No matter what type of physical activity you partake in, it is possible for injuries to occur. Whether you enjoy taking walks at night, playing sports on the weekends, or training for athletic trials throughout the week, it is important to make sure you are always being as safe as possible.
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AVOID FUTURE INJURY WITH PHYSICAL THERAPY SIDESTEPPING ACHES & PAINS
No matter what type of physical activity you partake in, it is possible for injuries to occur. Whether you enjoy taking walks at night, playing sports on the weekends, or training for athletic trials throughout the week, it is important to make sure you are always being as safe as possible. Perhaps the most common injury that people endure from physical activity is an overall feeling of soreness, caused by overusing the muscles, tendons, and ligaments. When the
muscles, tendons, or ligaments are over- stretched, the tissues experience minor damage in the form of microscopic tears. This typically occurs when completing an exercise that the body is not used to, or exercising for the first time after a prolonged period of rest. The soreness may linger for a few days but usually goes away on its own. However, the severity of the damage determines how long the body will need to recover. (Continued inside)
ALSO INSIDE: How Can I Prevent Injuries? • Special Note from the President of the APTA • Phit in the Kitchen • Exercise of the Month • Get PT First!
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ISSUE: JULY 2020
SIDESTEPPING ACHES & PAINS Our licensed physical therapists can guide you through proper exercises, stretches, movements, and body control, in order to prevent future injuries fromoccurring. Many injuries occur due to improper techniques or overexerting your body. Some of the most commonly sustained injuries include sprains, strains, and tendinitis: Many people think “sprains” and “strains” are synonymous; however, they have one distinct difference. SPRAINS occur when a ligament is stretched beyond its limits or torn, while STRAINS occur when a tendon is stretched beyond its limits or torn. Tendons are tissues that connect muscles to bones, and ligaments are tissues that connect bones to one another. Sprains and strains can both range frommild to severe, and even mild ones may take up to 6 weeks to heal. When they become more severe, braces or surgical correction may be necessary. This will require a longer recovery time, up to 8 weeks or longer, and physical therapy treatments will likely be prescribed. It is important to note that it is in your best interest to have a physical therapist make sure a sprain or strain is fully healed before returning to your normal level of physical activity, as it is common for old sprains and strains to develop again in the future if they have not been properly rehabilitated. AVOID FUTURE INJURY WITH PHYSICAL THERAPY
TENDINITIS is an overuse injury that causes the tendons to become inflamed. There are several reasons why tendinitis may occur, but whatever the case may be, we know that it has developed as a result of unnecessary amounts of strain. For example, some peoplemay develop tendinitis in their shoulders or elbows because of improper posture. If the neck and back are not properly aligned, unnecessary stress is placed on other parts of the body. Movements in the shoulders and arms are altered as a way to compensate, causing increased strain on the tendons. Tendinitis can be corrected with physical therapy treatments, since PTs are trained in relieving pain, decreasing inflammation, and restoring you to your normal posture, motion, and function.
DID YOU KNOW...
...that PTIS sells supplies for exercise and health? We have therabands, pilates balls, CBD lotions, and more. Check out the displays in the waiting area and/or ask the front desk for more information.
HAPPY JULY BIRTHDAYS TO OUR PTIS STAFF! Renee Gonzalez July 6 Heather Lee July 20 Jordan Couchon July 25
QUOTE OF THE MONTH
SOMETHING GOOD IN COLORADO
Coronavirus shutdown doesn’t stop the 100th birthday party for Evelyn Berkey. An event had been planned at the Castle Rock Country Club to celebrate Evelyn’s birthday but it was canceled because of stay-at-home orders due to the coronavirus outbreak. Despite the hiccup, more than 100 people in some 70 vehicles passed in front of her Castle Rock home to shout happy birthdays and to hand the woman of honor flowers, cards and other gifts.
“This will remain the land of the free so long as it is the home of the brave.” - Elmer Davis
Courtesy: denverpost.com/2020/04/21/100th-birthday-evelyn-berky-photos/
HOW CAN I PREVENT INJURIES?
