DOAR: Don't Ignore Back Pain

Health & Wellness Newsletter by Danville Orthopedic & Athletic Rehabilitation

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

Meet our Dry Needling Specialist, Dr. Will Nutt, PT, Physical Therapist

Dr. William H. Nutt, PT, DPT is a Doctor of Physical Therapy specializing in outpatient rehabilitation, with a focus on orthopedics, sports injuries, and manual therapy. Will is the Clinical Site Director at ACI Physical Therapy in Roxboro, North Carolina. Will offers a wealth of clinical knowledge and skills as well as a passion for delivering quality care. He uses a patient-centered, outcome-focused approach to help patients of all ages with a variety of conditions. His professional expertise covers a wide spectrum of diagnoses, including musculoskeletal pain and injuries, post-op recovery, balance, gait, general weakness, postural problems and more.

Will holds a Doctorate of Physical Therapy degree fromElon University. He also earned a Bachelor of Science in Exercise Science fromConcord University, where he played NCAA Division II football in the Mountain East Conference. Hailing from small town Ohio, Will is dedicated to providing excellent physical therapy to the residents of Person County and Caswell County. He is very involved in the local community through the Roxboro Chamber of Commerce and the Roxboro Jaycees. He also serves on the board of the Friends of the Person County Senior Center. Prior to joining Roxboro Physical Therapy, Will practiced in an outpatient orthopedics clinic in Wilmington, North Carolina. He completed clinical internships at two regional hospitals and two outpatient physical therapy clinics – including our affiliate, Danville Orthopedic & Athletic Rehab (DOAR).

Inside:

• 6 Back Problems You Shouldn’t Ignore • Will Your Back Hurt When You Get Older

• Exercise Essentials • Yummy Recipe

6BackPROBLEMSYouShouldn't Ignore Plus: Howyoucan feel better quickly!

Do you feel aches and pains in your lower back? If so, you are not alone. Four out of every five Americans will suffer fromback pain at some time in their lives. Without proper spine mobility, stability and alignment your back structures wear down over time, similar to tires that are out of alignment. There are many different back conditions, but here are a few common ones: 1. Lumbar or sacral radiculopathy: The result of pressure on a nerve exiting the spine. Pain, numbness and tingling can be felt down in different parts of the leg. 2. Sciatica: This comes from compression of the sciatic nerve by a muscle called the piriformis, deep in the buttock. Symptoms can radiate down the buttock and leg. 3. Spinal stenosis: This is a narrowing of the bony spinal canal which causes rubbing or pressure on nerves. Central canal stenosis is quite serious as it presses upon the spinal cord. 4. Lumbar sprain/strain: This is a common cause of low back pain due to injury of muscles and tendons. The

rows of muscles that run up and down the sides of the spinal column, are the major muscle groups usually involved in lower back injury. 5. Fractures: These are due to trauma, or sometimes occur without any injury in people with osteoporosis. 6. Spinal cord compression: This is unusual, but very worrisome and may be associated with weakness and loss of bowel/bladder control. Medication and Bed Rest Most lower back pain sufferers try over the counter drugs and bed rest. However, most self remedies will not provide the relief that you need. In fact, bed rest is the wrong thing to do, because it can weaken the spinal muscles further. Weakness in the spinal muscles is one of the main reasons for low back pain and puts you at risk for injuring your back with common activities such as lifting, bending or squatting. Most of us sit too much and this contributes to severe weakening of the back and torsomuscles which are needed for a healthy back.

How Physical Therapy Helps The sooner you get physical therapy help, the faster you will get relief. This translates into fewer missedwork days and needless spending on drugs that have unpleasant side effects. Putting off treatment could lead to loss of movement, loss of coordination and even loss of independence. Our expert physical therapists help you regain proper mobility and stability of your spine, reduce pain and teach you how to take care of your spine. Talk to your doctor or give us a call today to learn more about our spine program.

www.acipt.com • www.doarpt.com • www.martinsvillept.com

WillYourBackHurtWhenYouGetOlder?

Knowing the Right Expert to Help You PhysicalTherapistsaremedicalmusculoskeletal specialists, meaning we are the experts when it comes to the movement of the body and how the muscles, joints and skeletal structure work with one another. Effective physical therapy experts recognize that the best treatments are not modalities that depend solely on ultrasound, cold or heat therapy, but rather a skilled hands-on approach to examination and treatment. Studies have proven that manual therapy and specific exercises produce better and faster results than traditional exercise based therapy. If you are suffering with back pain or know someone who is, call us today to discover how we can finally help you become pain free and get back to the activities you enjoy. After all, you’re as young as you feel!

If you think that growing older automatically leads to back pain, here’s some great news; it doesn’t! Many people suffer from pain, yet, they still believe their aches and pains are a natural part of aging. They’re not. Back pain is primarily caused by four main factors: • Spinal muscle weakness • Poor muscle or joint movement • Poor posture • Lack of spinal or pelvic muscle coordination Treating the Cause of Your Back Pain The goal of our SPINE program is to find the root cause of your pain and correct it, not just treat the symptoms. By treating the root cause of the pain, you can achieve faster, long-lasting results. We provide the most advanced and effective treatments to each of our patients in a caring, friendly environment. Our highly trainedandskilledphysical therapistsuseproven hands-on therapy techniques to help people of all ages become free of pain and get back to the activities they enjoy.

