Newsletter - Volume 1, Number 2
HAPPY 50TH KEVIN!!!
Our President turned the big 50 on July 26, 2006 and of course we had to throw him a surprise party at the Franklin office, he tried to foil our plan but we finally got him to leave the office and come back with everyone in place. Here are some pictures from the big day. Nice glasses Kevin.
Franklin Chesapeake Windsor
Patients of the Month:
Southside Physical Therapy is pleased to present Joyce Rabil as our patient of the month for April 2006. Mrs. Rabil came into the clinic after undergoing a Rotator Cuff Repair on her right shoulder. Joyce came in to the clinic with a smile on her face every day (almost), sometimes not with those early morning appointments she needed a little time to warm up. Joyce didn't enjoy the passive range of motion that had to be done to acheive the range of motion needed to make her arm functional again but she bore with me. We think Joyce knew everybody else in the clinic from her many days serving customers at Fred's. We had to tell her many times that she didn't have to work here while she was being treated but many days you would find her folding towels after her appointment was over. We had fun while Joyce was here and we miss her being around but once she acheived the results her surgeon was looking for, she was more than happy to leave us. Mrs. Rabil hopefully will not need our services in the future but we will always welcome her with open arms, since she was a joy to treat. Good luck Joyce, keep up with your exercises and keep that arm nice and strong. Due to Joyce's outstanding attitude and perserverance through her rehabilitation proces, we are proud to honor her as a very deserving individual. Good Job Mrs. Rabil from all your friends at Southside Physical Therapy!
Southside Physical Therapy is pleased to present Jill Vargo as our patient of the month for June 2006. Ms. Vargo came into the clinic after undergoing a rotator cuff repair on her right shoulder. Although she was very frustrated with not being able to do the things she was sused to doing, she remained determined. Her ultimate goal was to get back to riding the horse she loved, Be-Be. She made wonderful progress intially, regaining both range of motion and strength, but then had some set-backs. She had two falling episodes which casued both pain and decreased motion in her shoulder. Though discouraged, she did not let this hinder her determination. She continued to regain strength through her hard work. Jill fought back and now has close to full range of motion and is improving daily on her strength. Her determination helped her get to this point, and though she still has some way to go to reach her goal, she is bound to get there with her posititve attitude. Due to Jill's perseverance through her rehabilitation process, we are proud to honor her as a very deserving individual. Thank you Jill, for always putting a smile on our faces. Soon you will be riding again. Good Job, from all your friends at Southside Physical Therapy!
Baby Shower for Abigail Jo Vick (Born 03/02/06):
Southside Physical Therapy held a baby shower for Susan Vick our occupational therapist for the new arrival of her baby girl, Abigail. We of course ate too much food but tried to supply Susan with some much needed baby items.
Franklin Office Incentive Bonus Outing: Limousine ride to The Melting Pot in Virginia Beach
The Franklin office enjoyed Big Pimping out on the town to enjoy some great eats at The Melting Pot. Of course we enjoyed the ride there also in the stretch Hummer and Ford Excursion:
Anna Black, befittingly taking on the role of Physical Therapist Assistant:
Anna has been with the company for 3 years working as a physical therapy aide with the Chesapeake clinic and has recently graduated from Tidewater Community College with an Associate's Degree to practice as a Physical Therapy Assistant. Congratulations Anna on your accomplishments.
The arrival of Baby Tanner on July 20th 2006 to the parents of Tara and Trent McDonald:
Tanner came into the world weighing 8lbs., 14oz. Congratulations to the parents of a beautiful baby, Tara is a physical therapy aide with the Chesapeake office.
Norma Gates has been promoted to Administrative Assistant/Receptionist with our Chesapeake Office. She is now with us full-time, congratulations Norma.
Molly Gleason graduates from Paul D. Camp Community College:
Molly Gleason an aide for the Windsor office graduated in May from Paul D. Camp Community College, receiving her Associates degree in General Studies. She is transferring to Old Dominion University to get her Bachelors in Exercise Science, with plans to continue onto Physical Therapy School after completion of her Bachelors degree.
Windsor contiunes to offer the current hours to patients to ease their busy schedules for their physical therapy appointments. The office is open Monday, Wednesday, and Friday for appointments 8:00 A.M. to 5:30 P.M., with the office remaining open until the last patient is done with treatment. The office is open Tuesday and Thursday for morning hours, 8:00 A.M. to 12:00 P.M. We are seeing great progress of our caseload as the community is becoming aware of our presence, we look forward to serving you in the future if unfortunately you require our services. Thank You Windsor Community for supporting us.
How physical therapy can help your rehab
What is a physical therapist?
A physical therapist is a specialist trained to work with a patient to restore their activity, strength, and motion following an injury or surgery. Physical therapy (PT) can teach patients specific exercises, stretches, and techniques, and use specialized equipment to address problems that cannot be managed without PT training.
Why is physical therapy important?
