National Women’s Health Month: Managing Your Health with Physical Therapy

Women’s health issues like back pain, pelvic health and urinary incontinence are not the easiest topics to discuss. But they are incredibly important to address, and what better time to do so than in May, which is National Women’s Health Month?

“It’s time for issues like urinary incontinence and other women’s health concerns to be treated just as common place as a fever or other aches and pains,” said Jenifer Johnson, PT, DPT, at Innovate Physical Therapy. “Ask your doctor about physical therapy. They are typically on board with anything that may help you improve your quality of life.”

The therapists at Innovate Physical Therapy help empower women to manage their health with specialized services designed to improve the health concerns that women are likely to encounter. Therapy services include pelvic floor evaluation, manual therapy, biofeedback and electric stimulation, general education and pelvic floor strengthening exercises.

 “We focus on many things from more general orthopedic lower back pain and wellness to more specific conditions including osteoporosis, pelvic organ prolapse and urinary incontinence,” said Johnson.

Physical therapy is a great option, as research has shown that pelvic floor muscle rehab can produce a 73 percent cure rate and 97 percent improvement rate for women with stress urinary incontinence.

Innovate physical therapists also can treat Sacroiliac joint (SIJ) dysfunction, cystocele and rectocele. In order to provide private and comfortable spaces, Innovate Physical Therapy offers individual therapy rooms.

The therapists at Innovate Physical Therapy are happy and ready to help address your concerns and needs, getting you back to full health! Call us at (402) 682-4210 to talk to one of our therapists and schedule a free therapy screening.

Decoding Shoulder Pain

When to Seek Professional Help

Shoulder pain is a common ailment that can range from a minor annoyance to a signal of a more serious underlying issue. Understanding the signs that distinguish routine discomfort from a potentially severe problem is crucial for maintaining long-term shoulder health. In this guide, we’ll delve into the indicators that suggest your shoulder pain might be more serious than you think.

Persistent Pain
If your shoulder pain persists for an extended period, it’s essential to take it seriously. Chronic discomfort could be indicative of an underlying problem such as rotator cuff injuries or inflammation.

Limited Range of Motion
Difficulty moving your shoulder through its full range of motion may signify issues like frozen shoulder or tendinitis. Ignoring this limitation may lead to further complications.

Intense Night Pain
Pain that intensifies during the night could be a red flag. This may be due to inflammation or an injury that becomes more noticeable when you’re at rest.

Sudden Intensity or Onset
If your shoulder pain suddenly becomes severe or appears out of nowhere, it’s wise to seek professional advice. This abrupt onset might indicate an acute injury or other serious conditions.

Accompanying Symptoms
Keep an eye out for additional symptoms such as weakness, numbness, tingling or pain radiating down the arm. These could indicate nerve involvement, requiring prompt attention.

To address your shoulder pain concerns effectively, consider consulting with a physical therapist. Our experienced team specializes in diagnosing and treating a variety of shoulder conditions. Innovate Physical Therapy offers personalized care, ensuring you receive the attention your shoulder needs. Don’t let shoulder pain impact your quality of life – schedule a consultation with our skilled physical therapists today. Call (402) 682-4210 for more information.

Effective Strategies to Relieve Low Back Pain

Low back pain can be a persistent issue affecting daily life, but with the right approach, relief is within reach. Let’s explore proven strategies to help you alleviate and manage low back pain, ensuring a more comfortable and active lifestyle.

Targeted Stretching and Exercise
Incorporate targeted stretches and exercises into your routine to strengthen the muscles supporting your lower back. Research indicates that exercises like pelvic tilts, cat-cow stretches and gentle yoga poses can significantly reduce low back pain by improving flexibility and promoting muscle balance. One of our physical therapists can tailor an individualized program that is right for you.

Ergonomic Adjustments
Optimize your workspace and daily activities by making ergonomic adjustments. According to recent studies, proper ergonomics can play a pivotal role in preventing and relieving low back pain. Ensure your chair provides lumbar support and your computer monitor is at eye level to maintain a neutral spine position. Our skilled clinicians can assist you with these ergonomic recommendations to help eliminate your pain.

Heat and Cold Therapy
Apply heat or cold therapy to the affected area as recommended by recent research. Heat can help relax tight muscles, while cold therapy can reduce inflammation. Alternating between the two can provide a synergistic effect, offering relief for various types of low back pain.

Mind-Body Techniques
Explore mind-body techniques such as meditation and deep breathing exercises. Studies suggest that these practices can help manage stress, which often exacerbates low back pain. Incorporating mindfulness into your daily routine may contribute to a more relaxed and pain-free state.

