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Health Categories

COVID-19

UPDATE: December 8, 2020

Dear Valued Patients,

As we continue to feel the impact of the coronavirus (COVID-19), we want to share with you the steps we’re taking at ProActive Physical Therapy and Sports Medicine to help protect the health and safety of our patients and employees, which is always our top priority.

We continue to closely monitor local and national reports on the evolving impact of COVID-19. We are basing our guidance on the Centers for Disease Control (CDC), the World Health Organization and applicable public health agency’s recommendations.

We feel deeply for those who have been affected. Thankfully, as of now, we’re not aware of any employee or patient contracting COVID-19. But we have implemented guidelines that instruct any employee or patient who may develop symptoms or come into contact with infected individuals to stay home and follow the CDC’s instructions. 

As an essential healthcare business, we are following guidelines to limit the number of patients in each clinic and requiring the use of face masks for all ProActive staff and patients at all times. Therapists are also required to wear gloves while treating patients.  Limiting the number of patients in our clinics is a priority to keep our patients and our employees safe. We are also doing a healthcare screen and temperature check for each patient and staff member that enters our clinics. If we become aware of any condition in any clinic that would make it unsafe, please rest assured that we’ll close the clinic until those conditions have been addressed.

Our housekeeping and sanitation efforts in our clinics have been greatly expanded past our typical high hygiene standards, which include but are not limited to, wiping down common surfaces and equipment after each use. We’re frequently disinfecting often-touched surfaces such as door handles, countertops, treatment tables, chairs, equipment, computer keypads, faucet handles, and other commonly used items.   We’re asking all of our employees (and we urge everyone) to follow the CDC guidelines to prevent the spread of the infection. 

Again, the health and safety of our patients and employees are our top priority and we’re committed to doing our part to help keep you safe.    Please call any of our clinics if you have any questions or concerns.  If a representative does not answer, please leave a message and we will call you back as soon as we can.

Kindest Regards,

The ProActive Team

Headaches

There are many different types of headaches the most common being migraines, tension headaches and cluster headaches. In physical therapy we tend to address tension headaches, which usually start at the base of the skull and wrap around to the side of the temples. Tight neck muscles, poor neck mobility, and bad posture can lead to tension type headaches.  Forward head posture puts increased tension on the neck muscles and adds to stress on the spine that can lead to headaches. Sitting at the computer, reading or driving for long periods of time can lead to forward head posture. Daily stress is also a contributing factor because it can cause increased tension throughout the neck muscles. 

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Concussions in Adolescents/Young Adults

Concussions in Adolescents

What we know

  • Repetitive concussions may have serious consequences over a lifetime
  • Consecutive concussions prior to resolution of previous concussion may have detrimental long-term effects
    • Called Secondary Impact Syndrome
  • Most Concussions do not involve loss of consciousness
  • Many concussions go unreported, increasing the risk of repeated traumas
  • Youth injuries (5-14) are most often sports/bicycle accidents 
  • Children and adults experience the same post-concussive symptoms (DeMatteo, 2015)

Symptoms-Headache (71%), Distractible (57%), Memory Dysfunction, Dizziness (55%), Fogginess (53%), Sensitivity to light, Fatigue (50%), Blurred vision. 

Youth Legislation

  • H.R. 469 (2011) protects student athletes from concussions.
  • Each state required to develop a standard plan for concussion safety
  • All states have sports concussion laws as of 2014

Return to Play Protocol-Zurich Method

 

  • Student athlete needs to return to the classroom first!
  • One stage per day minimum without recurrence of symptoms

Stage 1-Cognitive rest-No TV, texting, computer. Resting stage until symptoms are free (at least 1 week.)

Stage 2-Stationary bike, TM (10-15 mins), low level activity

Stage 3-Mod exertion, more running drills. Sport specific activity.

Stage 4-At least 30 mins continuously, more cognitive load. Weight training. 

Stage 5-Allowed contact in practice for the first time. 

Stage 6-Has to be cleared by the physician before returning to game activity.

