Vertigo is a sense that the world is spinning, rocking, or rotating even though you are standing, sitting, or lying still. Vertigo often leaves you feeling disconcerted, especially when it happens suddenly. While it is sometimes a first warning sign of an impending stroke or other neurological condition, vertigo is more commonly a side effect of some medications or the result of a problem with your inner ear.
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BALANCE & VERTIGO ANSWERS TO YOUR MOST DIZZYING QUESTIONS
• Balance & Vertigo: Answers to Your Most Dizzying Questions • How Can Physical Therapy Help Your Balance? • Featured Service: Balance & Vestibular Rehabilitation • Balance Training and Fall Prevention • Exercise Essentials
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NEWSLETTER
Many people have questions about their dizziness and physical imbalance that go unanswered. At OrthoBetheda, we are here to answer your questions. What is Vertigo? Vertigo is a sense that the world is spinning, rocking, or rotating even though you are standing, sitting, or lying still. Vertigo often leaves you feeling disconcerted, especially when it happens suddenly. While it is sometimes a first warning sign of an impending stroke or other neurological condition, vertigo is more commonly a side effect of some medications or the result of a problem with your inner ear. What does your inner ear have to do with your sense of balance? Everything. While your inner ear is responsible for transmitting sound waves from the movement of bones in the middle ear to the auditory nerve in the brain, the semi-circular canals act as a sort of gyroscope in the body. These canals are filled with fluid and millions of hair cells called cilia that respond to your body’s position in space. When something disrupts the ability of these hair cells to react, vertigo is the result. If you believe you may be experiencing the symptoms of vertigo, don’t hesitate to contact OrthoBetheda today to speak with one of our experienced physical therapists. What Do I Do If I Am Dizzy Or Experiencing Vertigo? If you are dizzy or experiencing vertigo, safety should be your number one concern. Every year, millions of adults fall, with one in five leading to a serious injury. In fact, with each decade after 65-years-old, the percentage of people falling jumps from 40 percent to 65 percent to 82 percent. Even if a fall does not result in a broken bone or fracture, pain resulting from a fall can make it difficult to reclaim your quality of life. If you feel dizzy or BALANCE & VERTIGO ANSWERS TO YOUR MOST DIZZYING QUESTIONS
the room begins to spin, sit down in the nearest chair or lay down on the couch until the dizziness passes. If it does not subside or if the vertigo goes away but you are still unsteady, you should seek medical attention as soon as possible. At OrthoBetheda, we are dedicated to helping you relieve your dizziness and vertigo symptoms, so you can get back to living your life comfortably. Contact us today to schedule a consultation and find out how we can help. How Are Poor Balance, Dizziness, and Vertigo Diagnosed? The key to diagnosing the root cause of vertigo is found with physical therapy. Our physical therapists have the extensive knowledge needed to identify and treat the source of a patient’s balance or dizziness problems. Our non-invasive tests will help get to the root cause so an individualized treatment plan can be created for your needs. Both dizziness and vertigo can hinder your daily life, limiting your ability to perform even the simplest of tasks. Luckily, no matter what the cause may be, physical therapy for dizziness and vertigo can help. Physical therapy for dizziness and vertigo is a common and effective course of treatment. OrthoBethesda is very successful at diagnosing and treating both dizziness and vertigo with vestibular rehabilitation. Vestibular rehabilitation includes treatments such as the Epley maneuver and Cawthorne head exercises. The Epley maneuver allows for canalith repositioning, in order to move the broken calcium crystals in patients experiencing BBPV. Cawthorne head exercises focus on decreasing nerve sensitivity and reducing the effects of vertigo. Contact OrthoBethesda today at (240) 482-3106 tomake an appointment and bring balance back to your life.
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Physical therapists are experts in movement. Not only can they diagnose movement and balance problems, they can prescribe a personalized therapeutic treatment plan that can help you feel more steady, experience less dizziness, and lower your risk of falling. Alleviate a fear of falling A physical therapist can assess your footwear and any hazards that increase your risk of falling. They are also trained to address physical limitations that could lead to a fall. As you complete your treatment plan, you will Using targeted exercises, your physical therapist will help you regain your ability to move about with confidence and ease. By teaching you exercises that will improve balance as you stand still (static balance) and exercises for balance as you move (dynamic balance), you will improve muscle strength as well as your overall ability to move. Flexibility & Posture. People with balance issues also tend to experience joint stiffness and posture problems that contribute to dizziness and vertigo. Your physical therapist will work with you to stretch tight muscles, improve flexibility in your joints and retrain your posture which will, in turn, improve your balance. Vertigo is an unsettling experience. Fortunately, treatment is possible. With the help of a physical therapist, you can set the world right and reclaim your life. Contact OrthoBethesda at (240) 482-2438 today. HOW CAN PHYSICAL THERAPY HELP YOUR BALANCE? experience greater confidence and better balance. Mobility leads to balance which leads to strength.