Physical therapy is important in orthopedics for two primary reasons:
- First, orthopedic patients typically have a deficiency that needs to be addressed. For example, patients with carpal tunnel syndrome may have weakness of specific hand muscles that require targeted exercises. Or knee conditions such as chondromalacia may be due in part to muscle imbalance around the knee joint. A physical therapist can teach exercises that specifically target these muscles to improve function and decrease problems.
- Second, physical therapists are knowledgeable about surgical procedures, treatment goals, musculoskeletal anatomy, and can tailor their efforts to improve the well-being of the patient. After a procedure such as a hip replacement or ACL reconstruction, it is important that therapy is guided by the surgical procedure. Some surgery places limits on weight-bearing and range of motion; a therapist is knowledgeable of these limits and can help ensure a successful outcome.
Many orthopedic problems can be managed without a physical therapist. Often some simple exercises or stretches may help improve a patient situation. However, there are many complicated conditions that a physical therapist is specially trained to treat.
What are some important things a therapist does?
Physical therapists have many rehab tools available, some specific aspects of physical therapy which you may encounter include:
Stretching is vital to maintain good range of motion around a joint. If a patient has stiff joints, normal activities such as opening a jar or climbing stairs can be severely affected. By proper stretching, these functions can be preserved. After an injury or surgery, scar tissue forms, and soft-tissue contracts; this is when stretching is most important.
Strengthening exercises are performed to help the patient improve the function of their muscles. The goal is to improve strength, increase endurance, and maintain or improve range of motion. Common types of strength training include:
- Closed Chain
The closed chain exercises are performed with the foot locked in position on the ground--for example a leg squat. These exercises a performed to help balance the muscle strength. By performing closed chain exercises, the weak muscle (e.g. the quadriceps) and its antagonist (e.g. the hamstrings), will both be exercised and balanced. Open chain exercises, such as a leg extension, do not balance the muscles this way.
Proprioception is the sense of knowing where a body part is in space. This can be a difficult concept to grasp until you lose it, because so much proprioception occurs without out conscious thought. When you lose proprioception of, for example, an ankle joint after a sprain, patients often complain of an unstable sensation of the joint. Proprioception training reteaches your body to control the position of an injured joint.
- Ice and Heat Therapy
Ice and heat are useful to warm up and cool off muscles. In addition, these modalities can stimulate blood flow and decrease swelling. These can be important aspects of the therapeutic process.
Ultrasound uses high frequency sound waves (not within the range we can hear) to stimulate the deep tissues within the body. By passing an ultrasound probe over the body, deep tissues are stimulated by the vibration of the sound wave. This leads to warming and increased blood flow to these tissues.
- Electrical Stimulation
Electrical stimulation is a therapy that is not well understood. By passing an electrical current to an affected area, nerve conduction within the region is altered, which can in turn alter muscle contractility. Patients often experience diminished pain after this type of treatment.
- Aquatic Therapy
Aquatic therapy is a terrific way to regain mobility and maintain strength by doing exercises in a swimming pool. This has become very popular in recent years because many patients who have difficulty exercising can often do very well in the water. The added buoyancy helps support the body and the water provides gentle resistance to increase strength and endurance.
Biofeedback is a useful tool for strengthening a weakened muscle or muscle group. Essentially the machine allows you to monitor how well a particular muscle is functioning, so you can better understand how to help strengthen the affected muscles.
Choosing Joint Supplements
When it comes to choosing joint supplements there are many options. Use caution when choosing both the supplement and brand. Recent studies have shown that some brands come far short of the label claims. In one study of eleven chondroitin products, tests showed four of the products contained less than half the stated amount of chondroitin. How do you choose a product? The Arthritis Foundation says to pick the most reputabile brand--don't try to save with a cheaper imitation.
Glucosamine is an amino acid that is naturally produced in the body. Glucosamine is a precursor to a molecule used in the formation and repair of cartilage. Treatment with glucosamine is based on the idea that oral consumption of the substance may increase to rate of formation of new cartilage by providing more of the necessary building blocks. The recommended dose of glucosamine in 1500mg each day for one to two months. Ongoing treatment if often continued if results are favorable.
Chondroitin is the most abundant glycosaminoglycan in cartilage and is partly responsible for the resiliency of cartilage. Chondroitin is also important in preventing the action of enzymes that destroy cartilage. The recommended dose of chondroitin is 800 mg each day (400 mg twice daily) for one to two months. Ongoing treatment if often continued if results are favorable. Most commonly chondroitin is take in combination with glucosamine.
Methylsulfonylmethane (MSM) is taken because some believe it helps support health ligaments. While glucosamine and chondroitin have not undergone extensive clinical testing, MSM has not undergone any significant test to support its use. The theory is that the sulfer in MSM helps the body maintain healthy, flexible ligaments.
Combinations of both glucosamine and chondroitin, and all three aforementioned supplements, are readily available. These combinations are usually cheaper than the individual medications and certainly easier to take. Use caution when taking these medications, and check with your doctor before starting these drugs.