AdvancedRehab: Where Does Back Pain Come From?

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

ADVANCED REHABILITATION, INC. P H Y S I C A L T H E R A P Y

MARIE SANDAGE ETIENNE, DPT Get To Know The Tell City Staff

Where did you grow up/attend school? Newtonville, IN - Heritage Hills High School If you had a job prior to coming to ARI, what did you do? German American Bank as a personal banker for 2 years. Orscheln Farm and Home for 5 years as a cashier. What is your favorite flavor of ice cream? any kind of chocolate! What is the craziest food you’ve ever eaten? A brain sandwich at the West Side Nut Club Fall Festival. What is a book you would recommend? I haven’t really had much time to read the past few years since I have been in grad school, but I plan on reading “Where the Crawdads Sing” soon. I have heard great things about it! What 3 things would you like to have if you were on a deserted island? My dogs, my husband, and an unlimited supply of good books. What is your most memorable vacation? Going to Mexico to see the Mayan ruins and one of the new seven wonders of the world, Chichen Itza. What is your nervous habit? tapping my finger, bouncing my knee

What is a favorite quote? “We are all broken. That’s how the light gets in.” - Ernest Hemingway What tv show are you currently addicted to? Stranger Things Tell me about your family? My husband in a union carpenter. We have been together for almost 9 years. My husband and I have 3 fur babies - a mini dachshund named Burke, a yorkie named Paisley, and a bullmastiff named Grace.

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ADVANCED REHABILITATION, INC. P H Y S I C A L T H E R A P Y Health & Wellness The Newsletter About Your Health And Caring For Your Body HAVE FUN THIS SEASONWITHOUT BACK PAIN

Inside:

• How Can I Tell If My Neck Is Causing My Back Pain? • Free Workshop • Patient Success Spotlight • Healthy Recipe

Yourspine isacomplexpartofyourbody– it requires proper posture, flexibility, coordination, and strength, in order to do its job correctly. When one of these elements is altered, your spine can emit painful responses that can settle in other nearby parts of the body. According to the National Institutes of Health, approximately 80% of adults will experience lower

bob and it jolts you awake?That’s because your head is heavy!The weight from the motion wakes you back up because your body isn’t used to carrying it in that way. This is also why pain in your lower back may occur as a result. Your back muscles areworking inoverdriveandmaybeconstricting to tryandholdyouup. Ifyounotice neck and back pain at the same time as one another, try sitting up straighter – it should help ease some of the stress! Is your neck the culprit? The most common combination of pain is back and neck pain. Ifyouareexperiencingboth, it ismost likelystemming from theneck.Wedon’t typically think about it, but we use our necks for a lot of our daily activities. Even simple things, such as turning to grab something out of the cupboard or looking over your shoulder when backing out of a driveway, use a lot of neck muscles. When you do simple tasks such as these, do you find yourself turning your entire body, as opposed to just your head? If so, you could experience back pain along with your neck pain. When you have limited motion in your neck, your body compensates by twisting more than it usually would, thus over-rotating your lower back. This could cause a source of pain or general discomfort in the area, due to abnormal overuse. If you are experiencing neck pain, back pain, or a combination of both, our physical therapists at Advanced Rehabilitation would be more than happy to meet with you for a consultation to discuss how they can help. Call us today to talk to an expert about how we can relieve your aches and pains!

Debbie Reed, PT, Owner

back pain at some point in their lives. Back pain is actually the most commonly reported location of pain across the globe. But how often is the source actually another part of your body? Pain is usually connected: Your spine is a lengthy structure, and pain can travel along it.Let’ssayyouareprone toneckpain–perhapsyouhaveaslouchedposture from sitting at adeskall day and thepressure radiates in your shoulders.Or, maybe you’ve had a previous injury, such as whiplash, that still elicits painful stings every now and then. Now, let’s say you begin feeling pain in your lower back, in addition to your neck pain. Why does this happen? Basically, thepainyouare feeling isconnected.Yourheadweighsabout10-12pounds, which is roughly the weight of a bowling ball. When you slouch, or compensate pain by realigning your body, your back muscles have to work extra hard to keep you from toppling forward. Have you ever been so tired that your head begins to

Stay updated on times and dates of our beneficial workshop sessions. Check out our website for more info about our upcoming workshops!

