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LETTERS OF PROOF (928) 440-3106 | www.ProofPT.com
October 2024
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PERMISSION TO MOVE The Only Thing We Have to Fear Is Fear Itself
A patient we saw recently was in excruciating pain, hobbling, and was barely able to walk. She had gone to a hospital emergency room for lower back pain, and the doctors took X-rays and gave her medication. But a week later, she was unable to stand the pain. She called us, and we fit her into our schedule on an emergency basis. I did an assessment and exam, but I did not do any hands- on therapy during this patient’s treatment. I just gave her permission to move. I encouraged her to try a couple of very gentle stretches and reassured her, based on her X-rays, that these movements would not damage her back. By the end of the visit, she was walking out the door upright, moving normally. The only change we brought about was giving this patient permission to move.
Patients’ responses to pain vary widely. On one end of the spectrum are those who say, “I don’t have any fear of moving. I’m just going to work out, and I don’t care about the consequences.” On the other end of the spectrum are those who say, “I felt a small twinge of pain, so I’m not going to move this joint at all.” We talk with patients at both ends of the spectrum to help them recognize an appropriate amount of pain. Patients who are afraid that movement will cause more damage may tighten their muscle to avoid it. That can make the pain worse. We see a strong correlation between that mindset and the level of pain patients experience. That’s where the conversation starts, and we educate patients about the benefits. Pain does not always signal damage. Moving into a little bit of discomfort is okay. There are limits, of course. I don’t want patients to push through super-sharp, driving pain that makes them grit their teeth. But moving the joint slightly and feeling pain at 2 or 3 on a 10-point scale is okay. If the bicep is tight, for example, the best thing for it may be to turn that muscle on by working it, to lift it and relax, lift and relax. You don’t have to lift 55 pounds. It can be 5 pounds, just enough to cause that muscle to turn on and off. Going through those cycles of movement accomplishes two things. First, it signals the brain that this kind of movement is okay, that it isn’t something to guard against, and it’s okay for the brain to signal the muscle to calm down. And second, it helps the muscle fibers slide over each other more smoothly. As blood flow increases, it flushes out inflammatory molecules and decreases pain. The reward may be like that wonderful sense of relaxation you get after a strong stretch of your muscles. As you celebrate Halloween this month, we wish you the best in facing any fears of pain or movement and finding just the right level of therapeutic exercise for your needs.
Many of our patients fear that moving will worsen their injury. Since Halloween is a time when we face our fears, it’s also a good time to explore how overcoming the fear of pain or movement can help patients recover and return to their usual activities. Based on patients’ X-rays or other imaging, we can assess whether movement is appropriate and what exercise is best. Moving to some degree is helpful 99% of the time. In many cases, even a small amount of exercise can be therapeutic.
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TASTY TAKEOUT TRANSFORMATION YOUR GO-TO GUIDE FOR HEALTHY TO-GO FOOD CHOICES
Manage your portion sizes. Many fast food joints serve big portions you can split into two meals, so always watch how much food you order. Avoid supersizing your meal and stick to the smallest serving sizes for sides, drinks, and main entrees. Our favorite takeout hack is to check out the kid’s menu. The children-size hamburgers at most restaurants typically contain only 250–300 calories, so you will still get a solid serving of protein with less fat — and save a little money. Skip the add-ons. When you crave fast food, every calorie counts. Say no to add-ons or extras for your meal, like bacon or cheese. Sauces and dressings often have extra calories and sugar, so avoiding them or asking for them on the side is best. If you want condiments on your food, like mayonnaise, ask them to add only a light amount or ask for sauce packets so you can control those extra calories. Some healthy and tasty swaps for flavor are avocado, hummus, or salsa. So, remember these tips to keep your meal delicious and healthier next time you’re in the drive-thru line. You can enjoy a world of flavors without sacrificing your well-being by making mindful choices and small swaps.
Are you hungry for some delicious takeout but want to keep it healthy? Whether you’re craving spicy Szechuan or dreaming of a cheesy slice of pizza, we’ve got your back with the ultimate guide to guilt- free takeout! From swapping
out egg rolls for lighter spring rolls to skipping your hamburger bun,
discover how to indulge in your favorite cuisines without compromising health. So, grab your fork, and let’s dive into the menu of nutritious takeout options that will satisfy your cravings and keep you healthy. Avoid fried foods. Many of the most popular dishes at fast-food restaurants are battered and fried. Look for items on the menu that are baked, steamed, roasted, or grilled, as they are healthier alternatives. Fried foods are high in calories and trans fat, which could negatively impact your health. Simple swaps like choosing a veggie burger instead of a regular burger with bacon or a baked potato instead of fries can make all the difference.
Unleash Your Inner Athlete Dogpound Gym’s Rise to Fitness Stardom
In the fast-paced world of celebrity fitness, one name stands out: Dogpound. This exclusive gym, located in New York and Los Angeles, has become a beacon of high-end fitness for the rich and famous, offering a personalized approach to reaching peak physical condition. Catering to the Crème de la Crème Dogpound’s memberships are the stuff of legend, with three tiers to choose from: Silver ($8,000/year), Platinum ($23,000/ year), and the elite Black ($36,000/ year). Each level provides a unique blend of private sessions and group classes, ensuring every client receives the attention and expertise they demand. But it’s not just the price tag that sets Dogpound apart — it’s the caliber of its clientele. A-List Regulars and Beyond From pop sensation Taylor Swift to Marvel’s Tom Holland, Dogpound has become a veritable who’s who of
the entertainment industry. Even the Wolverine himself, Hugh Jackman, has been spotted sweating it out within Dogpound’s walls, a testament to the gym’s unparalleled reputation. But the gym’s reach extends beyond the silver screen, with Victoria’s Secret models and world-renowned athletes among its devoted members. Cutting-Edge Training, Virtually and In-Person Dogpound’s success lies in its commitment to innovative training methods. Whether you’re working out in person at one of its state-of-the-art facilities or participating in its virtual training sessions, its impressive range of cutting-edge equipment and expert guidance will push you to your limits. A Holistic Approach to Fitness But Dogpound is more than just a place to lift weights and burn calories.
