Excel PT: Managing Aches And Pains




The COVID-19 pandemic is an unprecedented healthcare crisis, as over the past several weeks, we have witnessed an entire population being asked to remain at home and limit their social interactions. During this time, the activities of even the most fit individuals have been restricted, replaced with more opportunities for inactivity, as well as sedentary behavior. (continued inside)

By Khushbu Dhimmer, PT, DPT

INSIDE : • The Impact of Being Sedentary...

• Patient Success Spotlights • Coupon Corner!

• Latest Update on COVID-19 from Excel CEO




INSIDE : • Latest Update on COVID-19 from Excel CEO • Coupon Corner!

• Visit A Location Near You! • Patient Success Spotlights

Exercise can be an effective tool for pain management and improving function when utilized correctly. In a thorough examination, Excel physical therapists are able to appropriately dose (frequency, duration, intensity) physical exercise, which can significantly improve pain and related symptoms¹. Manual therapy, in conjunction with exercise, also provides therapeutic benefits to the body. It can assist with tissue healing, improve mobility and increase functional movement, which can alter pain levels to improve the quality of a patient’s life. At Excel Physical Therapy, our one hour, one-on-one initial evaluations allow the therapist and the patient to quickly develop a trusting and positive connection, which research studies have shown to contribute to a successful recovery². Furthermore, the option of one-on-one treatment sessions provide the patient and the physical therapist the opportunity to individualize treatment plans to achieve patient centered goals, as well as educate the patient on the root causes behind their injury or pain. Current evidence supports the use of traditional physical therapy treatments to reduce aches and pain; however, understanding what pain is can positively amplify the impact of physical therapy treatments. At Excel, physical therapists take the time to “explain pain” to our patients, which can directly correlate to the reduction of the patient’s pain or symptoms.³

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A study (Krogh-Madsen et al. 2010) involving a group of healthy young males reduced their number of steps per day from a baseline of 10,000 to just 1,350 steps for a period of 2 weeks. After just 2 weeks of reduced activity, the test subjects showed a 7% decrease in maximal Oxygen uptake, an indicator of

By Khushbu Dhimmer, PT, DPT

cardiorespiratory fitness and also lost 3% of their lean leg mass.4 The study is a lesson that even a short term reduction in activity levels can impact overall health. As restrictions begin to ease, many people will begin to increase their activity levels, and it is important to start slow and build up to your pre-pandemic exercise regimen. Adopting a program of stretching prior to exercise can get you moving in the right direction, but in some cases after a period of inactivity, you may encounter the onset of pain. Pain is a protective perception of the brain; nonetheless, it is real and can limit functionality in areas such as: walking, sitting, sleeping, running and sport specific movements. Many years of research have proven physical therapy to be an effective treatment to not only combat aches and pains, but to find and fix the source of the issue. Physical therapy is not only for individuals suffering acute pain from an injury, it can also provide life altering benefits for individuals dealing with persistent or “chronic” pain. Successful pain management with physical therapy consists of four “hallmarks” included in treatment: patient education, patient centered goals, aerobic/strengthening exercise, and manual therapy.

If you are experiencing pain and limitations in your function, please contact one of our many locations and schedule an appointment to begin your road to recovery today!

1. Ambrose KR, Golightly YM. Physical exercise as non-pharmacological treatment of chronic pain: Why and when. Best Pract Res Clin Rheumatol. 2015;29(1):120‐130. doi:10.1016/j.berh.2015.04.022 2. Bunzli S, McEvoy S, Dankaerts W, O'Sullivan P, O'Sullivan K. Patient Perspectives on Participation in Cognitive Functional Therapy for Chronic Low Back Pain. Phys Ther. 2016;96(9):1397‐1407. doi:10.2522/ptj.20140570 3. Van Oosterwijck J, Nijs J, Meeus M, et al. Pain neurophysiology education improves cognitions, pain thresholds, and movement performance in people with chronic whiplash: a pilot study. J Rehabil Res Dev. 2011;48(1):43‐58. doi:10.1682/jrrd.2009.12.0206 4. Krogh-Madsen, R., Thyfault, J. P., Broholm, C., Mortensen, O. H., Olsen, R. H., Mounier, R., … Pedersen, B. K. (2010). A 2-wk reduction of ambulatory activity attenuates peripheral insulin sensitivity. Journal of Applied Physiology, 108, 1034–1040.