Current Multiple-Concussion Return to Play Guidelines

  • Positive neuroimaging for 2 or more concussions= 3 months off contact sport
  • 2 concussions in 3 months= 6 months off contact sport (From latest injury)
  • 3+ concussions in 1 year=1 year off sport and retirement consideration

References

  • www.Vestibular.org
  • https://www.congress.gov/bill/112th-congress/house-bill/469
  • Field, M, Collins, MW, Lovell, MR, Maroon, J. Does age play a role in recovery from sports-related concussion? A comparison of high school and collegiate athletes. J Pediatric. 2003;142:546-553.
  • Toledo, E, Lebel, A, Bercerra, L. The young brain and concussion: imaging as a biomarker for diagnosis and prognosis. Neurosci Behav Rev. 2012;36:1510-1531
  • DeMatteo, Carol et al. Development of a Conservative Protocol to Return Children and Youth to Activity Following Concussive Injury. Clinical Pediatrics. 2015 54(2) 152-163. 
  • Leddy J et al.  A Preliminary Study of Sub symptomatic Threshold Exercise Training for Refractory Post-Concussion Syndrome. Clinical J of Sport Med 2010
  • Burke, C. Stony Brook Neuro Concussion Assessment, 2017

Prevent Falls

Prevent Falls

As we age into our golden years, one of the things we fear most is losing our independence. And one of the biggest causes of losing independence is fractures. A big example is a hip fracture, which often sends people to a nursing home and is linked to a shorter life span. Now, the question is what causes most fractures in older people. The answer is falling. There are several things you can do to prevent falls. We as physical therapists can do a formal strength and balance assessment, show you strengthening exercises, walking posture, and balance activities to help prevent future falls.  Even if you haven’t fallen but feel you could reduce your risk of falling, here is one of the simplest most effective exercises you can do. It’s called the chair rise and it can be done almost anywhere. Do this daily to strengthen the muscles in your thighs and buttocks which can help keep you steady on your feet.

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7 Benefits of a Standing Desk

Standing Desk

The idea that sitting can be harmful seems ridiculous at first thought. Sitting is a default human body posture, and when people work, socialize, study or travel, they often do so in a seated position. It’s second nature. However, that doesn’t mean sitting is harmless. It’s like eating — necessary, but harmful if you do too much of it. Unfortunately, sitting too much, is now at an all-time high. Over half of the average person’s day is spent sitting, doing things like driving, working at a desk or watching television. In fact, the typical office worker may spend up to a whopping 15 hours per day sitting. To battle this trend, standing desks are becoming increasingly more popular.

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Standing Desks and Back Pain

Lower Back Pain Desk

Nothing makes a day at the office more miserable than neck and back pain. However, a lot of us deal with it every day. Americans are spending $50 Billion dollars a year on lower back pain. Physical Therapy is an important part of recovery but also a standing desk can be part of the solution to some of that pain. First, let’s take a look at why we experience the pain we do while sitting, and then look at how a standing desk can help.

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Meralgia Paresthetica

Are you experiencing numbness, tingling, or burning pain in your outer thigh?  We often suspect that these types of symptoms are related to our lower back (eg – sciatica).  However, there is a condition called “meralgia paresthetica” (MP) that could be the actual cause of the symptoms.  With sciatica, the sciatic nerve becomes irritated and pain can be felt from the lower back and down the back of the thigh and leg. With MP, the lateral femoral cutaneous nerve becomes compressed or pinched.  This results in tingling, numbness and/or burning on the lateral (outer) aspect of the thigh.

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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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Basics of Shoulder Health

Shoulder Health

Every year nearly 7.5 million people schedule doctor’s visits due to shoulder problems. Shoulder injuries are frequently caused by athletic activities that involve excessive, repetitive, overhead motion, such as swimming, tennis, pitching, and weightlifting. Injuries can also occur during everyday activities such as scrubbing or washing, working overhead such as with hanging curtains or painting, and gardening. Although many of these injuries are traumatic and prevention is difficult, many of the non-traumatic injuries are preventable. Continue Reading »

Homeopathic Interventions

Ever wonder why many baby products or spas have a lavender or sweet/floral smell? This is because lavender is often used as an aromatherapeutic tool to reduce anxiety and emotional stress and increase relaxation to improve sleep. Can this same concept be applied to pain, swelling, muscle soreness, etc? How can we use essential oils and aromatherapy to assist in our healing?

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