Applied Physical Medicine: Effective Hip & Knee Pain Relief

NEWSLETTER Health & Wellness Newsletter (520) 296-8513


I am originally from Albuquerque, NM, moved away when I was 21. I have moved all over the country from Okinawa, Japan utilizing my Bachelors in Healthcare Management managing a dental clinic for the Navy which gave me a lot of insight in managing people and the business side of healthcare. I found my passion for PT when a Lieutenant Commander took me under her wing and helped me in

and I look forward to learning and experiencing what it has to offer. I have an interest in treating many different populations, specifically the active population to include runners, swimmers, and cyclists. I have experience in treating orthopedic diagnoses, concussion management, chronic pain, and fibromyalgia. I have experience in dry needling the

making a decision for a career change. I have a desire to help people, and becoming a Physical Therapist would fulfill that passion. I moved to Boston, MA to earn my Doctorate in Physical Therapy at Northeastern University in 2015. Then moved on to Dallas Texas as an aquatic and orthopedic PT, working at a very manual therapy based clinic and absolutely loved it there. My husband is in the military, so we got orders to move to Tucson. Everywhere I go, I make an effort to make it my home. Tucson has been amazing so far,

perineural approach, muscle energy techniques, joint mobilization with movement, joint mobilizations, soft tissue mobilizations, therapeutic exercise and activities, etc. I have 2 young kiddos, a husband, and 2 geriatric dogs that keep me very busy. My family is full of energy so I love being active on the weekends, running is my preference. I look forward to helping Tucson become more active!


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Health & Wellness Newsletter

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RUN TOWARDS YOUR GOALSWITHOUT FEAR OF PAIN INSIDE: • Who Needs Physical Therapy? • Relieve Hip Pain In Minutes • Patient Success Spotlight • Healthy Recipe

Whether you have hip or knee pain or have been suffering for a long time, seeing a physical therapist at Applied Physical Medicine can help you return to a more active and pain-free life. Give us a call at (520) 296-8513 today!

Mark Twain once said that growing old is an issue of “mind over matter,” but if you struggle with knee or hip pain, then you know that this isn’t true at all. Knee and hip pain can really take the spring out of your step, causing you to move slower and leaving you with pain that becomes more difficult to cope with, step after step. There is an endless list of reasons as to why knee or hip pain may develop, from a slip or fall-related accident to a sports injury or even a car accident. Don’t Wait Until It Is Too Late! When an injury develops, seeking the support of a physical therapist is the best course of action. Working with a physical therapist soon after an injury develops can help reduce your recovery time and improve your ability to cope with the pain and discomfort by introducing you to targeted exercises and stretching techniques that can enhance your ability to recover from the injury.

When you are dealing with a knee or hip injury, every step requires more effort than typical. This can really drain your energy level as you attempt to go about doing even basic tasks, such as taking care of your home or walking around the office. What Can Physical Therapy Do to Help? Physical therapy is not a one-stop cure-all for pain management. This is a long-term solution to pain and suffering through the use of targeted exercises and stretching techniques that are designed to strengthen the targeted areas and help the body recover and heal. By identifying the exact points on the body that are not moving as they ought to be, it is possible to make a plan to increase flexibility, motion, strength and even improve coordination.

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Are you moving like you should be? Your hips and knees are essential to everyday movement; whether you are sitting, standing, walking or running, you need your hips and knees in great shape. Sometimes, when your hips and knees are in pain, it can cause you to change the way that you are moving, causing you to change the flow and pace of your gait, which is the way that you walk. Other times, prolonged pain can cause you to stop doing movements that are indicative of healthy joints. If you’ve experienced any hip or knee pain and are considering whether physical therapy is a good choice for your health needs, consider the following: • From a standing position, are you able to lean over and touch your toes? If so, then this indicates that you have proper hip and low back flexibility. If not, then you may need to improve your flexibility and joint range of motion, and physical therapy could be helpful. • In a sitting position, can you comfortably cross your legs, leaving your ankle to rest comfortably on the opposite knee? If this is painful, or one knee constantly must be lower than the other, then this may be indicative of knee concerns that could be addressed with physical therapy. • From a standing position, with your feet planted flat on the floor, can you push your body into a squatting position? You should be able to squat all the way down so that your buttocks are almost touching your heels. If you aren’t able to do this, then physical therapy may be helpful in improving your range of motion. • Standing near a wall or countertop, arrange your feet so that you are standing with the heel of one foot touching the toes of the other, as if on a balance beam, and see how long you can stand still. Can you balance

for 10 seconds? If not, then physical therapy may be able to improve balance and coordination. The goal of any physical therapy program is to restore range of motion and improve flexibility and strength while reducing the general experience of pain. Unfortunately, hip and knee injuries often tend to linger. Every movement relies so heavily on the hips and knees that it makes it difficult to allow these joints to actually rest following an injury. Physical therapy provides targeted exercises that support the joints with precise movements that help reinforce strength and range of motion. For more information, contact your physical therapist to learn more about options that will suit your health needs. For more information about overcoming hip or knee pain, contact us.

