Balance Rehab: Hip, Knee & Leg Pain


Think Of What You Can Accomplish! See Inside • What Are Symptoms of Hip, Knee & Leg Pain? • Staff Spotlight • A Stretch for Relieving Knee Pain • Healthy Recipe • Eating Habits & How It Affects Your Joints


Prepare For Spring Cleaning Without Fear Of Pain!

• Pinched nerves • Osteoporosis • Cancer

Your hips, knees, and lower legs are tough—but injuries happen. Your hips and knees are your largest joints, supporting your body’s weight. They work in close coordination, giving us the mobility we need. Between arthritis, injuries and age, however, pain can flare up. If you’re experiencing hip, knee or leg pain, call us to schedule a closer look. Before you do, however, let’s examine the pain itself. What Causes Hip, Knee and Leg Pain? Hip, knee and leg pain are surprisingly common. Thus, their source can come from a variety of things. If you’re experiencing pain in any part of your leg, pinpointing the exact spot can help you determine the cause. Balance Rehab has pinpointed several leading causes of hip, knee and leg pain. While many causes exist, the most likely are: • Arthritis

While some causes are more severe than others, a physician can identify each. As the body ages, joints become inflamed. Cartilage may wear down, reducing the “buffer” between bones. In some cases, limited blood flow may cause bone tissue death, or necrosis. If you’re experiencing redness, inflammation and immobilized joints, the condition may be severe.


• Dislocation • Hip fracture • Sprains and strains • Tendonitis

Are you letting back pain hold you back? Call 603.890.8844 to schedule your appointment today!


What Are the Symptoms of Hip, Knee & Leg Pain?

While leg pain is noticeable by a slew of symptoms, several stick out. Aching or stiffness around the hip, groin, back or thigh may be a sign of deeper problems. A decreased range of motion can also be a sign which may later result in hip, knee or leg pain. Sometimes, inactivity can contribute to immobility—and later pain. If you’re limping, lurching or are experiencing bad balance, contact a physician. While some hip, knee and leg pains go away, those lasting longer than several months may be hinting at a deeper issue. How Physical Therapy Can Help In many cases, physical therapy can help patients increase leg mobility. Indoingso,theycanstretch,flexandstrengthenthemusclesresponsible for support. If a joint appears deformed, or if sudden swelling occurs, contact a physician immediately. A good physical therapy program can assist with post-operation treatment, too. If you’ve undergone treatment for osteoporosis, dislocation or a fracture, your therapist can help you reclaim full mobility—and a healthy lifestyle. From start to finish, we’re dedicated to your ongoing wellness. On every level, physical therapy serves to enhance the patient’s quality of life. We’re here to help, and we have years of experience backing every therapy option. Contact one of our providers today, and tell us about your symptoms.


• 1 orange • 3 cups water • 2 (11.3 to 12 oz) cans pear nectar • 1 tbsp honey (optional) • 4 inches stick cinnamon

• 1 tsp whole cloves • 6 tea bags • Small orange slices, halved (optional) • Stick cinnamon (optional for serving)

Instructions Using a vegetable peeler, remove three wide strips of peel from the orange; set peel aside. Juice the orange into a large saucepan. Add the water, pear nectar and honey (if using) to orange juice in saucepan. For spice bag: Place the 4 inches of stick cinnamon, the cloves and the orange peel strips in the center of a 6-inch square of double-thickness, 100%-cotton cheesecloth. Bring corners together and tie with 100%-cotton kitchen string. Add spice bag to pear nectar mixture. Bring mixture to boiling; reduce heat. Cover and simmer for 10 minutes. Remove from heat. Add tea bags; cover and let stand for 5 minutes. Remove tea bags and spice bag; discard. Serve in warmmugs. If desired, float orange slices on top of individual servings and serve with additional stick cinnamon.

Are you letting joint pain hold you back? Call Balance Rehab at 603.890.8844 to schedule your appointment today!

