The Spinal Column by SOS Physiotherapy
BOOTCAMP WITH “MICKEY” The Spinal Column The Newsletter About Your Health And Caring For Your Body
marketing company provides us with the opportunity to attend quarterly “bootcamps”. This month we had the good fortune of having January bootcamp in Orlando Florida. No, we weren’t doing pushups and jumping jacks with Mickey Mouse, at least not physically. But our brains felt like they got a good workout. Sure, there was learning about marketing, but it was so much more. The BHAG (Big Hairy Audacious Goal) of Breakthrough PT Marketing is to “flip the medical funding pyramid”. Life expectancy has been steadily climbing for decades now, but in the last few years it’s taken a troubling turn in the other direction. The United States, who according to the GDP (Gross Domestic Product) spends $3.3 Trillion on healthcare each year, without necessarily bettering Americans. The current North American medical funding system has the majority of monies being given first to surgery, then injections, then pharmaceuticals, all of conservative care accounts account for only 10%, and only 2% of that is being given to physiotherapy. How frustrating is it when there is abundant research that shows when people go to conservative care FIRST they avoid unnecessary medications, injections, and surgeries. Just imagine physiotherapy at the other end of that medical funding pyramid. I am realizing that the current system needs to change. We can have the perspective of a worm looking skyward and being overwhelmed by huge barriers that we have to overcome, or we can take the perspective of the bird and see clearly where we took off and where we want to land. It’s not often, as an owner of your business, that you get a chance to stop, look back at where you started, where you are now, and set goals for yourself personally, and for your practice. And even better yet, all the while being surrounded by 200 other attendees who are doing the exact same reflective and prospective process and who are eager to share their ideas and give constructive feedback. Throughout the workshops, we heard numerous thought provoking tag phrases and motivational talks. So, I end this article with phrases that resonated with me over the weekend, “Don’t be limited by your self-limiting beliefs”, “Do it and you’ll become it”, and let’s “help people in pain get back to normal naturally.” Andrew
Most physiotherapists would say they chose this profession because of an innate desire to help others. They would typically say that their main focus is helping their clients recover from an injury and, in turn, return to a healthier and happier level of physical function. Although this is a positive mindset, it alone is not always enough. In my experience, this focus alone can put marketing and practice growth often in the backseat for physiotherapy practice owners. Practice owners can easily fall into the false assumption that being a skilled physiotherapist automatically makes them an able and successful business owner. Over the last year I have learned that this is a risky mindset. An analogy I've heard is it’s not unlike a skilled pilot taking off in an airplane with absolutely no destination in mind. So, with a desire to hone our business’ trajectory, Jonathan Clay, one of my fellow owners at SOS, and I signed up with Breakthrough PT Marketing to learn more about running a successful physiotherapy business. This
INSIDE: • Helping To Relieve Your Arthritis Pain • Live Life Without Arthritis Pain • Workshops at SOS Physiotherapy
• Exercise Essentials • FREE Arthritis Screen • Winter Dos & Don'ts
www.sosphysiotherapy.ca
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When you experience an injury, dealing with the pain that comes as part of the aftermath is expected. While painful, most of the time when recovering from an injury you can find comfort in the knowledge that the pain is temporary. As your body heals and you go through the motions of building your muscle mass back and improving flexibility with physiotherapy, you know that in time you will feel like yourself again. This knowledge gives you something to work towards and helps the pain feel more manageable—even when it is intense, and never-fleeting. Arthritis pain is different. Arthritis doesn’t develop as a result of an injury, but instead develops over time as a result of chronic use, or even as a result of genetic disposition. This can make dealing with the pain of arthritis even more difficult to cope with, as it begs the question: if the pain is coming from inside the joint, is there anything I can actually do about it? Understanding Arthritis Pain Osteoarthritis is the most common chronic condition to affect the joints. Almost 30 million adults in the North America struggle with the condition, and while it can influence anyone of any age, it most frequently develops
among those who are most prone to overuse—those who are over the age of 65. Arthritis occurs when there is a breakdown of the cartilage that covers the ends of the bones. This cartilage is what allows the joints in the elbows, ankles, knees and hips to move with freedom. Without cartilage, the bones would rub against one another with each movement, and would cause extreme pain. As the cartilage breaks down, typically so does the bone, and as the shape of the joint changes, it becomes even more difficult for it to function smoothly. Furthermore, the ligaments and tendons around the joint will often stiffen and the muscles surrounding the joint will weaken, making it altogether more difficult and painful to move. While arthritis pain typically develops gradually, the realization of what you are dealing with can still come as a shock. In some circumstances the pain will appear more abruptly, especially when the pain develops in association with a change in weather or other environmental circumstance.
