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Physical therapy WORKS – Take it From the Ones Who’ve Done it!

Still not sure about PT? Have you heard a lot of conflicting information about what we really do as physical therapists? Do you need relief from an injury or chronic pain but you’ve been told surgery is your only option?

You’re not alone.

So many of our clients have come through our doors for the first time with those same questions. They may have been told over and over again by doctors that their pain or injury isn’t fixable – or if it is, they need extensive surgery and/or drugs. Many have never tried physical therapy before. Some are nervous because they think that it will be painful, and others doubtful that they’re going to learn anything new or helpful. But time and time again, those same individuals end up seeing amazing improvements in strength, mobility, health, and lifestyle. They consistently report how grateful they are to be simply living pain-free or able to participate in their favorite activities again. And we are always so proud of them for putting in the work and being an active participant in their individualized treatment plan!

I could go on and on about the results our awesome clients have seen, but no one says it better than themselves.

When Jeff first came to us he had a shoulder problem that was keeping him from working out at the gym the way he wanted. He’s also a dentist so leaning over his patients all day wasn’t helping. We worked on strategies during the day to help his mobility and then we tackled his stability! He came in and let us know that he was back to his full chest workout and pushups – with zero pain!

David, age 56, suffered from chronic neck and shoulder pain before coming to us for help.

“I couldn’t run more than 2 miles without radiating neck and shoulder pain and I was really uncomfortable at work. Working with CJ Physical Therapy, I learned how to manage my neck without going the surgery route. Now I can run as far as I like without any neck or shoulder pain.”

Another 56 year old, Kathie, took advantage of both our physical therapy and Pilates programs to resolve her shoulder pain.

“Before coming to CJPT & Pilates I was dealing with a shoulder problem that kept me from things like buckling my seat belt, walking the dog, and putting dishes away. I wanted to try something different from the traditional routes I’d tried in the past. Combining physical therapy and Pilates, and working with someone who understood my personal needs, was the difference that gave me my life back.”

Gale, age 65, experienced a positive difference with our practice that she hadn’t received in the physical therapy that was referred to her following a surgery.

“I was dealing with terrible pain and numbness in my arm and wrist after surgery, and there was still no relief after 15 weeks of regular physical therapy. After coming to therapy here, I can now cook, put on make-up, and I’m no longer worried about getting back to hiking or backpacking which I love. Best experience ever!”

Nothing makes us happier than getting to be a part of a positive change in someone’s life. And we love to hear how PT has impacted not just our clients’ health, but their lives overall! Several of our clients have even shared video testimonials of their experience working with us, which can be found here. They are living proof that anyone can benefit from physical therapy. You can be as skeptical as you want – you just have to be willing to give PT an honest shot. And chances are, you’ll be glad you did!

If you’re wondering if physical therapy is right for you – or if a different kind of physical therapy is right for you – please reach out!  We are so happy to help.  If we can’t help you – we’ll find someone that can.

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Where is your pain REALLY coming from?

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Don’t assume that where your pain is… is where the problem is!

This is a very common assumption and one that that we’ve been seeing a lot lately. If you watched our most recent Happy Hour on Facebook Live, then you know the story of the young guy who came to us looking for help with his heel pain. I checked out his heel, foot, and leg, but didn’t find any issues that would be causing the pain that he had been experiencing for four years.

I had planned on addressing the heel specifically before examining his back, but when he mentioned that he also felt a lot of tightness from his back into his leg, I decided to check it out. We did a test on his back and when he stood up, he immediately told me that his heel felt better! I was just as surprised as he was.  He was able to walk with less pain and his movement felt better overall. But when he started stretching his calf to his heel again, the pain came right back.

All that stretching he’d been doing day after day – to the area that he thought was the problem – may have actually been doing him more harm than good!

Now, it’s pretty clear that this young client doesn’t have a foot problem – where is pain actually was.  He has a back problem. And that’s something we can work through and fix! But if he never saw a specialist physical therapist like myself, he probably would’ve continued to believe that there was just something irreversibly wrong with his heel, and maybe even limited certain areas of his life, like football and sports, because of that.

Why should this matter to you?

You might not have heel pain or even noticeable back issues, but maybe you have pesky knee pain, a hip that hitches when you walk, or an achy ankle. Maybe you just feel muscle tension that never seems to go away, or weakness performing certain tasks.  These could all be indicators of a problem in your back!  Or somewhere else that just hasn’t been looked at yet, because it doesn’t match the main area of your pain.

