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HEALING A Publication of the Northern Michigan Sports Medicine Centers www.northernmichigansportsmed.com NORTHERN MICHIGAN SPORTS MEDICINE CENTERS 4048 Cedar Bluff Drive Suite 2 Petoskey, MI 49770 HEALTH IN THIS SUMMER 2012 ISSUE: FEATURE STORY: Physical Therapy Before and After Surgery - A Letter of Thanks Cheboygan Physical Therapy and Sports Medicine 9445 N Straits Hwy 231-627-7201 www.cheboyganpt.com Indian River Physical Therapy and Sports Medicine 3805 S. Straits Hwy 231-238-4880 www.indianriverpt.com Rogers City Physical Therapy 506 N. Bradley Hwy 989-734-7607 www.rogerscitypt.com Physical Therapy Before Surgery Thank you Indian River Sports Medicine! Discover the Benefits of Aquatic Therapy Physical Therapy Can Be Effective at Decreasing or Eliminating Headaches Bear River Crawl 5K &10 K Waterways Challenge Indian River Summerfest Beach Volleyball “We help you get BACK IN ACTION!” Add us to your friends list on Physical Therapy Before and After Surgery - A Letter of Thanks By Don Grainger Hi Folks, I would like to share with you a positive outcome of a total knee replacement. In December 2011, my orthopedic Dr. explained to me that it was time to replace the knee. Dr. Hance requested that I attend physical therapy before the surgery and after the surgery. I thought to myself, I could understand the after surgery, but before? Little did I know that Dr. Hance’s request for the physical therapy would be so beneficial to my recovery! Indian River Physical Therapy and Sports Medicine put a plan in action. A very knowledgeable and caring staff, worked with me through the month of January. Their plan had me in good enough shape that my hospital stay was just over 24 hours, and I was up walking with a walker. I returned home and I was told that one of the caring staff, of IRPT would be coming to the house to keep my therapy going. There was approximately a week of home therapy, and then I was cleared to drive to IRPT. The above “plan” was picked up right where we left it before surgery, now a little more aggressive. Through the month of February and the first 3 weeks of March, these ladies had me ready to return to work without any restrictions. In closing, I would like to “Thank” all the staff at IRPT for their concern to progress patients and the “Smiles” you all have. Dr. Hance, thank you for a great recommendation. Don Grainger Physical Therapy Before Surgery By Sally Knopf Last October, 2011, I injured my left knee. I walked on some uneven ground and lost my balance. I saw Dr. Joseph Hance and he ordered out an MRI and the results showed I had torn the meniscus and moved a lot of arthritis. Dr. Hance referred to it as “thrashed.” So, we decided it was best to have a total knee replacement. Dr. Hance gave me a prescription for physical therapy to do before my surgery. He informed me that it would build up the muscles in my leg before surgery and help with my recovery. I chose to go to Rogers City Physical Therapy and did therapy for a month before surgery. Arika Berg, my therapist, developed a plan and helped me with therapy. I had my total knee replacement on Tuesday, January 31, 2012 at Northern Michigan Hospital, Petoskey. On Thursday, February 2, 2012, I had accomplished all my goals for physical therapy that morning and the doctors said that I was going to be released that day. I was surprised! Since this was a day earlier than usual. Vital Care sent a physical therapist to my home three times a week. I was walking so well, after I got home from the hospital, that I only used the walker for about three days. I never did use a cane. After three weeks, I was walking like I never had any surgery. At 4 weeks, I was discharged from Vital Care, and I resumed my physical therapy at Rogers City Physical Therapy, to build up more strength in my leg muscles. I give a lot of credit to Dr. Hance, for suggesting physical therapy before surgery, and to Arika Berg, physical therapist, for helping me with all my therapy. If I had not done therapy before surgery, I do not think I would have recovered as well as I did after surgery. Plus the time I spent in therapy after surgery was much shorter. I really thank Dr. Hance, and all the girls at Rogers City Physical Therapy – Arika, Denise, and Luann, in helping me recover faster than I did almost 9 years ago, when I had my right knee replacement done. Also, to have such a great team at Rogers City Physical Therapy so close to home for me was wonderful in my recovery. Sally Sally and Arika Discover the Benefits of Aquatic Therapy Many physical therapy patients at our clinics start their recovery from surgery or an injury with therapy in the warm waters of the aquatic therapy pool. Aquatic therapy offers the benefit of hydrostatic pressure to assist patients with deep breathing and improve circulation through force exerted on the body by the water. The healing benefits of warm water and the ability to begin exercises in a non-weight bearing environment help patients return to normal daily activities faster. The aquatic therapy program began just over ten years ago at our Petoskey location of Sports Medicine. “While benefits of water and exercise have always been talked about, the use of aquatic therapy in health care situations continues to grow,” said Becky Bailey, physical therapist. Buoyancy in the pool allows aquatic exercise to increase flexibility, muscle strength, and improve balance in a non-weight bearing environment. Bailey notes that these are common goals of therapy patients. “Aquatic therapy often serves as a steppingstone for patients to move to other, land-based therapies,” she said. “Foam dumbbell weights are