Focus PT January 2019

Focus Physical Therapy Monthly 949.709.8770

January 2019


Looking back on 2018, I’ve quickly realized just how packed this year really was. Between expanding the practice, adding new workshops onto the docket, the kids shifting back from part-time homeschool to full-time school, and seemingly a million other things, it’s certainly been a time of personal and professional growth. Of course, the biggest and most exciting change was our remodel of the Focus Physical Therapy space. As it always seems to be the case with any construction project, an undertaking that was supposed to take 6–8 weeks ended up clocking in at a whopping 18. I’m glad that we’re long past those days with a cold concrete slab as our floor, flip- flopping between rooms to stay out of the contractors’ way, but it’s clear that it was well worth the wait. I’m sure our patients who were in before and after the revamp would agree: The clinic is so much more spacious, aesthetically pleasing, and just plain comfortable that it’s impossible to imagine ever going back. In addition to helping us serve more patients than before, the expansion gave us the opportunity to add a few new important services. I’m happy to report that the personal training service headed up by Andrina Ramsey has been steadily growing. It’s really gratifying to see the results she gets with her clients, empowering them to transform their lives through newfound fitness techniques without risk of injury. We’ve also added new shoulder pain and rotator cuff workshops, furthering our goal to educate the community and make a difference on a larger scale.

most of the time, but now that they’re older, we knew it was time to move them back into the classroom five days a week. It’s been an adjustment for both them and my wife, but now that the dust has settled, everyone is doing great. They love getting to see their friends day after day, and my wife definitely enjoys having dozens more hours of time to herself every week. Funnily enough, she is finding herself driving them all over town from activity to activity even more so than before — but if that isn’t the classic parent’s dilemma, I don’t know what is. I’ve already gotten started on my goals for 2019 with my sights set high, as always. The main project we’ve got underway is working to partner with local businesses to help them prevent employee injury and cut down on their healthcare costs. Rather than forcing employees to shoulder more out-of-pocket costs, we’re trying to get businesses to look at it with a proactive eye, reducing cumulative musculoskeletal stress and eliminating the need for Band-Aid solutions before they ever become necessary. When you’re passionate about helping people escape the pain of injury and realize the potential that movement can bring to their lives, it seems like every year gets busier than the last. But, honestly, I wouldn’t have it any other way. I’ve never been one to complain, but even by my sunny standards, 2018 was a particularly positive year. So far, 2019 is shaping up to be even better.

Outside of the clinic, my son and daughter headed back to a full- time daily school schedule. In years past, they’ve been part of a curriculum that allowed them to study at home with my wife

Focus Physical Therapy patients ENTER TO WIN Find the misspelled word in this newsletter and call 949.709.8770 for your chance to win a $10 CALL 949.709.8770 Contest for past and present Focus Physical Therapy patients only. card.

–Julian Manrique

Focus Physical Therapy • Call 949.709.8770 • 1

New research suggests that you aren’t getting the key vitamins and minerals you need to live a longer, healthier life. A 10-year study published in October 2018 in the Proceedings of the National Academy of Sciences identified several “longevity vitamins” as necessary to living a healthier, longer life. These are vitamins and minerals that can keep chronic diseases such as heart disease, certain types of cancer, and dementia at bay. Researchers classified the following as “longevity vitamins”: vitamin D, vitamin K, carotenoids (alpha carotene and beta carotene), astaxanthin, ergothioneine, pyrroloquinoline quinone, quinine, taurine, lutein, zeaxanthin, and lycopene. Some of these vitamins and minerals may sound familiar. Lycopene, for example, is another carotenoid. It’s found in tomatoes and other red fruits and is a powerful antioxidant. In fact, many longevity vitamins are found in fruits and vegetables, but we often don’t eat enough of these foods. How Longevity Vitamins Can Help You Live a Healthier, Longer Life Live Long and Prosper

main symptom of vitamin C deficiency is scurvy, which causes weakness, soreness, and a number of skin issues, including bruising. It usually takes about a month of vitamin C deficiency before symptoms show. Vitamin K deficiency, on the other hand, can be tougher to diagnose. Vitamin K is essential in forming blood clots. When your body doesn’t get enough vitamin K, excessive bleeding can occur. The vitamin is also needed to produce an enzyme that promotes better blood flow. Over time, low vitamin K levels in the body increase the risk of cardiovascular disease. If you want to live a healthier and longer life, make sure your diet includes these longevity vitamins and minerals. They can give you a significant advantage when paired with a healthy diet and exercise so you can enjoy many more years with your loved ones.