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Please Take A Moment To Look Through All That We Offer:
• Physiotherapy • Registered Massage Therapy • Acupuncture
• Osteopathy • Personalized Exercise Programs • KW Pelvic Health
Physiotherapy • Custom Foot Orthotics • FITforeGOLF
• Custom Bracing & Orthopedic Supply
• And More!
LIVE LIFE WITHOUT ARTHRITIS PAIN
Turning to over-the-counter pain medications to cope with arthritis pain is ineffective as a long-term solution. While some of the medications may provide temporary relief, they will not help you overcome the pain for good. Physiotherapy, on the other hand, can provide actual relief from arthritis by helping to rebuild strength in the joints through targeted movements and flexibility exercises. There is a lot of current research trying to understand what precisely causes arthritis to develop in some people, and not in others. Everyone uses their joints every day, and while it makes sense that so much pressure would cause pain to develop over time, it doesn’t explain why the pain develops when and where it does, and why it happens to some people and not to others. Anti-inflammation and Arthritis One leading form of arthritis treatment is with the use of anti-inflammatory medication. Certain types of arthritis develop as a result of a build-up of inflammation in the body. Specifically, the tendons and ligaments become inflamed as a result of an internal attack from the immune system, which is typically triggered by some combination of environmental factors. Avoiding certain foods and movements can reduce inflammation, and thereby reduce pain. Physiotherapy and Arthritis Physiotherapy is highly recommended for the treatment of arthritis because it can strengthen and support the joints through guided practice of movement and strength-building exercises. Typically, the best activities
Exercise Essentials Try this movement if you are experiencing arthritis pain. There is a long list of home remedies that are said to help with arthritis pain as well, and there is some credibility to some of these concepts. For example, losing weight, exercising regularly, and making some dietary changes such as reducing caffeine and sugar consumption are said to help alleviate pain associated with arthritis. However, before you start making any changes to your lifestyle, it is best to consult with a physiotherapist. For more information about how to rid your life of arthritis pain, contact us. for arthritis pain are low-impact activities. Working with a physiotherapist is the best way to ensure that you are practicing the best techniques for overcoming your discomfort.
Turkey Meatballs
INGREDIENTS • 1 lb ground turkey • 1 large egg beaten • 1/4 cup shaved parmesan
Helps With Tightness
FOUR POINT ARM RAISE Start on hands and knees, hips and shoulders at 90°. Lift one arm out front. Bring it back down and then repeat on opposite side. Repeat 8-10 times on both arms.
• 1 tsp garlic powder • 1 tsp onion powder
• 1 tsp basil • 1 tsp salt
• 1/2 tsp ground black pepper • 1 (24 oz) jar red pasta sauce • 1/2 lb whole grain spaghetti
INSTRUCTIONS Preheat broiler on high for 5 minutes. Combine all meatball ingredients in large bowl. Use your hands to mix the ingredients. Use a 1.5 tablespoon cookie scoop to scoop 18 meatballs onto a rimmed cookie sheet. Broil on top rack for 5 minutes. In a large skillet, bring pasta sauce to a low simmer. Add in cooked meatballs and simmer together for 5-10 minutes or until meatballs are completely cooked through. Serve with your choice of pasta, fresh basil, more parmesan and enjoy!
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Know Your Physio
Mentoring Corner
Here is Christine during one of our weekly SOS Physiotherapy mentoring sessions doing a thoracic mobilization technique. What is that you ask? It's a technique to loosen your mid back spinal joints. When this area of the spine is not moving well... guess what. .. something else has to
Christine Ecclestone BSc(Kin), MSc (PT), CSCS
Say hello to Christine! Christine is a Registered Physiotherapist and Certified Strength and Conditioning Specialist. She completed her Bachelor of Science Co-op degree in Kinesiology at the University of Waterloo and Masters of Physical Therapy at the University of Western Ontario.
compensate. So when we have people telling us they have pain in their back or neck we also examine how well your mid back is moving. So remember, pain can be a liar, or at the very least it won't tell you the whole truth of what is causing the pain.
Christine is passionate about manual therapy and therapeutic exercise, and has taken Manual Therapy courses to further develop her skills in these area. She has completed continuing education course in acupuncture, soft tissue release and has conducted quality of life research with breast cancer populations. Christine is passionate about functional movement patterns and their impact on pain. She will work along with her patients as a team to develop an individualized treatment plan to help them achieve their rehab goals. She has an extensive sports background having grown up as a competitive gymnast, and transitioned into coaching gymnastics for 5 years. Outside of work, Christine is an avid Cross-fitter with a personal interest in health, fitness and nutrition.
Below is a picture of Sabrina, a second year Health Sciences student from Wilfred Laurier University. She is demonstrating a common home exercise we often prescribe when someone has a stiff mid back.
Support your head with your hands and roll the foam roll on your back. 10-20 seconds and then rest. Do 3 times. If you have any issues get in touch with your physio and they'd be happy to help you out!
