North County Water & Sports Therapy February 2019


(858) 675-1133 |

15373 Innovation Dr. #175 | San Diego, CA 92128 | 858-675-1133 12171 World Trade Dr. | San Diego, CA 92128

A JOURNEY DOWN THE YANGTZE Teaching Aquatic Therapy in China As somebody who loves to travel and explore new places, I’m very grateful my career has given me the opportunity to go around the world educating people on the benefits of aquatic therapy. Recently, I traveled to China to help educate some of their best and brightest physical therapists. I had been to China before, but only as a tourist. This trip was a chance to dig a little deeper and see parts of the country most Americans never get to experience. I didn’t journey to the Western-friendly cities of Hong Kong or Shanghai. Instead, my destination was Jiangyin, a small city on the southern bank of the Yangtze River in the Jiangsu province — definitely not the type of place where the street signs or businesses cater to English speakers. While the sense of being a total foreigner in a strange land exhilarates me, it does present a few problems when it comes time to teach. Luckily, most of them can be overcome with the help of an interpreter. Things do take a little longer — what I could normally get across in two days takes three in translation — but I never feel like the concepts I’m teaching get lost along the way. One thing that does get lost, however, is my sense of humor. Idioms and jokes don’t translate easily, leading to a lot of lines that go over like lead balloons. I’ve learned this time and again over the years, but I still struggle to remove them from my lessons.

specifically for aquatic therapy. I hadn’t expected to do this, but it was clearly part of the organizer’s plans from the start. It was a bit like being tapped for a secret government project — minus the security clearance and international intrigue. As much as these trips are a chance for me to teach, they’re also a chance to learn. Whenever I have a free moment I try to do some exploring and get a bit of the local flavor. On this trip we went out to dinner every night, which offered me the chance to sample the local cuisine. The dining style in Jiangsu province involves sitting around a table with a massive Lazy Susan in the middle. Throughout the meal, servers heap dish after dish onto the table. On a given night I tried around 40 dishes. We dined like this four times and, barring salad, not a single dish was repeated. Since I’m a diehard foodie, you can imagine how elated these meals made me. In February, I’ll be traveling to Barbados for another teaching opportunity. It will be my first time in the country, and I’m really looking forward to it. The Caribbean may not be as foreign and unfamiliar as China, but I’m sure there will be plenty of surprises all the same.

Despite the language barrier, I’m always inspired by the warmth and inquisitiveness of the people I teach. They are genuinely excited to learn new techniques to apply to their everyday work. No matter where I teach or how thick the language barrier is, we still manage to connect with each other in a very real way.

–Beth Scalone

In addition to teaching, I had the chance to consult with a company building a pool

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For a parent of a child with allergies, every day can feel like a battle with food labels and ingredients lists — and Valentine’s Day only exacerbates this fear. Avoid the danger of an allergic reaction on Valentine’s Day by creating alternative, candy-free valentines that the whole class will enjoy!

toys that kids will love that won’t break your bank. Think bouncy balls, mini skateboards, Army men, yo-yos, puzzles, rubber ducks, hand-held games, markers, or bubbles. Adorn these little gifts with yarn, ribbons, or personalized tags, and slap on cute sayings to make them fit for the holiday. Finish off the masterpiece by having your kiddo sign their name on each valentine, and you’ve got a kid-approved Valentine’s Day favorite. FANCY UP SOME FRUIT If you’re worried about food allergies but still want to make a yummy treat, ask your child’s teacher for a list of students’ allergies, then just work around them. Fruits are usually a safe bet, but it’s best to double check. You could skewer strawberries and heart-shaped pieces of watermelon onto kabob sticks for a sweet and fun snack, or pass out goody bags with apples, bananas, and clementines. Offering a group snack that is allergy-friendly will keep your children and their friends safe and healthy, and it can also help children with allergies feel included in the festivities. As with all Valentine’s Day gifts, keep in mind that it’s not the item or money spent that means the most. It’s the thought behind each gift that makes receiving valentines the sweetest part.

