AdvancedRehab: The Ideal Treatment For Low Back Pain

Health &Wellness The Newsletter About Your Health And Caring For Your Body


DIRECT ACCESS Question&Answer

Q. What exactly does Direct Access mean? A. Direct Access means you may choose where you receive physical therapy and you can do so without a physician order. This can save you the extra expense of an office visit. Q. If I come to physical therapy Direct Access, does this mean my physician won’t be involved? A. The choice is yours! When you come Direct Access, you may ask us to include your family physician or any other provider that is involved in your care. We are happy to send regular updates to the provider of your choice. Q. How long can I attend therapy as a Direct Access patient? A. In July 2019, Indiana expanded Direct Access from 24 to 42 calendar days! Q. If I come to the end of the 42 days of Direct Access, will I have to discontinue therapy? A. No, with your permission, we will reach out to your family physician and update them on your progress. We will request an order to continue physical therapy at that time. Q. Will my insurance cover physical therapy if I come Direct Access? A. Yes, most insurance companies recognize Direct Access laws and cover physical therapy services without a physician order. Typically, when insurance coverage is verified, the

insurance company usually indicates if the insurance policy requires an order. If that is the case, we will work with the physician of your choice to obtain the order. Q. I have Medicare, may I come Direct Access? A. Yes, Medicare patients may come to physical therapy Direct Access. Once the physical therapy evaluation is complete, it will be sent to your physician. Medicare does not require a physician order but does require the physician signature on the physical therapy plan.

Health & Wellness The Newsletter About Your Health And Caring For Your Body




• How Can Physical Therapy Help? • Exercise Essential • Patient Success Spotlight • Healthy Recipe

Low back pain is one of the most commonly experienced ailments among patients. In fact, just about everyone will deal with back pain at some point in life. It is estimated that one-half of all Americans experience lower back pain annually, and it is considered to be the leading cause of workplace disability worldwide. It is also one of the most common reasons that people miss work and it is the second most common

pick up boxes. The pain you experience may either be acute or chronic, depending on how it was sustained. Acute pain means that it lasts for a short time and is usually severe. Chronic pain means that it lasts generally three months or longer and it can either cause dull or severe persistent pain. The pain you experience is typically either rooted in your back muscles or the bones in your spine. According to the American Physical Therapy Association, some other factors that may contribute to your back pain include: • Degenerative disc disease. • Lumbar spinal stenosis. • Fractures. • Sciatica. At your initial consultation, your physical therapist will ask you several questions regarding your medical history, lifestyle, and painful area(s). This information will assist your physical therapist in determining what exactly is causing your back pain so you can be provided with the best treatment plan for your needs. It is likely that your physical therapist will also assess your posture, coordination, strength, balance, flexibility, blood pressure, and/or heart rate, depending on your pain and symptoms. This will all help in determining the best course of treatment for your condition. • Herniated disc. • Osteoarthritis. • Osteoporosis.

Adam Gilbert, DPT, CSCS

reason that people visit the doctor’s office.

The average annual cost of dealing with back pain in the United States is $50 billion dollars. Unfortunately, a lot of those financial resources go into dealing with back pain through potentially harmful medications, which is not an effective long-term solution for dealing with back pain. A far healthier and cost-effective solution is through physical therapy. At Advanced Rehabilitation, we can help treat your back pain in a natural, safe, and non-invasive way. What’s causing my back pain? There are a large number of conditions that can result in back pain. For example, poor posture, car accidents, and sports-related injuries are just a few of the ways that someone may develop back pain. Injury is the most common cause of back pain. This can happen in one of two ways: 1) an instant, sudden trauma, such as a car accident, or 2) repetitive use that puts excessive stress on the back over time, such as bending down several times throughout the week to

Stay updated on times and dates of our beneficial workshop sessions. Check out our website for more info about our upcoming workshops!


