The Next Level: 3 Ways To Beat Achy Shoulders

Newsletter by The Next Level Physical & Occupational Therapy

Getting ToKnowTheNext Level Staff Missy Hymel, LOTR, CHT, CKTP May, 2017

Missy is a National Board Certified Occupational Therapist (LOTR), National Board Certified Hand Therapist (CHT) and Certified Kinesiotaping Practitioner (CKTP) with over 26 years of experience in hand and upper extremity rehabilitation. She received her Bachelor of Science degree in Occupational Therapy from The University of Louisiana at Monroe in 1990. In 1996, she completed a six month hand therapy fellowship with prominent Hand Surgeons and Certified Hand Therapists in the New Orleans area. From 1985-1987 she attended Louisiana State University for pre-occupational therapy and played clarinet in The Golden Band fromTigerland for two years. Missy has been married to Stephen for over 20 years and they have two very active teenagers: Jordan and Jared. Missy’s hobbies include: scrapbooking, paper crafts, reading and spending time with her family. SPECIALTIES AND CERTIFICATIONS In November 2001, Missy met the Hand Therapy Certification Commission (HTCC) requirements and became a Certified Hand Therapist (CHT). She became a Certified Kinesiotaping Practitioner (CKTP) in 2003. In 2013, she became a Certified i-limb Touch Bionics Prosthetic Trainer working with individuals that have lost a limb, (hand, finger, or arm) teaching them how to use a static or dynamic prosthesis to gain function.

INTERESTS AND AREAS OF EXPERTISE Her interests include: • Fractures, tendon/nerve lacerations • Burns/wound management, amputations • Prosthetic training • Kinesiotaping • Multi-system complex injuries of the upper extremity and custom orthosis/splint fabrication. DEDICATED TO CLINICAL EDUCATION Missy has presented a variety of topics at local and state conferences – Louisiana Occupational Therapy Association (LOTA) and Louisiana American Society of Hand Therapist (LA- AHST). She is an active member in her related professional organizations – LOTA and American Society of Hand Therapist (ASHT). She has been practicing on the Northshore for over 13 years.

May, 2017

“ Get Back To Everyday Activities Pain Free!”

3 Ways To Beat Achy Shoulders Achy Shoulders with Jim Silvestri, PT Cred MDT becomes vulnerable to injury! There is less space for the muscles which can then get “pinched”. The musclesarealsooverstretched,makingthemweaker.

INSIDE:

• 3 Ways To Beat Achy Shoulders • Top 3 Ways To Avoid Carpal Tunnel Syndrome • Getting To Know The Next Level Staff • Healthy Recipe • Patient Success Spotlight

Dear Valued Client,

2.Strengthenyourrotatorcuffmuscles –Bykeeping your rotator cuff muscles strong, you help guide your shoulder joints, lessening the chance for injury and inflammation to occur. A simple exercise to perform is while sitting or standing, keep elbows at your side bent to 90 degrees and thumbs up. Push your hands out like opening a newspaper. Repeat 10 times. 3. Improve your scapula stability – The shoulder blade makes up an important part of your shoulder complex. It has many different muscles attached to it, pulling at just the right time for proper shoulder movement. Improve the shoulder blade muscles by frequently firing them. In sitting or standing, drop your shoulders slowly down and back. This wakes up those important muscles which help guide the shoulder blade when using your arm. Perform 10-15 repetitions, holding the contraction for 5 seconds frequently throughout the day. By working on these 3 simple actions, you can dramatically improve the performance and feel of your shoulders. If your shoulders feel weak, achy, or painful give us a call today. We will definitely get your shoulders feeling limber, stronger and allow you to get back to doing life’s everyday activities pain free.

Do you find your shoulders aching at the end of the day or when having to reach for items?

James Silvestri, PT CEO

Why your shoulders hurt Your shoulders have to move through an incredible 180 degrees of motion, while still maintaining stability and strength. The shoulder joint acts like a ball in a very shallow socket that is part of the shoulderblade.Someof themost importantmuscles in the rotator cuff are actually the smallest. The rotator cuff is made up of 4 muscles that are small, but vital to keeping the ball stable in the socket. When these muscles are weak or injured, the ball can jam up into the socket of the shoulder blade, causing inflammation and pain. Try these simple actions to improve the health of your shoulders and alleviate that nagging ache or sharp pain for good. 1. Sit up tall! – The number one reason for repetitive injuryandpain intheshoulders ispoorposture.When the ball moves forward in the socket, the rotator cuff

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Top 3Ways To Avoid Carpal Tunnel Syndrome “Catch CTS Early & Treat It Before Nerve Damage Occurs.”