If your back pain prevents you from standing for long periods, bending down to pick up objects, or getting up and down from the floor to play with your children or grandchildren it’s time to come to Physical Therapy and restore your quality of life.

Exercise Essentials

STRAIGHT LEG RAISE - SLR While lying or sitting, raise up your leg with a straight knee. Keep the opposite knee bent with the foot planted to the ground. Repeat 6 times on both sides.

SINGLE KNEE TO CHEST STRETCH While lying on your back, hold your knee and gently pull it up towards your chest. Hold for 10 counts. Repeat 6 times on both sides.

Good stretch if you sit at a computer all day

Good stretch to help your lower back

NowOfferingTriggerPointDryNeedling CanDryNeedlingHelpYou? Dr. William Nutt offers Dry Needling at ACI Physical Therapy in Roxboro, North Carolina. What is Dry Needling?

to treatment, but may include applying heat or ice over the area, gentle stretches and modifications of activities. We also recommend drinking a lot of fluids/water to prevent any excessive amounts of soreness. Like any treatment, there are possible complications. While complications are rare in occurrence, they are real and must be considered prior to giving consent for treatment. Side effects to be expected after the treatment include: muscle soreness of the treated area, fatigue, slight dizziness although all of these are minimal. Depending on your level of soreness, heat, ice, or gentle stretching is recommended after having the procedure done. It takes 2 minutes to 72 hours for the lesions to heal. Once you feel that moment of healing, email us so we can determine what type of responder you are and when Dry Needling is a procedure which requires additional equipment, expertise and liability, and in most cases is NOT covered by health insurance. As a result, this service is provided on a self pay basis. Please contact ACI Physical Therapy in Roxboro at 1-336-322- 5335 for fee information. we should see you again. What does it cost?

Dry Needling involves inserting a tiny monofilament needle in amuscle or muscles in order to release shortened bands of muscles and decrease trigger point activity. This can help resolve pain and muscle tension, and will promote healing. This is not traditional Chinese Acupuncture, but is instead a medical treatment that relies on a medical diagnosis to be effective. Who can benefit? Dry Needling is a valuable and effective treatment for musculoskeletal pain. Patients with the following symptoms may benefit from this treatment: • Muscle Strains • Tendonitis • Osteoarthritis • Bursitis • Decrease Mobility/Range of Motion • Headaches • Chronic Pain What to expect fromtreatment? Most patients report being sore after the procedure. The soreness is described as muscle soreness over the area treated and into the areas of referred symptoms. Typically, the soreness lasts between a few hours and two days. Recommendations vary depending on the amount of soreness you have and on the individual response

What is the difference between Acupuncture and Dry Needling? Acupuncture and dry needling, while using the same needle types, are two very different treatments. Traditional Acupuncture is used for the diagnosis and treatment of pathological conditions including visceral and systemic dysfunction, while dry needling is used for the assessment and treatment of myofascial pain syndromes and dysfunction due to myofascial trigger points, tension areas, muscle spasms, and/or increased tonicity. Dry Needling is a form of therapy that is designed to alleviate symptoms from Trigger Points or muscle spasms. Who can provide Dry Needling? Physical Therapists with specialized training and skills can offer Dry Needling. For more information or if you would like to know if Dry Needling is a good treatment option for you, please call ACI Physical Therapy in Roxboro at 1-336-322-5335.

Healthy Recipe: SKILLET CHICKEN & PARM PAELLA

INGREDIENTS • 4 teaspoons canola oil

• 1 teaspoon dried oregano, crushed • 1/2 teaspoon paprika • 1/4 teaspoon salt • 1/4 teaspoon black pepper • 1/8-1/4 teaspoon crushed red pepper • 1/8 teaspoon ground saffron/ground turmeric

• 12 ounces skinless, boneless chicken breast halves, cut into bite-size strips • 1 small red sweet pepper, cut into bite- size strips • 1 small green sweet pepper, cut into bite-size strips • 1 medium onion, chopped • 2 garlic, minced • 1 14 1/2 ounce can no-salt-added stewed tomatoes • 3/4 cup peas

DIRECTIONS In a large skillet heat half of the oil. Cook chicken strips in hot oil for 2 to 3 minutes. Remove from skillet. Set aside. Add remaining half of the oil to the skillet. Add sweet pepper, onion, and garlic; cook and stir until peppers and onion are tender. Add undrained stewed tomatoes, frozen peas, oregano, paprika, salt, black pepper, crushed red pepper, and saffron or turmeric. Bring to a boil; reduce heat. Cover and simmer for 5 minutes. Stir in the brown rice, shrimp, and cooked chicken. Cook and stir 1 to 2 minutes more or until heated through. Makes 4 servings (1-1/2 cups each).

• 2 cups cooked brown rice • 6 ounces peeled shrimp

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