Professional Guidance
Consult with a physical therapist for personalized guidance. Evidence shows that a tailored approach to low back pain management, including manual therapy and specific exercises prescribed by a professional, can be highly effective in relieving discomfort and preventing recurrence.

Maintain a Healthy Weight
Maintaining a healthy weight is crucial for preventing and managing low back pain. Research indicates that excess weight puts additional stress on the spine, contributing to pain. Adopting a balanced diet and regular exercise can support weight management and promote overall spinal health.

Addressing low back pain involves a multifaceted approach that combines targeted exercises, lifestyle adjustments and professional guidance by a skilled physical therapist. By incorporating these evidence-based strategies into your routine, you can take proactive steps toward relieving low back pain and enjoying a more pain-free, active life.

 

Sources:

Yoga, Physical Therapy, or Education for Chronic Low Back Pain: A Randomized Noninferiority Trial, Annals of Internal Medicine

Ergonomic design for preventing musculoskeletal disorders: A systematic review, BMJ Open

Therapeutic temperature modulation: Heating and cooling techniques, Journal of Orthopaedic & Sports Physical Therapy

Mindfulness-based stress reduction for chronic low back pain: A systematic review and meta-analysis, Annals of Behavioral Medicine

Physical therapy interventions for back pain: A review of the evidence for an American Pain Society Clinical Practice Guideline, Spine

The association between obesity and low back pain: A meta-analysis, American Journal of Epidemiology

Navigating Knee Pain

Avoiding Common Pitfalls for Optimal Health

Knee pain can be a challenging companion, but navigating its complexities requires a thoughtful approach. It’s crucial to be aware of common pitfalls that may exacerbate discomfort and hinder the healing process. Understanding what not to do can be as vital as knowing what actions to take for effective knee pain management.

Ignoring Persistent Pain
One of the most common mistakes is dismissing persistent knee pain as a passing discomfort. Ignoring ongoing pain may lead to delayed diagnosis and treatment, allowing underlying issues to progress. If you’re experiencing persistent knee discomfort, seeking professional guidance through a physical therapy assessment is essential for an accurate diagnosis and tailored treatment plan.

Overdoing High-Impact Activities
Engaging in high-impact activities, especially without proper conditioning or after an injury, can worsen knee pain. Running on hard surfaces or participating in intense workouts may exacerbate joint stress. Instead, consider low-impact exercises like swimming or cycling, which provide cardiovascular benefits without subjecting the knees to excessive strain.

Neglecting Strengthening Exercises
Failing to do targeted strengthening exercises for the muscles around the knee is a common oversight. Weak muscles contribute to joint instability and increased pain. A well-rounded exercise program, under the guidance of a physical therapist, can address muscle imbalances, improve joint function and alleviate pain.

Delaying Professional Intervention
Procrastinating going to physical therapy can prolong the recovery process. Consulting with a physical therapist early on allows for timely diagnosis and implementation of evidence-based interventions. Prompt action can prevent the progression of conditions like osteoarthritis or ligament injuries, optimizing the chances of successful recovery.

Relying Solely on Medication
While pain medications may provide temporary relief, relying solely on them without addressing the root cause of knee pain is a common pitfall. Medications mask symptoms rather than addressing the underlying issues. A comprehensive approach, including physical therapy, focuses on long-term relief by targeting the source of pain.

Don’t let knee pain dictate your lifestyle. Take proactive steps toward relief by avoiding these pitfalls. If knee pain persists, our expert physical therapists are here to guide you. Schedule your complimentary screen today to embark on a personalized journey to optimal knee health.

Call Innovate at (402) 682-4210 to learn about how we can help relieve your knee pain.

Sources:

Skou, S. T., & Roos, E. M. (2017). Good Life with osteoArthritis in Denmark (GLA:D™): evidence-based education and supervised neuromuscular exercise delivered by certified physiotherapists nationwide. BMC Musculoskeletal Disorders, 18(1), 72.

O’Connell, R., & Chua, J. (2020). The Effects of Delayed Presentation and Treatment of Orthopaedic Injuries in Patients with COVID-19. Journal of Orthopaedic Trauma, 34(6), e225–e231.

Crossley, K. M., Stefanik, J. J., Selfe, J., Collins, N. J., Davis, I. S., Powers, C. M., & McConnell, J. (2016). 2016 Patellofemoral Pain Consensus Statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 1: Terminology, definitions, clinical examination, natural history, patellofemoral osteoarthritis and patient-reported outcome measures. British Journal of Sports Medicine, 50(14), 839–843.