“Survival vitamins” are even more critical to your health, and the symptoms are noticeable when you’re deficient. For instance, the


“I came to Focus Physical Therapy with a bad right shoulder and lower back pain. The friendliness and professionalism were great, and I found that the treatment provided great relief and mobility. I wouldn’t hesitate to recommend them.” –Steven Scheck


• Focus Physical Therapy •

Meet Nona Ewell A PT With More Than Two Decades in the Field

For all the team members at Focus Physical Therapy, helping people is more than our profession — it’s our passion. But while all of us put our patients at the forefront of what we do, we all have different reasons for loving the work we do. For Nona Ewell, a physical therapist with more than two decades of experience, it’s the opportunity to solve a new mystery each day that has kept her striving to transform lives. “Every day is different,” she says. “There’s a new person in the clinic, a new challenge to tackle.” She relishes the opportunity to analyze her patient’s injuries and steer them down the path to recovery, watching the uniquely tangible, immediate impact she has on their well-being. “Unlike many other medical professions, we can watch the majority of our patients as they heal in real time. It’s days and weeks instead of months and years,” she says. Nona has a background familiar to many of us in the profession. Passionate about sports throughout her life, she suffered an injury playing college volleyball. While Nona’s physical therapist helped steer her from the sidelines back onto the court, she developed a keen interest in the work. “The therapist I worked with went from someone

I respected to someone I aspired to be,” she says.

“Knowing my personality, she nudged me toward my future career. Soon after treatment, I took her opinion to heart, went to my counselor, and changed my major.”

It’s clear that she made the right decision. She has a knack for guiding patients toward positive outcomes, and even after 21 years as a PT, she continues to push herself to learn and grow. Aside from being a musculoskeletal expert, she has extensive training in vestibular rehabilitation and post-concussion syndrome treatment. It’s the kind of expertise that comes not only with experience, but from a genuine love for helping others. We’re just glad that Nona and her family decided to make the move out from Chicago to California three years ago. Since joining the team, she’s become a mainstay of the Focus PT community. We can’t wait to see what she does next around the clinic!

Standard hash may be a no-go on paleo diets, but there’s nothing off-program about this Brussels sprout version. It’s perfect for a Sunday brunch. BRUSSELS SPROUT HASH



• 4 cups Brussels sprouts, finely shredded • 4 eggs • 1/4 cup onions, chopped • 2 cloves garlic, minced

• 1 sprig fresh rosemary • 2 tablespoons extra-virgin olive oil • Salt and freshly ground pepper


1. In a cast-iron skillet or large sauté pan, heat oil to medium. 2. Once simmering, add rosemary for 1 minute, then remove sprig. 3. Reduce heat to medium-low, add onion and garlic, and cook until onion softens, about 5 minutes. 4. Increase heat to medium-high, add Brussels sprouts, season with salt and pepper, and cook for 5 minutes. 5. Using a large spoon, create 4 wells for eggs. Pour 1 egg into each well and cook until set. 6. Carefully remove eggs and Brussels sprouts from pan and serve.

Focus Physical Therapy • Call 949.709.8770 • 3

30212 Tomas #120 Rancho Santa Margarita, CA 92688, USA





Julian Manrique Looks Back at 2018 Are You Taking Your Longevity Vitamins?



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Success Stories Meet Nona Ewell Brussels Sprout Hash

3 of the World’s Greatest Winter Sport Destinations WHO’S READY FOR SOME POWDER?

The sound of the first carve through fresh powder is the anthem of all winter sports enthusiasts. Here are three of the world’s best places to experience that powder you’ve been craving all year.

dilate. Once you’re done flying down the hill where Bode Miller took the bronze,

head over to the winter wonderland of the old

Breckenridge, Colorado

Olympic Village for a cozy night in a picturesque town.

John Denver’s anthem “Rocky Mountain High” is about the freedom he felt here. Where there are great mountains, there’s even better snow. The ski resort boasts five peaks, 187 trails, 34 lifts, four terrain parks, and a renowned cross-country trail. After a day on the slopes, head into the town of Breckenridge for dining and activities that ditch the glitz and glamour of Vail or Aspen and take you straight to the heart of fun.

St. Anton, Austria

If you want a great location for next year’s Christmas card photo, there’s no better place than the Tyrolean Alps. Nestled in a valley between perfectly molded mountains, the Austrian

Whistler, British Columbia, Canada

A destination that looks like a cross between a Nordic paradise and Olympic-level runs, Whistler is filled with true magic, winter activities, and a town that captivates the senses. When you see the mountains of British Columbia, you’ll understand why they hosted the 2010 Winter Olympics. The location’s beauty is only part of your stimulating experience, because every curve of fresh powder makes your pupils

landscape provides a beautiful backdrop for your winter excursions. The densely wooded areas and the bright reflection of the snow frame the vibrant town that’s just waiting to be explored. When you’re ready for world-class runs, hop in one of the 11 gondolas and zip down the hills that hosted the 2001 Alpine World Ski Championships.


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