Full Potential News by Full Potential Physical Therapy
FULL POTENTIAL NEWS
July 2017
“You May Be Looking In The Wrong Direction For Neck Pain Relief.” Relief & Better Motion For Aching Necks
Do you find your neck aching at the end of the day or stiff in the morning? Do you have headaches more than once a week? You are not alone. According to the Institute of Medicine of The National Academies, over 100 million Americans suffer from chronic pain. Over 15% of those, suffer from chronic neck pain and 27% with back pain. (continued inside)
INSIDE: � Relief & Better Motion For Aching Necks � Study � 7 Essential Tips For Avoiding Back Pain
� Healthy Recipe � Patient Success
Health & Fitness
The Newsletter About Achieving and Maintaining Optimal Well-Being July 2017 “Look Up To Pain Relief!” Relief & Better Motion For Aching Necks
Experience Fast Pain Relief With The Right Treatment
Why does neck pain happen? There is a golden rule, that the structure of your body governs its function. Your body, especially your neck, relies on good flexibility, posture, strength and coordination. In our daily lives, we place tremendous strain and demand on our neck. Poor posture with sitting or stress causes weakness in our postural muscles. In addition, this causes long-term damage to the muscles, joints, ligaments and tendons of the neck. This chronic strain and stress on the neck causes inflammation, which over time will increase aches and pains. Institute of Medicine Report from the Committee on Advancing Pain Research, Care, and Education: Relieving Pain in America, A Blueprint for Transforming Prevention, Care, Education and Research. The National Academies Press, 2011.
In a survey conducted with over 300 chronic pain sufferers, 59% reported an impact on the quality of their life and 77% of those surveyed reported feeling depressed. Even small amounts of pain, can lead to a downward spiral in quality of life, energy, and well being. However, it doesn’t have to be this way and dependency on medication is not the answer. Discovering and treating the root cause of your pain is the answer. Physical therapy is the natural solution to treating the mechanical cause of your pain. The neck is an incredible part of your body with 7 vertebrae (bones), over 16 joints and many muscles in the front and back of your neck. The greatest concentration of muscles and tissues is in the upper neck, at the base of your skull. This is where many of the larger muscles that support the head attach to support your head and neck. It is also where the vertebral and carotid arteries travel through your neck, entering your skull to supply your brain. Needless to say, this is a very tightly packed area and muscle tension can affect blood flow to the scalp, causing headaches.
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Pain Relief “ The Best Way To Treat Natural Neck Pain Is With Natural Treatment! ” SEEK PHYSICAL THERAPY FIRST
What can be done? Neck pain is most often relieved, by simply restoring the proper movement and mechanics of the neck. Think of your neck much like the machinery in a car. Keeping it well maintained and in good alignment, will allow it to perform well.
days. A physical therapist is the muscle and skeletal specialist who analyzes your posture and movement, then helps you restore posture, flexibility and strength. Why physical therapy relieves neck pain Many people have discovered the benefits of seeing a physical therapist first when they have aches and pains. Our physical therapists are experts in analyzing your posture and movement, spotting your true trouble source. From there, our medical training allows us to create a proper treatment plan that will quickly relieve your pain, improve your posture, mobility, strength and coordination. We even teach you how to maintain your improvements with specific gentle exercises. Think of us as the mechanics for your body. Come in for a regular tune up and your neck and back will be as good as new. To learn more about how our SPINE Program can help you eliminate your neck pain, call us today.
