WAPT: Herniated Discs


Anyonewho has been in the clinic on a Friday recently has been greeted by the smell of fresh baked cookies! Cookie Friday has become a welcomed tradition that we started about 2 months ago. Let’s be honest for amoment…it really started because I bought a new toaster oven for the staff break room. While I was unpacking it, I was hungry and decided that it was the perfect size to bake a small tray of cookies. A quick trip to the store later and the clinic smelled like freshchocolate chipcookies. OK…Another confession. Tami bakes the cookies. If you’ve spent any time in the clinic

you know thatTami wearsmany hats. I guess we can add a chef hat now. In fact, Tami even commissioned the making of homemade dough courtesy of her wonderful mother. So this isn’t store bought cookie dough. It’s homemade especially for us to sharewith you. Piqued your interest? Hungry now? Feel free to stop by any Friday for a cookie and cup of coffee. We’d love to see you and catch up over a fresh baked cookie! - Mike


December 2018

Independently owned and operated since 1997

Understanding Herniated Discs

Back pain can develop for all sorts of reasons. From a car accident to bad posture, to an uncomfortable seat for a prolonged period of time, back pain can come out of nowhere and cause no small amount of discomfort once it arrives. There are some back injuries, however, that are even more painful than yourrun-of-the-millbackpain.Aherniateddisc isoneof themostpainful back injuries that you can experience, and it is far more common than you may be initially aware. What is a Herniated Disc? Your spine is made up of a series of interlocking bones with small cushions in-between each joint socket. The structure of your spine is what allows you tomove freely fromside to side. Every time you crunch your abdomen by bending forward, or lean to one side or another for a deep stretch, those little vertebral bodies move with you, keeping you comfortable and your back strong. Without cushioning in between each of those sockets, the bones would rub against one another with every movement, and this would be incredibly painful.

Whenadiscbecomesherniated,thecushioning inbetweenthevertebrae willrupture,essentiallydeflating thecushioning inbetween thevertebrae andcausing thebones tobegin torubagainstoneanother.This ispainful enough as it is, but can become even more painful if the herniated disc actually begins to press on the adjacent spinal nerves, causing the pain to spread even further up the spine. The most common placement for a herniated disc is at the lumbar vertebrae in the lower back. While it is not the only reason that pain can become severe in the lower back, it is definitely one of the most severe forms of back pain. If you suspect that you may have experienced a herniated disc it is important that you seek medical attention, such as fromyourphysical therapist.Aherniateddiscwillnothealon itsown,and working with a physical therapist is one of the best ways to experience relief from the pain associated with this common concern. (Continued Inside...)

Understanding Herniated Discs (continued)

How does this happen? Thevertebrae in thespinearestackedclosely together, withonlyasmall amountofspace for thediscs inbetweeneachbone.Adisccanbecome herniatedasa resultof injury, caraccident, or evensimply fromoveruse. One of the most common causes of a herniated disc is heavy lifting. Weightlifters have to be especially wary not to suddenly lift something too heavy, otherwise risk experiencing a slipped disc. But experienced gymgoers are not the only ones at risk. Every time you attempt tomove a piece of furniture, a heavy box, or even a big bag of books you need to be wary to lift correctly, otherwise face the risk of potentially herniating a disc in your back. Treatment for Herniated Discs Painassociatedwithaherniateddiscoftendevelops in thesciaticnerve, and doesn’t subside with simple rest and relaxation. While hot and cold therapy will help alleviate the pain associated with many different back issues, it won’t make the pain of a herniated disc go away. The pain is

5 often frequently associated with numbness, weakness, and tingling in the legs. In many situations, the pain will feel more severe after initial movement,suchasstandingupor layingdown.Manypeoplemistakenly refer to having a herniated disc as having “pinched a nerve,” but that is not the case. Physical therapy is a great resource for attempting to overcome the pain associated with a herniated disc. A combination of passive and active techniques is typically employed, including deep tissuemassage, electrical stimulation, and hydrotherapy, as well as deep stretching and strength building. If you suspect that you may have a herniated disc, contact a physical therapist right away. Attempting to engage in therapy at home could lead to further injury. It is best to have an experienced therapist assess your injury before attempting any treatment options. 4 5 2 7 2 3 8 6 4 2 1 7 9 5 7 3 2 1 4 5 8 9 4 7 8 2

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



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Swan Dive Lay on stomach with your arms overhead. Press your chest upwards, keeping the muscles in your trunk and legs relaxed. Repeat 6 times.

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Call 425.820.2110 or visit www.waptrehab.com to schedule your appointment today!



“I highly recommend WAPT for any physical therapy you need!”

