APAT_Living Life Without Back Pain

The Advance Bulletin The Newsletter About Your Health And Caring For Your Body

Advance Physical & Aquatic Therapy

It is an honor to share with you that the team at Advance was awarded “Best Case Report” for the 2017 Pennsylvania Physical Therapy Association’s annual conference held this past October. Last Spring we had the pleasure of rehabbing a dedicated young athlete, one of Nether-Swarthmore Baseball’s top prospects, who sadly suffered a pretty limiting injury that kept him sidelined for much of the season. After two months of hard-work and dedication, our young athlete made a full recovery and pitched lights-out into the playoffs and summer season! Due to the uniqueness of this case and the successful use of Physical Therapy, Josh, Cole, and Ryan wrote and submitted a scientific Case Report of our findings to share with PT’s across the state. It was this Case Report that was selected from a group of other applicants to be presented at the state’s annual conference in front of hundreds of other PTs, PTAs, and physicians. We were proud, humbled, and very excited to have represented Delaware County and share our “Advance”-approach to evidence-based physical therapy with the rest of the state. Thank you for supporting us and we look forward to continuing to serve this community and beyond. - Cole Racich, PT, DPT, OCS APAT AWARDED “BEST CASE REPORT” 2017

Advance Physical & Aquatic Therapy

IS BED REST GOOD FOR YOUR BACK? Find Out How to Wake Without an Ache! The Advance Bulletin The Newsletter About Your Health And Caring For Your Body

In the old days, when your back was hurting, your doctor told you to rest until it felt better. However a lot has been learned about proper treatment for back pain since those days, and gone are the days of prolonged bed rest. New studies show that proper movements, posture and a gradual return to activities, has been found to be much more successful to control back pain. This allows you faster pain relief and a return to normal pain-free activities. Bed rest and inactivity have been shown to weaken muscles and bones. Whereas exercise in general, increases strength and flexibility of the muscles, aiding in healing through increased blood flow to the affected area. It has also been found that exercise and aerobic activity, like walking, assists in bringing nutrients to structures

in the spine. Some of these structures, like the discs between your vertebrae, have a poor blood supply and rely on your body’s movements and aerobic activity to circulate nutrients. When a person is inactive, less of these nutrients are able to get to the structures in the spine to keep them healthy. In our Spine Care program, we look at your individual health history as well as your current mobility level and interests. Following a thorough exam, our spine specialists will develop an individualized treatment program specifically for you. We combine our expertise in manual therapy, exercise prescription and patient education to relieve your pain, restore your function and prevent your symptoms from recurring. We want to be your partner in health to guide you back into your previous activity level without pain.

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AreYour Feet Causing Your Back Pain?

When your foot hits the ground, your whole body feels the effect.  Imagine in your car if your shock absorbers were worn out. You would feel every bump and jolt from the road. Your feet and legs are much the same way. The greater the impact of your step, the more impact it has on your body. Sometimes our legs are not quite the same length due to joint replacements or arthritic conditions in the ankle, knee, or hip. Even small differences may cause back or leg pain. A small heel lift can often change symptoms dramatically. Many times tightness in the ankle can also contribute to back pain. When the ankle joint is tight, this essentially makes that leg “longer” which can cause the spine to curve slitely and result in back and leg pain. Your feet and legs need to be able to support the rest of your body during walking tasks. We will evaluate your leg and foot strength and mobility and focus on improving the muscles that are weak and stretching those that are tight. This in turn will allow you to walk with better form and help to eliminate back pain. If we find that you need some type of modification to your shoes or inserts we will make those recommendations as well. We want to look at everything that can be contributing to your back pain, not just your back. This can be done under the guidance and expertise of our physical therapists at Advance Physical & Aquatic Therapy.

Patient Success Spotlight

Relieve Back Pain In Minutes Try this movement if you are experiencing back pain.

Helps Lower Back

LOWER TRUNK ROTATIONS Lying on your back with your knees bent, gently rock your knees side-to-side. Perform this 10-15 times in each direction.

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“After doing some research I chose Advance physical therapy, and that was the best decision I could’ve made. The people here are great. They got me off pain meds! I don’t know where I would be right now without you guys.” - Tania D. They got me off pain meds!!

Healthy Recipe

PAN SEARED LEMON CHICKEN A HEALTHY LIFESTYLE MEANS EATING BETTER

Thank you to all of our sponsors at our recent 5K we raised over $13,000 and the sponsors are as follows:

Piazza Honda Family and Cosmetic Dentistry: David Freilich, DMD National Realty Corporation Brinker and Simpson Springfield Ford Lincoln

Conicelli Toyota of Springfield Craft Beer Store Springfield Pappou’s Pizza Pub Pryme Design GIANT Springfield ACME Clifton Heights ACME Media Awards Connection Inc Krispy Kreme Karen Jeffry/Jenni Roman Scott Pimonte DJ Starbucks

Thank You to all of our more than 100 runners and walkers who made generous donations as well as Nans Team, the Advance team bake sale and most of all the Maugeri Family! We can’t wait till next year!

Physical Therapy Word Search

Ingredients • 4 boneless chicken breasts, (1-1¼ pounds) Salt & freshly ground pepper, to taste • 3 tsp extra-virgin olive oil, or canola oil, divided • 3 cloves garlic, minced • 1 cup reduced-sodium chicken broth • 2 teaspoons flour • 2 tablespoons chopped fresh dill, divided • 1 tablespoon lemon juice

Directions 1. Season chicken breasts on both sides with salt and pepper. Heat 1½ teaspoons oil in a large heavy skillet over medium-high heat. Add the chicken and sear until well browned on both sides, about 3 minutes per side.Transfer chicken to a plate and tent with foil. 2. Reduce heat to medium. Add the remaining 1½ teaspoons oil to the pan. Add onion and garlic and cook, stirring, for 1 minute. Whisk broth, flour, 1 tablespoon dill and lemon juice in a measuring cup and add to pan. Cook, whisking, until slightly thickened, about 3 minutes. 3. Return the chicken and any accumulated juices to the pan; reduce heat to lowandsimmeruntil thechicken iscooked through,about4minutes.Transfer thechicken toawarmedplatter.Seasonsaucewithsaltandpepperandspoon over the chicken. Garnish with the remaining 1 tablespoon chopped fresh dill.

SCIATICA CRUNCH DISK STABILIZATION YOGA TONED INCREMENTAL

FLEXIBILITY MUSCLE SQUAT TIGHTENING LIVING

ANKLE FLUID BACK PAIN

BRIDGE HAPPY WALK

KNEE FEET

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