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PT Prevention

Pickleball Training and Prevention of Injuries

Pickleball Training and Prevention of Injuries

Pickleball is one of the fastest growing sports not just in Naples but worldwide. Injuries can occur and proper training and professional care can help prevent being sidelined. This article offers tips for pickleball training and injury prevention.

Exercise is Not Enough for Weight Loss

Exercise is Not Enough for Weight Loss

Exercise is pushed by PTs, the APTA, and so many professionals for the way to lose weight. Unfortunately data show that exercise is not enough: diet plays a huge factor and PTs need to shape-up and get current in order to provide best care.

Dr. Wells Speaking with Dr. Robin Roth: Hyatt Naples, Tues Feb 26 at 6pm

Come and check out Dr. Roth and I speaking on health and nutrition next week at the Naples Hyatt. Walk away with new research and health tips to make 2019 a better year. Click the link below to learn more and register for free. Naples Daily News Physical therapy

https://www.eventbrite.com/e/start-the-new-year-right-with-fitness-and-nutrition-tips-from-the-experts-tickets-55243003310

#health #Naples #physicaltherapy

Home Health PT: Do Your Need More Therapy?

Home Health PT: Do Your Need More Therapy?

Have you recently been sent home from the hospital after an illness or surgery and received Home Health Care physical therapy? More often than not patients that receive Home Health Care physical therapy are short changed due to time constraints and productivity measures with physical therapist too busy with paperwork. As a result, therapy sessions are cut short and the time that is supposed to be spent on exercise is actually spent on paperwork.

Within the past couple years my team and I have been Consulting with Physicians and surgeons to provide an additional level of Home Health Care physical therapy gives the patient more exercise and additional oversight. We work with the existing physical therapists and their medical teams ensuring that rehabilitation exercise is delivered to the most. Often times we also serve as advocates for the patients and can catch early signs of issues when the Home Health Care team is discharged and move on.

Our personal training services give us the extra Edge to work with patients so it does not violate Medicare. We can also transition into maintenance physical therapy after Medicare PT exits the case.

If you are a physician or surgeon interested in our services, contact us through our contact page.  if you're patient or a family member consider utilizing our services or set us up in advance to a surgery so that we can help you or your family member the most!

 

 

Text Neck: Real or Fake?

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Do you check your phone often? Notice the burn in your neck or arm? Last year, I had a patient who had numbness down his left arm when he looked down at his phone or screen. Was this "text neck", the phenomenon of neck pain caused by frequent checking and texting from a mobile phone? Perhaps...it clearly was cervical radiculopathy, or a compressed/irritated nerve root in the neck. Fortunately my keen PT skills and few steroids later helped to get this patient back to work and pain-free neck movements. But it left me wondering -- did the phone lead to his issue?

A recent study done in Brazil puts into question whether "text neck" even exists. They took pictures of these kids as they looked at their phones, had experts analyze the pictures, and then cross-referenced the postures in the pictures with reported neck pain. This study did not show an association between text neck and neck pain in 18–21-year-old young adults. The findings challenge the belief that neck posture during mobile phone texting is associated to the growing prevalence of neck pain.

Obviously more goes into neck pain than simply posture: exercise status, nutritional care, psyche, medications, and more. Check out the article, pay attention to your posture (maybe), and contact us to learn more!

https://link.springer.com/article/10.1007/s00586-017-5444-5

Does California Cause Cancer, or Just its Coffee?

Does California Cause Cancer, or Just its Coffee?

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A California judge recently ruled that some stores must label coffee as potential cancer-causing because it contains a compound known as acrylamide (https://www.yahoo.com/news/apnewsbreak-california-judge-coffee-needs-212748202.html). The unfortunate reality in this situation is that the defendants of the case, the coffee industry, did not have an opportunity to really express the potential health benefits of coffee. Research has shown that coffee is a strong antioxidant, reducing the risk of some neurological decline and Parkinson's, as well as promoting GI motility, which may reduce the risk of gut cancer. Large epidemiology studies show that coffee may even reduce the risk of death by roughly 6-15%, with consumption up to 6 cups per day. As such, does coffee really cause cancer from acrylamide?

Very unlikely. If there is any industry the California government and lawyers should be attacking it would be the potato chip and French fry manufacturers. Potato chips and french fries have the largest concentration of acrylamide (https://pubs.acs.org/doi/abs/10.1021/jf020889y#/doi/abs/10.1021/jf020889y). Analyzing a report from the FDA, it shows coffee to report ~90 parts per billion (PPB) on average in most coffees. Meanwhile potato chips and french fries stack in at ~300 to 400 PPB. Of course, the acrylamide level referenced in the court case may have been higher than 90 PPB, but shouldn't there be a sign warning for potential cancer on the package of your potato chips or menu for twisty fries? The big issue here is we're just discussing one compound, acrylamide. The cancer caused by alcohol and meat seemingly get a pass.There are countless carcinogens out in the world…should California have a sign posted on its borders as you enter: this state is known to cause cancer?

