It is no secret that women who are pregnant often experience low back pain (LBP) and pelvic girdle pain (PGP). A retrospective cohort study completed by Malamqvist et al. found that 50% of women experienced moderate to severe pain. However only 15%-30% received treatment for complaints they reported to their physicians. In addition to pre natal problems it has been discovered that at one year post partum 77% of women experienced back pain, 49% experienced urinary incontinence, and 40% experienced back pain as well as urinary incontinence. Education of medical professionals and community members is the key to changing these statistics. The new pelvic health program at Teton Physical Therapy and Rehabilitation will be working hard to get the message out that there are interventions that can help most problems encountered during the pre or post-natal period.
Newsletter Health &Wellness
Happy Holidays From All Of Us At TETON PHYSICAL THERAPY & REHABILITATION
We want to thank you for being a current or past patient of Teton Physical Therapy & Rehabilitation! We appreciate the opportunity to serve and heal our community. Now is the time for cooking, shopping, holiday parties, travel and many other activities that keep you busy. At Teton Physical Therapy & Rehabilitation we understand that you need to have all the energy you can get and move freely without pain, to keep up with the demands of the season. Come back in if you are not moving like you should. We are here to help!
Newsletter Health &Wellness
INSIDE: • New Staff Spotlight • Thank you!
• Holiday Recipe • Sudoku Puzzle
PHYSICAL THERAPIST’S ROLE IN PRE & POSTPARTUM CARE
OUTPATIENT REHAB CALL FOR AN APPOINTMENT OCCUPATIONAL THERAPY DEVELOP INDEPENDENCE SPEECH THERAPY COMMUNICATION & MORE PHYSICAL THERAPY INCREASE PERFORMANCE
• Lumbosacral spinal lesion • Lumbar radiculopathy • Anteromedial knee pain, radicular symptoms • Popliteal pain, radicular symptoms • Sprained ankle • Achilles tendonitis • Bursitis • Morton’s neuroma • Plantar fasciitis • Carpal tunnel syndrome Treatment strategies: • Evaluation of your musculoskeletal system:May requireexternalor internal exam (with consent) depending on condition • Manual therapy • Biofeedback • Electrical stimulation • Bladder diary • Orthopedic assessment • Labor position suggestions based on orthopedic concerns •Pelvicfloorexerciseswithappropriate breathing strategies • Biomechanics training • Scar mobilization (with C-section) • SI and pelvic girdle belt application • Education!!!!! Pain isnotasymptomofpregnancy that must be endured!!! 1. (Malmqvist, Kjaermann, Andersen, Økland, & Brønnick, 2012) 2. (Owens,Pearson,&Mason,2002;Stapleton,MacLennan, &Kristiansson,2002) 3. (Mannion,Vinturache,McDonald,&Tough,2015)
It is no secret that women who are pregnant often experience low back pain (LBP)andpelvicgirdlepain (PGP). A retrospectivecohortstudycompleted by Malamqvist et al. found that 50% of womenexperiencedmoderate tosevere pain1. Howeveronly15%-30% received treatment forcomplaints they reported to their physicians.2 In addition to pre natal problems it has been discovered that at one year post partum 77% of women experienced back pain, 49% experienced urinary incontinence, and 40% experienced back pain as well as urinary incontinence.3 Education of medical professionals and community members is the key to changing these statistics. The new pelvic health program at Teton Physical Therapy and Rehabilitation will be working hard to get the message out that there are interventions that can help most problems encountered during pre or post-natal period. How can physical therapists help? Physical therapists are experts on the musculoskeletalsystem.Asa resultwe cancollaboratewiththehealthcareteam toprovidesafeandeffective treatments that focus on providing pain relief and improving core/pelvic floor control in order to optimize function. Our role is toprovideexerciseprescription,manual therapy and biofeedback depending on thepatients’ individualdysfunction.We can also help assist in minimizing the stress of preexisting musculoskeletal
conditions and potentially reduce pelvicfloor traumaduringbirth through education and planning for labor and delivery. In addition to pain presentations, incontinence is often a topic that is associated with both vaginal and cesarean births. Most women think it is normal and do not reveal this issue to their doctors. Incontinence is easily treated! In fact if women were educated pre-natally most problems of incontinence could be avoided. As health care practitioners we will strive to educate you on normal versus abnormalphysiologicalchangesduring and following pregnancy to empower you to regain optimal function of your body again! Common sx pre and post partum: • Deep Vein Thrombosis—physical therapists can help screen • Low back pain/Pelvic girdle pain • Stress incontinence •DiastasisRectusAbdominis (mommy tummy) • Orthopedic pain with breast feeding • Exacerbation of musculoskeletal disorders—outlined below Common musculoskeletal sx associated with pregnancy: • Knee ligament tear • Patellofemoral syndrome • Periarticular injury or inflammation
P.O. Box 10490 555 East Broadway, Suite 100 Jackson, WY 83002 Phone: (307) 739-1864 Fax: (307) 739-1831
CALL TODAY!
