APM: Is It Back Pain Or Sciatica

IS IT BACK PAIN OR SCIATICA? NEWSLETTER Health & Wellness Newsletter (520) 296-8513

INSIDE: • Enjoy Life With Relief From Back Pain & Sciatica • Relieve Back Pain In Minutes • Patient Success Spotlight • Understanding Back Pain


• Injury Treatment • Vestibular Fall Treatment

• Sciatica Treatment • And More!


Health & Wellness Newsletter

(520) 296-8513



Whether you have back 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! Too many people consider back pain a normal experience of their lives and don’t immediately seek support that could make the pain an issue of the past. Working with a physical therapist is, hands down, the best thing that you can do when you are looking to overcome back pain. A physical therapist can identify the cause of the back pain and present you with helpful strategies that can strengthen your back and reduce the severity of your pain. Physical therapy for back pain often includes a combination of targeted massage, flexibility and range of motion training, muscle building, and targeted stretching techniques. Using these strategies in combination with anti-inflammatory medication, as recommended by your physician, is often considered the most-efficient approach to handling back pain and is recommended by the American Academy of Orthopedic Surgeons.

Discussing Back Pain & Sciatica with Noah Abraham, PT, DPT.

Dear Valued Client,

Does life ever feel like one large pain in the back? Back pain is difficult to deal with on a daily basis, yet for so manypeople, this isa total reality.Bycertainestimates,as many as 85 percent of adults in the United States struggle


with back pain at some point in their lives.The most common type of back pain experienced is in the lower back, and it can happen for any variety of reasons. Being in a car accident can cause you to experience lingering back pain for years after the accident. Accidents at work can lead to similar consequences. But sometimes the cause of your back pain isn’t as straightforward. Back pain can also develop for any number of common reasons — things that you do every day without thinking twice. An old desk chair that doesn’t provide much lumbar support can take its toll over time, as can wearing shoes that don’t have much support, or even gaining weight, particularly around the stomach area.

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Beingeducatedaboutyourbackpaincanhelpyoumake the rightchoices toovercome itasquicklyaspossible.Oneof thebiggestproblemswithbackpain is that it lingers. This leads many people to deal with back pain for years on end without seemingly anyend insight.While there isbackpain thatdevelopsasa resultofstrainorsprain, there is also something called low back degenerative disc disease, which happens when thediscs inyourspineweaken.This frequentlydevelopsasa resultof repetitive back injury and can also develop as a result of age. With degenerative disc disease, thespacebetween thediscsbegins tocollapseandbecomeunstableandwillcause back pain to develop. When you work with a physical therapist to overcome back pain as a result of degenerative disc disease, your physical therapist will begin by strengthening core muscle groups, which includes the abdominal wall, and will provide you with targeted massage and stretching techniques to alleviate pain. Whilesomebackpain iseasy to identifyaspain,suchas is thecasewithdegenerative disc disease, there are other situations in which the pain may be a bit more complicated to understand. One of the most common back issues experienced in the United States is sciatica pain, and this sort of pain is often a lot more difficult to identify — especially by those who aren’t familiar with the problem. How can you tell the difference between back pain and sciatica pain? The answer is that sciatica pain is characterized by the following factors: • Constant pain is only present in one side of the buttocks or leg • The pain becomes worse when you are sitting • The leg pain develops more as a burning, tingling or searing sensation, and not as a plain ache • There is a sharp pain that occurs at times, making it sometimes difficult to stand or walk • The pain is radiating, shooting down the leg and sometimes even into the feet and toes

Sciatica pain develops in the nerves that connect the lower back to the legs, and so while the pain itself is generated from the back, a lot of time, the experience of the pain is more largely associated with the upper legs. What’s more, sciatica pain doesn’t always develop like pain in the traditional sense. Sciatica pain instead causes a buildup of tingling, numbness and weakness in the lower back and upper legs, and the pain isn’t consistent either. The sensation will typically run through the leg in waves, causing discomfort at seemingly unpredictable times. If you are experiencing back pain and you haven’t talked to a medical professional about the concern, then now is the time to take action. Working with a physical therapist can cut your time struggling with back pain literally in half. For more information about overcoming back pain, contact us.


Call us today to schedule an appointment!






Hello all, Matthew Derrick, PTA here, with a message for past andpresentpatients.With thenewyearuponusmany of our new year’s resolution plans are in full swing. The clinic has seen an influx of returning and new patients seeking relief from returning arthritic pain. As many of us embark on achieving our 2020 fitness goals, it is important to nurture those tissues that may be experiencing some increased stress. Here are some tips to avoid being sidelined by old and new aches and pains. 1 Sleep. Sleep is important for your body to recover. Get at least 7-8 hours of sleep a night; you will be much happier, more relaxed, and have less pain. 2. Diet. It’s important to give your body the nutrition it needs to function, eating lean meats, fruits, vegetables, and some starches at every meal to keep a balance in your nutrition. Above all else, drink 100oz of water a day. You must hydrate.