HOWCAN I TELL IF MY NECK IS CAUSINGMY BACK PAIN?

It can sometimes to be difficult to determine if your back pain is rooted in your neck. This simple, at-home test can assist you in figuring it out: 1. Stand straight in front of another person.They will be your eyes regarding the movements you make. 2. Once they are watching you, turn your head as far as you comfortably can to the left. Repeat the same motion to the right. Have them take note of how far you are able to go. 3. Now, sit down in front of the same person. Repeat the same turning motions from a chair or couch. Again, have them take note of how far you are able to comfortably turn your head. 4. Ask if there were any differences in the turning movement. Did one side seem to turn further than the other? Was there a difference in standing vs. sitting? This test is helpful in finding out if your neck is causing (or is at risk of causing) pain in your lower back. If your movement is limited, especially while sitting down, it means that the muscles in your back or neck are tight. These constricted motions can cause pain in the lower back. How can physical therapy help me? Physical therapy is the leading recommendation for backpain.Our physical therapists are trained toevaluate muscle and joint movement, and they can easily assist you in finding the root of your problem.They will thoroughly evaluate you to figure out why you are experiencing pain, determining the source, and treating all affected areas. After your initial consultation, they will create a specialized treatment plan for you, based on your specific needs. At Advanced Rehabilitation, our end goal is the same as yours – to get you feeling better, healthier, and more

comfortable! If you are experiencing lower back pain and think it may be caused by an issue occurring in your neck, give us a call today. We’ll get you moving comfortably again in no time.

Source: https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Low- Back-Pain-Fact-Sheet

Contact a clinic nearest you today to schedule an appointment!

CHOCO-PEPPERMINT PROTEIN BALLS Healthy Recipe

INGREDIENTS • 10 tbsp cocoa powder • 6 tbsp maple syrup • 1/4 cup almond butter • 1/4 cup unflavored pea protein powder

• ½ tsp peppermint extract • 1/4 tsp sea salt • 2-4 tbsp crushed candy canes • 2-4 tbsp dairy free chocolate chips (optional)

DIRECTIONS Puteverythingexcept thecandycane,chocolatechipsandwater intoabowlandmixwell. Slowly add water if needed (You may not need any water if your almond butter is runny). Startwitha teaspoonandslowlyadduntilyougetawellmixedbatter. Ifyouadd toomuch then the batter will be too soft to roll. Add the candy canes and chocolate chips and mix again. Allow to chill in the fridge while you clean up, then roll into balls.

Recipe: https://www.veggiesdontbite.com/no-bake-chocolate-peppermint-protein-balls

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Did You Know You Have Direct Access To Physical Therapy?

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Whether you want to come in for a check-up, suffered a recent injury or you want to improve your health, a physician referral is not needed. In the state of Indiana you have direct access to physical therapy! You have the power to choose. Just as you can fill a prescription for medication at a pharmacy of your choice, you can choose where to receive physical therapy as well. Taking care of yourself means taking charge of your healthcare, so remember that regardless of which physician you see, you have a choice when it comes to physical therapy. Physical Therapists Are The Mechanics Of Your Body! Minor aches and pains are warning signals from your body to let you know something is not working properly. Don’t put off the pain until it’s too late. Come in today for a “Tune-Up.” As of July 1, 2019, Indiana has updated the law to include 42 calendar days of direct access! Come to PT without a MD order. Call ARI today! FREE WORKSHOPS ATTENTION KNEE PAIN SUFFERERS!

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Patient Success Spotlight

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3 9 6 “The therapists were excellent and very informative.” “I started therapy after the birth of my baby. I was having severe back pain limiting what I was able to do. ARI helped me get back to doing everything I was doing before. The therapists were excellent and very informative. I would recommend ARI to anyone needing therapy.” - Breanna H.

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JANUARY 29TH • 6:00PM FEBRUARY 1ST • 10:00AM The Knee Pain Workshops will be held Wednesday, January 29th at 6pm at our Jasper clinic, and Saturday, February 1st at 10am at our Tell City clinic.

