Spine & Rehab Specialist Physical Therapy - September 2025

Check out our September newsletter!

SEPTEMBER 2025

6358 EDGEMERE BLVD. EL PASO, TEXAS 79925 915-562-8525

11855 PHYSICIANS DR. EL PASO, TEXAS 79936 915-855-6466

The Truth About Aging Gracefully I’ve Helped Countless Patients Age Well, Now It’s My Turn

September is Healthy Aging Month, and as a physical therapist, I’ve spent years witnessing the full spectrum of aging, some of it inspiring, some of it painful. Now, as a husband and father in my 40s, I’m starting to feel the reality of it firsthand. Those little aches my patients used to warn me about? They’re showing up. And with two young boys and a life I want to be fully present for, healthy aging has become a personal mission, not just professional. I want to be active, present, and mobile for as long as I can, and that takes intentional effort. I’ve learned, both in and outside the clinic, that healthy aging starts with a mindset. Staying active isn’t always easy. After a long day, it’s tempting to skip the workout or hit snooze in the morning. But I’ve found that accountability makes all the difference. My wife and I keep each other moving. When she runs, I’m more motivated to run. When she exercises, I get up and do the same. Whether it’s your spouse, a friend, or a group you join, having someone to share that commitment with makes it so much easier to stay consistent. Diet has also played a huge role in my perspective. I didn’t give much thought to inflammation or food quality in my 20s or 30s, but now I almost immediately feel it when I eat poorly. I’ve lost 49 pounds over the last few of years, and it’s not just the number on the scale; it’s how my joints feel, how I move, how I live. Many of my patients don’t realize how much their diet impacts their pain

Speaking of movement, let’s clarify something. “Just walk more” is great advice, but it’s not enough. True mobility comes from flexibility, balance, and strength. Can you get up from the floor without help? Can you stand on one foot for 10 seconds? Give it a try. If not, now’s the time to start working toward those goals. You don’t need to jump into CrossFit or become a marathon runner. Stretching, bodyweight exercises, and functional movement can go a long way. But, and this is key, you’ve got to do it right. YouTube won’t correct your form or create a plan based on your body and goals. That’s where we come in. If you’re thinking about making a move toward healthier aging, come see us. We don’t need to see you for months; sometimes, just a few sessions are all it takes to get you started safely and confidently. Don’t wait until something hurts. Don’t rely on generic advice. Healthy aging doesn’t have to be complicated, but it does have to be intentional. Let us help you make that first step the right one.

levels. You can do all the right exercises, but if your fuel isn’t clean, your body won’t perform or recover as it should. I also can’t overstate the importance of staying social and emotionally connected. People who surround themselves with family, friends, or even a good dog tend to age more gracefully. Isolation can sneak up on us, especially after loss or retirement. Having a reason to get out, move, laugh — those are just as vital as stretching your hamstrings or doing balance work.

–Joe Gutierrez

Know a friend who needs PT? Tell them to call our office! If they mention this newsletter, they’ll score a FREE 15-minute consultation. They can call 915-562-8525 for the Edgemere Boulevard clinic or 915-855-6466 for the Physician’s Drive clinic.

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Starting Physical Therapy?

Here’s What We’ll Ask and Why It Matters

Make a plan of action. Once we establish your health history, we’ll explore the reason behind your visit. We ask questions like, “When or how did this problem start?” “What have you done for this issue so far? Did it make it better or worse?” and “What do your symptoms feel like? Does it hurt? How badly?” Once we understand your concerns better, we ask you what your goals are. We know you want to get out of pain, but do you want to return to your regular exercise routine, play a sport, or simply sleep without discomfort? Knowing your specific goals helps us create a treatment plan so you can achieve them as soon as possible! Any concerns? After assembling your health history, investigating your current problem, and establishing your goals, we’ll devise a treatment plan to tackle the issue and get you where you want to be. We won’t just run with this plan, however. We want your insight, so we may ask if you’re comfortable, committed, and think you can complete your treatment plan. Be honest with us and yourself. Let us know if it sounds too demanding or doesn’t align with your goals so we can pivot and adjust. You’re probably tired of being asked questions, so it’s a good opportunity to ask some of your

Seeing a physical therapist for the first time can be a daunting experience. You may worry about the different exercises they’ll ask you to complete, the environment of the office, and the questions they’ll ask. Nobody likes going over their health history or answering personal questions, but it’s how we create a treatment plan that works for you, your body, and your mind. We don’t want anyone to feel uncomfortable or anxious about visiting our office, but we know how intimidating the experience can be. You’re in pain and discomfort due to an issue that is entirely out of your control, and you just want relief. You may think we need to jump in and start massaging or exercising, but the initial questions we ask will help us determine the best path for treatment. Let’s walk through some of the questions you can expect when visiting a physical therapist for the first time. Explore your health history. We need to know about your past to maximize your recovery and rehabilitation efforts. We’ll ask what medications you take to determine

if you’re currently on something that will impact your ability to exercise or heal. For similar reasons, we ask about other medical issues like diabetes, high blood pressure, and osteoporosis. We also need to know about your surgical history to ensure we don’t

own. We’ve likely already covered some of the things you were worried about or wanted to learn, but if you want to ask anything else, now is the perfect time. Ask about your therapist’s education and experience, your treatment plan, or anything else! Now that you know more about what to expect during your first physical therapy session, you can rest easy. We’ll do everything possible to help you fix

reaggravate any old problems. This can also alert us to details about your current situation. We may inquire about your mental health and bathroom habits to round out your health history. This might sound unrelated to your current dilemma, but it will allow us to understand better what’s happening with your body. Plus, we can offer advice if your issues have caused any anxiety or depression.

your issue and feel more comfortable. It might take time and effort, but the end result is always worth it. Just stay committed, and don’t be afraid to ask questions or raise concerns!