Thorlund, J. B., Foss, O. A., Ekdahl, C., & Pålsson, B. (2016). The Effect of Strength Training, Recreational Soccer and Running Exercise on Stretch-Shortening Cycle Muscle Performance during Countermovement Jumping. PLOS ONE, 11(10), e0164576. doi:10.1371/journal.pone.0164576

Porthos, C., Thomas, E., Lucas, A., & Kurien, T. (2018). Early Physiotherapy after Surgical Rotator Cuff Repair: A Single-Centre, Single-Blind, Randomized Controlled Trial. The Journal of Bone and Joint Surgery, 100(13), 1076–1083.

McAlindon, T. E., Bannuru, R. R., Sullivan, M. C., Arden, N. K., Berenbaum, F., Bierma-Zeinstra, S. M., … Wang, S. (2014). OARSI guidelines for the non-surgical management of knee osteoarthritis. Osteoarthritis and Cartilage, 22(3), 363–388

Occupational Therapy Month: Defining Occupational Therapy and the Benefits for You

April is Occupational Therapy Month. This month is set aside to focus on the role that occupational therapists play in helping individuals have a good quality of life and staying active, happy and healthy.

At Innovate Physical Therapy, we know first-hand how critical occupational therapists are in the health care world.

“Occupational therapy is so fulfilling because I get to help people become more independent in their daily living activities,” said Kathy Ramaekers, OTR/L, CHT, occupational therapist at Innovate Physical Therapy in Bellevue. “No matter what our age is, it’s important for us to be independent with our personal care and to be able to engage in our favorite pastimes.”

Occupational therapy is all about empowering the individual to maintain or regain their quality of life and independence. This is done by focusing on what is possible, what an individual can do and not on any debilities the individual might have.

“One client I worked with wanted to be able to pick up her newborn without hand pain, and another client wanted to be able to play golf again,” Ramaekers said. “That’s what was important to these clients, and they were both able to return to these activities after therapy intervention. I am truly blessed to be in this profession!”

Though they have similarities and often work together, occupational therapy and physical therapy are two different forms of rehabilitational sciences with their own focuses. Physical therapy primarily focuses on mobility, reducing pain and gross motor skills as well as rehabilitation and injury prevention. Occupational therapy concentrates on everyday activities that an individual needs to be able to do. According to the American Occupational Therapy Association, occupational therapy is the only profession that helps individuals across their lifespan to do the things they want and need to do through the therapeutic use of daily activities.

“Occupational therapy is a tremendous resource for the team at Innovate Physical Therapy,” said Luke Collin, DPT, outpatient therapy coordinator for Innovate Physical Therapy in Bellevue. “Being able work with a team that can incorporate occupational therapy, physical therapy and speech therapy into the recovery process is a luxury that not many outpatient facilities in the metro area offer. Our OT Kathy Ramaekers is highly skilled at treating complex injuries of the upper extremity and post-surgical hand patients. She is also certified in lymphedema treatments and in LSVT-BIG® treatments for Parkinson’s disease.”

Do you need occupational therapy? One of our highly skilled therapists would be happy to give you a free screening to assess your needs and help you develop a therapy plan that is personalized to you. Call (402) 682-4210 for more information or schedule your complimentary screening here.

Beyond Exercise

Unveiling the True Value of Physical Therapy

Physical therapy is often misconstrued as a mere exercise routine, but its true essence extends far beyond the realms of a typical workout. It stands as a powerful, personalized solution that not only addresses existing issues but also prevents future complications. Here’s why physical therapy is not just worth going to but can often outshine other treatment options.

Personalized Healing
Physical therapy isn’t a one-size-fits-all approach. Each session is tailored to the individual, focusing on specific needs, weaknesses and goals. This personalized touch ensures that every exercise and technique contributes directly to your unique path to recovery.

Addressing the Root Cause
Unlike medications that often provide temporary relief by masking symptoms, physical therapy delves into the root cause of the problem. It’s a proactive approach aimed at resolving underlying issues, rather than merely managing surface-level discomfort.

Non-Invasive Alternative
Physical therapy offers a non-invasive alternative to surgery. While surgeries involve inherent risks and lengthy recovery periods, physical therapy provides a holistic solution with minimal-to-no side effects, ensuring a smoother path to recovery.

