Walk more, be healthier

Technology has made a lot of things easier. If you need to buy something, order it online. If you need to get somewhere, just drive your car.

What this also means is that Americans are walking and moving less. This is one of many factors leading to the ever-increasing waistlines in our country. And even if you haven’t been gaining weight, moving less can contribute to heart disease and other health issues.

If you want to add some more activity into your daily schedule, walking is one of the easiest things to do.If you want to add some more activity into your daily schedule, walking is one of the easiest things to do. As the American Heart Association points out, it’s easy, safe, and absolutely free! If walking 30 minutes a day seems daunting, set smaller goals and work toward that 30 minutes gradually. Find a way that motivates you, whether it’s in the morning on your own, walking with a friend on your lunch break, or taking the dog on a walk every night.

If you have questions about starting a walking program, talk to your physical therapist. She can create a walking program to help you get moving. Use our locator to find a Physiquality therapist in your neighborhood.

Walking after meals is particularly beneficial, says Libbie Chen. A physical therapist at Coury and Buehler Physical Therapy (a Physiquality member in California), Libbie explains that a postprandial walk can boost your metabolism and encourage digestion by increasing the rate at which food moves through your stomach. This can lower your blood sugars and triglicerides, leading to a healthier heart and weight loss.

The Mayo Clinic has some tips that can maximize your daily walk.

  • Keep your focus forward and your head up, rather than looking at the ground.
  • Relax your upper body and avoid stiffening your back, but be sure to keep your back straight rather than hunched over or arched backward. (This should also activate your ab muscles, which will help strengthen them.)
  • Walk smoothly, making sure to place each foot from heel to toe.
  • Don’t jump to your fastest pace – warm up by walking slowly at the beginning, and cool down by slowing your pace as you wrap up your walk.

There are plenty of ways to add variety to your walking routine.One of the best things about walking for exercise is that there are plenty of ways to add variety to your routine or to increase the level of exertion, notes Polar, a Physiquality partner vendor. Choosing a walking route that includes hills will challenge your legs and stamina; choosing one with a beautiful view may help you extend the walk and stick to it.

You can also up the ante by adding some variety to your walk. If you walk in the park and there are benches, Polar suggests doing tricep dips or step-ups to add resistance. Or simply quicken your pace for 30 seconds, then slow down to your regular pace for two minutes. If you have a heart rate or calorie monitor like those from Polar, or a pedometer, you can use those to set goals for calories burned or steps taken, increasing your goals every two weeks to improve your fitness.

 

Libbie Chen, PT, DPT Libbie Chen, PT, DPT, is a physical therapist at Coury and Buehler Physical Therapy, a Physiquality member with six locations in Orange County, California. A basketball player, she is fascinated by the intricacies of the human body and enjoys the art and science of physical therapy and its effects of helping others. She believes that the combination of providing individualized therapy, patient education, and communication are essentials to improving functional outcome and quality of life.
Polar Polar is the innovator in heart rate monitoring, activity and sleep tracking, and GPS sports training solutions for elite athletes, coaches and active fitness enthusiasts. For over 40 years, Polar has helped athletes understand, track and improve their performance. Polar’s award-winning product range includes pioneering sports wearables that work elegantly with Polar training apps and cloud services.Headquartered in Finland, Polar is a privately held company that operates in more than 80 countries. Polar products are sold through over 35,000 retailers globally. For more information on Polar, a Physiquality partner, please visit polar.com.

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Sarcopenia and loss of strength

with advice from Daniel Butler, CEP

Sarcopenia and loss of strength

Sarcopenia, the loss of skeletal muscle mass, is a part of what has been called “the slippery slope of aging.”

As people age, they often start to experience sarcopenia, as well as osteopenia and osteoporosis. Having weaker muscles and bones, plus the arthritis caused by years of wear and tear, can make movement more difficult and painful. The pain leads to less activity, which contributes to weaker bones and muscles, making it even more difficult to move. And so on.

Doctors and scientists are still not quite sure what causes sarcopenia, but they have linked a number of factors to its development, according to the Mayo Clinic: age-associated hormone changes, physical inactivity, inflammation, and diseases like cancer and diabetes. Because inactivity can lead to sarcopenia, doctors encourage older adults to exercise more to build muscle mass.

Exercise increases hormone levels, builds muscle mass, and contributes to weight loss.Daniel Butler, a personal trainer and clinical exercise specialist who works at the Take Charge Fitness Program, a wellness facility run by Clinton Physical Therapy Center (a Physiquality network member in Tennessee), is an expert in helping people avoid age-related physical problems. He points out that exercise not only builds body mass, but it also releases some of the hormones that start to dwindle as we age, like testosterone and growth hormones.