While it is always awise decision to consult with a physical therapist, there are some tips you can implement into your personal life in order to decrease your risk of sustaining an injury. These include: 1. Stretching. This is one of the most important ways to prevent injuries. Your tissues require water in order to be elastic, and stretchinghelps to bringwater into the tissues. This increasesmuscle flexibility and prevents them from becoming stiff or tight, thus decreasing the chances of them over-stretching and/or tearing. 2. Hydrating and eating nutritious meals. Did you know that your body is over 70% water? Because of this, it requires water in order to remain supple and function properly. Without adequatewater and nutrition, your body’s tissues are more prone to over-stretching and injury. Make sure youdrink the recommended 8 glasses of water a day, and always keep a water bottle with youwhen you are working out. If needed, you can also replenish your electrolytes with sports drinks, such as Gatorade. 3. Staying within your abilities. It is important to train and practice
for any physical activity you’d like to try. Start small in thebeginningand build up from there. For example, if you aren’t used to running but you’d like to complete a 5k, don’t start off with 3-mile runs. Begin withahalfmile and slowly buildup. When you push your body past its current limits, you make yourself more prone to injuries because your body is not prepared for the physical demands being asked of it. Aphysical therapist canhelp you understand the limits of your body and can create an exercise plan for you to reach your physical goals. 4. Using the proper equipment. When engaging in any type of physical activity, it is important to make sure you have the right equipment. For example, running shoes, hiking boots, helmets, and more can help you avoid injury and stay safe while doing the activities you enjoy. They canmake all the difference when it comes to preventing injuries. If you are suffering from aches and pains, have sustained an injury, or want to learn more about injury prevention, contact us today. One of our dedicated physical therapists would be happy to discuss our different programs.
SPECIAL NOTE FROM THE PRESIDENT OF THE APTA (American Physical Therapy Association) THAT WE AT PTIS ADHERE TO: “Our positions — established by our members — are clear. As PTs and PTAs, we respect the inherent dignity and rights of all individuals. We are against discrimination. We are for addressing health disparities. What’s left to us — to all of us in our community — is to live those values through action. That means finding ways to address social determinants of health, which include discrimination. That means making strategic investments tosupport diversity, equity, and inclusion.”
Keep Moving with Exercise Videos from Your Favorite Physical Therapists! Visit our website at: denverptis.com/video-exercises
EXERCISE OF THE MONTH USE THIS EXERCISE TO STRENGTHEN YOUR KNEES
PHIT IN THE KITCHEN FETA & HERB CRUSTED SALMON
Exercises copyright of
Straight Leg Raise While lying or sitting, raise up your leg with a straight knee, keeping your toes pointed outward. Hold for 3 seconds, eturn to starting position, and repeat 5 times.
• 2 tablespoons roughly chopped fresh chives • Juice from half a lemon
INGREDIENTS • 1 salmon fillet - Thaw if frozen • 1/2 cup Feta Cheese • 1/4 cup roughly chopped fresh parsley
• 1/8 teaspoon salt • Pinch of pepper
DIRECTIONS Preheat your oven to 400 degrees. Line a baking sheet with parchment or foil for easy clean up. Combine parsley, chives, Feta, lemon, salt and pepper on cutting board. Run knife through the combination several times, chopping up all ingredients to mix. Spread combined ingredients on salmon fillet. Bake for 20 minutes or until cooked through. Serve.
Exercises copyright of
Always consult your therapist or physician before starting exercises you are unsure of.
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GET PT FIRST! Because of the closures of physician’s offices, stoppages of elective surgeries, and social distancing guidelines resulting from COVID-19, many people with pain or joint issues have had appointments or surgeries delayed. If you’re one of themand you haven’t seen your PT yet, you should. Here are some reasons why: Early PT leads to better outcomes. Studies have shown that people who receive PT sooner have better outcomes, lower costs, are less likely to have surgery, use opioids or have unnecessary testing. Because back pain is so common, there is a lot of outcome data from people with back pain. A study of 150,000 insurance claims published in Health Services Research, found that those who saw a physical therapist at the first point of care had an 89 percent lower probability of receiving an opioid prescription, a 28 percent lower probability of having advanced imaging services, and a 15 percent lower probability of an emergency department visit. Unfortunately, only 2% of people with back pain start with PT, and only 7% get to PT within 90 days. Early PT saves money. The rising cost of healthcare is well known and early PT is something that has been shown to reduce costs without reducing the effectiveness of treatment. A study
published in the Journal of Orthopaedic and Sports Physical Therapy showed that patients who obtained physical therapy via direct access had significantly lower medical costs—an average of $1,543 less per patient than those who chose referral froma physician. They also had significantly fewer visits and spent significantly fewer days in care. Surgerymay not be as effective as you think. Many patients look to surgery as the fix for their pain, but surgeries aren’t always as effective as patients believe. A large study looking at worker’s comp patientswith back pain found that peoplewhohavesurgeryhave a 1 in 4 chance of having a repeat surgery, a 1 in 3 chance of a major complication, and a 1 in 3 chance of never returning to work again. Recent large studies of arthroscopic surgeries formeniscal tears have shown no difference in outcomes betweenpeoplewho have surgery and those who don’t. Other procedureswith questionable effectiveness include kyphoplasty, vertebroplasty, and injections for nonspecific back pain. So, if youwere planning on seeing your PCP or a specialist for an orthopedic condition or pain and you haven’t seen a PT yet, you should consider making PT your first stop. You could end up getting better faster for less money and you might avoid riskier treatments like opioids or surgery. EARLY PT LEADS TO BETTER OUTCOMES AND SAVES MONEY
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