(307) 739-1864 www.tetonpt.com
NEW STAFF SPOTLIGHT
Jessica is a licensed PhysicalTherapist Assistant who started atTeton PhysicalTherapy and Rehabilitation in April 2017. Her previous work experience teaching alpine skiing, yoga and photography as well as various other jobs and international travel foroutdooradventurepreparedher foracareer inPhysical Therapy. After completing her PTA education in Bellingham, WA in 2012 she began working in various settings and found manualTherapy, Pelvic rehab and yoga therapy to be the areas she is most passionate about. Jessica is an avid mountain athlete and feels very fortunate for the opportunity to explore the Tetons and serve it’s communities. She looks forward to many years of helping patients rehab and heal in order to return towhatever it is they lovemost.Jessicaalso feelsvery fortunate to be part of the dynamic and talented team of therapists who are Teton PT and Rehabilitation! JESSICA ROBINSON PTA
www.tetonpt.com
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 • 1/2 cup sugar • 1/2 cup brown sugar • 1 egg • 1 teaspoon vanilla extract • 3/4 cup chopped toasted hazelnuts
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, chocolate hazelnut spread, sugar, and brown sugar. Using an electric mixer, cream the ingredients together, about 4 minutes. Add the egg and vanilla and beat 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 cookie dough. Bake until lightly golden around the edges, about 10 to 12 minutes. Use a metal spatula to transfer the cookies to a wire rack and let cool.
(307) 739-1864 CALL TODAY TO SCHEDULE YOUR APPOINTMENT!
THANK YOU
I want to pause and thank you for reading our newsletters. I have been the Director of Rehab Services for one year now and am thankful for theTeam that I get to work with everyday, and to LIVE in Jackson is a bonus! Our goal with our Rehab Services on the campus of St. John’s Medical Center and our outpatient services at Teton Physical Therapy & Rehabilitation is to partner with our patients to reach THEIR goals. It has been a pleasure serving you this past year!” We look forward to our continued service opportunities in 2018 for this amazing Teton County!
Patient Success Spotlights
“Jessica was a lifesaver! She really helped me with my recovery.” - R.B.
“I appreciated Jessica listening attentively to me and working hard to help me with my knee.” - Anonymous
~ Shellee Ager
www.tetonpt.com
HAVE YOUMET YOURANNUAL INSURANCE DEDUCTIBLE?
Sudoku Puzzle
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An insurancedeductible is theamountofmoney thatyoumustpaybeforeyour insurance company pays for your medical services. If your deductible is met, your PhysicalTherapy may not cost you anything. Patients with family plans or thosewhohavehadmajorsurgeriesorhaveachronic illnessareespecially likely to have a $0 balance remaining on their out-of-pocket expenses. This means that the cost of Physical Therapy could be minimal or completely covered by the patient’s insurance plan. If you are close to or have met your insurance deductible for the year, then now is the time to come in for Physical Therapy! Are you feeling aches and pains? Need to work on your core? Let us help you get a head start for 2018. Contact us today to schedule your appointment.
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