Physical therapy is a great resource for lower back pain because it addresses the cause of the pain, rather than simply attempting to hide the symptoms. Working with a physical therapist can help improve your range of motion, restore strength to the muscles in your lower back that may have weakened from lack of use, and reduce the tension in your lower back muscles through targeted manual therapy techniques. When working with a physical therapist, you may also be guided through different lifestyle changes that you can make, in order to overcome back pain with everyday activities. These may include: • Making changes to the type of shoes that you wear so your back is getting more support with each step. Sometimes, using special insoles can significantly improve your back pain. • Adjusting your sleeping habits, or perhaps investing in a new mattress so your back has more support at night. • Using more lumbar support at work or on your commute by using a special chair or chair cover. Low back pain can pose limitations to your daily life, but you don’t need to live with those limitations any longer! At Advanced Rehabilitation, we can provide you with the ideal treatment for low back pain. Contact our office today to schedule your consultation and get started on the first steps toward long-term relief. Sources: and-Statistics b334-d9780612bdd3 GLUTEN-FREE PUMPKIN COOKIES Healthy Recipe

• 1/2 cup oat flour, ground • 1/2 cup almond meal • 1/2 tsp baking powder • 1/2 tsp baking soda • 1/8 tsp salt • 2 tsp Vietnamese Cinnamon (5% Oil) • 1/4 tsp Frontier allspice • 1/4 cup mini chocolate chips • 1/2 cup dried cranberries and cherries

INGREDIENTS • 1 ripe banana, mashed • 1/2 cup pumpkin puree • 2 large eggs • 1/2 cup peanut butter • 3 tbsp coconut oil, melted

• 2 tsp vanilla extract • 3 tbsp maple syrup • 1 1/2 cups gluten-free rolled oats

DIRECTIONS Preheat oven to 350°F. Grease or line a baking sheet with parchment paper or a silicone baking mat. Set aside. In a mixing bowl stir together mashed banana, pumpkin, eggs, peanut butter, coconut oil, vanilla and maple syrup until well combined. Add in oats, oat flour, almond meal, baking powder, baking soda, salt, Vietnamese cinnamon, allspice, chocolate chips and dried fruit; stir to combine. Refrigerate for 5 minutes to harden. Drop cookies by spoonfuls on prepared baking sheet. They won’t expand much, so feel free to press them down slightly, and make them as uniform as possible to ensure even baking. Bake for about 12 minutes until lightly browned.

Did You Know You Have Direct Access To Physical Therapy? Whether you want to come in for a check-up, suffered a recent injury or you want to improve your health, a physician referral is not needed. In the state of Indiana you have direct access to physical therapy! You have the power to choose. Just as you can fill a prescription for medication at a pharmacy of your choice, you can choose where to receive physical therapy as well. Taking care of yourself means taking charge of your healthcare, so remember that regardless of which physician you see, you have a choice when it comes to physical therapy. Physical Therapists Are The Mechanics Of Your Body! Minor aches and pains are warning signals from your body to let you know something is not working properly. Don’t put off the pain until it’s too late. Come in today for a “Tune-Up.” As of July 1, 2019, Indiana has updated the law to include 42 calendar days of direct access! Come to PT without a MD order. Call ARI today!

Patient Success Spotlight


       “I feel so much better now!” “My experience at ARI was wonderful. I came in with lower back pain that was preventing me from being able to do exercises or basic housework. Cyndi and Alfredo took the time to truly understand my issues and worked with me to define a plan that would get me back to my regular activities. I so appreciate their compassion and drive to help make me better. I feel so much better now that my sessions are over and I am back to my normal household activities and well on my way back to being able to exercise like I used to. I can truly say that all of the staff at ARI are top notch!” -AllisonT.     


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OCTOBER 12TH • 10:00AM OCTOBER 17TH • 6:00PM The Rotator Cuff Workshops will be held Saturday, October 12th at 10am at our Tell City clinic, and Thursday, October 17th at 6pm at our Jasper clinic.



REGISTER BY CALLING: Tell City: 812-547-7770 Jasper: 812-482-7755


TELL CITY 1020 11th Street #C Tell City, IN, 47586

JASPER 255 West 36th Street #100 Jasper, IN, 47546







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