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We strive for 100% patient satisfaction.
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We offer on-site Aquatic Therapy.
We use the latest techniques and technologies.
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Laura

Laura - Clinic Director

PTA

Laura was born and raised in Poway, CA, and is a southern California girl through and through. She went to college at Loyola Marymount University where she played basketball and rowed crew. She received her Physical Therapist Assistant degree from San Diego Mesa College, and she has been working as an outpatient, orthopedic PTA since 1996. She started her career in Los Angeles, CA, working for HealthSouth and Select Medical at the Kerlan Jobe Orthopaedic Clinic for 10 years. Laura came back home to San Diego in 2007, and has been working with ProActive Physical Therapy and Sports Medicine ever since. She works out of the Rancho Bernardo clinic as well as covering at all of the ProActive clinics. She ran the Aquatic Therapy Program at Kerlan Jobe for 9 years, and now has been in charge of the ProActive’s Aquatic Therapy in Rancho Bernardo. Her other career passion is working with Industrial Rehab and Worker Compensation patients. She has been performing Functional Capacity Evaluations (FCE) and POETS (Post Offer Employment Tests) for her entire career, and has worked with companies like Chevron, Union Pacific Railroad, American and Hawaiian Airlines, and Chrysler. She loves working with and helping people get back to what they want to do. . . walking their dog to playing pickle ball/tennis to going on a trip with their grandchildren. She enjoys walking/hiking with her dogs on her spare time.

Aquatic Therapy for Fibromyalgia and Complex Regional Pain Syndrome

Does Aquatic or Water Based Physical Therapy Help With Fibromyalgia & Easing Pain?

It is well documented how aquatic therapy benefits many orthopaedic diagnosis, but not many know of the benefits it has for Fibromyalgia and Chronic Regional Pain Disorder (CRPS).  The Mayo Clinic states that Fibromyalgia is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues.  Researchers believe that fibromyalgia amplifies painful sensations by affecting the way your brain processes pain signals. The Mayo Clinic describes Complex Regional Pain Syndrome (CRPS) as a form of chronic pain that usually affects an arm or a leg and the cause isn’t clearly understood.  The pain is out of proportion to the severity of the initial injury. CRPS occurs in two types, with similar signs and symptoms, but different causes:

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What is Customer Service?

I think it all starts out with a smile and a welcoming hello.  Customer service involves all employees, all the people that walk through the door, and every phone call.  It is about communication and making people feel important.  In physical therapy, we need to get patients in as soon as possible to help them start feeling better. We need to give them the information regarding their insurance/authorization correctly and in words that they understand. Patients need to be involved in their initial evaluation (goals and plan) and need to feel heard.  We should introduce them to the whole physical therapy team. They should know what the plan is for their therapy and feel comfortable doing the exercises on their own and at home. The patients should feel safe, “under good hands”, and they should know that they can ask questions at any time. We want them to want to come to physical therapy because we care for them and we are doing everything possible to get them feeling better and back to where they want to be.  The goal is that patients recommend us to their physician, family, and friends.

Thoracic Outlet Syndrome

Have you ever been frustrated with still having symptoms in your neck and arms or not progressing with treatment due to significant symptoms in your upper body?  Then you may be dealing with Thoracic Outlet Syndrome (TOS).  TOS is a narrow space between your collarbone and first rib, and is characterized by different neurovascular signs and symptoms involving your neck and upper limb and involves compression of the neurovascular bundle as it exits the thoracic girdle (aka upper back and space between neck and shoulder).  More specifically the compression is thought to occur at one or more of these three regions:  the interscalene triangle (front of your neck to collar bone), the costoclavicular space (collar bone, shoulder blade, and first rib), and the retropectoralis minor spaces (pecs, anterior chest wall, and subscapularis muscle).

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Taking a Break Can Help your Ergonomics

Breaks at WorkMost people know the importance of ergonomics and how it can help decrease injury at work. Ergonomics (per OSHA) is the study of work and is based on the principle that the job should be adapted to fit the person, rather than forcing the person to fit the job. Ergonomics includes restructuring or changing workplace conditions to make the job easier and reducing/stressors that cause cumulative trauma disorders and repetitive motion injuries. There are a few things like taking micro breaks and setting up “work zones” that can decrease stress and repetition that doesn’t take anyone coming to your work station and making adjustments.