TASTY RECIPE: TURKEY PUMPKIN CHILI
INGREDIENTS • 2 cup chicken broth • 1 can pumpkin purée • 1 1/2 tsp ground cumin • 3/4 tsp chili powder • 1/2 tsp cinnamon • 1 tsp cayenne pepper • 1 lb ground turkey
• 1 large onion • 2 cloves garlic
• 2 cans green chiles • 2 cans white beans • sour cream • cheddar cheese • sliced radishes • fresh cilantro leaves
INSTRUCTIONS In a slow cooker, whisk broth, pumpkin, cumin, chili powder, cinnamon, and cayenne. Add turkey, mix to combine. Fold in onion, garlic, chiles, and beans, and cook, covered, until turkey is cooked through, 4-5 hours on high or 6-7 on slow. Serve with sour cream, cheddar cheese, radishes, and cilantro. Recipe Courtesy: goodhousekeeping.com/food-recipes/a14898/slow-cooker-turkey-pumpkin- chili-recipe-wdy0115
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a neurologist, I came back to OrthoBethesda for balance assessment and treatment. The therapist who saw me for my shoulder was also trained in balance therapy. I was amazed by how much 1 month of balance training improved my life. I have not fallen since doing therapy and my quality of life is much better. I am no longer fearful to do the things that I love to do.” A physical therapist can assess your footwear and any hazards that increase your risk of falling. They are also trained to address physical limitations that could lead to a fall. As you complete your treatment plan, you will experience greater confidence and better balance. Mobility leads to balance w ich leads to strength. Using targeted exercises, your physical therapist will help you regain your ability to move about with confidence and ease. By teaching you exercises that will improve balance as you stand still (static balance) and exercises for balance as you move (dynamic balance), you will improve muscle strength as well as your overall ability to move. Flexibility & Posture. People with balance issues also tend to experience joint stiffness and posture problems that contribute to dizziness and vertigo. Your physical therapist will work with you to stretch tight muscles, improve flexibility in your joints and retrain your posture which will, in turn, improve your balance. Vertigo is an unsettling experience. Fortunately, treatment is possible. With the help of a physical therapist, you can set the world right and reclaim your life. Contact OrthoBethe da at (240) 482-2438 today. We Treat: • Benign paroxysmal positional vertigo (BPPV) • Vestibular hypofunction • Dizziness related to stroke, brain injury, migraine and ultiple sclerosis • Prebystasis (disequilibrium of aging) • Visually provoked dizziness Benefits: • Reduce feelings of vertigo and dizziness • Improve balance and reduce fall risk • Improve gaze stability • Improve overall strength and endurance Learn more about Vestibular Rehabilitation at OrthoBethesda today by calling us at (240) 482-2438. NATASHA KUMAR, PT, DPT Natasha grew up in Howard County and attended the University of Maryland, College Park where she pursued her Bachelor of Science degree in Kinesiology. She competed on a collegiate dance team and played club tennis. Natasha then went on to pursue her DPT from Howard University where she found her passion for treating general orthopedic conditions. She volunteered at Walter Reed National Military Medical Center where she assisted on research projects for trans-femoral and trans-amputee populations. Natasha’s clinical experience includes treating orthopedic and neurological cases in outpatient and subacute settings. During her free time, Natasha enjoys traveling, playing tennis, dancing, and photography. Natasha is fluent in Hindi, Urdu, and Sindhi. • 1 large onion • 2 cloves garlic balance, strength, flexibility, coordination, and walking to help reduce risk of falling. The Main Objectives of Our Program Are To: • Increase independence with activities of daily living and functional mobility MARIA BALAREZO, PT, DPT Maria grew up in Montgomery County. She attended Gaithersburg Highs School and graduated from University of Maryland College Park with a bachelors in Biological Sciences. Maria worked in biomedical research at Uniformed Services University of Health Sciences and volunteered at the Red Cross in Walter Reed National Military Medical Center where she became interested in pursuing a • 2 cans green chiles • 2 cans white beans • sour cream • cheddar cheese • sliced radishes • fresh cilantro leaves INSTRUCTIONS In a slow cooker, whisk broth, pumpkin, cumin, chili powder, cinnamon, and cayenne. Add turkey, mix to combine. Fold in onion, garlic, chiles, and beans, and cook, covered, until turkey is cooked through, 4-5 hours on high or 6-7 on slow. Serve with sour cream, cheddar cheese, radishes, and cilantro. Recipe C urtesy: goodhousekeeping.com/food-recipes/a14898/slow-cooker-turkey-pumpkin- chili-recipe-wdy0115 • Decrease fall risk • Prevent future fall • Increase safety We can help you get back your life and movement. Call (240) 482-2438 today to find out how Balance Training and Fall Prevention can help you! career in Physical Therapy. She went on to earn a doctorate degree in Physical Therapy from University of Maryland Baltimore. Maria’s clinical experience