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Technology Tuesday!!! If it doesnโt twitch stim it!! This patient had their bilateral L2-L5 multifidi needled and stimmed today for treatment of chronic low back pain. We use the E-Stim II unit at Physio Pro for intramuscular electrical stimulation. It is a dual channel, portable, continuous frequency unit that features Milli-amp (normal current) and Micro-amp (micro current) settings.
With dry needling, a twitch response is desirable but not necessary for an effective treatment session. A dry needle induced local twitch response (LTR) provides greater pain relief than a needle penetration without the local twitch response. However, it may also be the source of post-treatment soreness. The twitch elicited from electrical intramuscular stimulation causes the same electrophysiological response as what occurs with a LTR. It presents a way of obtaining this desired treatment effect without the post-treatment soreness.
Needling itself is a great tool for symptom management but it must be followed with a sound corrective exercise session or reductive/manual treatment for maximum effectiveness or else the results will be transient. #dryneedling #dryneedlingtherapy #physiotherapy #physioprofamily #lowerbackpain #backrehab
This years Physio Fit classes moved outdoors and it couldnโt have gone any better. We had some cold mornings, some dark mornings, and some gorgeous sunrises. All the while our team worked their butts off and made the best out of this new and uncertain situation we are all experiencing. Thank you for making every Monday, Wednesday, and Friday morning special! Weโll take our circuit training class outside again in the Spring! #physiofit #circuittraining #coloradosunrise @n2_health_fitness @atinfinitypark
End stage knee rehab with focus on resisted deceleration with change of direction today. The ability to slow the body down or stop altogether, in order to make another movement or change direction are essential in all field sports. Training this way also builds resiliency to injuries such as ACL and extensor mechanism pathologies. It is paramount to include drills like this in programs in the later stages of rehab. This knee is ready for the rigors of gameplay! Good luck @ian_van_duursen You have put in that work! Go have fun. #kneerehab #physiotherapy #decelerationtraining #eccentrictraining #soccerrehab #soccer #soccertraining
Arch Position: Has anyone ever told you you have flat feet? There are several factors that contribute to โflat feetโ and not all of them are structural issues. ๐น๐น๐น๐น๐น๐น๐น๐น๐น๐น๐น๐น๐น๐น๐น ๐น
This patient has had several ankle sprains that werenโt really rehabbed appropriately and as a result, the muscles around their foot and ankle have become weaker. Not being able to stabilize their foot/ankle, or control their arch can lead to a number of painful conditions like plantar fasciitis, knee pain, or in their case shin splints. ๐ป๐ป๐ป๐ป๐ป๐ป๐ป๐ป๐ป๐ป ๐ป๐ป๐ป ๐ป๐ป As you can see in the last picture, even in standing, the starting position of their foot is going to make it pretty challenging to control their foot while walking, hiking or running. ๐น๐น๐น๐น๐น๐น๐น๐น๐น๐น๐น๐น๐น๐น๐น๐น Keep an eye out for the next post where weโll go through some solid foundational exercises for helping maintain your arch and strengthen from the ground up.
The show must go on!! Wintervention is back with our COVID protocol in place. This multifaceted program will not only increases your overall fitness and riding performance, but will also help to identify and treat faulty biomechanics which may increaseย your susceptibility to injuries.ย
ย Whether you are a telemark skier, a snowboarder, or alpine skier, the program will meet the demands of your sport.
ย Our group training sessions will accommodate up 8 participants at a time and will be instructed by one of our exercise specialists or physical therapists.
These sessions will be offered 5 days a week startingย October 19th. Group sessions will fill up fast and will be scheduled on a first come first serve basis.
COVID-19 WINTERVENTION SAFETY PROTOCOL:
Our socially distanced and routinely sanitized exercise circuit provides participants with a safe and clean environment to address your ski/snowboard dryland needs. New protocol includes...
