MechanoTherapy_Making Moves to Understand Sciatica

SEPT. 2019

Your Newsletter to Greater Heal th

UNDERSTAND SCIATICA MAKING MOVES TO

ALSO INSIDE: A 30-Second Self-Test for Sciatica • What Our Patients Say • Exercise Essentials • Featured Specialty: Therapeutic Exercise • Share the Benefits of Physical Therapy

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SEPTEMBER 2019

Your News l et ter to Greater Hea l th

UNDERSTAND SCIATICA MAKING MOVES TO

Who gets Sciatica? According to the British Medical Journal, sciatica is most prevalent in people who are 45-64 years old. Additional risk factors include smoking, being overweight, and holding a job that requires you to perform heavy labor or drive a vehicle. High levels of cognitive stress have also been shown to increase the likelihood of experiencing sciatica. What’s wrong with me? Sciatica is a term used to describe a set of symptoms that often includes pain and/or numbness/tingling radiating down the leg. The source of such symptoms is often a mechanical or chemical irritation to a lumbar nerve root or to the sciatic nerve as it runs through the back of the hip and down the leg. The most common source of sciatica is believed to be disc herniations. How long will it take? Overall, the prognosis for someone with sciatica is generally good. In one study, 50% of patients taking a placebo drug showed improvement after just 10 days. With that being said, a substantial proportion (up to 30%) of those people following a natural course of recovery report still experiencing pain one year later. This highlights the importance of receiving a proper diagnosis and treatment from the beginning.

What can I do for it? For most people recovering from sciatica, you want to stay active and avoid bed rest. Extended bed rest has been shown to contribute to longer recoveries and worse outcomes. Try to stay active and do what you can without aggravating your symptoms. It is also VERY IMPORTANT that you don’t try to stretch your sciatic nerve or hamstrings until you’ve been fully assessed. Stretching can really aggravate symptoms in some people. What can you do for it? At MechanoTherapy you can expect a thorough assessment to identify the mechanical source of your symptoms. We have treated sciatica with success using both extension (backbending) or flexion (forward bending) based movement programs, hip strengthening, and manual techniques (nerve flossing, joint mobilization, soft tissue work). The course of treatment will depend on the patient presentation.

Call our professionals today at (503) 567-5771 and ask about our physical therapy options. Your mobility is important, and your back can be healed.

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A R E Y O U L E T T I N G Y O U R PA I N H O L D Y O U B A C K ? C A L L T O S C H E D U L E Y O U R A P P O I N T M E N T T O D AY !

y name is Warren Hebert and I am a physical therapist located in NWPort ecently have had the opportunity to treat a one of your patients - Scott Hor e had good things to say about his experience at your clinic. hen Scott arrived at my clinic, he reported recurring low back pain since s 018 and described his recent bout of pain as "crippling." He even had to cr ands and knees from room to room in his home at one point. In 7 visits Scot o playing basketball and lifting weights without any back pain. After being hecked up on Scott and he has remained pain free by following his home pr as hoping I might be able to provide an in-service, so that I can meet you a etter feel for the way I approach rehab with your patients. I'm a board certi pecialist in orthopedic physical therapy, a certified strength and conditioni nd I'm also certified in Blood Flow Restriction therapy. realize that you are very busy but please feel free to contact me at the inf ocated at the top of this page if interested in meeting. Thanks for your tim Do you have back pain or leg pain with standing or walking? Do you have a shooting pain in your leg when you stand up? Do you need to sit down for a minute for the pain to go away? Take this 30-second self- test to see if you might have sciatica: A 30-SECOND SELF-TEST FOR SCIATICA 1. Sit on a chair and keep good posture. 2 . Straighten one of your legs out in front of you while pulling your toes back towards you. Pay attention to how high your leg can go and if you have any pain, numbness, or tingling. 3. Place your leg back down to resting position, and repeat the same movement with the opposite leg. What Your Results Mean: If the leg with pain, numbness or tingling does not go up as high as the other leg, you likely have Sciatica. Give us a call today at (503) 567-5771 and find out how we can help. y name is Warren Hebert and I am a physical therapist located in NWPortland. I cently have had the opportunity to treat a one of your patients - Scott Horlbeck - an e had good things to say about his experience at your clinic. hen Scott arrived at my clinic, he reported recurring low back pain since summer 018 and described his recent bout of pain as "crippling." He even had to crawl on his ands and knees from room to room in his hom at ne point. In 7 visits Scott was back playing basketball and lifting weights without any back pain. After being discharged, ecked up on Scott and he has remaine p i free by following his home program. I as hoping I might be able to provide an in-service, so that I can meet you and give you etter feel for the way I approach rehab with your patients. I'm a board certified ecialist in orthopedic physical therapy, a certified strength and conditioning specialis d I'm also certified in Blood Flow Restriction therapy. ear Dr. Bley, ealize that you are very busy but please feel free to contact me at the information cated at the top of this page if interested in meeting. Thanks for your time. My name is Warren Hebert and I am a physical erapist located in NWPortl d. I recently have had the opportunity to treat a one of your patients - Scott Horlbeck - and he had good th ngs to say about his experience at your clinic. When Scott arrived at my clinic, he reported recurring low back pain since summer 2018 and described his recent bout of pain as "crippling." He even had to crawl on his hands and knees from room to room in his home at one point. In 7 visits Scott was back to playing basketball and lifting weights without any back pain. After being discha ged, I checked u on Scott and he has remained pain free by following is home program. I was hoping I might be able to provide an in-service, so that I can meet you and give you better feel for the way I approach rehab with your patients. I'm a board certified specialist in orthopedic physical therapy, a certified strength and conditioning specialist, and I'm also certified in Blood Flow Restriction therapy. Dear Dr. Bley, MechanoTherapy, LLC 1500 NW 18th Ave., Suite 105 Portland, OR 97209 Phone: (503)567-5771 Fax: (503)893-3064 Email: warren@mechanotherapy.physio Web: www.mechanotherapy.physio My name is Warren Hebert and I am a physical therapist located in NWPortland. I recently have had the o portunity to treat a one of your patients - Scott Horlbeck - and he had g od things o say about his exp rience at your clinic. When Scott arrived at my clinic, he reported recurring low back pain since su mer 2018 an described his recent bout of pain as "cri pling." H even had to crawl on his hands and kn es from r om to r om in his home at one point. In 7 v sits Scott was back to playing basketba l and lifting weights without a y back pain. Af er being discharged, I checked up on Scott a d he has remained pain fr by following his home program. I was hoping I might be able to provide an in-service, so that I can m et you and give you better f el for the way I a proach rehab with your patients. I'm a board cert fied specialist in orthopedic physical therapy, a cert fied strength and cond tio ing specialist, and I'm also cert fied in Bl od Flow Restriction therapy. Dear Dr. Bley, MechanoTherapy, LC 1500 NW 18th Ave., Suite 105 Portland, OR 97209 Phone: (503)567-5 71 Fax: (503)893-3064 Email: warren@mechanotherapy.physio Web: ww.mechanotherapy.physio