Latest Update On COVID-19 Safety & Precautions From Excel CEO Kristin Mullen

To Our Patients, We continue to monitor the latest information and directives from Governor Wolf and PA Secretary of Health Dr Rachel Levine, and wanted to share several updates since our last communication. All 33 area Excel Clinics are Open with new patient scheduling! All of our Excel area clinics remain open to serve patients in need and we have recently revised our patient scheduling to handle increased patient capacity, while fully conforming to social distance guidelines. • Patients are now scheduled in ½ hour increments so that we can ensure the least amount of patient and staff overlap and continue to provide quality care that patients and physicians have come to expect. • Our available treatment hours have also been expanded during the week to include early morning through to 7pm, as well as Saturday hours by appointment. Our Safety Precautions and Protocols: As we proceed into the next phase of Governor Wolf’s Order, we realize that there is still uncertainty as to what to expect in the coming weeks. In this period of uncertainty, our goal remains to focus on patient recovery and do all we can to assist patients to seek relief from pain, overcome an injury or chronic condition and help guide them on the path to healing and improved health. Below are additional precautions we have implemented to help ensure the safest possible treatment environment: • Patient & Staff Screening - Each of our clinics follows the latest CDC Guidance and has implemented both patient and staff screening for symptoms and temperature, as well as new safety protocols, including the use of PPE and masks or facial coverings. • Use of Masks - Patients are strongly urged to wear masks during their appointment and each treatment area is also separated so as to maintain social distance. • Frequent Sanitization - All treatment areas are sanitized both before and after patient use and all common touch areas and equipment are sanitized hourly. Our goal is to maintain continuity of care and ensure treatment options for patients which can be addressed immediately for those suffering from pain, loss of function or an injury. Additional details regarding our safety protocols are highlighted on our website, www.excelphysicaltherapy.com TeleHealth with Doxy.me! To further accommodate the needs of patients who may be unable to visit a clinic setting, such as a those patients who are considered high risk, or those who are immunocompromised, we continue to offer a TeleHealth option as a convenient way to obtain treatment, until such time that the patient can

return to an In Clinic setting. Our TeleHealth platform is Doxy.me, which is very easy to use and does not require the download of any app or frustrating logins and patients have been very receptive towards using the online tool as a convenient way to obtain treatment from the comfort of home. Resumption of Elective Surgeries in Pennsylvania The Pennsylvania Secretary of Health Dr. Rachel Levine and Governor Wolf have provided guidance for hospitals and medical facilities to resume elective surgeries and procedures which have recently been delayed. We realize that the resumption of these activities is complex and involves the prioritization of patients based on many different factors. As elective surgical procedures begin to be scheduled, we wanted to extend an offer to assist any patient who is in pain with either Prehabilitation to build strength and conditioning prior to a surgical procedure, or Post-Surgical Rehabilitation to help patients quickly recover range of motion, flexibility and function after surgery. Our clinics stand ready to assist patients in a time of need while also preventing any added burden to an already stressed healthcare system. Did you know you can choose your physical therapy provider? As a company, our mission is to service our community in the safest way possible and we are committed to ensuring the optimal health for all of our patients. In this environment, more than ever before, patients want to ensure they are receiving the best quality, value and results in their healthcare decisions. All physical therapy treatment is not the same. We are different from other physical therapy practices: · We are owned and operated by licensed physical therapists! · We do not utilize physical therapy aides or assistants · Patients treat one-on-one with the same physical therapist at each visit · Our therapists provide hands on treatment and patient education to help you fully achieve your recovery goals At Excel, we strive to ensure that we exceed patient expectations every day! We are proud to be the chosen destination for physical therapy treatment, and have assisted over 95,000 area patients in the past 30 years to meet their recovery goals, utilizing a model of hands on therapy and individualized care. While the coronavirus pandemic has required everyone to adjust to a new environment, you can reliably count on all of our Excel associates to be there for you and we stand ready to assist you today. Please do not hesitate to contact us if we can help alleviate your pain, assist with rehabilitation or improve your function. Until then, we wish you, your family and friends continued good health. Stay safe! Sincerely, Kristin Mullen, CEO Excel Physical Therapy



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“I am most grateful that Excel Blue Bell found a way to stay open and provide safe and effective physical therapy to its patients. Hats off to the dedicated staff of Excel Blue Bell!” - M.V. (Blue Bell clinic)



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“I had a wonderful experience at Excel PT, and I believe it had all to do with my outstanding therapist Jamie “Alexis” Del Palazzo. She was just amazing! Recently, I had some previous therapy experience with a different provider, and I actually developed additional concerns because of the prescribed program. It was 100% different with Alexis and I could tell this was going to be so much better from our first time together at the information gathering meeting. She really listened to my situation and came up with an excellent plan to alleviate the problems I was having in my leg, neck and lower back. Having a therapist work with one patient at a time is an example of simple brilliance. At Excel, I knew right from the start that my care and needs were of the utmost value, and that meant a great deal to me as a patient. Couple that with Alexis’ skilled, kind and caring ways and you have a winning formula. Additionally, I was impressed with how Alexis listened to my concerns mid-therapy and would have a different approach in her repertoire. I give her so much credit for helping me in such a relatively short time. I am so grateful my doctor shared information about Excel Physical Therapy with me. ” - M.K. (Kennett Square Patient) Don’t delay we can help you! Contact us: Downtown Philadelphia & South Jersey, Northeast Philadelphia and Lower Bucks County, Montgomery County, The Main Line, Delaware County, Chester County, Allentown, Lancaster: www.excelphysicaltherapy.com/contact-us “I am so grateful my doctor shared information about the Excel Kennett Square office.” “Excel has put in place a system of limiting the amount of people that are in the building at one time...” “In these uncertain times, I have no issues going to my scheduled sessions. Excel has put in place a system of limiting the amount of people that are in the building at one time, screen you with questions and temperature scan every time you walk in the door.” - Gail F. (Pottstown Clinic)



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