-temperature checks before each class
-smaller class sizes
-mandatory masks at all times
-hand sanitizing stations
-routine equipment sanitizing
Please call 303-370-2670 or email mailto:info@physio-pro.com to reserve you spot. #drylandskitraining #drylandsnowboarding #skitraining #coloradoskicountry #coloradoskiing #physioprofamily #physiotherapy #strengthandconditioning #snowboarding #snowboardtraining๐โโ๏ธ๐คธโโ๏ธ
This is a daily question we get on a regular basis!
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Exercise and Pain
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Awesome post from @dr.caleb.burgess !
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๐ฅ If you're suffering from pain, monitoring the following 3 activity responses can help guide you regarding when to back off or modify an exercise or activity (or the total volume of activities) and when it's likely acceptable to continue or progress:
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1๏ธโฃ Pain DURING activity
2๏ธโฃ Symptom response for 24 hours AFTER activity
3๏ธโฃ The TREND in symptoms over time
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๐ค Ideally, we'd like to keep pain levels minimal to none (0-3/10), although in some cases moderate amounts are acceptable (4-5/10)
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๐ We'd also like to see it settle back down to baseline levels within 24 hours and that the trend over time is an improvement in symptoms and activity tolerance
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๐จ If weโre not achieving this, we may need to review activity levels and modify them to create the desired response
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๐ค If you're having trouble figuring out how to keep your pain levels in these tolerable ranges, try to modify one or more of the following as it relates to your activity or exercise of choice:
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Range of Motion
๐ If deep squats hurt, try decreasing the depth a bit
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Exercise
๐ If an exercise hurts, choose a different one that is more tolerable and provides a similar stimulus
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Contraction Type
๐ If concentric (shortening) contraction of the muscle hurts, try eccentrics (lengthening). If that still hurts, try isometrics (contraction without movement)
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Body Position
๐ Seated shoulder presses hurt? Lean the seat back 5 or 10 degrees and try that instead
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Rest Time
๐ Increasing the rest between sets can allow you to perform a bit more volume without being limited by endurance
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Frequency
๐ If training 5x/week is too much, try dropping to 3 or 4x/week
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Duration
๐ If a 20 minute run bothers your knee, try a 15 minute one. Or perform walk-jog intervals for 20 minutes
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Weight/Load
๐ If deadlifting 315 lbs hurts, try decreasing the weight. If running on concrete hurts, run on a track
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Speed
๐ Faster speeds usually require a greater capacity from the body. Try slowing down your reps or runs.
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Thoughts? Questions? Comments?
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Write them
A little agility training for soccer this AM in the cool fall air.ย ย This @ian_van_duursen kid can move!ย ย He has owned his rehab and we are close to being game ready. Big things coming this season. #soccerrehab #physiotherapy #returntosport #sportsmedicine #agility #soccer #kneerehab @coloradospinetherapy
What is a Bear Crawl?
Bear Crawl is a bodyweight mobility exercise that uses strength in the shoulders, quads and abdominal muscles. It appears very similar to a baby crawl but requires you to bear the weight on your hands and toes rather than your knees. A bear crawl is an excellent exercise in core control and focused breathing.
Step 1
Start on all fours and lift your knees so theyโre at a 90-degree angle and hovering an inch off the ground. Keep your back flat, your legs hip-width apart and your arms shoulder-width apart.
Step 2
Move one hand and the opposite foot forward an equal distance while staying low to the ground.
Step 3
Switch sides, moving the opposite hand and foot.
Step 4
Repeat the movement while alternating sides. @nancyharris184 has got this down!!!#physioprofamily #bearcrawl #physiotherapy
Our Physio Pro family is growing!! Big things coming later this year! We are pleased to announce that we have added Aaron Page PT, DPT, SFMA-C, Cert. FDN to our team. @ajpdpt received his Bachelors degree in Health and Human Sciences from Loyola Marymount University. After completing his undergraduate degree, he attended Creighton University in Omaha, NE where he earned his Doctorate of Physical Therapy and began to pursue his passion in helping others in the orthopedic setting. Aaron utilizes the Selective Functional Movement Assessment (SFMA), joint mobilization, Functional Dry Needling (FDN) and strength training to help achieve his patient's goals.