I realize that you are very busy but please feel free to contact me at the information located at the top of this page if interested in meeting. Thanks for your time. I realize that you are very busy but please f el fr e to contact me a the information located a the top of this page if int rested in m eting. Thanks for your time.

Sincerely, incerely,

WHAT OUR PATIENTS SAY SUCCESS STORIES

Warren Hebert arren Hebert

Sincerely,

Sincerely,

I feel stronger in my legs and back than I ever have before.” Warren Hebert Warren Hebert

“I came to Warren with crippling lower back pain. I couldn’t stand up straight, I could barely walk, and the thought of going for a run or lifting a weight was unimaginable. Four weeks later, I’m back playing basketball and lifting with zero pain. I feel stronger in my legsandbackthan Ieverhavebefore. Icouldn’trecommendWarren enough – he’s a miracle worker. ” – S. H.

First visit: aggressive right sidebend of lumbar spine. First v sit: a gre sive right sidebend of lumbar spine.

Fifth visit: neutral spinal Fifth visit: neutral spinal alignment and pain free Fifth v sit: neutral spinal alignment and pain fr e

First visit: aggressive right

EXERC I SE ESSENT I ALS START STRENGTHENING YOUR CORE Brace Marching This exercise is appropriate for anyone who fits into the “extension intolerant” or “rotation intolerant” category for low back pain. While lying on your back with your knees bent, tighten your stomach by drawing in your belly button close to your spine. Slowly raise up one foot a few inches and then set it back down, and continue as if marching for two minutes. Try not tomove your pelvis or back whilemoving your legs. Drawing in your stomach helps to keep your spine from moving. Next, perform the same exercise with your other leg. Repeat 10 times.

THERAPEUTIC EXERCISE FEATURED SPECIALTY

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Specific exercise prescription is the meat and potatoes at MechanoTherapy. We use a system called Movement Impairment Syndromes to systematically evaluate each patient and develop an exercise program that is unique to their movement pattern. This is important because a medical diagnosis does not inform the patient of how they should move or which exercises they should be doing. Patients with low back pain and/or sciatica get classified as either flexion, extension, rotation, flexion-rotation, or extension-rotation, and each syndrome calls for slightly differentexercises. It isalsonotuncommontobeprescribed different exercises on one leg than the other. We use the Movement ImpairmentSyndromesapproachandcombine it withproperstrengtheningexercises, inordertohelpyouget all of your functional strength back as quickly as possible. To find out more about Therapeutic Exercise at Mechanotherapy, call us at (503) 567-5771 and schedule an evaluation!

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Always consult your physical therapist or physician before starting exercises you are unsure of.

SHARE THE BENEFITS OF PHYSICAL THERAPY! Do You Have Friends or Family Members That Have Trouble:

OUR SPECIALTIES We provide 1-on-1 treatments specific to your condition! • Manual Therapy • Soft Tissue Mobilization • Blood Flow Restriction Training • Joint Mobilization • Nerve Flossing/ Neurodynamic Moblilization • Strength and Conditioning Don’t let your pain hold you back. Call us today at (503) 567-5771 or visit our website at www.mechanotherapy.physio.

� Moving without pain � Bending &moving freely � Balancing confidently & securely

� Sitting for long periods � Walking for long distances � Living active & healthy

Tell Your Friends About MechanoTherapy! We appreciate your confidence and will do our best to help those you refer meet their health and rehabilitation goals. Thank you to all of our friends who refer others to us!

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