In addition, it can help older adults lose weight, reducing the pain associated with arthritis; having more weight on your frame can exponentially increase the pressure on your joints. So activity increases hormone levels, builds muscle mass, and contributes to weight loss. Win, win, win!

If you haven’t been very active and don’t know where to begin, says Daniel, go for a walk. Walking doesn’t take any special skills, and in many areas of the country can be done outside year-round. If it’s too cold outside right now, he adds, there are several places to walk indoors, like shopping malls, commercial gyms and community centers.

Daniel notes that water exercise is a great alternative. Just like walking, it can be done indoors or outside, and the resistance provided by the water is enough to strengthen bones and muscles.

If you’re hesitant about trying a new activity on your own, talk to your physical therapist — PTs can create a walking or exercise program to build muscle mass at a rate that you are comfortable with. Use our locator to find a Physiquality therapist in your neighborhood.

It's important for seniors to avoid frailty.The key to aging well is avoiding frailty, the last step in the “slippery slope.” Daniel recommends keeping an eye on your bone density through DEXA scans, and then taking steps, such as proper diet and exercise, to maintain strong and healthy bones. He also notes that regular balance screenings can detect loss of equilibrium. If loss of balance is present, there are exercise and physical therapy protocols that can help restore balance.

The last point Daniel makes is that it’s important for seniors to be social. Meeting up with friends outside the house, whether you’re going for a walk or seeing a movie together, gets you off the couch and moving — and the more you move, the better you’ll feel.

 

Daniel Butler, CEP Daniel Butler, CEP, has been a personal trainer for more than 10 years at the Take Charge Fitness Program, a wellness facility run by Clinton Physical Therapy Center, a Physiquality network member in Clinton, Tennessee. A former Marine, Daniel holds certifications from the American College of Sports Medicine as a clinical exercise specialist and the Arthritis Foundation as an aquatic instructor, and he completed his B.S. in health administration in 2012.

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Working out while on the road

with advice from Richard Baudry, PT, DPT, OCS,
Yousef Ghandour, PT, MOMT, FAAOMPT, and Brian Klaus

Working out while on the road

With Memorial Day behind us and Independence Day quickly approaching, many of us have plans to travel in the next couple of months. If you’ve been trying to stick to an exercise regimen, here are some ideas for how to continue working out when you leave your regular routine behind.

“Exercise that doesn’t require bulky equipment or a lot of space is best while traveling,” advises Brian Klaus, the Vice President of Stretchwell, Inc. (a PTPN preferred vendor that offers a variety of progressive resistance products). Why take up space in your luggage with heavy weights or bulky equipment?

Physical therapist Richard Baudry, the founder and CEO of Baudry Therapy Center (a Physiquality member in New Orleans), agrees. Richard reminds readers that walking is the easiest exercise to do while traveling. “Make a point to stand tall, take long strides and swing your arms,” he adds.

Make exercise a daily family activity.If you’re worried about taking time away from other activities, says Richard, get up an hour earlier to go for a walk or jog – the fresh air will give you almost as much boost as a cup of coffee. You can also make it a daily family activity. If you’ve traveled to a scenic site, walking is a great way to explore your vacation location; you can plan a different walk for each day you’re there. Or if you’re traveling with a little one and he or she goes to bed early, plan your workouts for after bedtime; check out our post on working out while baby is sleeping for a sample workout that will get your heart pumping quickly (and quietly).

If you prefer using resistance when you work out, think about bringing resistance tubing, a set of bands that include a door anchor, or a portable weighted pulley system. A set like this one from QTEK Products (a Physiquality partner), created by physical therapist Yousef Ghandour, is easy to pack and won’t take up a lot of room in your bags. Yousef notes that you can use any hotel or household items to add weight to the system, which allows for shoulder, back, hip and knee exercises by attaching the system to your hotel room door.

Richard suggests weight lifting using items you’re already planning to bring, like your purse or a backpack, for arm curls or overhead presses. (Just make sure to securely close your bag first.) Or book your stay at a hotel that includes a gym with workout equipment that you normally use at home; look at the list of amenities when making your reservation to see what types of equipment is available. Some may even offer fitness classes like yoga or Pilates.

