Activa: Determining The Origins Of Pain

Health &Wellness The Newsletter About Your Health And Caring For Your Body

Backpack Strategies For PARENTS&STUDENTS

Loading the backpack: • A child’s backpack should weigh no more than about 10% of his or her body weight. This means a student weighing 100 pounds shouldn’t wear a loaded school backpack heavier than about 10 pounds. • Load heaviest items closest to the child’s back (the back of the pack). • Arrange books and materials so they won’t slide around in the backpack. • Check what your child carries to school and brings home. Make sure the items are necessary for the day’s activities. • If the backpack is too heavy or tightly packed, your child can hand carry a book or other item outside the pack. • If the backpack is too heavy on a regular basis, consider using a book bag on wheels if your child’s school allows it. Wearing the backpack: • Distribute weight evenly by using both straps. Wearing a pack slung over one shoulder can cause a child to lean to one side, curving the spine and causing pain or discomfort. • Select a pack with well-padded shoulder straps. Shoulders and necks have many blood vessels and nerves that can cause pain and tingling in the neck, arms, and hands when too much pressure is applied. • Adjust the shoulder straps so that the pack fits snugly on the child’s back. A pack that hangs loosely from the back can pull the

child backwards and strain muscles. • Wear the waist belt if the backpack has one. This helps distribute the pack’s weight more evenly. • The bottom of the pack should rest in the curve of the lower back. It should never rest more than four inches below the child’s waistline. • School backpacks come in different sizes for different ages. Choose the right size pack for your child as well as one with enough room for necessary school items. • Only put items in your backpack that you need for the day.

Health & Wellness The Newsletter About Your Health And Caring For Your Body

“Why Not Give You Access To Pain Relief?” DETERMINE THE ORIGINSOF PAIN


• Arthritis In The Neck

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• Patient Success Spotlights

When you have an ache or pain, it can leave you scratching your head as to where the pain is truly coming from. Just because it hurts in that part of your leg or arm, doesn’t mean that is where the problem is coming from. Is it a disc, muscle strain, or did you just plain overdo it? We know it is important to gather all the right information first to make the correct diagnosis. That is why we thoroughly evaluate you first and work with your doctor closely. Being a physical therapist is much like being a detective of the body. Where did that pain come from, what type of pain is it, what areyou not able todo that you want toget back to, how is your body moving incorrectly, etc.? Ifyouaresuffering frombackpainorneckpain,herearesomequestions that are important for us to know, to determine the origins of your pain:

How long have you had your pain? For example, acute low back (lumbar) pain may be because of a muscle strain. Chronic low back pain is typical of restricted joints, tight muscle tissue, and weakened muscle strength. What type of pain? Achy, sharp, tingling? Achy pain is typically a problem with movement due to poor functioning of muscles and joints. Sharp pain can be a muscle spasm, or even an impingement of a joint. Tingling sensations and pain can be irritation to a nerve either from compression or inflammation of that area. If you are suffering with aches and pains and am not sure of its origin, discover our programs today and learn more about quickly relieving your pain.

Have we been able to assist you in your recovery well? If so, please leave us a review on Google, Yelp or Facebook!


Does the pain travel to a specific part of the leg or arm, or does it spread over a wide area to the buttock, back of the leg, or arm? Wide-spreadpain is typicalofmusclestrain, inflammation,andweakness.Patientswill typically relate thispainwithprolongedstanding,walking,andotherphysicalactivities. This is due to the fact that the muscles cannot support the spine or hips, and thus become strained. Specific pain in a part of the leg or arm can possibly be nerve related. In either of these cases, it is important for you to seek out the right professional help. Is the pain worse at a specific time of day? Achy, stiff pain in the morning can be due to muscle and tissue stiffness. Severe radiating pain to the lower back, buttock, and leg with bending in the morning is an indicator of a potential herniated disc. Wide-spread pain is typically related to the lack of flexibility and guarding in the spine; whereas pain towards the end of the day after moving and activity, is an indicator of spinal muscle weakness as the muscles fatigue during the day. Do you have difficulty with prolonged sitting, standing, or walking? Pain with prolonged standing and walking is typical of muscle fatigue of the spine as well as the hip muscles. It is typical to complain of pain to the low back and buttocks as your muscles cannot tolerate the activity. An easy test to check your hip strength is to lie on your side and lift your leg up 10 times. If you struggle with this, you most likely have hip muscle weakness, which will cause a lot of strain to your spine. Most people with back pain have a lot of

weakness with these muscles and many others. The good news is that with the right physical therapy treatment plan, you can treat these problem areas and prevent the pain from returning. There is a lot that can be done to help pain, and the fastest way to relieve pain is to find out the true source and treat it. At Activa Physical Therapy, our SPINE Program determines where your pain is coming from and then quickly relieves it. Furthermore, you will get stronger and be on the right path to return to the activities you love to do, without pain. Call us today to find out more.


Relieve Arm Pain In Minutes Try this movement if you are experiencing arm pain.

Stretches Rotator Cuff Muscles

STRAIGHT ARM PECTORAL STRETCH Stand in a doorway. Put your arm up against the doorway. Make sure the wall protects the front of your shoulder! Turn away - you should feel a stretch in your chest.

INGREDIENTS • 1 package frozen spinach (drain) • 2 - 8 oz packages cream cheese • 1 package colby jack cheese

• 1 package parmesan cheese • 2 cans of Rotel • Small onion, chopped • 1 tsp cumin or to taste • 1 tsp garlic salt or to taste

DIRECTIONS Combine all ingredients well and place in a 11 x 13 pan. Bake at 375 degrees for 30 - 40 minutes.