Chocolate Hazelnut Biscotti

Ingredients 1 1/3 cups all-purpose flour 1/2 teaspoon baking powder 1/2 teaspoon baking soda

1/4 teaspoon kosher salt 1/2 cup butter, softened 1/2 cup chocolate hazelnut spread (recommended: Nutella) 1/2 cup sugar 1/2 cup brown sugar 1 egg 1 teaspoon vanilla extract 3/4 cup chopped toasted hazelnuts

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Directions Preheat the oven to 375 degrees F. In a medium bowl combine the flour, baking powder, baking soda, and salt. Set aside. In another medium bowl combine the butter,chocolatehazelnutspread,sugar,andbrownsugar.Usinganelectricmixer, cream the ingredients together,about4minutes.Add theeggandvanillaandbeat until smooth, about 1 minute. Using a wooden spoon or rubber spatula, stir in the flour mixture until just combined. Add the hazelnuts and stir until just combined. Using a tablespoon measure, spoon out the cookie dough onto a cookie sheet, spacing the mounds about 4 inches apart. Use the tines of a fork to flatten the cookiedough.Bakeuntil lightlygoldenaround theedges,about10 to12minutes. Use a metal spatula to transfer the cookies to a wire rack and let cool.

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4 9 1 4 “When I was first diagnosed with a ruptured Plantar tendon, I thought this would be a chronic issue that I would have for the remainder of my life. What a surprise I was in for! Through Mike’s guidance and instruction, he developed a plan for me to follow in-house and at home that would allow me to eventually resume my daily activities and my sports hobbies– and more importantly– without any discomfort or pain! Obviously, I highly recommend WAPT for any physical therapy you need.” 9 2 5 3 8 8

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This coupon good for FREE Consultation! Valid now through 12/31/18

Time Is Running Out!


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3 2 4 1 8 4 Use Your Benefits Before 2018 Ends! The end of the year is near! It’s never been a better time to use the remainder of your physical therapy benefits to get out of pain, build strength, and stay healthy this fall! Take some time to treat yourself to a better quality of life, enabling you to enjoy the great activities Washington has to offer such as hiking, hunting, fishing, and skiing. Come see us to work on your back, posture, hips, knees, shoulders, andmore!We’rehere tohelpyouexperience lifepain-free.Life isshort, don’t ignoreyourpainandproblems.You’llbeamazedat the long-term benefits of physical therapy on your body and quality of life! 5 7 6 8 1 5 7 2 9 8 7 8 6 1 5 2 6 4 9 6 1 2 8 5 Get results like these by scheduling your appointment. Call 425.820.2110 and talk with your therapist today!

Mention or bring in this coupon for a FREE Consultation with one of our physical therapy specialists!

The free consultation is ideal for people suffering with:

• Lower back pain • Herniated discs • Sciatica

• Spinal stenosis • Stiffness • Muscle spasms

• Arthritis • Upper back pain

Call Today! 425.820.2110


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7 1 A One-Day Special Offer For All! See The Insert!


For Present & Past Patients Of Washington Physical Therapy

Dear Valued Client,

We are so excited about the coming New Year in our new location. We want to do something special to celebrate! This is our BIG THANK YOU for allowing us to serve you. To thank you, our valued clients, we are having a day of completely Free Exams for:

• All past clients who have not been seen in PT in more than 2 months • All present clients who have another problem currently not being treated • All loved ones, family, friends, neighbors and co-workers of our past and present patients

If you are a past or present patient, call 425-820-2110 to schedule your Free Exam. If you are referring a friend or family member, give them the certificate included in this letter and have them call 425-820-2110 to schedule their Free Exam.

The day of Free Exams will be on: MONDAY, JANUARY 28 at our new office location: 6725 116TH AVE NE SUITE 130 KIRKLAND, WA, 98033

The Free Exam consists of a 30-minute one-on-one appointment with the Physical Therapist of your choice. The physical therapist will talk with you about the history of your problem. They will take measurements to test how well you are moving and to test your strength. After a thorough exam, they will give you a written copy of: 1.The cause of your pain or problem. 2. A plan for successful treatment. The appointments are free, but are limited as each physical therapist only has 10 spots. Call 425-820-2110 now to schedule your Free Exam.

Washington Physical Therapy & Rehabilitation | 6725 116th Ave NE Ste 130 • Kirkland, WA 98033 P: 425.820.2110 • F: 425.820.2111 E: info@WAPTrehab.com • W: waptrehab.com


For Present & Past Patients Of Washington Physical Therapy


• Lower Back Pain • Arthritis • Sciatica

• Neck Pain or Headaches • Elbow Pain • Shoulder Pain

• Knee & Hip Pain • Problems Walking or with Balance

If you are having pain or problems with day to day activities such as walking, standing, sitting for long periods, going up or down steps, getting in and out of the car, sleeping or driving, then this is an excellent opportunity to see one of our world-class therapists and find out the cause of your problem. Call 425-820-2110 to schedule your Free Exam for Monday January 28th. Sincerely, Mike

P.S. We will also be giving away Free Copies of the “Top 10 Most Burning Questions about Sciatica” to anyone that schedules.

P.P.S. To celebrate the New Year, we will give away free T-shirts. This is going to the first 10 people to schedule a Free Exam for January 28th.

Celebrating The NewYear In Our New Location!



Our New Office Location! 6725 116th Ave NE Suite 130 Kirkland, WA, 98033 P: 425.820.2110

Only 10 spots per therapist available!


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