Regenerative Sport Spine and Spa - April 2019


APRIL 2019


April showers bring May flowers. While this statement certainly originated from the literal process of rainfall helping foliage grow, the more symbolic interpretation has to do with the rewards that can come from life’s many struggles. Everyone has their fair share of rainy days, but most would attest that the saying is true — out of pain blossoms goodness.

It took some time — five years after the initial accident — but I eventually decided I couldn’t live like that anymore. I saw a doctor, who revealed that I had suffered a labral tear as well as

other serious injuries in my shoulder. I’d spent five years trying to strengthen the area while managing (and frankly, just dealing with) the pain. But with tears, all the rehabilitation in the world can’t repair the damage without the use of stem cell injections. I look back over those years now and wish I’d known about stem cell therapy. In the end, I had two surgeries on my shoulder, one in 2005 and the other in 2009 after I tore the exact same labrum again while lifting weights. Now my shoulder is feeling great. I still work out five days a week and play beach volleyball with Doc on the weekends. I know that I still need to be cognizant of the injury, but overall, it doesn’t slow me down anymore. My experience with this injury and its recovery time (and several others, like getting a plate and seven screws in my ankle, a bulging disk in my lower back, etc.) has given me an empathetic perspective toward my clients, who come to me for help with their own injuries. When I tore my labrum, I didn’t think I

had any other option but to get surgery. So many people share this same mindset. They think they either need to immediately schedule surgery or depend on steroid shots and OTC pain medication for the rest of their lives. But there is another option: You can use a combination of stem cell therapy and muscle strengthening to make the tear obsolete. In the end, I just want my clients who are dealing with their own injuries to know that I have shared a similar experience. I understand their pain and frustration because, regardless of the injured location, the struggle is the same. Because I’ve already gotten through my rainy day and found sunshine on the other side, I can help clients understand that they have more options for healing than they may have thought possible. -Daniel Tribby

“I understand their pain and frustration because regardless of the injured location, the struggle is the same.”

I’ve experienced this phenomenon in various ways in my own life, but the one that affects me most today started when I was 19. I was snowboarding, and a skier cut me off, causing my board to slide right out from under me. As I fell, I landed on my arm, which was outstretched behind me. In excruciating pain, I came down the mountain and discovered that I had dislocated my shoulder. I did some rehabilitation to heal it, but I never really slowed down. Between playing college sports, pickup games of flag football, and all the other stupid things 19-year-old guys do, my shoulder continued to worsen. In fact, at one point, my shoulder was so loose that if I slept in certain positions, I would wake up with it dislocated.



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Neuromuscular activation is a term commonly used in the medical community, but few specialists are able to harness the intricacies of this rehabilitation approach to help clients with their injuries. Fortunately, we have access to an expert here at Regenerative

Using neuromuscular activation, or the connection between your brain and your muscles and nerves, Activcore specialists look at how your body moves as a whole — not just the injured area. They then search for muscular deficits and abnormal movement that may be contributing to the root cause of your pain. Once the cause is located, they use their Redcord Suspension System, combined with high levels of neuromuscular stimulation, to restore stability, control, and strength. If you aren’t familiar with the value of the Redcord Suspension System, you’re in for a treat! Through this method, you are suspended by cords to simulate weightlessness — it’s like swimming in a pool. Once you are suspended, your therapist accelerates your motor learning in a pain-free environment, which enables neurons in your brain to be more energized and efficient at their job. Over time, your body weight is slowly added back into the exercises as you re-establish proper control of the movements. In all, neuromuscular activation is a scientifically grounded therapeutic tool that delivers fast results. If you have questions about the process, don’t hesitate to give our office a call at 407-730-5660.

Sport Spine and Spa. Daniel Tribby, the owner and director or Activcore Physical Therapy, knows how to use this approach to treat and strengthen clients’ muscle function. Here’s how his process works:


Both injury and inactivity can alter your brain’s ability to switch on the right muscles at the right moment using the right amount of force. This loss of muscle control is referred to as neuromuscular deactivation, and it impairs your ability to properly stabilize specific joints in your

body. It can stem from sport or occupational overuse, childbirth, poor posture, surgery, or a sedentary lifestyle. When you lose muscle control, the muscles surrounding the deactivated area try to help out by overcompensating for the loss in function. Unfortunately, this leads to abnormal movement, muscle strains, and pain.


Since the ‘70s, devotees have referred to the elusive rush of euphoria they feel during and right after a run as a “runner’s high.” Your friend who claims to “love” running despite how exhausted she looks at the finish line of her 10K might be experiencing the effects of this phenomenon. This post-workout boost has long been linked to a rush of endorphins entering the brain, but a recent study from researchers in Germany suggests that a more likely cause is an increased production of serotonin and other feel-good neurotransmitters. Because of these physiological effects, running may help to improve your body’s ability to stand up to stress while also making you feel good. For seasoned runners, that sweet call of serotonin might be enough to lace up their sneakers week after week, but the rest of us might need a little more convincing. Research into the psychology of habit formation, which has allowed companies like Procter & Gamble to make millions, has found that habits are often linked to a specific cue. Calling on the insight of psychologists, marketing campaigns have used this tactic to sell products like Febreze, and you can use some of the same techniques to adopt a running habit. Most cues fall into one of four categories: temporal (linked to a specific location or time of day), action-based (one of a series of actions), emotional (linked to a mood or emotion), or social (linked

to a particular group of people). So if you want to create a running habit, develop prompts that will cue you to engage in it.