If you’ve tried a lot of things and it’s not going away, it’s an indicator that your haven’t found the real source of your problem yet. Especially if you’ve gone to a doctor for pain in another part of your body and they’ve told you that there’s “nothing wrong.” Or maybe you’ve been stretching, massaging, and foam rolling religiously every day – only for it to keep coming back like a vicious cycle.  You might think that by doing this, you’re helping your problem and keeping it from getting worse – and you might be – but you certainly aren’t doing anything to actually address the problem and you aren’t any closer to a real solution. That’s why physical therapists are so important to have as part of your healthcare team – we’re trained to examine and treat the whole person – not just the foot/knee/hip/heel.

Getting Help

We know not everyone is ready to commit to regular physical therapy appointments, and that’s why we offer free Discovery Sessions out of our practice in Portsmouth, NH! All you have to do is fill out this brief form here and we’ll contact you. Discovery Sessions are a great opportunity to talk with a specialist about creating the best plan to get you healthy and feeling your best – without any obligation or commitment.

Feel free to reach out anytime, and be sure to like our Facebook page to stay up to date on Friday Happy Hour videos in the weeks to come!

Surgeons in surgery

Surgery versus PT: What You Need to Know

“I have to get surgery for my torn meniscus. I’m going to be out of commission for a while.”

“My back problems have gotten so bad that my doctor says I need surgery to repair the herniated disk.”

“The MRI doesn’t look so good. Hopefully surgery will be a quick fix.”

Sound familiar? Most of us know someone who has been told that they needed surgery for a knee or back issue – or have received that disheartening news ourselves. A herniated disk is one of the most prevalent back problems in adults, and is often treated with lumbar discectomy as the first option. The goal of this surgery is to remove the herniated portion of the disc from the patient’s back, releasing pressure on surrounding nerves and muscles. The goal is for the patient to be able to live without pain post-surgery, but this process usually involves lots of medication and prolonged periods of rest. Another common injury that frequently leads to surgery is a meniscus tear. Your meniscus stabilizes and cushions the knee joint. A tear would be viewed easily on an MRI, which can cause many doctors to immediately prescribe surgery. Following that type of surgery, you would probably spend about two weeks with your leg completely immobilized. Then you would be introduced to a rehabilitation plan that included physical therapy – not to recover from the original injury to your knee, but to recover from the surgery that supposedly fixed it.

Surgery, in the right circumstances, can be extremely beneficial. But unfortunately, it is over-prescribed and often unnecessary, especially for individuals with back and knee pain. Seeing a herniated disc or torn meniscus on the MRI screen may trigger an automatic prescription of surgery and medication- but these “quick fixes” may not be your safest or most helpful options. In fact, MRIs can produce false positives and lead to invasive surgeries for specific injuries that didn’t even exist in the first place. MRIs are a useful tool, but their readings should always be taken with a grain of salt. When given the opportunity, your body will do its best to heal itself. Why not try careful, guided exercise and strength-building before you submit to incisions and long, medicated recoveries?

This is where physical therapy comes in. Consider working with a specialist physical therapist to address your specific injury or pain- someone who doesn’t just prescribe exercise and passive modalities, but genuinely wants to help you recover in a natural and low-risk manner. A specialist physical therapist will carefully listen to your history, analyze your symptoms, come up with a customized plan of action, and problem-solve WITH you versus trying to solve the problem FOR you. One of the primary goals of our practice is to use guided, natural movement to help your body recover to full strength and health based on your own individual needs. Pilates-based rehabilitation is also a uniquely tailored approach to recovery that can make a huge difference. Most knee, back, and other injuries occur because the surrounding muscles are too weak to support those joints and systems properly. You may think that your regular exercise and stretching is enough, but working specific muscle groups can leave others underdeveloped and makes your body unbalanced as a whole. Pilates is a full body workout that starts from your core and balances you both mentally and physically! It won’t create further damage to any injuries because it’s so low impact, and working with a professional will allow you to customize your session to your own individual needs.

Do you live in the Seacoast area and want to learn more about why surgery shouldn’t be your first – let alone ONLY – option for recovery? Click here to get in touch, ask questions, and schedule an appointment. If you’re struggling with back pain, you can even download our FREE report on five easy ways to get rid of back pain WITHOUT surgery! And don’t forget to browse our selection of Pilates classes located right here in Portsmouth.