Here are the key areas you need to focus on to reduce your neck pain:
• Have good posture with sitting and standing. • Restore your flexibility to the neck muscles and joints. • Strengthen your mid-back muscles and shoulders to support your neck. • Improve coordination of your neck muscles. • Eat well, reducing consumption of processed foods and food that increases inflammation in your body. • Seek professional help for aches and pains lasting more than 3
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Study
Only 10% of Physician Visits for LBP Resulted in Physical Therapy Referrals 1997–2010 While Opioid Prescriptions Climbed
Authors assert that while an opioid prescription may seem like the more cost-effective option in terms of upfront costs, the long-term toll—both in terms of money spent and harm to patients—far outweighs the spending associated with physical therapy. “With more evidence that [physical therapy] is an effective method of treating back pain, there needs to be a push for more insurance coverage of [physical therapy] referrals to avoid overutilization of cheaper but less effective, and potentially harmful, forms of treatments,” authors write. Additionally, say the authors, disparities in insurance coverage need to be addressed. Given the indications that patients who don’t receive a referral for physical therapy are more likely to receive an opioid prescription, the connection between referral rates and the type of insurance a patient has reveal “disconcerting economic disparities [that] need to be quantified, elucidated, and addressed,” they write. According to the researchers, while “the ideal physical therapy referral rate [for LBP] has yet to be defined,” the fact that the rate remained so steady while opioid prescription rates climbed—even as evidence of physical therapy’s effectiveness continued to mount—”suggests that initiatives are needed to educate both providers and patients about the utility of physical therapy.” APTA has added its voice to the effort to curb opioid abuse through its national #ChoosePT campaign, an initiative to promote physical therapy as a safe and effective alternative to the use of opioids in the treatment of pain. Housed at MoveForwardPT.com/ChoosePT, the #ChoosePT campaign includes national online advertising, TV and radio public service announcements, and other targeted advertising and media outreach.
for physical therapy as a first-line treatment for LBP and other types of pain, researchers believe that the efficacy of physical therapy was already well-established by the late 90s. They describe the data they uncovered as “concerning.” Among the findings: Over the 15 years of the study, the percentage of referrals for physical therapy changed a little, but not much, and not in ways that indicated any discernable trend—10.1% overall, with yearly fluctuations between 4.8% (2001) and 15.1% (2004) . Opioid prescriptions were a different story, for the most part steadily moving from about 15% of all LBP visits in 1997 to nearly 45% by 2010. Referral for physical therapy also correlated to a patient’s type of insurance. Patients with preferred provider organization plans were 53% more likely to receive treatment from a PT, with patients in HMOs being 44.7% more likely to be referred for physical therapy. Medicare and Medicaid beneficiaries were 53% and 47% less likely to be referred to a PT, respectively. The patient population in the study had an average age of 50.4 years, and about half were female. About 22.3 million had Medicare, and 2 million had Medicaid. Whites made up 19.8 million of the patient population, with 12.4 Black patients and 2.3 million Hispanic patients (the study used only 3 ethnic categories). Researchers believe their findings reveal some “concerning” and “disconcerting” patterns— among them an increased likelihood that patients who aren’t referred for physical therapy will wind up with an opioid prescription, and a connection between the kind of insurance patients have and the likelihood that they will receive a referral to a PT.
• Study analyzed data from 170 million visits to a primary care physician 1997–2010 • Referrals for physical therapy occurred in 10% of the visits, a rate that was fairly constant during the study period • Prescriptions for opioids rose from about 15% to 45% by 2010; patients who didn’t receive a physical therapy referral were more likely to receive an opioid prescription • Disparities in referral rates were found, with Medicare and Medicaid beneficiaries less likely to be referred to a PT • Authors call for more education on physical therapy as a first-line treatment for LBP If there is consensus among physicians that physical therapy is a preferred first-line treatment for low back pain (LBP), you wouldn’t be able to tell it from the referral rates cited in a recent study. Researchers found that between 1997 and 2010 only about 10% of LBP visits resulted in a referral to a physical therapist (PT), while opioid prescription rates climbed to 45% by the study’s end—and those numbers get worse for patients whose care is paid for by Medicare, Medicaid, and even HMOs. The study, published in Spine (abstract only available for free), analyzed an estimated 170 million visits to a primary care physician (PCP) for LBP during a the period 1997–2010. Using statistics supplied from the National Hospital and Ambulatory Medical Center Survey as well as survey data from emergency departments, researchers were able to not only look at overall percentage of referrals for physical therapy but also to analyze those patterns in terms of demographics and payer source. While that time period was prior to recommendations by the US Centers for Disease Control and Prevention (CDC) and other groups
Practice News
Introducing the newest member of our team, Laura Coppersmith, PTA!