New Health Model for PTs: Wellness and Prevention

Insurance physical therapy at your hospital or local clinic is steeped in tradition: find the one problem, focus on it, and fix it. The services are reimbursed based on a fee-for-service model. The more care the more payment that is given, regardless of outcomes or future setbacks. Physical therapist's (PT) education skews also towards the model of problem-based learning, exam, and intervention. Lost in the mix of the insurance and educational maelstrom is the patient: what other issues are lurking, how do they address the "whole" patient and not just the one body part or pain, and how can they continue living healthy and happy?

Fortunately a new model of PT practice emerged. The Health-Focused Therapy Model (HFPTM) promotes PTs to recommend notions like smoking cessation, regular physical activity, and even nutrition, when/where appropriate. Researchers at the University of Alabama at Birmingham produced the new model which hopes to only enhance what PTs currently offer.

Your Doctors of Physical Therapy at Wells PT embrace, endorse, and put into practice the Health-Focused Therapy Model of care. From smoking cessation, exercise interventions, physical activity promotion, and nutritional counseling, Dr. Wells and Lauzon want the best for the whole YOU -- not just your knee or shoulder. Use the Contact tab on our webpage to set up your consultation today for the best Physical Therapy you've ever had.

  

Balance

Balance training is a useful intervention in rehabilitation of postural stability impairments as well as in training programs for performance enhancement. Active elderly people should be challenged with balance and proprioception exercises. One scientifically-based approach, the Sensorimotor Training, has shown great success. It can be characterized as a progressive balance training program using unstable surfaces such as foam pad, air disc, exercise ball which provide adequate challenges to the active senior. Proper balance training will enhance their postural stability and improve their activity level.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3812830/

-Dr Lauzon

Arthritis: Exercise and Food for Your Joints

More than 80% of older adults over the age of 65 have some form of osteoarthritis, also more commonly known as arthritis. In fact,  arthritis has more than doubled in the last 50 years! How did we get to this point? Is it just a matter of better Imaging or are we actually seeing a change within our bony structures? More importantly what can we do to prevent the continual growth of osteoarthritis within our population?

The answer lies within several studies that were published recently. Epidemiologists and researchers going back and measuring our skeletons of our ancestors have shown that physical exercise and activity have been a integral part of our lifestyle and bodies. With modern technology and changes to our lifestyle we have become less agrarian and less active. As a consequence our bones and bodies have changed. We have gained a little bit more weight, or joints have not gotten used to not being used, and we suffer from other ailments related to changes within our diet. In a study just this year in the Journal of American Medical Association shows that weight gain and lack of physical exercise is probably the biggest driver for inflammatory arthritis.

Studies show that the current American diet promotes inflammation and can actually worsen arthritis. Several studies show that those that are on a plant-based Mediterranean style diet have less inflammation and are less likely to have osteoarthritis. From excessive fat, excessive meat consumption, and pro-inflammatory processed foods help to drive arthritis.

Some of the best things that we can do for arthritis include exercise and lifestyle changes. The exercise that can offer the best benefit typically involves strengthening the muscles around the joint. For example for knee and hip arthritis, exercises that strengthen the upper thigh muscles and hip muscles has been shown to improve strength, function, and pain. Another component that can greatly help physical therapists and patients alike, is a drastic change in Foods consumed. Adopting a plant-based diet will likely offer the biggest anti-inflammatory benefit for those with arthritis. In addition a plant-based diet will confer benefits for the heart, blood sugars. Diabetes, body weight, and mental health.

So, as you're considering getting a steroid injection, surgery, or even a joint replacement, consider that exercise and diet probably have a bigger role in treating your arthritis than the traditional medical model. Because in the end, with the exception of joint replacement, there are no other truly evidence-based treatments for joint arthritis. Contact us today to schedule a consult for our physical therapist to evaluate you and provide you with a maintenance Physical Therapy Program specific to your arthritis needs.

Source: https://www.villages-news.com/osteoarthritis-doubled-past-50-years/

Gluten: Friend, Foe, or Just Food?

Unless you have been living under a rock the last 5 years, the gluten free movement has produced massive shifts in product lines, menus, and people. Gluten, a protein, found in wheat has been around for thousands of years. How did it go from an essential food, in some areas of the world, to a eschewed substance of inflammation and disease?

Let us start first with facts: gluten allergies occur in less than 1% of the population. Those allergic can have skin rashes, intense gut pain, diarrhea, weight loss, and malnutrition. A researcher studying children in Belgium after World War II saw these findings in young kids after their country went from near famine to feasting on poinds of bread. Shortly after, the substance gluten was isolated and taken out of their diets to improve the kids' symptoms: it worked and so started the investigations that lead to celiac disease.