Why Rest Might Be the Worst Advice for Your Back Pain

The majority of the people who come through our doors are seeking relief from back pain. Unfortunately, many of them have been told -or have simply assumed- that the best way to recover from their pain is to simply use their back muscles as little as possible. They’ve been advised to rest, relax, and limit their movement until the pain goes away. The problem with this model for treatment is that it goes against everything we know about the spine and core muscles. Our modern health research suggests that early movement is actually the best way to head off chronic back pain! Of course, if you’ve suffered a trauma like a car accident or a major fall, you should absolutely go get checked out by a medical professional and follow their advice based on your injuries. But if you are dealing with a chronically aching back or general soreness, stiffness, and pain, it turns out that movementis actually the best course of action!

Of course, not all types of movement and exercise are beneficial when you’re in this situation. That’s where physical therapy comes in. A physical therapist is able to identify specific movements that actually work through and relieve that pain, based on your individual condition. We call these initial exercises “first aid movements,” and they are especially helpful because you can use them any time you might tweak your back in the future! Knowing the specific movements that can help your back muscles relax and work fluidly with the rest of your body again can be a lifesaver if you work a physical job or rely on your ability to be active and mobile every day.

If you’re experiencing acute back pain, of course it doesn’t make sense to continue with all of your activities as usual if they are just exacerbating your symptoms. But there is a middle ground between overdoing it and completely stopping the movement that your body craves. That middle ground, for a lot of people, is found through physical therapy.

If you deal with back pain and want to start learning how you can help yourself through movement, check out our FREE report right here on five easy ways to get rid of back pain! You can also get in touch with us directly through Facebook or right here.

How Olympian Karen Chen Uses Pilates to Overcome Back Pain

18 year old Karen Chen is already a figure skating sensation – she is one of only three female figure skaters representing the United States at the 2018 Olympic Games in South Korea and recently released a book about her journey to becoming the US National Figure Skating Champion in 2017. However, Karen has had to deal with several injuries and ongoing back problems in her road to international athletic success.

Karen Chen skates in the Championship Ladies Short Program for the 2018 US Figure Skating Championships at the SAP Center in San Jose, Calif., on Wednesday, January 3, 2018. (Nhat V. Meyer/Bay Area News Group)

In her book, Finding the Edge, Karen explains that she started experiencing debilitating back pain as a teenager. She was competing at a very high level in figure skating and was worried that her back issues would prevent her from following her dreams of becoming an Olympian someday. She says “I was so worried about my spine and so nervous about the pain that I was tense all the time. And that tension made everything worse. I was tight and my muscles were constantly seizing, which only intensified the sharp pain radiating from my back down through to my legs” (Parade). Karen saw multiple doctors and received varying opinions and advice. Some even thought she might not be able to continue skating. But as Karen says in her book, “champions figure out a way to persist. And in order to help my back, I added more Pilates and core stability work to my off-ice training. All those core muscles help hold my vertebrae in position. If my core was strong, the vertebrae weren’t as likely to slip around and cause further problems.”

We say this all the time to our clients. Pilates strengthens your whole body, starting with your core, and actually prevents back pain! Karen Chen told Us Weekly that she practices Pilates every day. And now she’s competing on the biggest stage in sports, living her dream, because she refused to let her back pain limit her. Instead, she found a way to resolve it that did not involve surgery, pain pills, or other invasive procedures. Now Karen Chen is stronger than ever, and ready to compete in Seoul this week.

Curious about how Pilates can help you? Get in touch! You don’t have to be an Olympian to benefit from Pilates – all you need is the desire to lead a strong, pain-free life. Friend us on Facebook to stay up to date on all the latest news on our Pilates programs right here in Portsmouth, NH.

Five Ways to Keep Your Back from Going Out this Holiday Season

The holiday season is supposed to be a joyful, relaxing time, but the reality is that sometimes it’s much more stressful than we’d like. Between family gatherings, shopping, travel, and the disruption of your normal routine, it can be easy for your back to suffer. Here are our tips for staying pain-free this holiday season!

1. Don’t Sit or Stand Too Long

Experts agree that a sedentary lifestyle is detrimental to overall health and well-being. Staying still for too long will make you stiff and could eventually lead to muscle spasms and cause injury. Take time during those long family meals to get up and walk around.  Too much sitting, in particular, has become widely known to cause problems with your back and eventually lead to debilitating episodes.  Read more about that here.

2. Minimize Stress

A stressed mind inevitably leads to a stressed body. When you’re experiencing stress, your muscles tense, especially in your neck and back. It also leads to more “stress hormones” flowing through your body (known as cortisol) which can result in muscle soreness and pain. There are several easy ways to decrease stress without avoiding those important family activities and shopping trips! You can start with simple gratitude exercises. Making your first words of the day a statement of gratitude can make a huge difference in your perspective and how you approach the day. Writing these “gratitudes” down and collecting them is also an awesome way to stay mindful of what’s important to you, and can help you let go of the things that are bothering you. Positive thinking and deep, measured breaths throughout the day’s activities could be the best gift you give yourself this holiday season!