Laura graduated from Baker College of Muskegon in 2016 with an Associate’s of Applied Science as a Licensed Physical Therapist Assistant. She also has a Bachelor’s Degree in Liberal Arts which she earned from Thomas Edison State in 2005. She was certified as a Personal Trainer with the International Sports and Science Association in 2012 and has experience working with orthopedic injuries as well as developing and implementing individualized health programs.
Her desire is to give individuals the knowledge, tools and vision to achieve full and healthy lives. Laura grew up in New Jersey but moved to Holland, MI in 2006 with her husband and four children. She enjoys going to her girl’s track meets, playing the electric violin on her church’s worship team, exercising at the gym with friends, and watching old movies with her husband.
Patient Success
“It’s a great environment!”
“Taught me how to lift properly!”
“Pain free sessions!” “When I came for my first visit, I was totally discouraged. I thought I would never get full mobility of my knee. After 2 visits, hope was completely restored along with knee mobility. Each visit, I was basically having pain free sessions. Full Potential PT staff is friendly, professional, aware of the emotional trauma an injury or implant brings with it and they are all kind.” -Nelda B.
“They are professional!” “I can use my hands again and with little to no pain! I have gained both strength and flexibility and am able to do most of what I could do before my injury (and Jack had his work cut out for him since my injury occurred 8 months before I started PT.) My experience here was fabulous! Diane and Veronica always greeted me by name and with a smile. They are professional and friendly! The facility is always clean – waiting rooms and gym. There was never any issues with insurance/billing, scheduling was easy and I love the “text” reminders. Jack, Diane, and Veronica are all good for the soul, too! Morgan as well!” -Linda W.
“The most positive change is being able to play golf again. Full Potential staff is so nice and friendly. It’s a great environment to come into and receive the help you need to be pain-free!” -Luke H.
“The first day I came, all of the staff were awesome! I enjoyed the PT and everyone that helped me. Full Potential is a place I would recommend. After all of the exercises I learned and the hard work from the PT, I feel great! I can’t thank the whole staff and owners enough. Plus, they taught me how to lift properly. I know the staff and people work with the patients very well. They all have a positive attitude and they do everything they can to get you back and working well.” -Michael M.
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Outstanding relief for your aches... Try these simple exercises to keep you moving... Exercise Essentials
CHIN TUCK SITTING Sit with good posture. Tuck your chin and gently nod ‘yes’. Repeat 6 times. Helps With Neck Pain
Helps With Neck Mobility SCALENE STRETCH Sit with good posture. Hold the front of your neck with your hand. Look up into the corner away from your hand. You should feel a stretch in the front part of your neck. Repeat 6 times.
Exercisescopyrightof
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Always consult your physical therapist or physician before starting exercises you are unsure of doing.
Healthy Recipe
COCOA BANANA WALNUT BREAD Eating Right Never Tasted So Good!
8 Ingredients • 1 cup whole-wheat pastry flour • 3/4 cup cocoa powder • 1 tsp. baking soda • 1 tsp. cinnamon
• 1/2 tsp. salt • 1/2 tsp. allspice • 2 large eggs • 1/2 cup brown sugar
• 2 Tbs. molasses • 2 ripe bananas, mashed • 1 tsp. vanilla extract • 1/2 cup chopped walnuts
• 3/4 cup plain, low-fat yogurt • 1/3 cup canola or grapeseed oil
Directions Preheat oven to 350 degrees and grease a 9-by-5-inch loaf pan. In a large bowl, sift together flour, cocoa, baking soda, cinnamon, salt and allspice. In a separate bowl, lightly beat eggs, then stir in sugar, yogurt, oil, molasses, bananas and vanilla. Add dry ingredients to wet and mix gently. Fold in walnuts and pour batter into prepared pan. Bake for 45 to 50 minutes, or until a toothpick inserted in the center comes out almost clean. Let cool several minutes before unmolding.
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