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Recent studies show that patients with low back pain should consider physical therapy first for their back pain, according to the American Physical Therapy Association (APTA).

Health &Wellness The Newsletter About Your Health And Caring For Your Body

IS IT BACK PAIN AGAIN OR IS IT SCIATICA? Are you one of the approximately 85 percent of adults that are affected by low back pain during their lifetime? If you suffer with back pain or sciatica, know that low cost results are closer than you think. (continued inside)

INSIDE:

• Is It Back Pain Again or Is It Sciatica? • The Challenge Of Treating Back Pain • Avoid Aches & Pains From Gardening This Spring

Health & Wellness The Newsletter About Your Health And Caring For Your Body

IS IT BACK PAIN AGAIN OR IS IT SCIATICA?

(continued)

Recent studies show that patients with low back pain should consider physical therapy first for their back pain, according to the American Physical Therapy Association (APTA). Another recent study, published in the Journal of the American Academy of Orthopaedic Surgeons, recommends that in most cases of low back degenerative disc disease (a common cause of low back pain), the most effective treatment is physical therapy combined with anti-inflammatory medications. It concludes that physical therapy and anti-inflammatory drugs are the best options of non-surgical treatment of low back pain. Low back degenerative disc disease develops when the discs between your spine weaken (often due to repetitive strain), are injured or shrink from aging. As a result, the discs are unable to hold normal spacing and therefore, collapse increasing instability, causing back pain. Physical therapist intervention includes strengthening of core muscle groups, including the abdominal wall, which has positive effects on

people with this condition. Exercise and hands on therapy have been shown to alleviate pain in many people. In addition, education on how to protect your spine and remain active is beneficial. Our physical therapists are trained to identify your problem and plan out the most effective treatment for you. Along with building your core muscle groups, hands-on physical therapy to move your spine has shown to be very effective. Our physical therapists develop a safe and effective treatment program that is tailored to your specific needs and goals. Surgery should always be the last option, but too often people think of surgery as a cure all and are eager to embark on it without knowing the long term risks. Receiving care from our knowledgeable and licensed physical therapists first, can improve your odds that you can quickly reduce your pain and maintain your quality of life. Call us today for more information!

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The Challenge Of Treating Back Pain

A A P G T

Back pain is the second most common diagnosis seen by physicians in their offices. 85% of the US population will suffer an episode of back pain sometime in their life. Why is this? A lot has to do with the design of our body. It is the price we pay for walking upright on two legs. In humans, the force of gravity pulls directly down through the vertical spine compressing it together over the years. In other mammals such as horses, apes and cows, the spine is horizontal and the pull of gravity does not compress the spine together. Most back pain falls under the category of mechanical back pain, meaning the mechanics of the movement are not correct. The spine has to move in intricate ways to make whole movements of bending, extending and twisting. Therefore, the “mechanics” of the spine are important in order for all the vertebrae (the bones) to be able to move. Mechanical back pain means that the joints, muscles and ligaments of the spine are not moving correctly at the right time. This can cause increased strain on certain parts of your back, especially the very lower back. Why do the mechanics of the spine change and cause pain? This is due to a variety of reasons including small injuries from lifting heavy objects, bending, twisting, repetitive strain, accidents, weakness from prolonged sitting and changes in your core strength. In today’s world, most of our daily activities involve sitting which causes the abdominal and back muscles to weaken. This in, turn lessens the necessary support to the spine, causing strain. The strain causes inflammation, which leads to pain. Back pain can be localized to the back area or even radiate into the buttocks or backs of the legs.

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Millions of people a year rely on over the counter medication and back braces to get through their day. However, the unfortunate reality is that unless treated properly, 75% of people with back problems will have another episode of their back pain. This is because the cause of the problem, the mechanical movement, is not addressed by treating it with drugs or a hot pack. More and more people with back pain are realizing the full benefits of our specialized hands on physical therapy to address the cause of their back pain and understand what they can do to have lasting relief. Call us today to learn more about how we can help quickly relieve your back pain! 1 5 7 4 6 1 5 9 1 7 6 7 8 9 3 2 7 6

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• 1/3 cup extra-virgin olive oil • 12 ounces linguine • 3 baby zucchini, thinly sliced • 1/4 cup freshly grated Parmesan cheese, plus more for serving 1 9 5 7 5 2 8 6 8 9 9 7 8 4 2 5

Healthy Recipe Zucchini Linguine

Ingredients • 1 lb tomatoes, finely chopped • 1 tablespoon chopped basil • 1 tablespoon chopped parsley • 2 garlic cloves, minced • 2 teaspoons kosher salt • 1 small red chile, seeded & minced 2

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Directions In a large bowl, toss the tomatoes with the basil, parsley, garlic, salt, chile and olive oil. In a large pot of boiling salted water, cook the linguine; drain well. Add the linguine to the bowl along with the sliced zucchini and toss. Add the 1/4 cup of grated cheese, toss again and serve in bowls, passing more cheese at the table. 5 1 9 7 4 7 3 5 http://1sudoku.com n° 228999 - LevelMedium

www. prioritypt.net Play on your mobile these puzzles and find their solutions by flashing th n°219521 n°225878 n°212305

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Common gardening activities, such as digging, planting, weeding, mulching, and raking can cause stress and strain on muscles and joints. This is especially true for senior citizens and people who are normally sedentary. Different body areas such as the shoulders, neck, back, and knees can be vulnerable to injury during gardening. THESE TIPS CAN HELP PREVENT INJURIES: • Warm up before you garden. A 10 minute brisk walk and stretches for the spine and limbs are good ways to warm up. • Change positions frequently to avoid stiffness or cramping. • Make use of a garden cart or wheelbarrow to move heavy planting materials or tools. Be sure to keep your back straight while using a wheelbarrow. • If kneeling on both knees causes discomfort in your back, try kneeling on one and keep the other foot on the ground. Use knee pads or a gardening pad when kneeling. • If kneeling or leaning down to the ground causes significant pain in your back or knees, consider using elevated planters to do your gardening. • Avoid bending your wrist upwards when pulling things or using gardening tools. Instead, keep your wrist straight and use your shoulder muscles to pull and lift. • End your gardening session with some gentle backward bending of your low back, a short walk and light stretching, similar to stretches done before starting.

Avoid Aches &

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4 Pains From Gardening This SPRING

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Author: Andrea Avruskin PT, DPT

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Relieve Pain In Minutes Strengthens Core

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ABDOMINAL BRACING Lie on your back, knees bent, feet flat on floor. Place your hands on the front of your pelvis and contract your deep core. Straighten one knee. Return foot to the starting position. Alternate legs one at a time. Repeat 10 times on both sides.

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The rules of the game are simple: each of the nine blocks has to contain all the numbers 1-9 within its squares. Each number can only appear once in a row, column or box.

flashing the codes below : n° 221266

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