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It’s Not Just a Lack of Willpower

THE REAL PSYCHOLOGY BEHIND CRAVINGS

Do you ever find yourself reaching for chocolate late at night or suddenly craving salty chips in the middle of the afternoon? You’re not alone and definitely not “lacking willpower.” Food cravings are a complex mix of biology, psychology, and emotional cues, and understanding them can help you respond in healthier, more intentional ways. Cravings are a universal experience. Studies show that over 90% of people experience food cravings, with women more likely to crave sweet foods like chocolate, and men more often craving savory options like meat or pizza. So, if you’ve ever thought you were alone in your cravings, know that this is a near- universal human experience. Your brain’s reward system is driving the urge. Cravings often originate in the brain’s limbic system, responsible for behavior, emotion, and long-term memory. When

you’re stressed or low, your brain searches for a quick dopamine hit, the “feel-good” chemical. Foods high in sugar, fat, or salt can deliver that boost quickly, which is why comfort foods are hard to resist. Processed foods foster addiction. Research from the University of Michigan has shown that highly processed foods can stimulate the brain’s reward centers in ways similar to addictive substances. That’s why stopping after one cookie or chip can feel nearly impossible — the brain is wired to want more. Cravings may signal physical needs. Not all cravings are emotional. Sometimes, your body is genuinely trying to tell you something. For example, craving chocolate may indicate a magnesium deficiency, while craving salty foods can indicate dehydration or a lack of electrolytes. That said, it’s essential to pause and CREAMY CAULIFLOWER SOUP

TAKE A BREAK! Food cravings aren’t just about what’s in the pantry. They’re about what’s happening in your brain, body, and emotions. When you understand the drivers of your cravings, you can make choices that support your well-being instead of fighting these urges blindly. assess. Not every craving means your body needs that exact food. Memories and emotional triggers play a role. Many food cravings are tied to learned behaviors and emotional associations. If you were rewarded with sweets as a child, your brain might now associate ice cream with comfort or safety. These conditioned patterns are powerful, but you can reprogram them.

Inspired by CookieAndKate.com

INGREDIENTS

DIRECTIONS

• 1 large head cauliflower, cut into bite-size florets • 3 tbsp extra-virgin olive oil, divided • 1/4 tsp fine sea salt, plus more • 1 medium red onion, chopped • 2 cloves garlic, pressed or minced • 4 cups vegetable broth • 2 tbsp unsalted butter • 1 tbsp fresh lemon juice • 1/4 tsp ground nutmeg • 2 tbsp chopped flat-leaf parsley, chives, or green onions for garnish

1. Preheat oven to 425 F. 2. On a rimmed baking sheet lined with parchment paper, toss cauliflower with 2 tbsp olive oil. 3. Arrange cauliflower in a single layer, sprinkle with a little salt, and bake 25–35 minutes until tender. 4. In a soup pot, warm remaining olive oil and cook onion and 1/4 tsp salt until soft. 5. Add garlic and cook 30 seconds until fragrant, then add broth. 6. Add all but 4 cauliflower florets to the pot and simmer for 20 minutes. 7. Transfer mixture to a blender, add butter, and blend until smooth. Then blend in lemon juice and nutmeg. 8. Garnish with cauliflower florets and serve. Add parsley, onion, and chives as desired.

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PRST STD US POSTAGE PAID BOISE, ID PERMIT 411

915-562-8525 | www.SpineRehab.net 6358 Edgemere Blvd. El Paso, Texas 79925

1. It’s Never Too Late (or Too Soon) to Age Right INSIDE THIS ISSUE

2. Physical Therapy Questions That Help Us Help You Heal

3. What Your Food Cravings Are Trying to Tell You

Creamy Cauliflower Soup

4. The Power of Everyday Walking

CAN YOU WALK YOUR WAY TO STRONGER MUSCLES?

THE SECRET TO STRONGER STRIDES When you think of building muscle,

and thicker. You probably won’t achieve this on a casual stroll, but picking up the pace, especially on an incline, can increase muscle activation significantly. Incorporating inclines into your walks is one of the best ways to increase the muscle-building benefits of walking, but walking on uneven terrain can also help. Walking on sand and dirt trails makes your calf muscles work harder and can even help engage other muscle groups, including those in your core, thighs, and glutes. Another strategy is to add weighted gear, like a weighted vest, ankle weights, or even a loaded backpack. Adding weight can also help you burn more calories on your walks. Of course, none of these strategies will give you a rippled physique through

what comes to mind? For most people, it’s likely lifting exercises or equipment like free weights and strength training machines. But what about walking? You’re probably not thinking about building muscle when you go for a walk. It’s too simple and gentle an exercise, right? That’s true, but with the right intensity, duration, and frequency, it can also support muscle growth. If you’ve ever walked up a big hill or taken a brisk loop around your neighborhood, you probably know what it’s like to feel your calves burn. That soreness is a sign of muscle fatigue and development. To build muscle, our bodies must experience enough resistance to break down muscle fibers. When those fibers are repaired, the muscles get stronger

walking alone. You should prioritize activities that use fast-twitch muscle fibers to really bulk up. These activities require sudden bursts of energy, such as weightlifting, sprinting, and jumping. You also need to focus on a healthy diet and ensure adequate protein intake. Walking might not be ideal for muscle growth, but it’s still a great everyday activity. It increases your heart rate, helps maintain flexibility and balance, and promotes overall fitness. And even if it won’t leave you flexing in front of the mirror, it can help increase tone and build strength where it counts.

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