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REGISTER BY CALLING:

Jasper: 812-482-7755

Tell City: 812-547-7770

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JASPER 255 West 36th Street #100 Jasper, IN, 47546

TELL CITY 1020 11th Street #C Tell City, IN, 47586

ADVANCED REHABILITATION, INC. P H Y S I C A L T H E R A P Y

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the Governors. In December, we took a family trip to the Dominican Republic and were blessed to have all of our children, their significant others and our grandson with us on the trip. We have been truly blessed and wish you many blessings and much joy and happiness in 2020.” Amanda

Jennifer “My 2019 went by quickly, as the years usually do. Bill, my husband, and I are trying our best to keep up with our 2 girls as we venture into another school year. My youngest hasstartedKindergartenand isnow “at thebigschool”as she calls it. Our oldest has started 4th grade. Bill and I are trying to keep our sanity relearning how to do 4th grade math since it has changed so much in the last 19 years! Hoping foranothergreatyearas2020quicklyapproaches.” Cyndi “2019 was another busy year at the Fortune house! My youngest daughter, Emma, started high school and is playingvolleyballand tennis.Myhusband,Terryand Ikeep busy getting to all of her games as well as those of our grand kids. My grandson, Camden, started kindergarten this year but lost his spot as the ‘youngest’ grandchild. His sister, Kennedy Logan Green, was born Oct 2 and is anothersweetaddition toournowninegrandchildren!We are looking forward toanothergreatyear in2020andwish everyone a safe and happy New Year!” Rebecca “Time flies when you are having fun. It is hard to believe 2019hascomeandgoneand ithasbeenagreatyear.My kids and I visited the Georgia Aquarium while visiting my twin sister and her family in Atlanta. We also had a few days of sun therapy in Gulf Shores, Alabama. Parasailing with my kids was wonderful and we just have to plan our next trip. Wishing everyone a great new year.” Holli “The year 2019 flew by! My family took a beach vacation to Miramar beach which was relaxing and well deserved. My daughter, Camryn, is a senior this year and is getting prepared to further her education. My oldest daughter, Baylie, is at USI and I’m proud to say she made the Dean’s List again. I’m looking forward to see what is in store for 2020 and I hope you have a great year.” Becky “2019 marks my 28th year at ARI and my 50th Birthday! I continuetoenjoyhelpingourpatientsfeelbetterandbecome active and independent again.This year I experienced my first trip to the Indy 500 and Carb Day. It was a mother’s day/birthday gift frommy husband. We enjoyed watching oneofour favoritebands,Foreigner,perform.We love80’s music!Mygirlsaredoingverywell innursingschool.Claire will graduate in 2020 and Emily in 2021. They are almost off the mom and dad payroll! I am very proud of both of “In April, I became an aunt again!!This summer my family and I enjoyed a lot of camping and boating. My daughter, Scarlett, enjoyed her first year of t-ball through YMCA. My husband,Chase,wasoneoftheteamcoaches.Scarlettalso startedhersecondyearofgymnasticsatDanceHavenas wellasherfirstyearofpreschool,whichshe loves! Istarted atARIat theendofAugustasapart timebillingassistant. Ihope2020bringseveryone lotsof joyandmemories that last forever!” Debbie “Whatabusyandexcitingyear2019hasbeenforourfamily! Our oldest son, Ian, got married at the beginning of May and our youngest son, Elliot, graduated from high school at the end of May. In June, we celebrated our middle son Eli’s 21st birthday and our daughter, Hana, started her 3rd yearofdentalschool.Weenjoyedmanyconcertsover the summer, with the highlight being third row floor seats to see the Rolling Stones at Soldier Field with my husband,

“Thisyearhasbeenaverybusyyeargettingused to have threekids!A teenager,a toddlerandan infant is a lotofworkandkeepingmebusy.Wemoved,only8 blocks, but have a lot more room in our new house. Things continue to look busy in our future but I love this crazy, beautiful life!” Adam “It was another great year at the Gilbert household! Westarted theyearwithKyliegettingherG tubeout and she is free of all specialists. We had a fun (and exhausting) road trip to Boston so I could run the BostonMarathonwhichwasanabsolutelyamazing experience. In the race I placed in the top 300 out of over 30k runners and the second place Indiana runneroverall.Sincewe like “run-cations”wealsodid a family trip to Indianapolis for theMonumentalHalf