Call us today to schedule an appointment!


INGREDIENTS • ⅓ cup orange juice • 3 tablespoons rice vinegar • 3 tablespoons less-sodium soy sauce • 1 tablespoon toasted sesame oil • 2 teaspoons sambal oelek (optional) • 6 cups thinly sliced napa cabbage

• 2 cups sugar snap peas, thinly sliced diagonally • 2 cups shredded cooked chicken breast • 1 medium mango, sliced • ½ cup coarsely chopped fresh mint • ¼ cup sliced scallions • 2 tablespoons toasted sesame seeds

INSTRUCTIONS Whisk juice, vinegar, soy sauce, sesame oil and sambal oelek (if using) in a large bowl. Add cabbage, peas, chicken, mango, mint and scallions; toss gently to coat. Serve the salad sprinkled with sesame seeds.

Patient Success Spotlight


At Applied Physical Medicine, you will receive hands-on therapy treatments by our friendly, caring health experts during focused and individualized sessions. It’s time to go to Applied Physical Medicine if: • You’re tired of living in pain • You want to feel better and move better • You have been in an auto accident or injured on the job • You want to prevent injury 1. Call and talk to your therapist 2. Discover why your pain has come back 3. Get your custom recovery program

“I am beyond grateful for my experience with the brilliant and carrying APM staff” “I came in for knee pain that was disrupting my training and performance as an aspiring pro cyclist. I quickly learned that knee pain is rarely ever just a knee issue. After a few weeks of PT with the APM crew my hip psoas and therefore knees are not only back to being fully functional but feeling better than they have in years of pro sports competition. I am beyond grateful for my experience with the brilliant and carrying APM staff and look forward to a successful and hopefully pain-free season thanks to them!” - Janelle C.

Relieve Hip Pain In Minutes Try this movement if you are experiencing hip pain.

Strengthens Hips


BRIDGING While lying on your back, raise your buttocks off the floor/bed.

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Attention Pain Sufferers A DAY OF FREE CONSULTS

Perineural and electrical dry needling can “address a clinically dysfunctional neuromusculoskeletal patient presentation. Emphasis will be placed on how to treat the sensitized peripheral and central nervous systems.” This is followed by “current evidence-informed theoretical models that will reconcile physiologic tissue response with pain neuroscience and implement electrical dynamic integrative needling with instructional movement strategies for patient reinforcement.” COMMON CONDITIONS INCLUDE: A Day Of Free Perineural Dry Needling Consults

We want to thank our current and past patients and their friends and family. We are providing FREE PERINURAL NEEDLING CONSULTS at our clinic! Perinural needling is a specific technique targeting the nerves.

• Tendinopathy. • Subacromial impingement. •Lateral&medialelbowpainapproaches. Wrist & hand: • De Quervain’s. • Carpal tunnel syndrome • Osteoarthritis-mediated pain. TFCC strategies. Knee osteoarthritis strategies. • Achilles tendinopathy. • Plantar fascial pain syndrome. •Hiposteoarthritis&greater trochanteric pain syndrome. Fascial/connective tissue needling for scars, hyperalgesia zones, and fibrosis.

Cervical, thoracic, lumbar & sacral segmental electrical needling approaches, as well as segmental reasoning to address distal conditions. Cervical & lumbar radiculopathic presentation. Electricalneedlingstrategies forchronic myofascial pain syndrome, with an emphasis on influencing thedescending pain inhibitory system. Headaches: • Cervicogenic, tension type & migraine needling management. Shoulder: • Myofascial shoulder pain.

The free consult will be a one -on- one appointment with Dr. Mariesa Gonzales PT DPT where she can asses your issues and listen to your problems and how they impact your quality of life. At the end of your appointment Dr. Gonzales will provide you with a copy of her findings from your assessment which can include: • The possible cause of your issue • What you can do to help decrease the problem right away • Recommendation for treatment


Appointments are free but there are limited spaces available.

Don’t delay, register today by calling now!

If you are a past or present patient or if you are referring a friend or family member (or the stubborn spouse above)… give them this Newsletter Insert and tell them to call us to schedule their free exam.

TUCSON CLINIC 6606 E. Carondelet Dr. Tucson, AZ 85710 (520) 296-8513

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