3. Don’t wait. The second you feel that something may not be right is the second you call and come in for a visit. The Class 4 Laser has been proven to be effective at reducing inflammation and improving mobility of tissues.The laser works by expediting tissue healing on a cellular level. Basically, it is the Fast Pass at Disneyland. Laser is a valuable tool that we use to supplement PT or in some cases in place of PT intervention to address dysfunction and decrease recovery time. Don’t wait! Give us a call to address dysfunction before it develops into an injury. Shoot us a text at 520.296.8513 to get in ASAP. Contact us for a FREE laser exploratory visit! (520) 296-8513



Patient Success Spotlight


The appointment provided totality of care with attention to every detail from my breathing to the amount of time I performed each stretch!

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

“Today was my first experience with APM. To say it was a great experience would be a vast understatement. From the moment I arrived, I was attended to, made to feel comfortable, and educated about my treatment plan. Noah took his time explaining each treatment modality and the benefits for my specific injury. The appointment provided totality of care with attention to every detail from my breathing


to the amount of time I performed each stretch. This office really has a familial presence With all members of the team helping you work towards your goals and recovery. They work well as a unit to provide all treatments required and are also extremely friendly and compassionate as well. Scheduling was a breeze and Noah availed himself to my tight timeline because he wanted to help me. That’s pretty much the most you could ever want from a therapist. If you need to see a physical therapist there is no one I would recommend more than Applied Physical Medicine in Tucson. Do your self the favor, save the money and your time and just go to them first. You won’t regret it!” - Katie K.

Relieve Back Pain In Minutes Try this movement if you are experiencing back pain.

THORACIC EXTENSION KNEELING PUSH UPS Kneel on knees with buttock touching heels. Hands and forearms on the ground in front of you. Push up to lift your chest and upper back only.



Always consult your physical therapist or physician before starting exercises you are unsure of doing.

Limited to the first 25 callers. Expires 04-30-20

A Message from Applied Physical Medicine

As the concerns about the Coronavirus Disease 2019 (COVID-19) intensify, we thought it would be helpful to share what Applied Physical Medicine is or has been doing to make your therapy appointment as safe as possible. The first step we took was to educate our workforce using validated resources such as the Centers for Disease Control and Prevention (CDC), World Health Organization (WHO), Occupational Safety & Health Administration (OSHA) and the

NOAH ABRAHAMS PT, DPT Owner of Applied Physical Medicine

US Department of Health.

The second step we took was to evaluate our ability to continue to provide services without increasing exposure risks to you, to our visitors and staff. As part of that process we made a list of questions that we will ask to ascertain the exposure risk. These are the questions: • Have you traveled to China, South Korea, Iran, Italy or Japan or any other country with high COVID-19 incidents within the past 30 days? • Have you had any contact with anyone diagnosed with COVID-19, with any person(s) under investigation for COVID-19 or anyone with flu-like symptoms (fever, cough and shortness of breath)? The exposure could be to spouses, partners, family members, friends, work colleagues, social group members, fellow students, church members or any other person(s)or groups where there could have personal contact (within 6 feet). • Have you had any worrisome symptoms: fever, cough or shortness of breath in the past 14 days? If positive for symptoms we are asking the you, the patient, to contact your physician for guidance and written permission to attend therapy If a written permission note is not possible we will as you, the patient, to attest to your symptomology or lack of it. We are also asking all patients to call the clinic prior to arriving if they have any flu/virus-like symptoms. The third step we took was to intensify our housekeeping & infection control procedures to assure that we have minimized contact with any thing or areas that could harbor harmful bacteria or viruses. In doing so we are asking all individuals who enter our clinic to: • To complete the Patient Coronavisus-19 Questionnaire per visit or to confirm ‘no changes’ since the completion of the Questionnaire • Apply our hand-sanitizer prior to completing paperwork, signing-in for the appointment, taking a seat in our reception area or starting treatment

• Practice good hand hygiene (frequent handwashing) as well as good cough and sneeze etiquette (cover mouth with tissue when coughing or sneezing and deposit the tissue in a hands-free trash can or cover his/ her mouth with his/her elbow if tissues are not immediately available). • Apply our hand-sanitizer when departing the clinic • Advise care-givers to wait in their car so our reception area is less congested The fourth step we are taking is to reconfigure our gym and reception areas to permit greater physical separation of patients. The fifth step we are taking is to adapt our schedule to accommodate our immunologically compromised patients including but not limited to the frail or elderly. The final step we are taking is to continue to educate our workforce and our patient community regarding the COVID-19. We will consistently employ measures to minimize the spread of COVID-19 according to the CDC (and other credible authorities) recommendations and will keep you informed of any changes in protocols.



Helloall,Noahhere.Wehavebeengrowingconsistentlyandyouhave seen it. You have supported us, you brought in your friends and your family. Thank you so much. As we enter the spring season the staff and I have been discussing clientappreciationandhowtoactuallydemonstrate it.Well,here it is.. We are now 8 years old, well, almost. So we are going to be offering 8 Free screens per therapist. We will be limiting this to that 8 number for Cara, Mariesa, Lora, Blake and myself. This is for you if: • You wake up with pain, or • You have a niggle which won’t go away, or • There is a specific task you would like to do, but can’t do (due to pain or weakness). OPT-IN 1 of 2 ways. 1. Email Brittney directly at brittney@appliedphysicalmedicine.com

with the headline (HELP ME, BRIT) 2. Call Brittney at 520.296.8513 We are YOUR physical therapists, Applied Physical Medicine Team


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