Manual Edge: Back Pain and Difficulty Walking

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WHAT’S GOING ON AT MANUAL EDGE? At Manual Edge, we are happy to announce that we will be teaching Ma n u a l T h e ra p y continuing education classes right here at our clinic to other Physical Therapists in Mobilization introductory class for our team, as well as any therapists in the area who would like to join us. During this class, we will discuss Cranial Mobilization as an effective treatment for headaches, neck pain, facial pain, TMJ, abdominal, and back pain.

These classes will be the first in a series of workshops that we are planning on implementing at our clinic. I will be teaching this workshop, with the help of Valerie Jones, PT, DPT who put together the course manuals for the class. This first set of classes will be located in our gym, with 8 treatment tables and enough room for 16 physical therapists to learn and grow in their skills. We are excited to begin our Manual Therapy continuing education classes to help therapists enhance their evaluation and treatment knowledge! Tim Bonack

the area! We have been gradually easing into the idea of offering these classes, in addition to treating patients and providing workshops for the public. During these classes, we will be teaching and demonstrating some of the techniques that we do on a daily basis here at Manual Edge – from the basics to the most high-end methods and strategies. Manual Therapy is an ongoing learning experience and there are always new skills to tweak or treatment methods to learn. On April 5th, 6th, and 7th, we will begin our Manual Therapy educational courses with a Cranial

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Monthly BACK PAIN & DIFFICULTY WALKING

Did you know that the way that you walk may be causing your back pain? Many people use mechanically incorrect movements while walking that cause long term wear and tear on their bodies. The experts at Manual Edge Physiotherapy are trained in treating walking disorders and will help teach you corrective walking techniques. By changing the way you walk, it is possible to eliminate and prevent back or any other types of lower extremity pain. On a daily basis, you walk more than any other physical activity and your gait has a large impact on your overall physical abilities. We can help you discover if something with the way you walk may be the reason that you are having pain. You walk over a million steps in a year Your gait involves many body structures all interacting together to produce your walking style. It is as natural as breathing, and if any of your six

(two ankle, two knee, two hip) weight-bearing joints are not in correct alignment, you may be at risk for structural pain. One minor walking error repeated millions of times can do an incredible amount of damage to your back, muscles, nerves and joints. This can also eventually cause pain and arthritis. In addition to improper gait, another major cause of back pain is poor core strength -- specifically, weakness in the abdominal muscles. A person’s pelvis is held in place by numerous muscles, including the abdominals, hamstrings, gluteals, and hip flexors. An imbalance or weakness in these muscles can lead to pelvic misalignment, causing the pelvis to tilt forward or backward. A forward tilt of the pelvis leads to a sway back which can change the way a person walks. In addition to abdominal weakness, a lack of strength in the gluteals and hamstrings can lead to forward pelvic tilt. While the abdominals stabilize the pelvis by pulling upward on the front, the gluteals and hamstrings offer stability by pulling down on the rear of the pelvis. Exercises must be completed to strengthen both the abdominals and gluteals. In general, an extensive walking program provides the gluteals with a very solid workout if the individual is walking with correct gait.

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9 THINGS THAT STIFLE YOUR STRIDE

Problems with walking increase as we age and are a leading cause of falls and disability in older adults. At least 20% of adults over 65 have problems with walking. This increases to 50% in adults 85 years old and older. Most of these problems with walking are associated with other underlying issues. Problems with walking are not a direct consequence of getting older. Rather, they are the effects of other conditions that become more common and severe with age. Common risk factors for severe problems with walking include advanced age (older than 85) and multiple chronic disease conditions such as heart disease, arthritis, dementia, stroke, hip fracture, or cancer. Common conditions that contribute to walking problems include the following: 1. Back pain 2. Joint pain and arthritis 3. Diseases of the muscles or bones 4. Poor fitness 5. Problems after orthopedic surgery or stroke 6. Low blood pressure and heart disease 7. Parkinson’s disease 8. Vision or balance problems 9. Fear of falling

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HAMSTRING STRETCH Stand with one leg on a medium sized stool as shown. Keeping your back straight, slowly lean forwards from the hips

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MANUAL EDGE WORKSHOPS

LOW BACK PAIN & SCIATICA WORKSHOP

MARCH 16, 2019 AT OUR CLINIC

NECK PAIN & HEADACHES WORKSHOP

PATIENT SUCCESS STORY Valerie Jones DPT, CFMT recently presented a Pelvic Pain and Bladder Issues Workshop at Manual Edge for members of the community. She discussed the Top 4 Causes of Pelvic Pain and Bladder Issues and how to treat them naturally without using medications, injections, or surgery. There was plenty of lively discussion, great information, and dark chocolate to go around. To find out when the next workshop on this important topic is scheduled, call 694-8342 or talk with someone at Manual Edge to get on the list.

HEALTHY RECIPE MARCH 30, 2019 AT OUR CLINIC

Mexican Cauliflower Rice Skillet

INGREDIENTS • 1 lb ground beef • 1/4 medium onion diced • 1/2 red pepper diced • 3 tbsp taco seasoning

• 1 cup diced tomatoes • 12 ounces cauliflower rice • 1/2 cup chicken broth • 1 1/2 cups shredded Cheddar cheese or Mexican Blend

DIRECTIONS In a large skillet over medium heat, brown the ground beef until almost cooked through (just a little pink). Add the onion and pepper and continue to cook until no longer pink. Stir in the taco seasoning. Add the tomatoes and cauliflower rice and stir to combine. Stir in the broth and bring to a simmer. Reduce the heat to medium low and cook until the cauliflower rice begins to soften (8 to 10 minutes for frozen). Sprinkle the skillet with the cheese and cover. Let cook until the cheese is melted, 3 or 4 minutes. Remove from heat and top with your favorite toppings like sour cream, avocado, and chopped cilantro.

“...my back issues have been solved.” “I have faced serious and painful low back issues for 50 years!!! I’ve gone to many chiropractors over the years. I’ve had many injections and other procedures. All have helped some. But it was not until I went to Manual Edge Physiotherapy and Chris Kaster, that my back issues have been solved. I am SO grateful! I highly recommend this wonderful and effective team!” - Danny M.

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