3. Watch Your Posture

Be mindful of your posture and body mechanics while wrapping presents, lifting them in and out of the car, and decorating the tree. All of this bending and lifting can take a big toll on your back. Many people throw out their backs lifting because they aren’t using a safe technique to do so, or they don’t know how to properly engage their core muscles. It’s important to lift with your legs, not with your back, and to NEVER hold your breath. Otherwise you could do significant damage over time to the muscles and connective tissue in your spine, thus limiting your mobility, causing pain and discomfort, and increasing the chances you will “throw your back out”.

4. Make Time to Move

The holiday season can be incredibly busy, but it’s important to give yourself time to move. Taking a group walk outside is a good way to spend time with family and friends while still staying active and healthy. There are also plenty of simple in home exercises you can spread throughout your day. Five minutes of stretching or light exercise every couple hours will leave you way more relaxed, limber, and prevent back pain. If you’re looking for an exercise program that will keep you in shape and help you with chronic back problems, check out our Pilates 101: Get [Your] Back to Health program starting in January 2018!

5. Travel Right

Many of us travel during the holidays, which can be a major stressor and lead to back pain. Whether you are traveling by car or plane, you will be sitting for long periods of time in a cramped space. It’s important to take frequent breaks in order to stretch your muscles and prevent joint stiffness. Even if you’re flying, you can get up and walk the length of the plane to the bathroom and back- enough to stretch out and get your blood flowing. In your seat, be mindful of your posture and be intentional about stretching your neck, arms, and ankles. Be sure to bring a blanket or dress in layers as well- planes are generally chillier than most people find comfortable, and cold air makes your muscles tense up. Staying warm will keep you relaxed and pain free!  You can also use your extra layers to throw behind your back to use as a make-shift lumbar roll or pillow.  Having something that acts like a lumbar support behind you while sitting minimizes the load on your spine.

We hope you take good care of your back this holiday season, but if you run into any trouble, give us a call at 603-380-7902 or send an email to info@cjphysicaltherapy.edarci.com. You can learn more about all of our specialized Pilates programs that are specifically designed for back-pain sufferers here and stay in touch via Facebook for more helpful information just like this. We’re here to help!

Three Reasons to Stay Active and Outdoors this November

November is a tricky month when it comes to staying active and healthy. Between the sudden cold and the onset of the holiday season, it can be hard to stay motivated- especially when it comes to going outside. But don’t let that first cold snap keep you homebound! It’s just as important to spend time outside now, in late autumn, as it was in June. And in fact, there are some definite perks to taking that walk through your neighborhood, hike in the woods, or family bike ride in November.

Perk 1: No Bugs!

Sure, sunny and 75 sounds pretty tempting right about now, but have you forgotten the horrors of being swarmed by mosquitoes every time you stepped outside after 5 pm? Or how about those nasty deerflies that made exploring the woods more painful than pleasant? Not to mention the huge tick problem that we have in New Hampshire! The good thing about cold weather is that you can trade the bug spray for a jacket and be totally comfortable, without the fear of getting bitten and even sick as a result.

Perk 2: Work Off That Thanksgiving Dinner!

First of all, taking a walk after the Thanksgiving meal should be added to everyone’s list of holiday traditions. Walking aids digestion and will help with that sluggish feeling you get after eating half a turkey by yourself. And it’s an easy group activity for everyone in the family! Let’s not restrict our walks just to Thanksgiving day though- getting outside consistently and moving can make a huge difference in your health. As it gets colder, it can be tempting to trade outdoor activity for a walk on the treadmill or stationary bike inside or at a gym. There’s nothing wrong with indoor exercise, but a walk outside is better for you than a walk on the treadmill any day. The changing scenery keeps your mind stimulated and gives you a necessary break from electronics – something you won’t get on a treadmill pointed right at a TV.

Perk 3: Healthy Spine, Healthy Life!

Let’s face it – sometimes November weather seems like it’s begging us to forgo exercise regimens forever and curl up on the couch and watch movies instead. Down time is a crucial part of self-care, but we can’t let it take over! The simple movement of consistent walking -and limited time spent seated with bad posture- is what will keep your spine healthy for years to come. And if your spine suffers, even that easy post-dinner walk on Thanksgiving might become too painful for you. Back pain can severely limit mobility and leave you in that vicious cycle of needing to move to get better, but avoiding movement because it hurts. So why not do your best to eliminate that risk altogether, and stay active while enjoying this November outside? If you want to feel the burn before Thanksgiving, check out our two Wednesday Turkey Burn classes right here in Portsmouth!