Use technology to remind yourself to work out.Lastly, Brian reminds readers to take advantage of the technology many of us already own. Use the reminders or calendar on your phone to set times for those daily walks or your gym time. Pay attention to your watch or FitBit when it notes that you’ve been sitting too long. Or have Siri remind you that a body in motion stays in motion!

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5 resolutions to make for 2017

We all get into bad habits in our life, in one way or another. Perhaps you don’t talk to your grandmother enough. Or you eat too much fast food. Or you stopped working out. Setting resolutions for the new year is a good way to try to work on these bad habits.

There are many habits that can be damaging to your health, but here are five resolutions you can make for the new year to improve your health.

  1. Evaluate your eating habits.

Evaluate your eating habits.Have you been skipping breakfast? Snacking constantly instead of sitting down to dinner? Picking up food on the go instead of cooking at home? These are all habits that can cause us to gain weight and damage our health. Take a look at the latest guidelines recommended by the Department of Agriculture and Health to compare to your eating habits.

If you feel that a complete overhaul is too challenging, change one habit at a time, like making sure to eat breakfast, even if it’s a smoothie or a cup of yogurt. Or pledging to not buy any afternoon snacks for the pantry. Or cooking at least one healthy, sit-down dinner per week; you can always find a recipe that will make leftovers to cover your family for another dinner or two.

  1. Calculate how much television you watch.

A study published last year found that watching more than three hours of television a day correlates with lower levels of mental acuity. Other studies have found that extended hours in front of screens can lead to heart disease and high blood pressure. And if you’re watching with your kids, it’s been shown that children who watch more television at a younger age develop language more slowly and have more problems connecting socially with their peers. If you want to escape into another world, consider picking up a book.

A study found that reading stimulates the brain over time — the excitement you feel when sympathizing with a character lingers for days. Samantha Olson at Medical Daily notes, “Researchers believe this prolonged and measurable brain boost, which was found in the region associated with language and sensory motor skills, could improve brain connectivity over time. It brings using books as an escape to a whole new level.”

Of course, both reading and television are sedentary activities, which leads us to resolution number three:

  1. Increase your daily activity.

Increase your daily activity.We all know the benefits of activity: Being more activereduces our risk for a variety of diseases, keeps our weight lower and makes us feel better. The CDC recommends at least 150 minutes of moderate activity per week, or 30 minutes a day, five days a week.

It might sound like a lot, but they do point out that if you went to see a movie, it would take the same amount of time. And you don’t need to do it all at once; even 10 minutes at a time is better than nothing. If you’re trying to start a new habit, find a friend to do it with you — it’s been shown that if you schedule a class or walk with a friend, you’re much more likely to stick with it. And you get the added benefit of social activity, which improves your mental health. It’s a win-win!

If you’re anxious about starting to work out after a long drought or injury, consult with your physical therapist. A PT can do a wellness evaluation to determine if you’d need to adapt any physical activity, and some even offer fitness programs within their own clinics. Look for a Physiquality member near you with our clinic locator.

  1. Take care of your teeth.

The American Dental Association recommends visiting the dentist for a cleaning and check-up at least once a year, if not twice. You should brush your teeth twice a day and floss daily in between those appointments.

So you’re brushing your teeth and flossing regularly. You don’t have any pain. Why should you go for a check-up? Because dentists can catch problems before they turn into something painful, both as physical pain and economic pain. Look at it this way: Filling a cavity is much less expensive than a root canal.

  1. Get more sleep.

Get seven to eight hours of sleep each night.Most adults need between 7 and 8 hours of sleep a night, but many people don’t get nearly that much. A lack of sleepcan affect your mental and physical health. It is associated with increased risk of obesity, cardiovascular disease, type 2 diabetes and system-wide inflammation. Lack of sleep can also affect our immune system, our cognitive abilities (i.e., our mental capacity), and our mood and mental health. By getting a good night’s rest, your body can recuperate from a hard day’s work, giving you more energy to get up and get going in the morning.

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What is dementia, and how does rehabilitation therapy help?

What is dementia, and how does rehabilitation therapy help?

Getting older can be scary. We worry about weaker bones and osteoporosis. We worry about losing our balance and falling, which can lead to serious injury. And many of us worry about losing our memory. Older adults and their family members should know that there is a difference between becoming a little more forgetful (what some elders call their “senior moments”) and the early signs of dementia.