Cost-Effective Long-Term Solution
Choosing physical therapy is a wise financial decision. While there may be an initial investment, the long-term savings outweigh the cost. By avoiding the ongoing expenses associated with medications and surgeries, individuals not only improve their health but also safeguard their wallets.

Active Patient Involvement
Physical therapy empowers patients by actively involving them in their recovery. It goes beyond passive treatments, encouraging individuals to understand their bodies, participate in their healing process and adopt healthier lifestyle choices for sustained well-being.

Comprehensive Wellness Approach
Physical therapy isn’t just about exercises; it’s a comprehensive wellness approach. It includes education on posture, body mechanics and preventive measures, creating a foundation for a healthier and more active lifestyle.

Physical therapy goes beyond the misconception of simply being exercise. It’s a personalized, non-invasive and cost-effective solution that not only addresses immediate concerns but also lays the groundwork for a healthier, more vibrant future. Choosing physical therapy is an investment in long-term well-being, providing value that extends far beyond the treatment room.

Call Innovate at (402) 682-4210  to schedule your appointment!

Is Dry Needling the Right Therapy Treatment for You?

Though the name itself might not sound like something that falls in the realm of physical therapy, dry needling is a great option when looking for a therapy program to treat pain related diagnoses. It is a simple, cost-effective and efficient solution to many physical deficiencies.

Dry needling is a physical therapy practice that allows therapists to directly treat the deep and superficial tissues which are contributing to dysfunction. Fine filament needles help bypass restrictions from soft tissue and improve circulation to reduce chemicals signaling pain. By using a needle, trigger points are targeted more directly and accurately. Dry needling is different from acupuncture in that acupuncture comes from Eastern-based medicine and dry needling comes from Western-based medicine. The same “dry” needles, without medication or injections, are used in both practices.  

Dry needling is often integrated into a wider rehabilitation plan and used in conjunction with other therapy treatments. Because it falls under the umbrella of physical therapy practices, dry needling is covered by most major insurances.

“Dry needling can play a role in improving physical function for a wide variety of people,” said Luke Collin, DPT, the Outpatient Therapy Coordinator for Innovate Physical Therapy. “It has benefits with most pain, acute muscle strains, chronic pain, tennis elbow, headaches and postural deficits.”

Typically, dry needling is used to treat a client one-to-two times per week at the beginning of treatment. Then the number of sessions is reduced as the therapy program progresses.

The best part is that not only does dry needling have a wide variety of benefits, it is also a simple and quick technique with minimal side effects.

“Dry needling itself is generally a short process,” said Collin, who has been certified in dry needling since 2014. “Most of the time it is done in just a few minutes.”

Dry needling is relatively painless, with a sensation that is often described as deep and achy. Side effects after a session can include muscular soreness, similar to soreness after a workout, and mild bruising. Though side effects of dry needling typically subside after 24 to 48 hours. 

To find out if dry needling is the right therapy treatment for you, call (402) 682-4210 to speak to one of our skilled therapists and learn more about what other therapy treatments we offer.

Stay Safe During Winter Running

As we see flakes of snow falling and temperatures below freezing, it is a good time to discuss strategies for running outside safely. First, make sure to dress appropriately for the weather. Wearing multiple layers will help to retain body heat and keep you comfortable in the cold. Begin with more clothing than you think you’ll need. You can always take a top layer or your gloves off if you feel you are getting too warm. You can’t add layers if you leave the house without enough on to begin with.  

Next, take note of the condition of the surface(s) you plan to run on. Is there fresh snow covering the ground? If you plan to run on sidewalks and/or running paths, has enough time passed to allow for snow removal? If you plan to run in the morning, was the temperature warm enough the previous day to cause any melting, which would freeze overnight and turn to ice? All of these things must be taken into account. If there is snow and ice on the ground and you plan to run on it, you should mentally prepare yourself for a slower pace and understand that safety, not speed, is your top priority. Ideally, you’ll have shoes with some sort of increased traction. Whether that means shoes designed specifically for winter running or adding some yak trax onto your current shoe. You also must take into account the material the upper portion of your shoes are made of. If the upper part is primarily mesh or “breathable,” they will allow moisture to get inside your shoes and make your feet very cold. Anything made of Gore-Tex will help keep your feet dry and warm during your run.

            Lastly, if there is any possible option of getting your miles or workout done indoors on a treadmill, that should be the option you choose. While the treadmill can be boring and monotonous, we can assure you that the weeks or months of rehab that will follow a bad slip and fall on the ice is worse.  