Patient Success Spotlight
Celebrating Over 25 Years of Healthcare Services! Belmont Clinic Belmont Centre for Physical Medicine 564 Belmont Avenue West, Suite 301 Kitchener, Ontario N2M 5N6 TEL: (519) 743-4355
Campus Clinic University of Waterloo Student Life Centre
"I have been coming regularly for treatments for my neck, back and feet for the past 6 years. Due to my work where I sit for prolonged periods of time, I experience chronic neck, shoulder and back tension, muscle aches & restriction of movement with chronic inflammation in the joints. SOS physio treatments made a marked difference in my range of motion and gave me much appreciated relief from pain. I received a combination of manual manipulations, ultrasound, acupuncture and electric current. I have seen a lot of improvement in my muscle tension and thanks to the care & treatment I had received, I did not need to take sick days off work and my quality of life improved. My neck muscle tension had in the past resulted in tension headaches and I am happy to report I no longer have debilitating headaches in the past 4 years. I also would like to comment on the care, professionalism, and holistic approach that Jonathon Clay gave me at SOS Physiotherapy. He provided excellent help and also gave me exercise recommendations and referred me to Kim Rau for better orthotics. Thanks!" - Piroska S.
200 University Avenue West Waterloo, Ontario N2L 3G1 TEL: (519) 884-0767
Elmira Clinic Behind Wellness Centre (Clock Tower) 3 Wyatt Street East, Suite 2 Elmira, Ontario N3B 2H4 TEL: (519) 669-1212
www.sosphysiotherapy.ca
ATTENTION PEOPLE WITH BACK PAIN! NEW WORKSHOP COMING UP SOON!
BACK PAIN & SCIATICA WORKSHOP
Belmont Clinic Location // Saturday, February 9th @ 10:00am
Workshops are free but seats are limited. Don’t delay, register today by calling now!
Belmont Clinic Belmont Centre for Physical Medicine 564 Belmont Avenue West, Suite 301 Kitchener, Ontario N2M 5N6 TEL: (519) 743-4355
Present This And Receive A Complimentary Arthritis Screen
Bring in This Coupon Today For A Complimentary Arthritis Screen
Campus Clinic University of Waterloo Student Life Centre
200 University Avenue West Waterloo, Ontario N2L 3G1 TEL: (519) 884-0767
Not sure if your pain is from arthritis?
• Have your arthritis pain assessed. • Get strategies to help you fix it!
Elmira Clinic Behind Wellness Centre (Clock Tower) 3 Wyatt Street East, Suite 2 Elmira, Ontario N3B 2H4 TEL: (519) 669-1212
Call Today!
For use at Belmont and Elmira locations until February 28th only.
WINTER DOS AND DON’TS WITH SOS
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It’s winter! And it is COLD and FROSTY. We thought we’d pull this old article with Andrew showing the finer parts of snow shoveling to help you weather the February chill season. But what else is the most common cause of injury other than shoveling? (and maybe slipping and falling on your butt....?). Scraping the ice off the windshield! Jon made his son Ben take these shots of the do’s and don’ts of windshield scraping, in minus 20-degree windchill with blowing snow! Snow shoveling can lead to a number of health risks for many people, from back injuries to heart attacks. The following tips can help keep you safer when you set out to shovel: Warm up. Warm your muscles before heading out to shovel by doing some light movements to get your body ready, such as bending side to side and walking in place. You are more likely to injure yourself with “cold” muscles. Push rather than lift. Pushing the snow with the shovel instead of lifting can help reduce the strain on your body.
Good Posture. When lifting is required be sure to bend at the hips and knees with your chest out. Place the snow instead of twisting and tossing. Lighten your load. Consider shoveling multiple times during a long snowfall and using a lighter shovel. You should also shovel right after a snowfall because waiting may allow the snow to melt slightly and become heavier. Look at Jon struggling in the first couple of shots...his teensy scraper, making him reach out over the long windshield and just asking for that shoulder to get injured. And his elbow flared way out to the side to try and exert extra pressure to chisel through the 1/4”inch icy wall. Ouch! But in picture 3 and 4 he’s got Jack Frost by the nose with better posture and better tools. Elbows are down and shoulder blades are tucked, and the extended long scraper allows him to put pressure across the windshield with the lower hand and still be in good position. Cold.....but SAFE!
Belmont Clinic Belmont Centre for Physical Medicine 564 Belmont Avenue West, Suite 301 Kitchener, Ontario N2M 5N6 TEL: (519) 743-4355
Campus Clinic University of Waterloo Student Life Centre
Elmira Clinic Behind Wellness Centre (Clock Tower) 3 Wyatt Street East, Suite 2 Elmira, Ontario N3B 2H4 TEL: (519) 669-1212
200 University Avenue West Waterloo, Ontario N2L 3G1 TEL: (519) 884-0767
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