Over the last few years Aaron has been selected for Burton US Open medical team, treating professional snowboarders for competition in Vail, CO.
Aaron has a particular interest in overhead sports/activities as well; being a former pitcher he can appreciate the challenges that come with baseball, softball, tennis, swimming and other overhead movements. While not at work he enjoys reading, rooting for the Mets, hiking and being with friends. #physioprofamily #physiotherapy #sportsmedicine
#Repost @natelilleypt with @make_repost
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Big focus on deceleration and eccentric quad control in todayโs session. The ability to slow the body down or stop altogether, in order to make another movement or change direction are essential in all sports. Training this way also builds resiliency to injuries such as ACL and extensor mechanism pathologies. It is paramount to include drills like this in programs in the later stages of rehab. BFR ups the ante in difficulty. As always @trevorbaptiste9 is killing it. Here are a few drills from todayโs session. @bstrongtraining #kneerehab #physiotherapy #decelerationtraining #eccentrictraining #bloodflowrestrictiontraining #nooffseason #lacrosse
According to recent data from NordVPN, Employees in the US are logging 3 more hours a day working from home than they were in their business office Pre-Covid.ย Many patients have expressed increased stiffness while working long hours at the desk.ย This is usually as a result of poor posture while sitting in flexion (โhunchingโ over the keyboard).ย ย To counter this postural neglect, we recommend not only walking for 5 minutes every 30 minutes to an hour but including these extension stretches/corrections:
Photo 1:ย Use a lumbar roll or rolled up towel to facilitate correct posture.ย ย Make sure you are sitting in a chair with your butt to the back (lever your chair so your knees sit at a 90-degree angle with the chair), place the roll in the small of your back and rest back into the roll to create a neutral spine.
Photo 2: Standing extension.ย With your hands on your hips, sag your hips forward and look to the ceiling.ย Keep your knees straight during this stretch.ย Hold for a few seconds and repeat.
Photo 3: Desk extension.ย With your hands on the edge of desk and your feet braced about 2 feet from the desk, let your hips sag forward and stare at the ceiling to get maximum extension.ย Hold for a few seconds and repeat.
Photo 4: Press ups or extension in lying.ย Start by laying on the floor or firm table.ย Allow legs, hips and pelvis to relax and breathe normally during stretch.ย With arms shoulder width apart, press up as far as you can go and allow your body to sag into the stretch as much as possible to achieve maximum extension.ย Repeat 10 times
Photo 5:ย Pec Minor corner stretch.ย Place your hands and forearms at shoulder level on either side of the wall corner, pull in your abdominal muscles towards your spine and press into the wall.ย
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#physiopro #physioprofamily #physicaltherapy #pt #denver #colorado #denverpt #mckenziemethod #mckenziept #extensionexercise #posture #physiopros #posturalcorrection #flexionandextension #sitting #wfh #workfromhome
We are proud to announce that we have added Pilates at Physio Pro with Mary Catel PT, MSPT, Certified Polestar Pilates Instructor. Mary was one of the first team members at Physio Pro at our inception in 2004. We are so thrilled to have her back!
With 20 years of experience teaching Pilates, working in out-patient physical therapy, consulting in ergonomics and practicing senior concierge medicine andย Home Health, Mary has a wide variety of experience with varied patient populations including young and older athletes, dancers, cyclists, runners, golden-agers and industrial and professional workers.
Her strong orthopedic background has contributed to her whole body approach toย movement. As a physical therapist, Mary has developed an interest in chronic pain, by combining deep core strengthening with stretching, coordination, balance and strength, Mary helps to improve posture while establishing intelligent movement patterns.ย Mary teaches Pilates withย the goal of bringing anatomy and physiology to life through movement.
