Proof Physical Therapy + Performance - January 2021

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LETTERS OF PROOF

January 2021

THIS ADVICE ONLY WORKS ON OPPOSITE DAY SOME OF THE BIGGEST MYTHS ABOUT TREATING INJURIES

I’ve heard a lot of the same sorts of misinformation about treating injuries over and over again in my work as a physical therapist. It’s the kind of advice that would only be true on Opposite Day, which happens to be coming up on Jan. 25. So, in observance of that day, I thought I would share some of the most common misconceptions about physical therapy and treating injuries, and why they’re not true.

“If I injure myself, I should stop moving altogether until it heals.”

This is one of the most common PT myths I hear. Rest is commonly recommended for injuries, but the truth is that when it comes to treating injuries with physical therapy, your injury can actually get worse if you refrain from moving it at all. I had a patient come to the clinic not too long ago with a sprained wrist. He had first gone to urgent care, where they had put a brace on it so he couldn’t move it, and it actually worsened the injury. That’s because when it comes to injuries in the muscles and joints, periodically moving and stretching the injured area actually helps it regain its full mobility.

“If I’m experiencing pain, something must be broken or out of alignment.”

Not all pain results from a torn muscle, fractured bone, or sprained joint. This is especially the case with some kinds of chronic pain. Say someone tears a shoulder muscle during an activity. While the torn muscle is healing, they probably subconsciously start moving the shoulder differently to accommodate the injury. However, if the injury completely heals, and the person continues to move their shoulder as if it’s still injured, the irregular movements can lead them to develop chronic pain. So sometimes, relieving pain is less about fixing what’s broken and more about bringing things back to their normal function. There’s a lot of misinformation out there about the best ways to heal your injuries, but at Proof PT, we’ll always make sure to give you the right information and the right strategies for getting back to the activities you love. If you have any questions, feel free to reach out to us at any time, and we’ll be happy to help. I hope everyone’s new year is off to a great start! -Dr. Jordan Williams

“All pain is bad. If I feel any pain throughout my treatment, it is hurting me, not helping me.”

This kind of goes along with the first point. Many patients have told me that whenever some part of their body started hurting when they moved it, they just stopped moving it because they figured the pain was a bad sign. However, depending on the source of the pain, sometimes pushing into it is what ultimately heals it. Think about when you stretch a really stiff muscle. Stretching, while a little bit painful, is ultimately what makes the pain subside, while refraining from stretching it only makes the muscle feel tighter. Sometimes, the only way to stop the pain is to push into it a little.

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WE NEED TO TALK ABOUT YOUR PELVIC FLOOR HEALTH

bridges, squats, and cat/cow pose. While improving your pelvic floor health, try to avoid doing other exercises that can strain it, such as running or heavy lifting. (As your pelvic floor gets stronger, you can slowly add these exercises back into your routine.) Consulting with a physical therapist and developing a regimen to improve or maintain your pelvic floor health is a great way to treat or prevent pelvic floor weakness. The best part? As your pelvic floor health improves, other components of your life will, too. You’ll see improvement with your digestion, you’ll never have to worry about sneezing or coughing too vigorously, and your personal relationships can improve. It’s worth having a discussion with a professional. Contact your physical therapy team today to learn more about how to improve your pelvic floor health, and, ultimately, get your life back.

musculoskeletal systems, so any time you eat, use the restroom, or simply sit or walk, your pelvic floor is working. But when it’s not working properly, many patients — primarily women, but men can struggle with pelvic floor health, too — experience pain during bathroom visits and sex (or an inability to do either), pain in the lower back, digestive issues, and leaking. This can happen for a variety of reasons. For women, pelvic floor weakness or prolapse is often the result of labor, but age, traumatic injury, and genetics can also affect your pelvic floor. Though pelvic floor issues are relatively common, patients may be embarrassed by the associated symptoms, and as a result, many avoid seeking treatment. The good news is that strengthening the pelvic floor often involves simple exercises and stretches, like glute

It can be awkward to talk about, but pelvic floor health can have a significant impact on your lifestyle and happiness. For many, the pelvic floor is a source of pain and incontinence, but it doesn’t have to be that way! Your pelvic floor is just like any other body part; with proper strength, it can function normally and pain-free. The pelvic floor consists of the pelvis and the muscles and organs that protect it and are housed within it. It functions with the urinary, reproductive, digestive, and

THESE CELEBRITIES ARE SOBER BY CHOICE

AND HERE’S HOW YOU CAN BE, TOO!

