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"You gave me my life back"

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Not All Physical Therapy Is The Same... Don't Compromise!

Your return to function is our highest priority, therefore, each treatment will be aimed at helping you meet your goals.  With your therapist, you will undergo what many patients describe as the most thorough evaluation they have ever experienced.  In treatment, your highly trained therapist will utilize a wide variety of manual therapy techniques to decrease your pain with movement and improve your muscle and joint mobility to reduce muscle spasms.  Through neuromuscular re-education and exercise, your therapist will help you to retrain your muscles to promote proper posture, efficient movement and better body mechanics that you need throughout all of your activities of daily living.  Instruction in self-management strategies will help you to maintain your functional status.  Our philosophy is that these approaches are the key in developing a comprehensive physical therapy program that helps you return to pain-free living.

 

All professional staff are members of the American Physical Therapy Association (APTA) the national organization representing physical therapists and physical therapist assistants. Connect to the national APTA web site here: APTA Home Page

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Specializing in Sports Medicine and Neuromuscular Re-education

Spine & Sports Rehabilitation Center uniquely offers the following:

  • Therapists recognized by the medical community for their expertise in the evaluation and treatment of musculoskeletal pain.
  • Outcomes which greatly diminish or eliminate pain and improve function in over 95% of patients who complete their rehabilitation programs.
  • Advanced and comprehensive treatment programs designed to maximize a return to the highest level of function possible.
  • Therapists who undergo rigorous training in manual therapy and neuromuscular re-education techniques that is above and beyond the standard professional requirement.
  • One therapist working with each patient throughout their course of treatment.
  • A professional and motivating clinical environment.
  • A dedicated administrative staff knowledgeable in current insurance policies and changes in health plan coverage.

 

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Are Yoga, Pilates, and Fitness Machines good for my back?

Written By: Michael Lucido, PT, FAAOMPT

On a weekly basis I am asked questions from my low back pain patients/clients, Is yoga, pilates, gym equipment, and or personal trainers good for my back? I am sure you would agree this is a multi-factorial issue but due to my training with NAIOMT I am able to offer real practical advice.

Let me set up a scenario to get my point across. A 42 y/o male arrives at the gym at 5:30 a.m. ready for a great work – out. He enjoys exercise for weight control, stress relieve and an overall feeling of wellness. The local gym recently purchased new “striders” and “ellipticals” ready for use by its members. His previous routine consists of bicycling for 20 minutes then lifting weights. The new machines look like a great way to exercise for 45 minutes and burn some calories! He is feeling great for the first 20 minutes then notice his “ back tightens up” but nothing that will keep him from stopping. 

He finishes the work out does some stretches and seems to be fine. Later that day as he is sitting in a meeting he notices a sharper type of low back pain. As he walks back to his office the pain goes away and he thinks nothing of it until the next morning when he attempts to get out of bed and cannot stand up straight due to intense knife-like low His work out from the previous day left him at risk for an acute onset of low back pain.

Inductive reasoning allows us to determine while exercising in the same movement pattern for 45 minutes fatigued spinal muscles producing an abnormal shear forces that exceeded the visco-elastic mechanical properties of the spine producing a painful condition that know has an “annular tear”.

A recent published article in the Journal of Bodywork and Movement Therapies (2012) supports this reasoning. Researcher’s at the University of Colorado, Division of Bioengineering studied a condition known as repetitive lumbar injury (RLI). The study looked at a series of experimental data from in-vivo feline groups and normal humans subjected to prolonged cyclic spinal movements at low loads, high and low velocities, as well as short and long in-between rest periods, while recording spinal creep.

The conclusion was that when the stability of the spine is compromised (spinal creep) it had a detrimental effect on the spinal muscles leading to inflammation and over activity known has “spasm”. The authors stated that “fast movement, high loads, many repetitions and short rest periods, triggered the full disorder, whereas low velocities, low loads, long rest periods produced very little mechanical changes of the spine”.

These findings have clear implications to healthy individuals as well to people with chronic or acute mechanical low back pain. One should alternate machines or activities about every 20 minutes to avoid excessive “cycling loading” of the spine and avoid exercises that make your back feel tire or fatigued.

Exercises such has yoga which hold the spine at end range can also place a person at risk for an annular tear. In addition, avoid doing one exercise for a prolonged period of time > 20 minutes and cross train muscles including spinal muscles. Spasm of spinal muscle is usually related to a compromise of spinal stability and should be considered a “warning sign” and addressed with a remedial exercise program.

Advice like this is best given by a professional who understands human movement, anatomy, spinal mechanics and spinal pathology.

For more information, contact the professionals at Spine and Sports Rehabilitation Center.

 

 

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STOP THE MEDICARE THERAPY CAP

Since 1997’s Balanced Budget Act, Congress has acted 12 times to prevent implementation of a cap on outpatient therapy services for Medicare beneficiaries. Currently, Congress has a bipartisan bicameral agreement on Sustainable Growth Rate (SGR) repeal policy and the Senate has included provisions to repeal and reform the Medicare therapy cap once and for all. Because of this agreement, it’s imperative that Congress acts on a permanent solution before adjourning at the end of the Congressional year.

Completing this legislation before the end of the year provides an opportunity to end the pattern of yearly extensions that puts access to medically necessary therapy for 1 million Medicare beneficiaries at risk. Delaying action on this legislation until next year would add the burden of reworking the policy and running up against the March 31, 2015 deadline.


Earlier this year, legislation to repeal the Medicare therapy cap (H.R. 713/S. 367) gained a bipartisan majority of support in the House and over one-third of the Senate cosponsoring. This policy has a large impact on Medicare beneficiaries and therefore it is necessary to include therapy cap reform policies in SGR legislation.

The American Physical Therapy Association (APTA) and the therapy community are supportive of therapy cap repeal provisions included in Senate versions of SGR reform introduced earlier this year. We need you to email your members of Congress using our sample letter and urge them to act before Congress adjourns.


APTA members can email their legislators using the Legislative Action Center. Nonmembers and patients can use the Patient Action Center.

Please take two minutes and contact your legislators NOW. You can make a difference and prevent a hard Medicare therapy cap and devastating payment cuts.


If you have any questions please contact advocacy@apta.org.

 

 

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