The gym’s holistic approach to wellness ensures its members receive the support they need to achieve their goals and maintain a healthy, balanced lifestyle. From cryotherapy to massage therapy, Dogpound offers a range of recovery services to help its clients bounce back and perform at their best. As the fitness world continues evolving, Dogpound has established itself as a pioneer, blending cutting-edge training methods with unparalleled exclusivity and personalized attention.
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SUPERFOODS FOR MORE RADIANT SKIN
People have employed lasers, chemical peels, injections, and facelifts in the war against aging skin. While these more extreme measures can be temporarily effective, they can be hard on the wallet and much more cumbersome than natural remedies. Another tool in our arsenal against the effects of aging is our diet. Since our skin ages more like milk than wine, it only makes sense that we eat more fruit (as well as herbs and vegetables). Here are four skin care superfoods that can boost skin health!
chocolate, dark chocolate contains antioxidants, vitamins, and minerals that help improve the texture and radiance of your skin. I guess it’s time to give in to the dark side! Kale It won’t kill you to eat kale. In fact, kale is one of the most nutritious foods out there! Best of all, it is full of antioxidants and vitamins to make your body’s biggest organ (your skin) look new again! If you have an aversion to eating greens, you should know that kale also comes in purple varieties.
Blueberries One key ingredient to healthy skin is antioxidants,
TAKE A BREAK! which help protect skin cells from aging and can even help minimize wrinkles. Fortunately, blueberries are full of antioxidants, such as anthocyanins and flavonoids. They also contain a healthy amount of vitamin C, which has been proven to improve skin firmness. Dark Chocolate Who knew delicious desserts could contribute to healthier skin? Unlike milk
Thyme Everyone has heard of herbal remedies, and one herb in particular has some proven benefits for rejuvenating skin. According to research published in
the scientific journal Nutrients, thyme is full of antioxidants, minerals, and vitamins that can help contribute to healthier, smoother skin.
INGREDIENTS • 1 1/2 tsp vegetable oil, or as needed • 1/2 cup half-and-half • 1/4 cup canned pumpkin purée • 3 large eggs • 1 tsp ground cinnamon PUMPKIN PIE FRENCH TOAST
Inspired by AllRecipes.com
• 1 tsp vanilla extract • 1/4 tsp pumpkin pie spice • 1/4 cup finely chopped walnuts
• 8 slices day-old bread • Maple syrup, to taste
1. Lightly oil a skillet and heat over medium heat. 2. Whisk half-and-half, pumpkin purée, eggs, cinnamon, vanilla, and pumpkin pie spice together in a bowl. Stir in walnuts until evenly distributed. 3. Place 1 slice of bread in the bowl and let it soak briefly to coat both sides. Lift bread to let excess liquid drip back into the bowl, then transfer to the hot skillet. 4. Cook for 2–3 minutes or until golden brown, then flip and cook the other side until done. 5. Stir batter to redistribute walnuts and repeat with other slices of bread, cooking in several batches if necessary. 6. Serve warm with maple syrup. DIRECTIONS
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(928) 440-3106 | www.ProofPT.com
PRST STD US POSTAGE PAID BOISE, ID PERMIT 411
460 N. Switzer Canyon Dr., Ste. 400 Flagstaff, AZ 86001
INSIDE THIS ISSUE
1.
Overcoming the Fear of Pain
2.
Enjoy Your Favorite Takeout Without the Guilt The Gym Celebrities Can’t Get Enough Of
3.
A Diet for Healthier Skin Pumpkin Pie French Toast 4. Fascinating Facts to Make Your Bones Rattle
EXPLORING THE MARVELS OF YOUR SKELETAL SYSTEM! ‘BONE’ VOYAGE
Make no bones about it; our skeletons are a real rib-tickler of fascinating facts! From the impressive strength of our thigh bones to the tiny marvels of the inner ear, your bones are the unsung heroes of your body. So, rest your bones in a comfy chair because we are about to dig up some of the most shocking skeletal secrets. Babies have more bones than adults. Although babies are tiny, their bodies have many bones in a pudgy, little package. Human babies have about 300 bones compared to an adult’s 206. Many extra bones are entirely or partly made of cartilage, allowing the baby to stay flexible in the womb. Over time, the bones fuse and decrease in number. Fracture rates are highest when kids are around ages 11–15, the critical time for significant growth spurts thanks to growth plates that close as we age. Half of our bones are in our feet and hands. Did you know that many of our bones are in the smaller extremities of our body? Nearly half of our 206 adult bones are in our hands and feet! Each foot has 26 bones, and our hands both have 27 bones, which is 106 bones. Our hands
even have a bonus bone called the pisiform, located on the outside edge of our wrists. The funny bone is a nerve. Have you ever hit your funny bone? Well, you are not hitting a bone at all. This area on the body is part of the ulnar nerve, which goes from your neck to your hand. Bone, muscle, and fat typically protect nerves, but a small portion of this nerve on the back of your elbow is more exposed. So, when you hit your funny bone, named for its location near the humerus bone (a homophone of “humorous”), you’re really bumping into the ulnar nerve. So, now that you’ve “boned up” on the most fascinating fossil facts, give your skeleton a little nod for the incredible things it does to support you and keep you moving!
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