Dementia is more than being forgetful; it’s categorized by the loss of cognitive skills, or the way that a person can consider and make decisions. The National Institutes of Health explain that compared to mild forgetfulness, dementia impacts daily life, interferes with decision-making, and affects every-day tasks. Dementia can affect “memory, language skills, visual perception, and the ability to focus and pay attention.” It is caused by damage to brain cells; when the brain’s cells can’t communicate properly, the way we navigate the world around us is affected.

Dementia is often but not always permanent.Dementia is not always permanent. It can be caused by excess fluid in the brain (normal pressure hydrocephalus), infections, head injuries and brain tumors, or reactions to alcohol or medication. If these conditions are treated, it is possible that the dementia will recede.

Unfortunately, most causes of dementia are irreversible.Alzheimer’s disease is the most common cause of dementia, accounting for as much as 80% of dementia cases. Alzheimer’s causes permanent changes in the brain, affecting short-term memory and learning at first, and eventually causing almost complete memory loss.Other irreversible causes of dementia include vascular dementia, dementia with Lewy bodies and Parkinson’s disease. Some people have a combination of conditions that cause the dementia, referred to as mixed dementia.

If you or a loved one is concerned about recent memory loss, the Alzheimer’s Association has posted 10 early signs that you might be at risk of dementia or Alzheimer’s disease. If you are starting to feel confused when you solve problems, have issues completing familiar tasks at home or at work, or feel yourself withdrawing from work or social activities, it may be time to talk to your physician about whether you’re at risk for dementia.

The process of dementia can be slowed down with both medication and therapy.While irreversible dementia isn’t curable, the process can be slowed with both medications (prescribed by your doctor) and some types of rehabilitation therapy. Specially trained speech-language pathologists help patients with dementia and memory loss retain cognitive skills as long as possible. According to the American Speech-Language-Hearing Association, the professional organization of speech-language pathologists, SLPs focus on the “cognitive aspects of communication, including attention, memory, sequencing, problem solving, and executive functioning.”

Others on the rehabilitation team can also help people with dementia. Occupational therapists can help to set up safe environments without obstacles; if the person is still living at home in the early stages of dementia, an OT can do an assessment to reduce the risk of falling and remove the risk of dangerous items (like flammable liquids or the use of the stove). OTs and SLPs can create a home environment where reminders are posted about daily tasks, helping the patient to remain independent for as long as possible. Andphysical therapists can work with the person to keep her physically active for as long as she is able, which can also contribute to slowing down memory loss, while reducing the chances of falling.

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Proper nutrition during pregnancy

When pondering the parameters of pregnancy, there are many things that expectant mothers will research in order to be as healthy as possible. It can be confusing to consider how much weight one should gain while pregnant, as the recommendations from the Institute of Medicine and National Research Council of the National Academies give different ranges based on the pre-pregnancy weight of the mother.

Ann Cowlin, the creator of Dancing thru Pregnancy, one of Physiquality’s partner programs, points women to the paper they published in 2009 for their recommendations: An underweight woman (with a BMI of less than 18.5) should gain 28 to 40 pounds. A woman of average weight (a BMI between 18.5 and 25) should gain 25 to 35 pounds. Women considered overweight (BMI of 25 to 30) or obese (BMI is more than 30) should gain less weight, 15 to 25 pounds, or even less if obese (11 pounds).

Most of us don’t usually know our BMI, so if you want to calculate it, use the one posted by the National Institutes of Health. And keep in mind that a) BMI doesn’t take into account your fitness level, only your weight and height, and b) it’s a good idea to speak to your doctor about the proper weight gain for your body.

When considering your weight gain during pregnancy, there are a few things to note:

  • In the second and third trimesters, the average woman gains about a pound a week, especially after week 20.It’s rare to gain a great deal of weight during the first 12 weeks of pregnancy, or the first trimester. This is often due to nausea or vomiting, as well as a lack of appetite.
  • In the second and third trimesters, the average woman gains about a pound a week, especially after week 20.
  • Your doctor may use ultrasound, along with your weight gain, to assess the baby’s health as your pregnancy develops. (Be prepared for stepping onto the scale a great deal over these nine months.)

Ann explains that pregnant women need to eat a balanced diet that includes proteins, carbohydrates, fats, vitamins, minerals and water. She adds that women don’t necessarily need to add extra calories during the first trimester, but by the second trimester, they should be eating roughly an additional 300 calories a day, and an additional 500 by the third trimester.

There are several ways to add in these additional calories, says Alyssa Cellini, a nutritionist with ProCare Physical Therapy, a Physiquality network clinic in New Jersey. Alyssa suggests increasing the protein servings at all meals and adding fruit as an extra snack when hungry. The goal, she says, is to keep a healthy ratios of fruit, vegetables and protein, just in slightly larger amounts.