Marathonwhere Iwasable to runmypersonalbest in thedistance.Mywife,Traci, wasable towrangleup the littleones foreachof those races tocomeandsupport and Iabsolutely lovehaving them there.KinzieandKylie turned4 inDecemberand Lukas had his first birthday in November. It was a big year for the Jasper Wildcats Cross Country team as well. I had a great time as assistant coach again, and the team came together and ran great on both the boys and girls side.The girls made it to Semi State again and had another state contender.The boys team made it to state as a team for the first time since 1952.” Ben

“It ishardtobelievethat2019 isalmostoverand2020 is at our doorstep. 2019 was a very good and very busy year. My wife, Jeri, and I spent what seemed likemostofour timeshuttlingourdaughter (Mia,age 14) and son (Max, age 12) between various athletic venues and school events. 2019 introduced us to thesportofcrosscountryandaVEX roboticsworld competition.Wearesomewhatadjusting tohavinga highschooler inourhouse.Howdid thatgethereso quickly? Jeri has had a unique opportunity to work

withaSwedish textbookpublishingcompanyover thepast fewyearsand thekids and I were lucky enough to be able to travel with her to Stockholm, Sweden over springbreak. Itwas interesting toseehowquicklyourchildrenpickedupSweden’s public transportationsystemandevena fewSwedishwords.Wewerealsoable to squeeze in a quick trip to Orange Beach, AL for some rest and relaxation. We are looking forward to the many adventures that 2020 will bring!” Megan

them. I wish a Happy New Year to you and your families.” Dawn

“This year has been full of new and exciting adventures. After 9 years together my husband, Clay, and I were married in October 2019. It was the most beautiful day full of so much love and joy. We love DIY projects and building things together, so we engaged on one of our biggest endeavors of buildingourownhome togetherwith thehelpofour families.Ourwedding receptionwasat the location

of our home, so this year has been extremely busy preparing for the wedding. We are excited to finish building the house and look forward to making it our home along with a little more free time too. Wishing everyone a Happy New Year full of joy and laughter!” Meghan “2019wasanexcitingyear forme!Myhusbandand I welcomed our 3rd child. Oaklyn Renee was born in May and is the sweetest addition to our family! Gavin is now 7, in 2nd grade, and is playing every sport he can. Reese is 4, in “big preschool”, and started gymnastics this year. She is really starting to break out of her shell! Our house is very busy! We are so excited for the holidays this year and to celebratewith familyand friends. Ihopeeveryonehasawonderfulholidayseason and a great 2020!!”

Tim, and our two youngest boys.Tim was awarded dad and husband of the year for those seats! We moved Elliot to college at Austin Peay State at the beginning of August and became empty nesters. Our first grandchild, Ralph Dean, was born to our son Ian and his wife Colleen on August 17th. Fall was spent traveling to watch Elliot run cross country for

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Brandi “2019 was another busy year for the Labhart family. Jackson is a third grader now and Alivia is a first grader. Jackson keeps us busy with travel baseball, football, basketball, and swimming. Alivia keeps us equally as busywithdance,basketball,soccer,andswimming.Erik started a new job at Rockport Roll Shop working swing shift, which has been a big adjustment for us all. We took the family to Orlando this summer for our first trip

Kristina “Myhusbandand Ihadouroldestdaughtergraduatehigh schoolandgoofftoattendTheUniversityofLouisville.Our songothis learnerspermitandouryoungest turned into a teenager. Whatayearandanew jobatARI to top itoff. 2019 was a year full of emotions and lots to be thankful for. We look forward to our 25th wedding anniversary in 2020. I wish you and your family a Happy New Year and much joy in 2020.” Marie “This year has been a big year for me! I graduated from PT school in May, passed my boards in July, traveled to Mexico inSeptember,andgotmarried inOctober!Mexico was amazing! My husband and I really enjoyed our time checking out the Mayan ruins at Tulum and Chichen Itza. Being able to see one of the new seven wonders of the world was an experience we will cherish forever. Now, my husband and I are in the process of closing on

to Disney World. We visited Magic Kingdom and Animal Kingdom where we closed the parks down each night and rode every ride. It was the vacation of our dreams. Thisyearwasalsooneofsorrowas I lostmy father inApril. It’sbeenahuge lossand we miss him dearly. Through the ups and downs, my friends and family are by my side and I can’t wait to see what 2020 has in store for me. Wishing all my friends and clients the best and hope to see you soon.” Diane

