First Choice PT: Hip Leg And Knee Pain



Are You Suffering From Hip & Leg Pain? Mark Twain once said that growing old is an issue of “mind over matter,” but if you struggle with knee or hip pain, then you know that this isn’t true at all. Hip and knee pain can really take the spring out of your step, causing you tomove slower and leaving youwith pain that becomes more difficult to cope with, step after step. (Continued Inside)

Effective Hip & Pain Relief How Physical Therapy Can Help Patient Success Spotlight INSIDE:





EFFECTIVE HIP & KNEE PAIN RELIEF There isanendless listofreasonsastowhykneeorhippainmaydevelop, fromasliporfall-relatedaccidenttoasports injuryorevenacaraccident. Don’t Wait Until It Is Too Late! When an injury develops, seeking the support of a physical therapist is the best course of action. Working with a physical therapist soon after an injury develops can help reduce your recovery time and improve your abilitytocopewiththepainanddiscomfortby introducingyoutotargeted exercises and stretching techniques that can enhance your ability to recover from the injury. When you are dealing with a knee or hip injury, every step requires more effort than typical. This can really drain your energy level as you attempt to go about doing even basic tasks, such as taking care of your home or walking around the office. What Can Physical Therapy Do to Help? Physical therapy is not a one-stop cure-all for pain management.This is a long-term solution to pain and suffering through the use of targeted

exercises and stretching techniques that are designed to strengthen the targeted areas and help the body recover and heal. By identifying the exact points on the body that are not moving as they ought to be, it is possible to make a plan to increase flexibility, motion, strength

and even improve coordination. Who Needs Physical Therapy?

Are you moving like you should be? Your hips and knees are essential to everydaymovement;whetheryouaresitting,standing,walkingorrunning, you need your hips and knees in great shape. Sometimes, when your hips and knees are in pain, it can cause you to change the way that you aremoving,causingyou tochange theflowandpaceofyourgait,which is the way that you walk. Other times, prolonged pain can cause you to stop doing movements that are indicative of healthy joints.



• From a standing position, with your feet planted flat on the floor, can you push your body into a squatting position? You should be able to squat all the way down so that your buttocks are almost touching your heels. If you aren’t able to do this, then physical therapy may be helpful in improving your range of motion. • Standing near a wall or countertop, arrange your feet so that you are standing with the heel of one foot touching the toes of the other, as if on a balance beam, and see how long you can stand still. Can you balance for 10 seconds? If not, then physical therapy may be able to improve balance and coordination. The goal of any physical therapy program is to restore range of motion and improveflexibilityandstrengthwhile reducing thegeneralexperience of pain. Unfortunately, hip and knee injuries often tend to linger. Every movement relies so heavily on the hips and knees that it makes it difficult to allow these joints to actually rest following an injury. Physical therapy provides targeted exercises that support the joints with precise movements that help reinforce strength and range of motion. For more information, contact your physical therapist to learn more about options that will suit your health needs. For more information about overcoming back pain, call 321-802-5814 to talk with your physical therapist today!

If you’ve experienced any hip or knee pain and are considering whether physical therapy is a good choice for your health needs, consider the following: • From a standing position, are you able to lean over and touch your toes? If so, then this indicates that you have proper hip and low back flexibility. If not, then you may need to improve your flexibility and joint range of motion, and physical therapy could be helpful. • In a sitting position, can you comfortably cross your legs, leaving your ankle to rest comfortably on the opposite knee? If this is painful, or one knee constantly must be lower than the other, then this may be indicative of knee concerns that could be addressed with physical therapy.


captain for three of those years. Following undergraduate work he then went on to graduate school at Azusa Pacific University. At APU Dominick graduated with honors receiving a Doctor of Physical Therapy. He then went on to do residency in orthopedic manual physical therapy in the prestigious Kaiser Permanente program. Following residency he had the opportunity to continue his education and training by completing the Kaiser Permanente Movement Science Fellowship. Upon completion of the fellowship training Dominick and his wife, Kristen, moved to the Melbourne area, where Dominick has been practicing since. Dominick comes to First Choice following practicing at first as a physical therapist and then acting as the director of the orthopedic outpatient physical therapy clinic where he was practicing.

In his free time Dominick enjoys spending quality time with his wife and children, going to Disney, watching baseball, and biking. You can learn more about Dominick and other staff members by visiting our website at!

Dominick Paluso, PT, DPT , graduated from Westmont College in Santa Barbara with a B.S. in Kinesiology, during his time at Westmont he had the opportunity to play baseball all four years and was the team


Sweet Potato PecanCasserole


INGREDIENTS • 3 1/2 lbs sweet potatoes, peeled and cut into 1-inch chunks • 1/3 cup honey • 1 large egg • 1 tsp ground cinnamon

• 1/4 tsp ground nutmeg • 1/8 tsp ground ginger • Kosher salt

• 1 tbsp packed dark brown sugar • 1/3 cup finely chopped pecans

DIRECTIONS Preheat the oven to 350 degrees F. Mist an 8-inch square baking dish with cooking spray. Bring a few inches of water to a boil in a pot with a large steamerbasket inplace.Put thesweetpotatoes in thebasket,coverandsteam until tender, 20 to 25 minutes. Transfer the potatoes to a bowl and let cool slightly. Add the honey, egg, 1/2 teaspoon cinnamon, the nutmeg, ginger and 1/2 teaspoonsalt;whipwithanelectricmixeruntilsmooth.Spread thesweet potato mixture in the prepared baking dish. Mix the brown sugar, pecans and the remaining 1/2 teaspoon cinnamon in a bowl; sprinkle over the potatoes. Bake until hot and beginning to brown around the edges, 40 to 45 minutes.

“Kelly went above and beyond my expectations as far as my recovery. Thank you, Kelly! In the past, I have been to two other facilities for rehab. First Choice is in a class far superior to the others!” “Beyond my expectations!”

1. Feel free to call us and ask to speak to your therapist. 2. Your therapist can discuss with you why your pain is bothering you again and what you might do about it at home. 3. If further assessment is warranted, your therapist might recommend you come in for an appointment. Call To Talk to Your Therapist Today 321-802-5814 Has Your Pain Come Back?

RELIEVE HIP PAIN INMINUTES Try this movement if you are experiencing hip pain.

HIP HIKES Stand on the edge of a step. Drop your free foot down, then shift your hips to raise your free foot as high as you can. Keep your knees straight at all times. Repeat 6-10 times before switching to your other side.

Helps Alleviate Hip Pain


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