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Achilles Tendonitis

Achilles Tendon

In order to understand Achilles tendonitis, we must understand the Achilles tendon.  Per WebMD, “the Achilles tendon is a tough band of fibrous tissue that connects the calf muscles to the heel bone (calcaneus)”.  The gastrocnemius and soleus muscles (calf muscles) blend together, becomes the Achilles tendon, and inserts into the heel.  

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How Rehab Can Get You Back to Work Safely

Back to Work Rehab

Industrial rehabilitation is rehabilitation aimed at helping an injured workers return to work safely and effectively and to help with prevention and reduction of work-related injuries. A functional capacity evaluation (FCE) is a major tool in industrial rehabilitation. A FCE is an objective, functional evaluation of a series of tests administered to help determine current functional and physical status of an employee. We must remember that industrial does not automatically mean that it is labor intensive; it includes jobs that are repetitive or that may involve awkward positions or motions.

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Ergonomics in the Workplace

Ergonomics have really progressed over the years from different sitting postures to sit-stand stations. Ergonomics (per OSHA) is the study of work and is based on the principle that the job should be adapted to fit the person, rather than forcing the person to fit the job. Ergonomics includes restructuring or changing workplace conditions to make the job easier and reducing/stressors that cause cumulative trauma disorders and repetitive motion injuries. In the typical upright sitting posture desk set up, the employee’s torso and neck are approximately vertical and in-line with each other, their thighs are approximately horizontal, and the lower legs are vertical. In the typical standing posture, the employee’s legs, torso, neck, and head are approximately in-line and vertical.

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Making Therapy Work for You

Physical Therapy ResultsStarting therapy shouldn’t be a scary thing. Therapy is meant to decrease a patient’s symptoms and pain. It increases strength, improves mobility and functional tolerances. Therapy will allow you to return to what you want to do in your life. Physical Therapy (PT) is when health problems or impairments make it hard to move and function due to injury, surgeries, or pain. Physical therapist are trained to treat any body part, but there are also specialist (pediatric, neurological, TMJ, etc). This article will focus on the outpatient orthopedic setting. Occupational therapy (OT), in an outpatient setting, focuses on the upper extremity (specifically wrist, hand, and elbow). ProActive’s OTs are all certified hand therapist (CHT). A CHT is an OT or PT by profession with at least five years of experience, plus 4,000 hours of hand therapy practice (upper extremity rehabilitation), and passes a certification examination that demonstrates knowledge of all areas of hand therapy. The therapist are here to help you return to your ideal lifestyle.

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Industrial Therapy

work-conditioning-lift

Industrial therapy is a type of rehabilitation aimed at helping injured workers return to work safely and effectively, avoid re-injuries, and to help with prevention and reduction of work-related injuries. We must remember that industrial does not automatically mean that it is labor intensive. It includes jobs that are repetitive or that may involve awkward positions or motions. This type of therapy may include some if not all of the following types of treatments/programs/tests: physical and/or occupation therapy (worker compensation focused), Functional Capacity Evaluations (FCE), Work Conditioning, Work Hardening, or Ergonomics.

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The Pool is the Right Place for Total Joints

Aquatic-Therapy-exercise-2Arthritis affects 40 million people (almost 1 out of 6 adults). Osteoarthritis (OA) is the leading reason for joint replacement surgery in people over age 60. More than a million people every year are getting a total joint replacement; most typically they are an artificial hip or knee. The goals of therapy after a replacement (knee or hip) are pain relief, decrease edema, strengthening; stretching/flexibility, improving range of motion (ROM), progression of ambulation (decreased deviations and increased distance), independence with activities of daily living (ADL), proprioceptive training to improve body awareness and balance, and lastly to return to functional activities. Aquatic therapy has numerous benefits that assist with these goals, and patients don’t even have to know how to swim.

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