Staff Spotlight NANCY MANCHESTER, MSPT Nancy completed a Masters of Science in Physical Therapy at Boston University in 1997. She earned her Bachelors of Science in Exercise Physiology from the University of Mass, graduating Magna Cum Laude. Nancy has completed internships at Beth Israel Deaconess Medical Center, Sports Conditioning Center in Brookline, Promina Kennestone Hospital in Georgia, and Everett Rehabilitation Services in Everett, Massachusetts. Nancy’s clinical experiences while at Parkland Rehabilitation Services included working with patients with orthopedic concerns, those recuperating from total or partial knee and hip replacements, those recovering from shoulder, back, and ankle surgery, and those with osteoarthritis and fibromyalgia. At Massachusetts General Hospital, Nancy worked in orthopedic, medical, chest, and surgical settings. During her three years with the Brockton Visiting Nurse Association, she worked with patients in home care settings, evaluating and

treating those with pulmonary, cardiac, neurological, medical, surgical, and orthopedic issues. Nancy also provided home safety training to patients and their families. At Balance Physical Therapy, Nancy works with the full spectrum of patients. Her ongoing interests include manual therapy and women’s health. Through her continuous education, Nancy has enhanced her expertise in treating shoulder injuries, as well as treatment of the spine and core stabilization. Nancy loves having a hands-on role in helping patients recover from pain and injuries. She enjoys helping patients improve their functionality and showing patients how to reclaim their independence and overall lives. She believes that an important part of her role as a physical therapist is to educate her patients about their bodies so that they are empowered to further their own healing. When Nancy isn’t working with patients, she enjoys skiing, snowshoeing, walking, hiking, yoga, weight training, group classes, and spending time with her husband and three children in Windham, NH. Nancy has been part of the Balance family since 2008.

Call Balance Rehab at 603.890.8844 , or visit our website at to schedule your appointment today!

Balance offers group exercise classes for seniors and older adults. The program is created and under direction of our licensed Physical Therapist, Nancy Manchester, and provides a total body workout that can be appropriately modified for clients at any fitness level. The program is designed to increase muscular strength, flexibility and balance in a small and friendly, supportive group setting. Classes are held twice weekly and are 60 minutes in duration. The program is 8 weeks long and consists of 16 sessions. Classes are held on Tuesdays and Fridays from 10:00 am – 11:00 am. Please call us to sign up! 603-890-8844 SENIOR EXERCISE GROUP

Proven Benefits of Strength Training: • More energy

• Stronger bones • Sharper focus

• Lower blood pressure • Improved coordination • A stronger immune system • Enhanced cardiovascular and muscular endurance • Improved metabolic efficiency • A decreased risk of injury • A decreased risk of diabetes • And so many more!

Patient Success Spotlight Paul M.

Exercise Essentials Helps Relieve Knee Pain Knee Extension Stretch While sitting, tighten your top thigh muscle to press the back of your knee downward towards the ground.

“Balance Physical Therapy really turned my junior year around. Starting my football season I had horrible knee pains (tendinitis/jumpers knee) and I knew if I did not do anything about it my future high school sports seasons were going to go down the drain. We found this place(Balance Physical Therapy)and I worked with Kathy for around 3-4 months. At first I did not think I would get better, as I never took the therapy exercises seriously. I saw results pretty quickly, once I did. Before I could not walk, drive, or even sit comfortably without excruciating pains. I then took a step up and did the exercises multiple times a day, rolling, etc. Kathy gave me the perfect combination of targeting leg workouts for flexibility and strength, while educating me along the way. She really takes how you’re feeling into consideration. I missed most of my football season rehabbing, but I have never made a smarter decision in my life. 4 months later I feel incredible, now in my basketball season junior year. I could not jump without having pains for days, and I am now leaping higher and playing continuous ball. I would heavily recommend Balance to anyone of all ages. I want to thank everyone there, especially Kathy. You will not regret this place one bit!”

Always consult your physical therapist or physician before starting exercises you areunsure ofdoing.


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