For example, you can use temporal cues to make a habit of running every day after work, or you can make it a necessary step in your routine: Wake up, brush teeth, coffee, run, shower. Documenting how you feel after a run will help your mind link the good feelings it gives you to the action, which will then cue the habit. Next time your drinking buddies suggest

happy hour, suggest a run instead. Maybe they’ll even pick up the habit.

Go on now. Let running sweep you off your feet!



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STEM CELLS ARE MIGHTY HEALERS … Regenerative medicine is a quickly growing and exciting field that is becoming more and more popular among injured people worldwide. These therapies are bringing relief to clients who have spent years dealing with chronic pain and injuries that may have been unresponsive to other types of treatments. For example, in our practice, we offer stem cell therapies to treat clients suffering from spinal injuries as well as osteoarthritis that can cause joint pain in the knees, hips, shoulders, elbows, neck, and more. During these procedures, we use stem cells harvested from the client’s bone marrow and then re-inject them into the spine and joints or other treatment areas. We can also use donated regenerative products such as amniotic fluid or Wharton’s jelly in the same areas to help regenerate. The stem cell therapy takes no more than two hours from start to finish in most cases. While we’ve seen tremendous success with stem cell therapy, we know that the shot itself isn’t the sole cure for pain and/or injury. You have to incorporate movement and strengthen the muscle surrounding the injured area to prevent the pain from flaring up again. That is why we direct our clients to our rehabilitation specialists at our partner clinic, Activcore, following any injections. No single approach to rehabilitation will do; you need to work with specialists who have

been trained in regenerative medicine. This will ensure that you have clear post- procedure restrictions as well as an exercise regimen that can expedite your recovery and prevent future issues from occurring.

To get more information about this important and necessary aspect of stem cell therapy, be sure to reach out to our team of rehabilitation specialists. You can also check out our upcoming workshop: What: Workshop on Neck and Shoulder Pain Where: Our office at 10920 Moss Park Rd., Suite 218 When: April 27th; 10:30 a.m. to 12:00 p.m.


Since we’ve given you lots of material to read already, why don’t you take a quick break? But don’t just sit there. Use this break as an opportunity to increase your lung capacity through pursed-lips breathing! Pursed-lips breathing can slow down your breathing, which keeps your airways open longer. This makes it easier for the lungs to function and improves the exchange of oxygen and carbon dioxide. This breathing exercise is often easier for beginners, and you can do it at home even if no one has showed you how. TAKE A BREAK FROM READING... AND INCREASE YOUR LUNG CAPACITY

This super easy stir-fry is the perfect weekday dinner. It manages to pack a ton of flavor using just a handful of ingredients.


3 slices bacon

3 cloves garlic, coarsely chopped

2 bunches spinach

1 teaspoon crushed red pepper

Salt and black pepper, to taste


To practice the pursed-lips breathing technique:

1. Heat a large skillet to medium. 2. While skillet is warming, cut bacon into squares.

1. Inhale slowly through your nostrils. 2. Purse your lips, as if pouting or about to blow on something. 3. Breathe out as slowly as possible through pursed lips (this should take at least twice as long as it did to breathe in). 4. Repeat.

3. Cook bacon until fat is rendered and bacon is almost to your desired doneness. If desired, you can remove bacon fat from skillet and replace with 1 tablespoon oil. However, keeping the fat is recommended for flavor. 4. Add garlic and cook for 1–2 minutes. 5. Add spinach and crushed red pepper and stir-fry for 10 minutes. 6. Season with salt and pepper, and serve.

Inspired by

407-730-5600 3

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10920 Moss Park Road Suite 218 Orlando, FL 32832 407-730-5600


INSIDE 1. Getting Through Life’s Rainy Days 2. How Activcore’s Neuromuscular Activation Therapy Can Help You 2. Use Cues to Create a Running Habit 3. Proper Recovery After a Stem Cell Injection 3. Easy Bacon and Spinach Stir-Fry 4. Ever Wondered About the Placebo Effect?


The placebo effect works. Study after study has confirmed it. The question is how. Numerous studies have shown placebos are most effective for aches and pains, as well as seasonal affective disorder (SAD) and depression. The placebo effect even works if you’re aware you’re taking a placebo. With that in mind, a person can’t just start taking placebos (or sugar pills) and expect a placebo effect. There is a strong psychological component. This may mean seeing a doctor or participating in a drug study to get the ball rolling.

medication. In your mind, if the real drug worked, so will the look-alike.

Lastly, you need to believe that

when you take the placebo pill, it will do what you

There are three challenges a person needs to overcome for a placebo to be most effective: conditioning , expectation , and belief .

think it’s supposed to do. Belief is a powerful tool, and when you believe it’s going to help, the placebo will be most effective.

First, you need to be conditioned to accept the placebo as the real deal. For example, the placebo has to look like the medication it is meant to emulate. You might start treatment with the real medication and eventually transition to the look-alike. Then, you must expect it to work. There must be an indication that the placebo is “real.” This might be a doctor telling you it’s real and effective, or it might be previous experience taking a certain

In pain studies, for example, some people experienced the same reduction in pain as they would have experienced had they taken typical, over-the-counter pain medication. Keep in mind, however, that the placebo effect affects each person differently.



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