GET CREATIVE This valentine idea taps into your kids’ desire to create by using commonly found household items. Have your children draw pictures, create cards, mold tiny sculptures, or braid together friendship bracelets to create one-of-a-kind gifts that will be safe for their classmates to enjoy. Kids can put their own effort into gift-giving, and their valentines will have a personal touch candy cannot replicate. THINK LIKE A KID If you’re looking for a creative valentine that will be safe for all your child’s friends to play with, check no further than the toy aisle of your local dollar store. While being mindful of latex allergies, you can purchase little


There is no greater compliment we can receive than one that comes from a patient. Every aspect of our practice prioritizes patient care above all, so praise from the people we serve means the world to us. One of our recent patients, Elaine Chang, was kind enough to relay her experiences working with Dr. Leslie Montague. Here is Elaine’s story. I feel so privileged to have had Jackie and Leslie as my physical therapists over the last year. This was my second knee surgery, and about six months into my recovery program, I hit a plateau in progress, coming against some stubborn tendon pain that prevented me from building the muscles I needed to get my knee functioning properly. It was getting in the way of my job, and not being able to move past it was discouraging. But Leslie never gave up. She took the time and care to go out of her way to research different exercises and ways to build my strength and heal up my tendons so I could continue to progress. Both Jackie and Leslie were so helpful and immensely supportive during my journey. Britani and Bettina at the front desk are so friendly and warm and helpful, and it was always fun to see other therapists jump in on our conversations to make our hour of exercise even more enjoyable. I really felt cared for here, and there’s nothing more I could have asked for from my therapists.

10/10 would recommend North County Water and Sports Therapy, and

though I hope to never need physical therapy again, should I find the need, I won’t hesitate to come back here as a patient again. Thank you for everything, North County Water and Sports Therapy team! We’re honored to be able to treat patients like Elaine Chang. Thank you, Elaine, for your kind words; and thank you, Dr. Montague and everyone else on staff, for all of your hard work. 2



Join Chris and the North County Water and Sports Therapy Team for this interactive workshop. The event is FREE, but space is LIMITED! Don’t miss out! Call 858-675-1133 to register and provide the code: BETTERGOLF for a free gift at the event.

Christopher has been active in sports and recreational activities throughout his life. His competitive spirit is what drives him to always strive for the best in himself, in his patients, and in his golf game. He realizes that excellence in sport performance is based on consistently making small changes one day at a time. Building on research-based evidence from reputable industry experts, Chris utilizes a variety of treatment approaches with his golf clients. For the modern golf swing, there are common movement problems and physical imbalances involving the upper back, shoulders, lower back, hips, and legs that can affect your golf swing in different ways. Christopher first identifies these impairments utilizing a functional movement screen to identify weaknesses and faults. He then helps prioritize and understand these faults in order of importance based on the athlete’s goals (decreasing pain, injury prevention, increasing distance, improving power, etc.). Based on this information, he then helps his clients address their movement imbalances. He uses a combination of manual therapy, movement re-education, and core stability and strength training to restore the body’s normal functional movement pattern during a golf swing.

HOW CAN EXERCISE HELP YOUR GOLF GAME? Performing a disciplined, tailor-made strength and flexibility program can help:




What frustrates you most about your golf game? Pain is often the reason a golfer seeks out a physical therapist. As experts in movement dysfunction, physical therapists can help alleviate your pain and keep you on the golf course. The right exercise prescription helps improve your golf performance.

Here are the musculoskeletal issues we see that lead to inconsistencies and distance loss:


Hip tightness leading to difficulty twisting leg in and out


Core weakness with difficulty moving lower body and upper body separately


Mid-back tightness causing difficulty in twisting the trunk


Shoulder and chest tightness limiting full swing

Another happy golfer returns to golf after shoulder replacement surgery! “I came to North County Water and Sports in conjunction with therapy required after a total shoulder replacement in June. The operation was necessitated by a “bone-on- bone” situation — i.e. no joint space or cartilage after many years of sports-related injuries to my throwing arm. Prior to surgery, I was greatly inhibited by pain and loss of motion. I avoided reaching overhead, and my favorite sport, golf, was becoming less enjoyable because of the pain I felt after playing. North County Water and Sports was my choice for rehab, and it was a good one. My therapist has encouraged me and worked to get me back into a normal situation, returning me to an enjoyment of sports and general activities. He is very knowledgeable and has great people skills!”