encompasses subacute and outpatient orthopedic and neurological rehabilitation. She enjoys working with general orthopedic cases and has an interest in sports medicine. Maria’s hobbies include running, playing tennis and dancing salsa. Maria is fluent in Spanish. I was amazed by howmuch 1 month of balance training improved my life. I have not fallen since doing therapy and my quality of life is much better. Physical therapists are experts in movement. Not only can they diagnose movement and balance problems, they can prescribe a personalized therapeutic treatment plan that can help you feel more steady, experience less dizziness, and lower your risk of falling. Alleviate a fear of falling HOW CAN PHYSICAL THERAPY HELP YOUR BALANCE? INGREDIENTS • 2 cup chicken broth • 1 can pumpkin purée • 1 1/2 tsp ground cumin • 3/4 tsp chili powder • 1/2 tsp cinnamon • 1 tsp cayenne pepper • 1 lb ground turkey Falls a ong the elderly are prevalent, dangero s, and can diminish their ability to lead an active and independent life. Every year, about one in three seniors above the age of 65 years, and nearly one in two seniors over the age of 80 years have a fall, many times with disastrous consequences. The good news is that many of the falls are preventable. The bad news is that some people believe falls are a normal part of aging and are not preventable – this is not the case. Our physical therapists have advanced trai ing nd experience in working with pati nts who are at the risk for falls or have a history of falls. They can a sess your need for an assistive device, provi e suggestions for correcting home safety hazards, and design an individualized program of exercises and functi nal activities. This program m y focus on
Patient Success Spotlight VESTIBULAR REHABILITATION FEATURED SERVICE
“I was receiving therapy at OrthoBethesda after having shoulder surgery that was due to long term arthritis. I recovered quite well with a lot of help, support and guidance from my therapist. After years of pain and arm limitations, I now have full use of my arm. During my recovery, my therapist noticed that I was unsteady on my feet. I had fallen at least 6 times in the past year. After consulting with OrthoBethesda is pleased towelcome Pooja Patel, DPT to our growing staff of physical therapists. In addition to treating general orthopedic conditions, Pooja has advance training and specialization in Vestibular Rehabilitation and leads our Balance and Fall Prevention Program. The vestibular system includes parts of the inner ear and brain that help control balance and eye movements. Damage to the system due to disease, injury or aging can cause a vestibular disorder. As a result, it can lead to dizziness, vertigo, imbalance, difficul steady ng gaze and difficulty coordinating your eye movements. Patients experiencing symptoms of vestibular dysfunction may benefit from vestibular rehabilitation – specially trained physical therapists performa through exam to determine the cause of symptoms and devise an individualized treatment plan to eliminate or minimize dizziness and its consequences. Getting to Know The TEAM
I was amazed by how much 1 month of balance training improved my life. I have not fallen since doing therapy and my quality of life is much better.
POOJA PATEL, PT, DPT, AIB-VR
Pooja received her Master of Science Degree in Physical Therapy from K. M. Patel Institute of Physiotherapy, India in 2013. After practicing for 6 years, she continued to enhance her professional skills by earning her DPT from Shenandoah University in 2019. Pooja has extensive clinical experience treating patients with a variety of musculoskeletal disorders. Her special interest in neurological conditions led her to advance her BALANCE TRAINING & FALL PREVENTION FEATURED SERVICE
career by pursuing vestibular rehabilitation certification through the American Institute of Balance. Pooja has experience working with patients suffering from vertigo, dizziness, imbalance, and other vestibular disorders. As the lead therapist at OrthoBethesda for vestibular rehabilitation, she has developed the Balance and Fall Prevention Program. Pooja has a passion for helping people of all ages to live healthy lives and reach their fullest functional potential. In her free time, she spends time with her family, baking, traveling, and reading. TASTY RECIPE: TURKEY PUMPKIN CHILI
JIM NORRIS, PT, DPT Jim grew up in New Haven County, Connecticut. He graduated from Keene State College where he earned a degree in Exercise Science and competed on Keene’s Division III nationally ranked swim team. After graduating, Jim had the opportunity to work in various health care settings, which led to himdiscovering his passion for physical therapy. He went on to earn his DPT
at American International College (AIC) in Springfield, Massachusetts. Jim has experience working in outpatient orthopedic, sports, and neurological physical therapy settings. He places a high value on patient education, and his goal is to provide exceptional, personalized care for every individual he treats. Outside of the clinic, you can find Jim playing recreational sports, at the gym, and exploring all that the DMV has to offer.