used to increase muscle strength in patients. Although the dumbbells themselves weigh next to nothing, the resistance they provide in the water is beneficial to patients.” Patients also speak about the soothing benefits of the water in their recovery. The temperature of the pool is kept at 92 to 94 degrees, a temperature that promotes reduced muscle and joint soreness according to the American Arthritis Association. “Movement through the water provides resistance that can help patients work on improving their balance and strength,” said Becky. “Some patients are hesitant when we recommend aquatic therapy, but usually one session is all it takes to convince them of the benefits,” added Tanya Ruddy, physical therapist. Aquatic therapy is recommended for many conditions, after joint replacement, reconstructive surgery, arthritis, fibromyalgia, and back pain. A referral from your physician is needed to begin your aquatic therapy program. www.northernmichigansportsmed.com Thank you Indian River Sports Medicine! By Daniel R. Duncan I have suffered from chronic pain in my neck and back for many years due to a spinal injury. In addition to the pain, I had frequent migraine headaches, and had numbness in my hands and arms. Thanks to Tanya and her staff, I now have a different problem. The guy that looks back at me in the mirror is about 20 years older than I feel. It is almost shocking when I see a 50 year old face staring back at me! Due to the therapy I received, I can now alleviate the migraine headaches or at least greatly reduce the severity. My sleep patterns have improved and I have more physical stamina than I have had in 20+ years. My overall pain level has been drastically reduced and is now tolerable. My feeble words cannot express the gratitude I have for IRPT. They didn’t just help my problem; they improved my quality of life. Daniel R. Duncan Tanya with Dan Duncan Physical Therapy Can Be Effective at Decreasing or Eliminating Headaches By Tanya Ruddy, PT How do you know if your headache may respond to physical therapy? If you answer yes to any of these questions, your headache may be triggered from your neck region. • Head pain brought on by neck movement or prolonged awkward position, or by pressure to the base of the skull • Restriction in neck range of motion • Neck, shoulder, or arm pain but not usually radiating pain • Pain that originates in the neck and radiates into the head • Cervicogenic (neck region) headache pain is non-throbbing • May have nausea, sensitivity to light and sound, dizziness, blurred vision on same side, difficulty swallowing, and same side swelling around the eye • Females and those with a history of head or neck trauma are predisposed to headaches • Cervicogenic headaches are usually one sided due to restrictions with a particular joint in the neck • However, it can be felt on both sides of head/neck if each side has restrictions The subcranial spine or base of the skull where it meets the neck is an important region of the spine in patients with cervicogenic headaches. Many patients with headaches lack mobility of these joints. Cervicogenic headaches vs Migraines • There are several different types of headaches, but the fundamental difference between cervicogenic headaches and migraines is the involvement of neck symptoms to include: • Decreased neck range of motion • Reproduction of symptoms with external pressure on neck • Start of symptoms in the neck and radiating into the head • Study by Jull has demonstrated the effectiveness of manual therapy for the treatment of cervicogenic headaches • If manipulation/mobilization eliminates or exacerbates pain, this may be enough to diagnose a headache as cervicogenic Another tool used in physical therapy is Kinesiotaping, which often is used to assist with posture correction, strengthening and stretching muscles to improve muscle balance. Physical therapy can provide significant relief of headaches by performing manual therapy to improve joint mobility of the spine as well as loosening tight soft tissues. In addition, physical therapy can help to develop a customized exercise program with an emphasis on stretching tight muscles to improve posture as well as strengthening weak muscles to restore muscle balance to decrease the stress on the neck. Call us for a free consultation or see your physician to ask whether physical therapy may be beneficial for you! Northern Michigan Sports Medicine Centers and Cheboygan Physical Therapy & Sports Medicine ~ Follow us ~ Find out about events, seminars, free offers, weekly tips and recipes! www.northernmichigansportsmed.com July 21, 2012 5K & 10k Run 8:00 am start Bay Front Park at the waterfront - downtown Petoskey, MI. Register online @ www.northernmichigansportsmed.com or call 231-347-9300 BENEFICIARY Northern Michigan Cancer Crusaders was created to ensure that 100% of our local fundraising gets donated back into our community. If you wish to make a donation “in memory of “or “in honor of” a loved one that has been touched by cancer, a dedication sign will be created featuring their name and placed promine n tly along the race course. A $10 donation is appreciated. Indian River Summerfest Co-ed Beach Volleyball Tournament Sponsored by Indian River Physical Therapy Registration starts at 8:30am Tournament begins at 9:00am Double elimination 5 on 5 Co-ed Beach Volleyball (6 people per roster) Games will be scored rally style or until reaching a predetermined game-time limit All participants must be at least 14 years of age. • Registration Fee: $50 per team • Deadline July 16th • Limited availability. Please register ASAP! For more information call: 231-238-4880 www.northernmichigansportsmed.com