–Charles Raysbrook, 10/24/18

Physical therapy can help your body harness its healing power, but without a lifestyle change, you may actually be hurting your body. Add these three tips to your PT regimen to help your body heal as well — and as quickly — as possible. TOO MUCH YET NOT ENOUGH Rest is necessary for healing, but when you rest too much, you do more harm than good. Nursing an injury by using crutches for too long or favoring a limb encourages unhealthy movement and keeps your body from healing normally. On the other hand, not resting enough can be harmful. So be active but take it easy, and avoid spending hours on the couch or the treadmill. SNUFF YOUR HABIT Smoking comes with a long list of health risks, and “inability to heal from an injury” is on that list. Nicotine, the powerful chemical that makes tobacco so addictive, keeps your immune system from doing its job. Smoking also makes exercise more difficult because of the toll it takes on your cardiovascular system. Painkillers can also inhibit the healing process because they mask pain without treating the source. Use them when necessary, but don’t rely on them for a long-term solution if you can avoid it. DAILY HABITS THAT IMPEDE YOUR HEALING

EAT FOR YOUR JOINTS You already know that food is fuel for your body, but what you eat can also affect your quality of life. Ingredients that cause inflammation — such as saturated fats, alcohol, and sugars — can increase pain in your joints and put extra strain on them. Instead, stick to a healthy diet of lean proteins, leafy greens, low-sugar fruits, and complex carbohydrates to give your body the boost it needs to heal. Making or breaking a habit can take weeks, so take it slow, understand that change is a process, and ask your physical therapist for advice. It may make your healing process more challenging, but it’ll be worth it in the long run.





1 8-ounce boneless, skinless salmon fillet

1 tablespoon fresh lime juice


1/4 teaspoon lime zest

1. Place salmon in freezer for 20 minutes to make slicing easier. 2. Meanwhile, prepare other ingredients for mixing. 3. Thinly slice salmon into sheets and cut sheets into strips and

1/4 cup cucumber, seeded and finely diced

1 1/2 teaspoons jalapeno peppers, seeded and minced

1 1/2 teaspoons shallots, minced

3/4 teaspoon fresh ginger, peeled and finely grated

strips into cubes. When finished, you should have 1/8-inch cubes.

1 1/2 teaspoons fresh cilantro, minced

4. In a mixing bowl, combine

1 1/2 teaspoons fresh chives, minced

salmon with all other ingredients. Season with salt and pepper. 5. Garnish with chips or crackers and serve.

1 1/2 teaspoons grapeseed or vegetable oil

Salt and freshly ground pepper, to taste

Crackers or chips, for serving

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Inspired by Epicurious


Monday—Friday 7 a.m. to 7 p.m. 858-675-1133

15373 Innovation Dr. #175 San Diego, CA 92128



Travels Far and Farther


Candy-Free Valentines

Patient Success Story


Healing Tips: What Helps and What Hinders

Spicy Salmon Tartare


Cultural Treasures in Balboa Park



Since its founding in 1926, the San Diego Museum of Art has been one of the city’s premier cultural institutions. Home to great works from all over the world and every era of art history, it’s impossible to provide even a cursory overview of the collection in the space we have here. Instead, we decided to highlight four works that never fail to stop us in our tracks.

Few artists — if any — have restructured the way we think about the American landscape like Georgia O’Keeffe. Her paintings of New York City and New Mexico perfectly capture urban and rural life. In addition to being a landscape painter of the first order, O’Keeffe was fascinated by the power and beauty of flowers, which were a staple subject in her work. It’s amazing how much meaning she was able to wrench from such familiar source material. There are 10 of Tamayo’s works in the museum’s collection — a fitting tribute to the innovative Mexican artist — but it’s “The Somnambulist” that knocks everyone out (excuse the pun). Many people find abstract art obtuse or impenetrable, but Tamayo manages to effortlessly evoke the sensation of sleepwalking (somnambulism) with little more than some deftly placed lines of paint. THE SOMNAMBULIST BY RUFINO TAMAYO (1954)

RED BLOSSOM BY ALEXEJ VON JAWLENSKY (1910) A gift in 2011 bestowed the museum with an incredible array of German Expressionism, including works by Otto Dix, Gustav Klimt, and Egon Schiele.

CAGED PIE BY WAYNE THIEBAUD (1962) As the 20th century neared its closing decades, art transitioned from the abstract to the conceptual. Wayne Thiebaud’s “Caged Pie” is a wonderful example of the latter, featuring an appetizing slice of cherry pie enclosed within an impenetrable glass container. Nearly every visitor to the museum will have a different interpretation of this image, each as thought-provoking as the last.

Even among this august pantheon, Alexej von Jawlensky’s “Red Blossom” stands out. Jawlensky was a member of the Blaue Reiter (Blue Rider) group, which promoted the bold use of color and shape typical of the expressionist movement.

To learn more about the works on view at the San Diego Museum of Art, visit today. 4

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