In My Book: Health
Weight ManagementNow is a good time to shed those extra pounds you’ve been wanting to lose. For every one pound of body weight, an additional 5 pounds of pressure is exerted on the knees when descending steps.8 An aquatic or biking program with slow progression to weight bearing exercise may be necessary.
MRIWith healthcare costs skyrocketing and most insurance policies transitioning to a high deductible, determining medical necessity has growing importantce. As physical therapists, we are frequently asked, “Should I get an MRI?” Believe it or not, the common answer is no. Most orthopedic clinicians (MD’s, PT’s, DO’s) use an MRI to confirm a diagnosis after an examination. In the future you’ll likely see less MRI utilization as the expensive test rarely influences your course of conservative treatment. In fact, the addition of an MRI, especially too early on in treatment, increases medical costs while having minimal to no effect on your treatment program or outcome.(1)
Sciatica2. Vroomen, Patrick CAJ, M. C. T. F. M. De Krom, and J. A. Knottnerus. “Predicting the outcome of sciatica at short-term follow-up.” British Journal of General Practice 52.475 (2002): 119-123.
WhiplashLearn about the multiple factors that can contribute to headaches, whether it be posture, weakness, whiplash, or previous head injury. We'll provide easy tips and daily changes that can help manage or even abolish your worst migraines.
Arthroscopy6. Brindle TJ, Mattacola C, McCrory J. Electromyographic changes in the gluteus medius during stair ascent and descent in subjects with anterior knee pain. Knee Surgery, Sports Traumatology, Arthroscopy. 2003 Jul;11(4):244-251.
GynecologyThere's so many questions surrounding the safety of being an active mom, both during pregnancy and while postpartum. This physical therapist and OB-GYN taught class will discuss how you prevent pregnancy related injuries (low back pain), while staying active and safely restoring lost core strength.
Sports Medicine2 Yim J, Seon J, Song E. A comparative study of meniscectomy and non-operative treatment for degenerative horizontal tears of the medial meniscus. American Journal of Sports Medicine 2013; 41 (7): 1565- 1570.
Aquatic TherapyAquatic therapy is a treatment technique where specific exercises are performed at various depths of water for physical rehabilitation, relaxation, and recovery. It offers a safe and relatively pain free environment for you to focus on regaining strength, balance, and range of motion. Treatment sessions can include decompression, gait training, sport specific training, and functional therapeutic exercise in chest/waist deep waters. Spine, arm, and leg injuries can be assisted with aquatic therapy as well.
Orthotics and Prosthetic Therapy
Ankle SprainRange of motion required for both ascending and descending stairs is much greater than that required for walking on even ground. On average, an additional 10-20 degrees of sagittal plane motion is required at each lower extremity joint (ankle, knee, hip) when compared to walking.(3) Loss of range of motion due to previous injury (i.e. ankle sprain or fracture) can alter the entire system, transferring responsibility from the ankle to the knee. Research suggests that a lack of ankle and knee sagittal plane motion (flexion and extension) as we age can be compensated for by frontal and transverse plane motion (abduction/adduction and internal/external rotation) at the hip and pelvis.(3) Motion at the knee and pelvis ultimately influences the knee, dragging it into ranges that cause damage.
Physical TherapyWe are the largest privately owned physical therapy clinics in Western New York and we now have seven convenient locations throughout Erie County.
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