone: 425-673-5220

Fax: 425-673-1597

http://www.mosaicrehab.com/MLT

 

Low Back Pain Exercise for Anterior Chain(Abs) – part 2

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I, Sally Moores, PT, DPT, OCS, share with you, my own experience as I continue to work on my own low back pain and strengthening my abs without crunches. 
Here is another exercise that I am incorporating into my workout to help my less that stellar anterior chain. I think this one is harder than the plank because I can’t use my quads . Try it, and see what you think.
We have heard a few names for this one:
  • All fours with knee lift
  • Pre-crawl
  • Quad hover

Sally PT Quad hover

Start on your hands and knees and then lift your knees UP one inch off the floor:
Head– neutral position- look at the floor beneath you.
Hands– should be shoulder width- not touching each other- try to roll your shoulder bones so that your elbow pits (they’re a thing) face your hands
Shoulder Blades/Upper back– FLAT- you attain this by pushing your elbows into the floor and your torso up through your shoulder blades
Lower Back– neutral
Knees– directly under your hips
Feet– toes tucked under and heels facing toward ceiling. Lower leg in line with knees.

You can hold it statically. If you don’t feel challenged by this, you can throw in a controlled crawl as in this video:https://www.youtube.com/watch?v=hp8wJwEDl_Q  by Dr. Ryan DeBell of Pacific Sport and Spine. The primal crawl is a very challenging core stability move.
This should be PAIN FREE! If you have pain, stop.

Physical Therapy Myth #6: Surgery is My Only Option.

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AWESOME hamstring tear- the MD diagnosed it as Sciatica- the patient told her- I have pain in the back of my leg. The MD never even looked at the patient's leg. Taping, manual work and graded exercises had this patient back on the tennis court in 6-8 weeks.
AWESOME hamstring tear- the MD diagnosed it as Sciatica- the patient told her- I have pain in the back of my leg. The MD never even looked at the patient’s leg. Taping, manual work and graded exercises had this patient back on the tennis court in 6-8 weeks.

Myth #6: Surgery is My Only Option. Not necessarily– (see my baby rant below)

Fact: In many cases, physical therapy has been shown to be as effective as surgery in treating a wide range of conditions—from rotator cuff tears and degenerative disk disease, to meniscal tears and some forms of knee osteoarthritis. Those who have recently seen a physical therapist know this to be true, with 79% believing physical therapy can provide an alternative to surgery.

I have had this conversion countless times:
Patient- I need a knee replacement
Me- really- does your knee bother you? Can you (insert- sit, squat, stair-climb etc)
Patient- I can do all those things. It only bothers me sometimes
Me- then why do you think you need a knee replacement (BTW- not a little surgery)
Patient- because my surgeon told me I’m bone-on-bone
Me- but you have no pain….you will for quite a bit of time after

Remember- just because a picture “says” something- it has to match with the complaints. These patients (I can think of 3 in the past few months) have all gotten better with PT.

Now– I’ve also had a patient say- of course you don’t think surgery is necessary, your a PT. Valid point, and there are times when surgery is absolutely necessary! Got a mensicus folded like a taco that wont budge and you can’t bend or straighten your knee- sure have that chunk removed. HOWEVER- I strongly believe that all patients going through elective orthopedic surgery should PREHAB before their surgery- even if it’s just a few visits. The difference after surgery in pain and function is dramatically different.

Phew that was a long post- thanks for reading!

#physicaltherapy vs #surgery #backpain #rotatorcufftear #hamstringtear

Physical Therapy Myth # 3: Physical Therapy is Only for Injuries and Accidents

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keep-calm-and-call-a-physical-therapist     Myth # 3: Physical therapy is only for injuries and accidents.

Fact: Physical therapists do a lot more than just stretch or strengthen weak muscles after an injury or surgery. They are skilled at evaluating and diagnosing potential problems before they lead to more serious injuries or disabling conditions—

Physical Therapist are MOVEMENT specialists. If there is something preventing you from moving well, pain, headache, scar tissue, swelling, poor balance or coordination, etc., we can help!