If you are already struggling with back pain, and don’t know how to move forward, check out our free guide to fixing your own back. And if you have any questions, feel free to visit our website, Facebook page, or send an email. We’d love to hear from you!

Do I Really Need an MRI?

Do I really need an MRI for that?

This is probably the number one question and concern I get from clients that I work with – especially those who suffer from back or neck pain.  Believe me, I get it! When you have pain that won’t go away, and it’s shooting down your arm or leg, often causing numbness and tingling – it’s scary!! Why wouldn’t you want an MRI?  An MRI tells you everything and then you know exactly what to do to fix the problem, right?

Not necessarily….

Don’t get me wrong – MRI’s are an amazing advancement in medical technology.  They can easily detect abnormalities in your brain and spinal cord, they can find tumors, cysts and other abnormal growths in various parts of your body, and they can even detect certain heart problems and liver disease.  When you don’t know what’s wrong, and you are showing signs that something is not right, an MRI is an amazing tool to help doctors detect the source of the problem.

The problem isn’t with MRI’s – they do their job magnificently.  The problem is with the way they are being used and prescribed.

Let me explain.

When it comes to neck and back problems, for example, what most people don’t realize is that 70-80% of all spine and musculoskeletal problems are what we call “mechanical” in nature.  That means that your problem has to do with the way you move, bad postural habits learned over the years, or muscular and joint imbalances like weakness and poor flexibility. Many of these mechanical “wear and tear” problems don’t show up until your 40’s, 50’s or 60’s – because it takes a while for bad movement patterns or bad postural habits to take their toll.  The best way to figure out a movement problem is with… well… movement!

But how do you know that it’s a mechanical problem and not something more serious?

The easiest way to find out is to ask a physical therapist (we’ll get to that later). But the most common sign is that the problem comes and goes.  Some days you feel great, and then other days you’ll be experiencing severe pain that interferes with your routine and activities.  When the pain comes and goes like that, it is usually NOT due to something serious or non-mechanical.  A tumor, or a growth, or a broken bone doesn’t go away. If you feel the pain or discomfort constantly and nothing – not even medication – changes your symptoms very much, that’s an indicator that you may need an MRI.  But remember what I said – 70-80% of all musculoskeletal problems are mechanical in nature and NOT the result of a significant injury or dangerous growth. To sum it all up- MRIs are not needed as often as they are prescribed.

So what’s the big deal about getting an MRI?  Isn’t it good just to be extra-cautious?

In theory – yes.  But here’s what actually happens.  MRI’s are super powerful and amazing tools.  Because of this, they see everything – including normal age-related changes, such as arthritis, stenosis, degeneration of joints, and even bulging discs.  These typical and often unrelated imperfections show up in the MRI and are frequently blamed for the movement problem.

So back to our original question:  Do I really need an MRI?

If you’ve had a bad accident, fall, or trauma – then it’s a good idea.  But if you are dealing with chronic, long-standing aches and pains that have come and gone over the years and have recently gotten worse – there is a 70-80% chance that it is a movement problem that has finally caught up to you.  It’s best to see a movementexpert for this.  A professional and specially trained movement expert (like a specialist physical therapist) knows how to tell if the issue is not just a movement problem and can send you to a doctor if necessary.  But when you automatically assume that you need an MRI first, you end up spending a lot of money (the average cost of an MRI is $150,000 and you have to pay a portion of this), and often get prescribed unnecessary surgery or procedures for those normal effects of aging that show up in the MRI and get blamed for your problem.

If this story sounds all too familiar, or you’ve been told that you have to get an MRI, give us a call!  We are a specialized physical therapy practice that is well-known for helping people with this exact dilemma.

You can find us at 53 Green Street in Portsmouth, NH.  Call us at 603-380-7902 or request to speak to one of our specialists for FREE if you’re looking for some help.  Or – download our free guide to back pain!  You can get that by clicking right HERE.

Dr. Carrie Jose, MSPT, DPT, cert. MDT helps people on the NH Seacoast stay active, healthy and mobile – so you can spend time doing the activities you love instead of sitting at the doctor’s office. Her practice, CJ Physical Therapy and Wellness, specializes in using physical therapy and Pilates to help people move and feel better without the use of prescription pain-killers or procedures like injections or surgery.