Achieve Physical Therapy September 2019

recovery report recovery

Acton 411 Massachusetts Avenue Acton, MA 01720 (978) 263-0007

Bedford 191 Hartwell Road Bedford, MA 01730 (781) 275-4111 Sudbury 29 Hudson Road Sudbury, MA 01776 (978) 579-0009

september 2019

MY JOURNEY FROM FIGURE SKATER TO PHYSICAL THERAPIST

My physical therapy journey starts not far from our offices here at Achieve Physical Therapy. I grew up one town over in Littleton, a lovely, quiet, family-oriented town. I was a competitive figure skater throughout high school, and my off- ice coach, who was also a physical therapist, worked with me on injury prevention. At the time, I was taking an anatomy class and found I had a real interest in how the body works and thought it might be something to pursue in college. During my freshman year at Northeastern University in Boston, I didn’t declare a major. I knew I wanted to help people, and I had an interest in anatomy, but I didn’t know how to connect the two. I initially thought about premed as a major, but I was still unsure until I reached out to my old coach. She told me a lot about physical therapy and how rewarding it was, and, by the end of my second semester, I declared myself a physical therapy major. I learned a lot through my two co- ops and three internships during PT school. They helped me see the importance of connecting with my

patients and understanding their goals for themselves. I was also exposed to many different types of treatment approaches and patient populations. My last internship was in an extremely active part of the country, Steamboat Springs, Colorado, and it made me realize I wanted to help people get back to their recreational activities and live full lives again. I also wanted to work in a place where employees valued going the extra mile, focusing on the people, and pursuing excellence, and I found just the spot at Achieve Physical Therapy. I have been here nine years now, and I love it. I love our community. Our patients care about themselves and are very health-conscious. When they come into the clinic, they are dedicated to reducing their pain and getting back to the recreational sports they love. I get to see a wide range of patients, including pediatric athletes trying to get back to school sports and 40–60-year-old golfers, tennis players, skiers, and bicyclists who want to lead a healthy lifestyle. To make sure we’re doing our best to get them back to the activities

they love, we focus on the patient’s specific goals for themselves and look at how the entire body works together with functional tasks. Whenever I'm not at the office, I usually spend my time outdoors with my children! They love to climb on playgrounds, ride bikes, and spend time at Lake Winnipesaukee in New Hampshire. My husband and I know how important it is to maintain our health to keep up with them, so we workout together and encourage a healthy lifestyle. So, next time you're in the clinic, tell me about some of your family’s favorite outdoor hobbies! We're always looking for new fun things to do with the kids to keep them active!

– Kathy Monterio

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THE ANTI-AGING BENEFITS OF FREE WEIGHTS STAY TONED BY LIFTING WEIGHTS AT HOME

In her best-selling lifestyle guide “French Women Don’t Get Fat,” Mireille Guiliano advises women in their 50s to invest in a set of free weights — nothing too heavy, perhaps 3–5 pounds — in order to maintain their toned, youthful appearance and range of motion. She notes that lifting weights isn’t entirely necessary during your 20s and 30s, but it’s essential to maintain muscle tone and bone density in your later years. Though Guiliano’s evidence is anecdotal, the science confirms that lifting weights can be an indispensable aid to healthy aging for both men and women. A study published by the National Center for Biotechnology Information recommends strength training 2–3 times per week to lower your risk of health problems and preserve bone density, independence, and vitality. According to WebMD, “Muscle loss is one of the main reasons people feel less energetic as they get older. When you lift weights, work out on machines, use resistance bands, or do exercises with your own body weight (like pushups and situps), you build strength, muscle mass, and flexibility.”

have increased by about 20% since the 1970s. The same psychology that propelled humans to eat just a little bit more to survive is now contributing to serious overeating and a staggering calorie intake. There are a few simple tricks you can use to break this habit. Use smaller plates or measure out your food portions so you can clean your plate without guilt. You can also get into the habit of leaving a few bites on your plate to retrain your brain that it’s okay to not finish your food. (You can use your leftover food for compost or save it for later!) With a little effort and intention, you can break free of the pressure to clean your plate. You don’t have to join a gym to reap the benefits though; just pick up a set of free weights and a resistance band and research how to safely use them in your own home. Bodybuilding.com recommends designing a workout routine that includes one or two exercises for each of the major muscle groups: legs, back, shoulders, arms, chest, and abs. Try 8–10 repetitions per set, but don’t push yourself to use heavy weights. Even options that are 10 pounds or less should be enough to keep you chasing after your grandchildren for years to come. One public figure who has taken the weightlifting creed to heart is Supreme Court Justice Ruth Bader Ginsburg. The documentary “RBG” shows the 86-year-old judge at the gym, pumping lightweight iron with her personal trainer, and she even walked spring chicken Stephen Colbert through her routine on “The Late Show.” Ginsburg has called her trainer “the most important person” in her life apart from her family, which is a ringing endorsement for lifting weights if ever there was one.

JUST ONE MORE BITE HOW THE CLEAN PLATE PHENOMENON MAY BE KILLING YOUR DIET

As you celebrate your last backyard barbecue, consider this: If someone puts three helpings of potato salad on your plate, would you feel pressured to finish it? According to nutrition experts, this pressure to finish your plate is making people indulge a little too much. Dubbed the “clean plate phenomenon,” this overindulgence is troubling. Researchers have discovered that people feel pressured to clean their plates even when they feel satisfied or full. Even people who don’t fill their plates all the way often reach for that last piece or second helping because “one more bite won’t hurt.” Experts speculate that this compulsion could have stemmed from habits passed down from World War II, when rationing food was required for most, or from a fear of wasting food. Most people

have, at some point, heard an adult say to a child, “Eat up; there are starving children in the world.” But all those “one more bites” add up. Researchers from Vanderbilt University conducted a study in which participants were served individual plates with any number of cookies piled on top. They were instructed to eat three cookies, and afterward, researchers asked each of them if they wanted more. Those who had only one or two cookies left on their plates were more likely to indulge in a fourth or fifth cookie, while those who had no cookies left or had too many cookies left said they were full. Despite what you think about your own diet, this isn’t a problem sequestered to certain parties. Studies have found that plates and portion sizes in the U.S.