“Wow! It’s hard to believe all the blessings this year! Three more grand babies this year. One arrived in April (Lane Charles), one in June (Lucille Ann) and Cyrus in Novemberbringing the total to five! I thoughtmy lifewas fullbefore,but the lovewehave forallourgrandchildren is immeasurable!We traveled toDestin,Florida thisyear with 3 of our kids and their spouses and our grandson, Finn and made so many wonderful memories. Between

work, church, family & friends our days are booked solid, but I wouldn’t have it any other way! We are definitely enjoying being Grandparents! You can be as silly and goofy as you want and the grandkids just love it! Happy New Year!” Caity

our first (and hopefully forever) home in November! We are so excited to spend the holidays in our new home with our 3 fur babies. Hopefully 2020 is just as good to us as 2019, but 2020 sure has some big shoes to fill! We wish you and your family joy in the year to come!” Tina

“My husband and I finished our kitchen renovation in January, complete with new floors and a new layout. I joined the ARI family in February 2019 and have been loving it! We celebrated the 4th of July in Nashville, TN with friends (best fireworks ever!). I also got to spend a weekend in August in Lafayette for a family reunion to celebrate my grandpa’s 94th birthday. In September, my husband, Trent, and I traveled to Chattanooga and

“2019 was a big year for my husband Wade and I as our only child, Kaitlyn, is now a Senior. Kaitlyn has been preparing for college. We are so proud of her. She has workedreallyhardtokeephergradesup,and Isometimes findherworkingonherhomework into theearlymorning hours. So, I know she will do great wherever she goes. However, I have to admit it did make us pretty ecstatic when she became interested in a few colleges closer to home. So, our fingers are crossed that she finds the

enjoyed Rock City, Incline Railway, and Lookout Mountain, and just about everything else Chattanooga has to offer. We have been staying busy at home preparing our property formy twohorses thatwill joinour familyzoo in thespring.Here’s toanother fun-filled year in 2020!” Ashley

perfect one! We plan on spending as much quality time with her and her friends (our extended family) as we can and hope to make the holidays extra special. I hope your holidays are special to! ” Alfredo

“This year has been a busy year for our family. My daughter is in busy in her second year of preschool, active in gymnastics and enjoys participating in YMCA toddlersports.Mysignificantother,Mark, isstillmaking positiveprogress followinghisstroke lastNovember,he is working hard with his therapy and is excited to keep regainingmoreandmoreuseofhis leftside.Asformyself ithasbeenagoodandblessedyear,fromfamilyvacations

“2019 was full of anticipation and joy as Crystal and I welcomed our first baby. Arian Martin Sandoval was born March 9th. He is getting ready to turn 10 months and is crawling as he continues to discover the world around him. We celebrated second year anniversary of RockSteadyBoxing.RSB isaprogramheldatTri-Country YMCA in Ferdinand, Indiana specifically designed for individuals with Parkinson’s disease. Wishing you all a happy new year!” Andrea “2019was fullofwonderful firstsaswewatchour infant son, Maitland, grow and explore as he learned to crawl and start working on his first steps. I transferred from the Tell City clinic to the Santa Claus clinic which keeps me closer to home. I hope your Christmas was spent with family and friends and that your New Year is full of wonderful firsts as well.”

and completion of larger home projects to finding out that we will be welcoming a little baby boy this upcoming February. From my family to yours, we wish each and every one of you a wonderful holiday season and blessed new year!” Wendy

“My husband, Bill ,and I became grandparents in 2019. Ourgranddaughter,MilaGrace,wasborn toourdaughter, Mariah,andherhusbandonSt.Patrick’sDay.We traveled to Philadelphia over the summer to spend time with our son, Blake, and visited the Franklin Institute, the Liberty Bell, and the “Rocky Steps” at the Philadelphia Museum of Art. We celebrated our 30th wedding anniversary in

November.Bill retired for thesecond timeat theendof2019and Ihaveahugehoney do list tokeephim frombecoming too idle in thecomingyear. IhopeyouhadaHappy New Year and that 2020 brings you much joy and happiness!”

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