Centra Health: Spinal Stenosis

Health & Wellness Newsletter by Centra Rehabilitation

Health & Wellness NEWSLETTER

October 2019

HOW WILL YOU CELEBRATE BACK PAIN RELIEF?

According to the American Academy of Orthopedic Surgeons, approximately 2.4million Americans will suffer from spinal stenosis by 2021. It is a silent epidemic that generally affects people aged 50 or older; however, it can also occur in younger adults who have a history of arthritis. Spinal stenosis refers to the narrowing of the canals in your spine that are formed by the vertebrae. This narrowing can impinge on the nerves exiting your spine and/or the spinal cord itself. Symptoms can vary, but often include radiating pain in the back, buttocks and even legs. Furthermore, weakness and poor balance in the legs can often occur, making it difficult to tolerate walking long distances and prolonged standing. (continued inside)

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Health & Wellness NEWSLETTER

October 2019

SPINAL STENOSIS, DON’T LET IT STOP YOU

INSIDE: • How Can Spinal Manipulation Help? • October Is National Physical Therapy Month! • Relieve Aches & Pain In Minutes • Have You Met Your Annual Insurance Deductible?

CALL IN!

when there is a narrowing of the foramen canals on either side of the spine, formed by the vertebrae above and below the segment. In each foramen canal, spinal nerves exit the lower back, in order to help different parts of the pelvis and legs function properly. With age and deterioration of the discs between the spine, the canals shrink in size. It is also possible for them to develop bone spurs. This irritates the nerve roots, especially when the spine is extended. People living with spinal stenosis typically feel better when sitting, but notice increased levels of pain with standing and backwards bending.

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Fortunately, targeted physical therapy treatments, such as spinal manipulation, can help manage the symptoms of spinal stenosis and provide pain relief. Spinal manipulation helps relieve pressure on joints, reduce inflammation, and improve nerve function. It is a gentle, hands-on form of manual therapy that focuses on evaluating and enhancing spinal function. To learn more about how spinal manipulation can help relieve your pain, contact Centra Rehabilitation today. What happens when spinal stenosis develops? Themost common formof spinal stenosis is known as foraminal stenosis. Foraminal stenosis occurs

YOU DO NOT NEED A DOCTOR’S PRESCRIPTION TO SEEK PHYSICAL THERAPY. IN THE STATE OF VIRGINIA YOU HAVE DIRECT ACCESS TO PHYSICAL THERAPY.

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HOW CAN SPINAL MANIPULATION HELP?

Your spine is a complicated structure of vertebrae, discs, joints, ligaments, tendons, muscles, and nerves. Therefore, it takes a delicate balance to make sure it is at its peak level of health and function. Spinal manipulation is a treatment method that has been known to relieve a large variety of painful conditions, including spinal stenosis and its accompanying symptoms. In fact, a study published by the International Journal of Sports Physical Therapy supports spinal manipulation as an effective mode of treatment. The study, titled “Effectiveness of Physical Therapist Administered Spinal Manipulation for the Treatment of Low Back Pain: A Systematic Review of the Literature” analyzed data from several reputable medical journals to determine the effectiveness of this form of treatment on patients living with lower back pain. Six randomized control trials were included for review and thoroughly assessed by the researchers. Results were overwhelmingly positive for the success of spinal manipulation. The conclusion is as follows: “Based on the findings of this systematic review there is evidence to support the use of spinal manipulation by physical therapists in clinical practice. Physical therapy spinal manipulation appears to be a safe intervention that improves clinical outcomes for patients with low back pain.” Low back pain is the most common symptom of spinal stenosis. If your pain is limiting your life, our methods at Centra Rehabilitation can help. Find relief today. Spinal manipulation has had a very positive effect on many of our patients at Centra Rehabilitation. Through our advanced treatment methods, our physical therapists can help you restore more natural movement to your spinal joints, improve your flexibility to increase joint fluid circulation, improve

your spinal muscle strength, and educate you on correct posture and prevention techniques. Essentially, we can help you do more, with less pain. In fact, our patients often report significant reduction in pain and improvement in daily activities after just a few short weeks of treatment. If you have been living with pain from spinal stenosis and you’re looking for relief, contact Centra Rehabilitation today. By treating your pain early through spinal manipulation, we can help manage it so it doesn’t worsen. Don’t live with the limits of your pain – relieve your pain and improve your spine health with us today!

Call us today to schedule an appointment!

HEALTHY RECIPE: SLOW COOKER PUMPKIN PIE OATMEAL

PATIENT SUCCESS SPOTLIGHT

INGREDIENTS • cooking spray or coconut oil • 1 cup steel-cut oats • 2½ cups water • 1½ cups unsweetened almond milk • 1 cup pumpkin • 3 tbsp maple syrup • 1 tsp vanilla • 1 tsp pumpkin pie spice • 1/2 tsp cinnamon • ¼ tsp salt

DIRECTIONS Coat your slow cooker with cooking spray, butter or coconut oil. Add all the ingredients into slow cooker and mix well. Cook on low for 6-8 hours. If you have a programmable slow cooker, set it to cook on low for 7 hours and then switch to warm. In the morning, give the oats a good stir as the oats will settle to the bottom. Portion into a bowl to serve and top with pecans, maple syrup and almond milk.