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CHRONIC ANGER, YOUR HEART, AND YOUR HEALTH HOW THIS EMOTION IS DOING YOU HARM

Anger is a common emotion. It’s natural, and it’s a part of how you respond to certain circumstances in your environment. It’s how you express extreme displeasure. However, new research suggests chronic anger can be detrimental to your health. Essentially, it comes down to this: If you are stressed, tense, easily irritable, angry, and “snippy” all the time, you may be doing serious harm to your well-being.

Studies have already shown a link between anger and the heart. People who showed signs of feeling anger on a regular basis experienced higher rates of heart disease. The first studies on the impact of anger came out in the 1950s and have since been confirmed: Chronic anger physically harms the heart. Why? When you get angry or upset, your brain triggers the release of specific hormones, including cortisol and norepinephrine. These hormones are responsible for triggering the “fight or flight” response. When these hormones enter the bloodstream, your heart rate increases and arteries constrict. This helps to more effectively pump blood to the arms and legs for a fight or a flight.

The problem is that when a person is constantly angry or upset, these hormones course through the body more frequently, stressing the arteries and internal organs. As a person ages, this stress can become more damaging. One study that appeared in the Psychology and Aging Journal looked into this phenomenon. Researchers found that there is a link between frequently experiencing anger and increased inflammation and chronic illness for people ages 80 and older. This equated to more instances of heart disease and dementia. The study also looked at other emotions, including sadness, which has also been linked to heart disease and other inflammatory diseases. Through a number of tests involving 200 participants ages

59–93, the researchers concluded anger was far more detrimental to a person’s health than sadness. Ultimately, if you regularly experience rage and frustration, properly dealing with your anger is one of the best things you can do for your health. Every person’s situation is different, and it comes down to getting to the bottom of what makes you angry so you can work through it, whether you work through it alone or with a mental health professional. Take the steps to prioritize your mental and physical health, and your efforts will pay off tenfold in the long run.

PALEO BREAKFAST CASSEROLE

TAKE A BREAK!

Inspired by TheLeanGreanBean.com

INGREDIENTS

DIRECTIONS

• 1/2 cup onion, diced • 1 red pepper, diced

1. Heat oven to 375 F. 2. In a large pan over medium heat, sauté onion, pepper, bacon, and sweet potatoes until bacon is completely rendered and onions are translucent. Then, add garlic and sauté for another 2 minutes. Finally, add spinach and continue cooking for another 3–5 minutes. 3. Transfer to a greased casserole dish. 4. In a mixing bowl, whisk together eggs and pour them over casserole. Season to taste. 5. Bake for 20–30 minutes, let stand for 5 minutes, and serve.

• 2 strips bacon, cut into squares • 1 large sweet potato, spiralized or grated • 2 cloves garlic, minced • 2 cups spinach • 1/2 cup chicken or vegetable broth (optional: substitute with water) • 1 tsp paprika • 6 eggs • Salt and pepper, to taste

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411 Massachusetts Avenue Acton, MA 01720 (978) 263-0007 www.AchievePTonline.com

1. COVER TITLE 1. FROM FIGURE SKATER TO PHYSICAL THERAPIST INSIDE THIS ISSUE 2. STAY TONED BY LIFTING WEIGHTS AT HOME THE CLEAN PLATE CONUNDRUM 3. ANGER MAY BE HARMING YOUR HEART PALEO BREAKFAST CASSEROLE 4. GETTING TO THE ROOT OF IT BAND PAIN

No, Not That Kind of IT

GETTING TO THE ROOT OF IT BAND ISSUES

You feel great about your morning bike rides and are moving into your days with a sense of accomplishment. But suddenly, you notice the outside of your knee is really bugging you. Every time you get on your bike, it hurts.

and improve mobility. You’ll also want to incorporate exercises that strengthen the hips and glutes. Find some examples here at YouTube.com/ watch?v=uWGpbxbJ6_Y. Relax Part of your recovery should include massage to relax the aggravated area. A professional massage is a great option, but, if that’s not possible, using a foam roller to gently massage your hamstrings, glutes, quads, and hips can be similarly effective. If the problem continues or if you experience new or worsening pain, consult with your doctor. A physical therapist, especially one who specializes in running-related issues, can also provide you with exercises to strengthen the area.

Avid runners and bikers may be familiar with the discomfort caused by a tight or overused iliotibial (IT) band. This large connective tissue starts at your gluteal muscles and wraps down just past your knee to connect to the tibia. Because of its span, it’s prone to tightness and overuse. It might cause pain on the outside of the knee or discomfort on the outside of the hip. Tight hamstrings, ramping up mileage too quickly, running on the same side of the road or in the

same direction, or even just running too much can contribute to IT band issues.

The good news is, with a little time and TLC, your IT band can return to normal in a couple weeks. Rest Overuse may have triggered the issue, so if you’ve been doing an activity every day, especially running, give yourself 7–14 days of rest. Before you throw your arms up in the air, remember: This doesn’t mean you have to be on the couch watching Netflix for two weeks. Rehab Stretches focused on the glutes and hamstrings can help to ease tightness

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