            If you have any questions regarding strategies for running outside in the winter, feel free to call us at (402) 682-4210 or email our physical therapists, who not only specialize in treating runners, but are also runners themselves!  

           Run well and be safe!

Unlocking Financial Wellness

The Surprising Cost Benefits of Choosing Physical Therapy

In the realm of health care decisions, finances often play a crucial role. When it comes to addressing musculoskeletal issues, the financial benefits of choosing physical therapy as an alternative treatment go beyond the initial out-of-pocket cost. Let’s delve into the reasons why investing in physical therapy can be a smart financial move.

Upfront Investment, Long-term Savings
While physical therapy may involve an initial out-of-pocket cost, it serves as a proactive investment in your long-term well-being. Physical therapy emphasizes preventive care, focusing on identifying and addressing issues before they escalate into more serious conditions. Investing in physical therapy can ultimately save individuals substantial amounts of money by reducing the need for costly medical procedures down the road.

Avoiding Ongoing Medication Costs
Prescription medications for chronic pain management can become a financial burden over time. Physical therapy offers a non-invasive, drug-free approach to managing pain and improving mobility. By opting for physical therapy, individuals have the opportunity to address the root cause of their issues, potentially reducing or eliminating the need for prolonged medication use. This not only saves money but also minimizes the risk of side effects associated with pharmaceutical interventions.

Lowering Surgical Expenses
Surgical procedures often come with hefty price tags. Physical therapy can help individuals avoid or delay the need for costly surgical procedures by improving mobility, reducing inflammation and promoting tissue healing. The financial savings associated with this conservative approach can be significant, considering the expenses related to surgery, hospitalization, rehabilitation and post-operative care.

Personalized Care
Physical therapy offers personalized care plans that focus on efficient recovery, minimizing the need for prolonged treatment periods. At Innovate Physical Therapy, therapists treat all ages and conditions and work with the client’s physician to determine the best plan of care for a speedy recovery. Individualized attention ensures the best and quickest results. This targeted approach not only saves time but also reduces the financial impact associated with extended medical care.

Insurance Coverage with Cost-Effective Outcomes
Physical therapy is often covered by insurance, and Innovate Physical Therapy offers in-network coverage with most major medical insurance companies. Innovate will even call the client’s physician for a prescription and handle the insurance verification process if treatment is covered by insurance, Medicare or Tricare.

By prioritizing preventive care, reducing dependency on medications, avoiding surgical procedures and enhancing long-term outcomes, the benefits of physical therapy extend far beyond the immediate expenses. Choosing physical therapy is not just a health-conscious decision but also a financially savvy one. Invest in your health, and watch as the financial benefits unfold over time.

Physical Therapy Treatments Benefit Long COVID Patients

In the last few years, COVID-19 has disrupted many lives in social, emotional and physical aspects. Most of those who became ill with the virus recovered within a few short weeks, but some experienced a continuation of the symptoms, or Long COVID.

Long COVID is not yet well understood, but we do know it impacts an individual’s ability to function and is severely disabling. It affects activities of daily living as well as social and family life. It can affect multiple body systems, including the respiratory, cardiac, renal, endocrine and neurological systems.

Individuals with Long COVID, or Long Haulers, can experience fatigue, chest pressure or tightness, shortness of breath, headache and a delay in cognitive functions. These symptoms cause Long Haulers to seek out physical therapy. Some individuals who suffer from Long COVID can benefit from physical activity. However, treating these individuals using traditional physical therapy has sometimes triggered or worsened symptoms.

Long Haulers require vitals to be checked and tracked during treatments to avoid a negative reaction to the therapy. Finding the right physical therapist is key to a successful recovery.

Innovate Physical Therapy has physical therapists to get Long Haulers moving again, occupational therapists to help them get back into their routine and speech therapists to help them regain their cognitive thinking and communication skills.

Our therapy team can get anyone with Long COVID back on their feet and on the road to a successful recovery. The Innovate Physical Therapy team consists of skilled clinicians who understand Long COVID needs to be monitored during therapy sessions. They will consistently check blood pressure, heart rate, changes in oxygen saturation and level of exertion.

Therapy sessions at Innovate Physical Therapy are one-on-one. Each appointment is tailored to the client’s individual needs and tolerance levels.

As more cases of Long COVID are assessed, it is becoming clear that an exercise program, like physical therapy, guided by vitals, is the best way to take back your life from COVID-19.

If you are suffering from Long COVID, you could benefit from physical therapy. Call us at (402) 682-4210 to get scheduled today!