Step 3: Celebrate with a mocktail! Alcohol does not equate with fun! Just look at Kate Moss, who often abstains from drinking and has been known to have just as much fun — if not more! — while sober. Moss has even mentioned that she orders mocktails.

up drinking? Why do you want better skin or fewer hangovers? Why do you want more time with your family? These reminders can help you keep going! Step 2: Don’t quit cold turkey. Jennifer Lopez isn’t one to toast with water. The pop star is often seen taking a sip of alcohol after “raising a glass,” but that’s as far as she goes! J-Lo reportedly doesn’t like the adverse effects alcohol can have on the skin. According to researchers at Harvard Medical School, moderation might be better for your overall goal than quitting altogether. One study found that when drinking was so ingrained in patients’ daily lives, they found better success weaning off over time or practicing moderation. By creating your own plan to lessen your alcohol intake, you can improve your relationship with alcohol and better strive for your sobriety.

Making a conscious decision to live a sober lifestyle can be powerful. For some, it’s a necessity spurred on by addiction, while others choose to stay sober for their health. Alcohol has been linked to skin damage, cognition issues, high blood pressure, sleep dysfunction, and weight gain. So, if you’re considering making Dry January more of a year-round habit, get started with these three steps. Step 1: Consider your motivations. In 2019, Anne Hathaway announced she was giving up drinking for her son. She wanted to add more value to the mornings she got to spend with him instead of nursing a hangover. Finding a reason to stop drinking can make you more motivated to stick with it. In moments when you want to drink, write down your motivations and really dig into them. Why do you want to give

Why not have all the fun of cocktails without

the adverse effects? The best way to enjoy the moments traditionally filled with alcohol is to find a new way to appreciate them. Find a new hobby or make a fun, alcohol-free drink for your celebrations. There are plenty of ways to partake in these moments while staying sober!

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SOUP’S ON! PERFECT YOUR SOUP RECIPE WITH THESE 3 TIPS

and/or pasta can become mushy and underwhelming.

add vegetables to your soup based on cooking time and flavoring. Carrots, onions, and celery should “sweat” in the pot with oil and seasoning before you add the broth to capture the fullest flavor of these ingredients. Potatoes

Soup is perfect for sick days and alongside grilled cheese, and Grandma always seemed to have a recipe to make everything better. For as simple and comforting as soup can be, re-creating those memories from your stovetop includes a few tedious steps. Become a soup master with this go-to guide to winter’s favorite dish. Mind your peas and carrots. The magic of a hearty minestrone or old-fashioned chicken noodle soup comes from the flavors of vegetables to create the perfect blend of comfort and taste. However, overcooking or undercooking vegetables can ruin this delicate balance. So, consider the vegetables you want in your soup and plan accordingly. Start by chopping vegetables into bite-size pieces that will easily fit on a spoon. No one wants a spoonful of soup that’s just carrots after all! Then,

Season gradually — but generously. No one enjoys a bland soup, but too much seasoning can overpower the natural flavors of your ingredients. Add your

and other root vegetables can be added in the

seasoning to vegetables as they sauté in the pot

before adding the stock. Then, add the stock and the

boiling phase,

while leafy greens only need minutes in the pot toward the end to capture their full flavor.

remainder of your ingredients. Only add more

seasoning as the soup simmers and do a taste test. Add a bit of

salt and pepper until it’s perfect! If you over-salt, don’t panic. Adding more stock, potatoes, noodles, or cream can fix your soup in a pinch. Bonus Tip: Always serve your soup with bread, toast, or crackers. It’s the perfect vehicle to soak up all the flavors!