T H E R A P Y S E R V I C E S
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VESTIBULAR REHABILITATION FEATURED SERVICE
We Treat: • Benign paroxysmal positional vertigo (BPPV) • Vestibular hypofunction • Dizziness related to stroke, brain injury, migraine and multiple sclerosis • Prebystasis (disequilibrium of aging) • Visually provoked dizziness Benefits: • Reduce feelings of vertigo and dizziness • Improve balance and reduce fall risk • Improve gaze stability • Improve overall strength and endurance Learn more about Vestibular Rehabilitation at OrthoBethesda today by calling us at (240) 482-2438.
Falls among the elderly are prevalent, dangerous, and can diminish their ability to lead an active and independent life. Every year, about one in three seniors above the age of 65 years, and nearly one in two seniors over the age of 80 years have a fall, many times with disastrous consequences. The good news is that many of the falls are preventable. The bad news is that some people believe falls are a normal part of aging and are not preventable – this is not the case. Our physical therapists have advanced training and experience in working with patients who are at the risk for falls or have a history of falls. They can assess your need for an assistive device, provide suggestions for correcting home safety hazards, and design an individualized program of exercises and functional activities. This program may focus on OrthoBethesda is pleased towelcome Pooja Patel, DPT to our growing staff of physical therapists. In addition to treating general orthopedic conditions, Pooja has advance training and specialization in Vestibular Rehabilitation and leads our Balance and Fall Prevention Program. The vestibular system includes parts of the inner ear and brain that help control balance and eye movements. Damage to the system due to disease, injury or aging can cause a vestibular disorder. As a result, it can lead to dizziness, vertigo, imbalance, difficulty steadying gaze and difficulty coordinating your eye movements. Patients experiencing symptoms of vestibular dysfunction may benefit from vestibular rehabilitation – specially trained physical therapists performa through exam to determine the cause of symptoms and devise an individualized treatment plan to eliminate or minimize dizziness and its consequences.
BALANCE TRAINING & FALL PREVENTION FEATURED SERVICE
balance, strength, flexibility, coordination, and walking to help reduce risk of falling. The Main Objectives of Our Program Are To: • Increase independence with activities of daily living and functional mobility
• Decrease fall risk • Prevent future fall • Increase safety
We can help you get back your life and movement. Call (240) 482-2438 today to find out how Balance Training and Fall Prevention can help you!
T H E R A P Y S E R V I C E S
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Exercise Essentials Your therapist may prescribe these exercises.
Our Services
Balance Training and Fall Prevention Custom Hand Splinting Dry Needling General Orthopedic Physical Therapy Hand Therapy Instrument Assisted Soft Tissue Mobilization Joint Mobilization Mechanical Diagnosis and Therapy ®
ALTERNATING STEP TOUCH
Helps to Improve Balance
Stand “tall”, with sturdy step stool positioned in front. Step one foot at a time onto the stool. Alternate legs and repeat 8 times.
Onsite Custom Foot Orthotics Post-Operative Rehabilitation
Always consult your physical therapist or physician before starting exercises you are unsure of doing.
Exercises copyright of
Running Assessments Sports Specific Therapy Therapeutic Taping Vestibular Rehabilitation
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OUR FRONT OFFICE TEAM
It takes more than great therapists to provide the finest quality rehabilitation services to our patients. At OrthoBethesda our front desk staff is trained in customer service and committed to assuring a positive patient experience. Our welcoming staff members are here to take care of scheduling, explaining insurance benefits and to address all non-clinical aspects of our patients’ recovery. FROM LEFT TO RIGHT: Traci, Rachel, Brittney, Charmaine, Diana, Mayet, AJ, Elaf, Shakira
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