Carpal Tunnel Syndrome (CTS) is a very common occurrence, especially in those that are at a computer all day. The carpal tunnel is in your wrist and made up of bones of the hand and ligaments that form the ceiling of the tunnel. With typing, pressure is frequently put on the wrists and base of the palm. In addition, the frequent use of the tendons that glide through this area, during typing can cause the tendons to become irritated and swollen decreasing the space in the tunnel. Your median nerve, which supplies sensation and muscle control to your thumb and first two fingers can become compressed. This is why with CTS, many people first experience tingling or numbness in the thumb and first two fingers. While this can be a sign of nerve compression, the good news is that this can be prevented and even reversed quite quickly. Seeing a physical therapist right away is essential, but here are some tips you can do in the meantime: 1. Stretch your wrists and hands Stand up and grab the tips of your fingers with the other hand.

With your arm outstretched, gently stretch your fingers back until you feel a gentle pulling in your hand and wrist. Hold this for 15-30 seconds and repeat on both sides for 3 times. Do this frequently throughout the day. 2. Improve your posture at work If you slouch at the keyboard, this puts the neck in a bad position and can put more pressure on your wrists, decreasing blood flow to your hands. Sit tall and have your keyboard slightly lower than the level of your elbow. 3. Stretch your chest and shoulders Improving your shoulder and chest mobility increases the circulation in your hands. The better your circulation, the less inflammation can build up in the hand and wrist. CTS is a condition that you can prevent with these tips. However, if you start to notice the tingling, numbness or weakness in your hand, see a physical therapist right away.

It is much better to catch CTS early, than after nerve damage has occurred. If you feel that you might be experiencing CTS or know someone with these symptoms, call us today to speak with one of our specialists.

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Healthy Recipe

Veggie Crockpot Lasagna INGREDIENTS • (2) 24 ounce jars or cans of Italian tomato sauce • 9 thick lasagna noodles with wavy edges • 24 ounces part-skim ricotta cheese OR cottage cheese

• 3-4 cups chopped vegetables of choice • 2cupsshreddedMozzarellaorProvolonecheese • Parmesan cheese for topping • Fresh parsley for topping

DIRECTIONS • Spray the crockpot with nonstick cooking spray. Spread ½ cup tomato sauce to the bottom so the noodles don’t stick. • Break noodles so that they fit and mostly cover the bottom. They will probably be awkward looking - not a big deal. Cover with about one third of the ricotta, veggies, sauce, cheese, and end with noodles. Repeat layers two more times for a total of three complete layers. End with a layer of noodles on top, covered with a thin layer of sawce and a little bit more shredded cheese. • Cover and cook on high for 3 hours or on low for 5-6 hours. Turn the crockpot off completely and let the lasagna sit for at least one hour. This allows all the moisture to get soaked into the lasagna.

Image courtesy of www.goodhousekeeping.com

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Patient Success Spotlight

What You Missed Last Month Crawfish Boil The Next Level team enjoyed our annual crawfish boil filled with games, prizes, music, races and a ping pong tournament! We hope everyone had a great time! The winner of the Golden Ticket Prize was Brigid Dickson, who won a $50 Movie Tavern Gift card! Congrats Brigid!

Hear What Our Patients Have to Say!

“I am able to play the sports I love!” Success Story: Charles “Luke” P.

“I came to The Next Level because I injured myself wrestling. Coming into the baseball season, I had trouble pitching. After just tossing the ball, my hip would tighten and I experienced immense back pain. I was living off ibuprofen and ice. I did not informmy parents or coach because I thought I could push through it. Eventually, I had to informmy parents and they agreed that it would be best if I went and saw my old physical therapist, Jim. I was pretty reluctant at first, and difficult to work with, but through persistent help and guidance, Mr. Anthony, Mr. Jim, Mason, Adam and myself got along perfectly. They provided a great, friendly relationship that made me feel appreciated and valued. I would recommend this physical therapist to anyone who’s looking to feel better fast and have a great time through the process. Now I have no pain, I don’t struggle with constant soreness and I am able to play the sports I love. Thank you TNL!”

Enjoy This Sudoku Puzzle!

Attention Joint Pain Sufferers!

Do You Have Difficulty Moving?

• Use number 1-9 only. • The full grid is 9x9 cells.

• The full grid is broken into 9 regions, 3x3 cells each. • Each region can contain only one of each number 1-9. • Each cell can contain only one number. • Each row & column should contain only one of each number 1-9.

How are you doing and can I help you?

Mention this coupon when you Call Us For A FREE Discovery Visit 985.898.0721 Give me a call, I can answer your questions. We can offer you a free movement assessment. What is a DISCOVERY VISIT? It is a one on one free consultation with a Physical Therapist who figures out why you are in pain and develops a plan to get you feeling better.

Offer valid for thefirst25people to schedule. Expires06-28-17.

Call Today: 985-898-0721

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