Simmer to blend flavors. Simmering is the key to a great soup. Once all your ingredients are in the pot, reduce the heat to a low simmer. This allows the flavors to play together without overcooking. If a soup is boiled for too long, the vegetables, meats,

EASY ONE-POT LENTIL SOUP

TAKE A BREAK!

Inspired by MinimalistBaker.com

INGREDIENTS

DIRECTIONS

• 2 tbsp coconut oil • 2 cloves garlic, minced • 2 shallots, diced

1. In a large pot, heat oil over medium heat and sauté garlic, shallots, carrots, and celery for 4–5 minutes, adding salt and pepper to taste. 2. Add potatoes to pot, along with more salt and pepper. Sauté for 2 minutes. 3. Add vegetable broth and herbs, then bring soup to a simmer. 4. Add lentils, stirring until soup returns to a simmer. Then, turn the heat to low and cook soup uncovered for 15–20 minutes. 5. Finally, add kale and additional salt and pepper as needed. Cook for 3–4 minutes, thin soup with additional vegetable broth as needed, and serve!

• 4 large carrots, sliced thin • 4 stalks celery, sliced thin • Sea salt, to taste • Black pepper, to taste • 3 cups red potatoes, cubed • 4 cups vegetable broth • 2–3 sprigs fresh rosemary or thyme, chopped • 1 cup uncooked green lentils, rinsed and drained • 2 cups chopped kale

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1. COVER TITLE 1. THIS ADVIC ONLY WORKS ON OPPOSITE DAY INSIDE THIS ISSUE 2. DON’T SHY AWAY FROM TALKING ABOUT YOUR PELVIC FLOOR 3 STEPS TO A SOBER LIFESTYLE 3. 3 STEPS TO PERFECT, COMFORTING SOUP EASY ONE-POT LENTIL SOUP 4. MAKE RESOLUTIONS EASIER WITH FITNESS CHALLENGES

ARE YOU UP FOR A CHALLENGE? FOCUS ON FITNESS FOR 30 DAYS

regularly hitting a number that is at least 5,000 steps beyond your baseline! (If you don’t have an Apple Watch, Fitbit, or other fitness tracking device, find an old- fashioned pedometer and get to work!)

Everyone’s done it. We’ve rung in the new year on the promise that this is our year to get healthy. We’re going to finally lose the weight, eat healthier, and feel better than ever. Sadly, many of us fail at this endeavor every single year . Let’s make 2021 different! Work toward your wellness goals by trying monthly challenges. These challenges allow you to focus on one area of your wellness each month, which will ultimately ensure you create sustainable habits. Here are three challenges to get you started!

February: Drink Up

March: Bulk Up

Tracking your water intake and challenging yourself to drink more can help you feel more energized and make progress on your other goals. Start by calculating how much water you need to consume. Experts suggest taking your body weight, dividing it by two, and drinking that many ounces of water each day. (For example, a person who weighs 150 pounds should drink 75 ounces of water.) Can you drink that much water each day for 30 days? If not, drink more each day throughout the month until you reach your goal. Give it a shot. We guarantee you’ll have more energy!

Choose one area of your body to focus on this month. Want to improve your arm strength? Work your way up from five to 50 pushups throughout the month. Follow the same formula with squats if you want to focus on your legs. Or, try planking to strengthen your core. Start the month by holding the plank for 30 seconds and work your way up to 2–3 minutes! As you progress in each challenge, you’ll notice significant improvement. For the best results, rest whatever area of your body you’re focusing on during your regular exercise routine. (That’s how muscle grows!)

January: Step Up

Getting extra steps in during the day is the quickest way to introduce more activity into your life. Start easy and just track your regular steps for one week. Then, set a goal to get 1,000 more steps than that in the following week and build from there. Keep going until you’re