Celiacs disease is an inflammatory bowel disease due to gluten. The gold standard diagnostic test is a gut biopsy. Celiacs disease is autoimmune in nature; the body attacks the gut as gluten passes through after consumption. Celiacs was well-known in Europe for decades, perhaps due to its identification in Belgium. In the United States, little was known about celiacs, let alone gluten, save for the last decade and a half. The question that remains with many: can you have gluten sensitivity and not an allergy?

Many doctors and researchers are binary regarding gluten's issues. Some strongly feel that gluten wrecks havoc on your gut, promotes inflammation, and can promote other diseases like obesity. Unfortunately, the studies for such notions are limited in scope, small in size, or flawed in their methods. In many studies, participants are given doses of isolated gluten to eat, which is unrealistic given we eat whole foods. As we eat whole wheat bread, for instance, any inflammation boosted by gluten is more than negated by the whole wheat's anti-inflammatory properties such as vitamins, fiber, and sterols. Moreover, several studies have highlighted how taking out a whole grain products, like wheat, can negatively impact your heart disease risk, gut, and blood profile. Gluten free (GF) options tend to be low in fiber, higher in sugar, and cost 3 times as much as regular products. As such, going GF may not be a best option for you. Regardless, people will still state they feel better without gluten, or at least moderated gluten consumption. This makes sense, as if you ate any food excessively you likely with see several side effects. Eat 2 bags of broccoli and you will likely have gas and bloating from the sulfur.

Why do TV doctors, oddball neurologists, some dieticianss, and even a few PTs recommend all their patients avoid gluten? Misinformation perhaps, or simply it is popular. Do the right the thing: ask questions, seek answers through testing and elimination dieting, and enjoy this great Freakanomics podcast: The Demonization of Gluten http://freakonomics.com/podcast/demonization-gluten/

Is there a magic amount of time to exercise for arthritis?

In a study of 1,600 adults with osteoarthritis (OA), researchers from Northwestern University found the right amount of time to exercise for sustaining function and keeping pain down. The study showed any activity or exercise is better than none; however, those who did at least 45 minutes of moderate activity (such as fast walking, moderate cycling) had the best functioing and pain scores after a 2 year follow up. Unfortunately only 10% of adults with OA meet the 45 minute goal, many due to the misinformed notion that pain means they are damaging their joints further (a concept debunked by modern pain science). So, get out and move or call your local PT today for a tune-up before you start!

Upcoming Book: Diet and PT

I have written on the positive effects of a plant based diet. Currently, I am working on my 2nd book , this one focused on nutrition and physical therapy. Diet is not just for trainers, weight loss experts, or people wanting to shed pounds. Diet is pivotal in tendon healing, recovery from stroke or spinal cord injury, and reducing inflammation.

Diet is also crucial for longevity. I have 2 second author publications on how reducing calories extends lifespan. Vegan and plant based diets have similarly show increasing lifespans and a reduction in life-ending diseases like cancer, heart disease, and stroke. How does a plant based diet do this? The evidence is still out but the preliminary results show it could be that plant based and some (non junk) vegan diets are low in omega 6 fats, animal fats, and animal antibiotics/hormones which stimulate inflammation. Others argue that plant based diets are chock full of anti oxidants (fruits) and prebiotics (vegetables), which help to reduce inflammation and boost the gut microbiome. The gut microbiome is tied to not only gut health but also mental health, endocrine and cardiac health, and the musculoskeletal system! 

Want to learn more? Stay tuned for my book coming out later this summer/early fall.

In the meantime, enjoy this article on red meat and its effects on your health:

https://mobile.nytimes.com/2017/05/15/well/eat/red-meat-increases-risk-of-dying-from-9-diseases.html?_r=0&referer=

Should Fitness Test Be Part of Your Physical Exam?

The New York Times did a wonderful article highlighting the importance of Fitness testing in the detection and prevention of cardiovascular disease. The article cited how simple Fitness testing can be an easy way to detect heart disease. I wholeheartedly agree. In my practice I have caught several incidents of clients that had potential heart disease, and I was able to help them significantly. In fact, one patient actually needed a stent after I did a routine step test which revealed a lower than usual heart rate and abnormal rhythm. 

Physical therapist should be the leading experts in this area, along with exercise physiologist. The reality is most physical therapist don't examine general fitness, let alone take basic vitals during the exam and routine follow-up. More concerning is the lack of exercise and nutrition knowledge by physicians. Did you know that most medical doctors only received 2 days of nutrition training and almost no exercise classes in medical school? While this may be changing slowly in medical schools, I still think physical therapist can work in combination with MDs during physicals every year to test for cardiovascular disease using fitness tests.  I know that my local Physicians that I work with rely on data for me to provide their patients with an overall health assessment that includes Fitness.

Call today to schedule a consultation with one of our doctors of physical therapy. Begin the journey to Better Health now!

Source: https://mobile.nytimes.com/2016/11/30/well/move/should-a-simple-fitness-check-be-part-of-your-checkup.html?emc=edit_nn_20170510&nl=morning-briefing&nlid=70545557&te=1&_r=0&referer=