“My hobby is tennis and after a bone spur procedure my doctor recommended physical therapy. I choose Centra and the physical therapists there were wonderful - The entire team was great! Centra Rehabilitation got me back in the swing of things.” - Baxter Carter, Farmville, VA

Source: https://www.eatingbirdfood.com/slow-cooker-pumpkin-pie-oatmeal

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October Is National Physical Therapy Month! Did you know that the entire month of October has been dedicated to National Physical Therapy Month? So, as the leaves are turning and you’re working on your jack-o-lanterns, take the time to learn more about the many benefits of physical therapy.

What Is National PhysicalTherapy Month All About? Physical Therapy Month allows patients to share their stories about how PT has changed their lives for the better. It also gives physical therapists a forum for spreading the word about the different kinds of treatment patients can receive. Many members of the general public don’t realize that aside from specialized exercises that build strength and flexibility, PT also offers pain management through massage, heat and cold applications, and specialized electronic-pulse devices. What Symptoms and Conditions Does PTHelp? Physical therapy tends to be associated with sports injuries, along with chronic problems such as back pain, surgery recovery, and balance issues. Yet, you may not realize the range of problems which physical therapy can help -- both for pain management and to help ease other symptoms. Prescriptions certainly have a valid place in pain management, and it’s true that physical therapy isn’t right for every patient. So how can you tell if physical therapy is a better choice than prescription opioids? The CDC suggests that if you fall into any of these categories, physical therapy can be beneficial: • Pain comes from fibromyalgia, low back pain, knee arthritis or hip arthritis. These conditions in particular are known for responding well to physical therapy when it comes to pain management. • The pain has lasted more than 90 days, meaning that it has gone from “acute” to “chronic.” •The benefits of prescription opioids don’t outweigh their risks. In the early days after an injury or an operation, painkillers help patients function without crippling pain. But with each day that passes, the risks opioids pose outweigh the rewards.

• If you’ve become afraid of the pain. Obviously, nobody welcomes physical discomfort. But some people become overly dependent on a pill’s ability to remove all aches and twinges. In physical therapy, pain is a way to determine exactly what needs to be worked on, in order to reduce discomfort down the road. Does an official month really matter, given that physical therapists are out there making a difference every day? In many ways, yes! If you or a loved one has been on the fence about giving PT a chance, the many stories you’re likely to hear during this month of public awareness may help you to decide. If you have any questions about whether you should #UsePhysicalTherapy, call our office today to discuss your condition and to set up an evaluation. Sources: https://www.moveforwardpt.com/ChoosePT/Toolkit https://www.moveforwardpt.com/choose-physical-therapy-over-opioids-for-pain- management-choosept https://www.moveforwardpt.com/Resources/Detail/physical-therapy-vs-opioids-when-to- choose-physica https://www.medicalnewstoday.com/articles/160645.php https://nationaldaycalendar.com/national-physical-therapy-month-october/

Attention Pain Sufferers!

Do You Have Difficulty With Pain?

• Decrease your pain • Increase your strength • Increase your activity level We can help:

• Increase your flexibility • Improve your health • Get back to living

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An insurance deductible is the amount of money that you must pay before your insurance company pays for your medical services. If your deductible is met, your PhysicalTherapymay not cost you anything. Patients with family plans or those who have hadmajor surgeries or have a chronic illness are especially likely to have a $0 balance remaining on their out-of-pocket expenses. This means that the cost of physical therapy could beminimal or completely covered by the patient’s insurance plan. If you are close to or havemet your insurance deductible for the year, then now is the time to come in for Physical Therapy! Are you feeling aches and pains? Need to work on your core? Let us help you get a head start for 2020. Contact us today to schedule your appointment. 9 5 7 3 2 1 5 8 2 9 8 6 5 9 7 3 9 6 2 8 9 4 4 8 2

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Relieve Aches & Pain In Minutes Without Pain Medication! Try these movements if you are experiencing pain.

DEAD BUG | HEEL TOUCHES Lie on back, hands up, knees up and engage your core. Slowly lower one heel to the ground. Alternate sides. Keep core engaged.

PLANK FOREARMS AND KNEES Position yourself on forearms and knees. Make your body flat as a plank from head to feet. Keep trunk engaged, do not let lower back arch.

Stretches Lower Back

Strengthens Back & Core

Exercisescopyrightof

Always consult your physical therapist or physician before starting exercises you are unsure of doing.

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Discover How To Live Pain-Free

At Centra Rehabilitation, you will receive hands-on therapy treatments by our friendly, caring health experts during focused and individualized sessions. It’s time to call Centra Rehabilitation if: • You’re tired of living in pain • You want to feel better and move better • You have been in an auto accident or injured on the job • You want to prevent injury

OUROUTCOMESSPEAKFORTHEMSELVES

We have excellent outcomes. We get patients more positive change in function with fewer visits than expected! We save patients time and money!

Effectiveness of Outcomes 11.7 National Benchmark 16.4 Centra

of national predicted effectiveness of outcomes (change in functional score)

140%

LESS EFFECTIVE

MORE EFFECTIVE

Efficiency of Care

of national predicted efficiency of care (number of patient visits)

11.4 National Benchmark 9.4 Centra

121%

LESS EFFICIENT

MORE EFFICIENT

98%

Not to mention, we rate in predicted patient satisfaction

Better outcomes + fewer visits = fewer healthcare dollars spent on your patient

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