Refer A Friend

Patient-Featured Story

Do You Have Friends Or Family Unable To Do The Following:

Aloha from Hawaii Aloha Samir and all wonderful Techs,

Who Do You Know That Needs Our Help? � Move without pain � Bend and move freely � Balance confidently & securely � Sit for long periods comfortably � Walk for long distances � Live an active and healthy lifestyle If you know someone suffering with aches and pains give the gift of health. Refer them to Activa Physical Therapy today. Pass along this newsletter or have them call us directly to schedule an appointment.

Hope everyone is doing well I wanted to share these pictures with you all.  Youwillbeproudofme that Iamstillpracticingsomeof thephysical techniques your center showed me. I would do yoga and some of the Activaexercises/stretches in theearlymorningby thebeautifulPacific ocean and palm trees beach. - Nora R.

What our recent graduates had to say...

The entire staff has been excellent in their care! “I was sent by an ortho doctor prior to surgery for torn meniscus because I couldn’t bend my leg at all. The doctor recommended Samir specifically because he didn’t want anything done that could cause further pain or injury before surgery. Carson and Samir worked to alleviate the pain and loosened my joints before and after surgery. The entire staff has been excellent in their care and encouragement to get me back to normal function after surgery and then manipulation. I can now bend my knee, walk, climb stairs, and function normally. Jen was especially encouraging when I would get frustrated with things not progressing as fast as I (or the doctor) thought it should. Everyone who works here is always positive and motivating. They allow me to be confident enough to accomplish the healing process and get back to normal. Hope to never head to PT again, but if I do, I know where to go.” – Betty C. I am able to run without any problems! “I came to Activa because of a torn hip labrum. I tore my labrum playing lacrosse. Before, I was not able to run or even jog because I was not able to push off my leg. I couldn’t play any sports because of my inability to run. Now, I am able to run without any problems and I am able to play sports again.” – Kyle S.

my balance was poor. All have greatly improved over the weeks of therapy. The therapists added TLC to my improvement along with their concerns in helping adjust my physical well being. We became ‘family’. I strongly recommend Activa to anyone who may need physical therapy. They have a ‘hands on’ approach to helping their patients better their lives. ” – George C. My ankle feels healed! “Wow! I can’t say enough about the excellent care I have received while attending Activa Physical Therapy. The expert treatment I have received was amazing. I have been wearing a boot for six weeks after breaking my ankle. My ankle feels healed and I appreciate your staff’s tender loving care! Thank you.” – Zelda C.

The therapists added TLC to my improvement! “Before Activa, it was difficult for me to walk normally, stand up straight, and


According to the Centers for Disease Control and Prevention (CDC), sales of prescriptionopioidshavequadrupled in theUnitedStates,even though “there hasnotbeenanoverallchange in theamountofpain thatAmericans report.”

supporting exercise as part of a physical therapy treatment plan for those familiar conditions. 4. Opioids are prescribed for pain. Even in situations when opioids are prescribed, the CDC recommends that patients should receive “the lowest effectivedosage,”andopioids “shouldbecombined”withnonopioid therapies, such as physical therapy. 5. Pain lasts 90 days. At this point, the pain is considered “chronic,” and the risks for continued opioid use increase.An estimated 116 million Americans havechronicpaineachyear.TheCDCguidelinesnotethatnonopioidtherapies are “preferred” for chronic pain and that clinicians should consider opioid therapy only if expected benefits for both pain and function are anticipated to outweigh risks to the patient.

You should choose physical therapy FIRST when: 1. The risks of opioid use outweigh the

rewards. Potential side effects of opioids include depression, overdose, and addiction, plus withdrawal symptoms when stopping opioid use. Because of these risks, “experts agreed that opioids should not be considered first-line or routine therapy for chronic pain,” the CDC guidelines state. 2. You want todomore than mask thepain. Opioids reduce thesensationof painby interruptingpainsignals to thebrain.Opioidsmake itsoyoucan’t feel the pain, but, they do not treat the source of your pain. Physical therapists treat pain by finding the source and restoring movement and function. 3. Pain or function problems are related to low back pain, hip or knee osteoarthritis, or fibromyalgia. The CDC cites “high-quality evidence”

“Physical Therapy vs Opioids: When to Choose Physical Therapy for Pain Management.” American Physical Therapy Association. N.p., 15 June 2016. Web. 10 Feb. 2017.


Did you know that you can come and see our experts at Activa without having a referral or a prescription from your doctor? Recent legislation has allowed patients to seek Direct Access, meaning you can come see us without first visiting your doctor! Best of all, its still fully covered by your insurance! Anytime you are having an ache, pain or trouble with activities you love doing, call our office to schedule an evaluation with one of our therapists. Our expert team will diagnose your problem, craft an expert plan to help you get back to the things you love doing, help eliminate the pain you are having and get you back to living life. Best of all, whether you have seen us before for something in the past, or you are the friend/family member/neighbor of someone that has been to see us, it doesn’t matter. We are able to schedule an appointment directly without first having a prescription and begin your treatment. If you have been with us in the past and would like to recommend someone to come see us, simply give them this flyer, and have them contact us directly.

We thank you for your loyalty, and look forward to serving you in the future for anything we can help with, with or without a prescription! Before Your Visit: Make a list of any questions that you have, to make the best use of your time with your physical therapist. Write down any symptoms you’ve been having and for how long. If you have more than one symptom, begin with the one that is the most bothersome to you. For example, is your pain or symptom: • Better or worse with certain activities or movements or with certain positions, such as sitting or standing? • More noticeable at certain times of day? • Relieved or made worse by resting? When you call to make your appointment, ask us any questions you may have when you come for your first visit. Our physical therapists will work towards making your treatment experience as comfortable as possible.

1935 Springbrook Square Dr., Suite 105 Naperville, IL 60564

P : (630) 637-9955 F : (630) 637-9957

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