Give us a call if you are interested in starting a Pilates program at Physio! #pilates #physiotherapist #physicaltherapy #physioprofamily
Great goal and game for @brentadamsco Happy to see his Redwoods move on to the semifinals! @pll @pllredwoods #lacrosse
Look at that speed boi!!!Love this. One and done from here on. Big week for Lacrosse. #Repost @cloganmd with @make_repost
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Heading into @PLL Championship Series Elimination round โข Tune in @nbcsports #pll @trevorbaptiste9 #lacrosse
โFear is the path to the dark side. Fear leads to anger. Anger leads to suffering.โ -Master Yoda. Wise words from the Jedi master. Very fitting for 2020. 4 months into a pandemic and our COVID safety protocol is next level. We are very proud of our staff and the steps we have all taken to keep our patients, staff and community safe. #physioprofamily #starwars #yodaquotes quotes #beatcoronavirus๐๐๐ #physiotherapy
Awesome New Balance Lacrosse commercial with a familiar voice. Great voiceover. @trevorbaptiste9 get some today!!!!!!We will all be watching!!! Letโs see that speed boi!!!!!!!!!!โ@newbalancelax @pll @pllatlas #sportsareback #lacrosse #speedboi
2020 has been a crazy crazy time to rehab a knee for this lady buff. From telehealth in March, early rehab at Physio Pro, back to school, and now back at the clinic @maura_singer is still putting in that work. Big BFR burn today at the clinic. Love to see that quad shake!! 8 weeks out and looking strong. @cubuffswbb @bstrongtraining @gyroboard_br #bloodflowrestriction #kneerehab #kneerehabilitation #womansbasketball #sportsmedicine
#Repost @theprehabguys with @make_repost
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TISSUE HEALINGโฃ
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๐คWhen an individual sustains an injury, one of the first questions asked is, โHow long will it take until I am back to normal?โ When an unexpected event such as an injury disrupts our quality of life, naturally we want to return to our full functional capacity as soon as possible. The difficult part of injuries is that there are certain components of them we are unable to control, such as our age, the type of tissue that was injured, blood supply to a specific tissue, and the extent of damage that was done.โฃ
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๐However, what we can control is enhancing our understanding of tissue healing, and how to optimize healing times by avoiding factors that could slow the normal healing process.โฃ
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๐ฅProgressing from the inflammatory phase to the maturation phase of tissue healing begins with a short period of protection of the injured site, followed by early mobilization, and eventually optimal loading with an eventual return to full, functional capacity. As stated previously, the time spent in each of these phases as well as the specific actions you may be taking will be different depending on the type of injury you may have.โฃ
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โผ๏ธItโs important to note that different tissues heal at different rates! And more importantly, the severity of the injury also impacts the length of recovery. Youโll notice that the range of healing times is quite large! So please - respect that you may recover faster or slower than your friend with the โsame injuryโ. Even more so, a grade I hamstring strain you suffered a year ago may heal at a different rate than a grade I hamstring strain you just suffered yesterday! There are so many factors that go into recovery - but a good understand of tissue healing timelines is definitely the place to start!โฃ
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โก๏ธFor more information and learning on this topic, check out the amazing blog on our website written by Dr. Sherif Elnaggar @sherifelnaggar.dpt titled โWhat you need to know about tissue healingโ and graphic credit to @drcalebburgess.โฃ
11 weeks post-op and @noahgriesheimersb is killing it. Big focus on that heel to toe balance strategy (anterior/posterior) necessary for boarding today. Heโs well on his way to being ready once the snow starts falling. #snowboarding #snowboardtraining #drylandtraining #aclrehabilitation #physicaltherapy #physiotherapist #kneerehab #physioprofamily #slackline #slackliners
Pumped to to watch @trevorbaptiste9 light up Utah soon!! Letโs go!! Great to see @pivotalsportsperformance get up and rolling! #Repost @pivotalsportsperformance with @make_repost
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๐ ๐ Look at the shirt that @trevorbaptiste9 is rocking for the @PLL promo video on NBC! We might be bias but it might be the most trending shirt out there right now! Come on in to get yours!! Also good luck to all the PLL athletes as they head to Utah for the Championship Series!! We were honored to write all the programs for each athlete as they prepared for the tournament! We know there is going to be a lot of speed!
#pivotalsportsperformance #โฃcourage #compete #sportsperformance #speed #agility #strength #parker #colorado #parkercolorado #lacrosse #pll