If you’re having problems with nausea in the morning, Alyssa suggests protein, then fruit, one serving at a time, until lunch. Then you can eat a more balanced meal of protein, vegetables and starch, followed by fruit or healthy fats (i.e., avocado, olives, etc.) as an afternoon snack.

Another way to keep your weight gain at a healthy level is to continue exercising while pregnant.Don’t forget that another way to keep your weight gain at a healthy level is to continue exercising while pregnant. It keeps moms more fit as they prepare their bodies for labor, helps to keep weight gain at a manageable level, and gives babies healthier hearts and improved breathing movementsin utero. Exercise also helps women feel better overall, which means they do better and feel healthier and happier during pregnancy. Your physical therapist is a great resource to discuss how to continue your exercise regimen while expecting.

If you are planning on or have become pregnant, you should talk with your obstetrician about realistic weight gain expectations and fitness regimens. Just remember that ahealthy mama is more likely to have a healthy baby.

Stress and back pain

We’ve written in the past about a variety of causes for back pain: poor posture, improper ergonomics at the office, even straining to lift heavy items like a baby improperly. But did you know that stress can also cause back pain?

The experts at Physiquality partner Kiss My Back! point out that any stress — from the home, the office, or the family — decreases oxygen to potential areas of discomfort, like the neck, shoulders and back. If you have a pre-existing condition or a history of chronic pain, this can exacerbate the problem.

Back pain often leads to less activity, which can increase the pain even more.To make it worse, “when someone is experiencing back pain,” says Laureen Dubeau, “they often decrease their activity level,” which leads to weaker muscles and joints — and more pain. A certified strength and conditioning specialist and MERRITHEW™ Master Instructor Trainer specializing in STOTT PILATES®, another Physiquality partner, Laureen cautions against letting the deep stabilizing muscles of the spine to weaken. If these muscles stop working to stabilize the spine, she says, the larger, superficial muscles become tense and overworked, which increases the pain (even more) and restricts movement.

If your stress leads to postural changes, like hunched shoulders, this will add to your muscular tension throughout your back. And if you start to lose sleep because of the stress, not only will you be crankier during the day, but your body won’t have the chance to recuperate and heal overnight, leading to… tense muscles and more pain.

So how can you break this cycle of stress and pain? Your physical therapist is an excellent resource for the best methods. In addition, being mindful of what is causing the stress and how you are handling it is vital. Kiss My Back! reminds readers that a lot of stress is caused by lack of or miscommunication. Talk to your colleagues or your family about what is creating the stress, and discuss ways to reduce the problems that are causing it.

Using a mind-body exercise like Pilates or yoga can allow you to strengthen your internal focus on your body, which calms the mind.Making time for exercise can also reduce both stress and pain. Laureen notes that increased activity will strengthen the muscles that support your back, while producing endorphins and increasing oxygen flow in your body, reducing pain in your back and elsewhere. Using a mind-body exercise like Pilates or yoga can also allow you to strengthen your internal focus on your body. This calms the mind, which improves your ability to deal with stress. In addition, she says, “the focus in Pilates on restoring ideal posture and reducing the force on joints can help restore a sense of support and control.”

Physiquality partner PowerPlay points out how important it is to be aware of your environment. Pay attention to how your desk is laid out at work, and make sure that it’s ergonomically correct. If you sleep on your stomach, consider sleeping on your side or your back, as it’s better for your back muscles, or read through these tips from the Mayo Clinic on how to improve your sleep posture when you have back pain. You may also need a new mattress or one that is more firm; if you haven’t bought one in the last 10 years, it’s time to start shopping. And don’t forget to think about what you wear every day — supportive footwear and a bag that is worn cross-body vs. over one shoulder can affect your back muscles as well.

In the short term, cold therapy, or even cold + compression therapy, can help to relieve pain, reminds Shawn Hickling, a physical therapist assistant and the founder of ActiveWrap, another Physiquality partner. If the back muscles are spasming, heat therapy, or a combination of heat and ice, may be better. Over-the-counter anti-inflammatories, known as NSAIDs, may also help to relieve pain, but beware of using them over a long time due to their side effects.

Challenge your office to be healthy

Did you know that May is Global Employee Health and Fitness Month? Created by the National Association for Health & Fitness (NAHF), a network of state-based councils and groups that promote healthy living, the group encourages daily physical activity and quality physical education in our schools. Through Global Employee Health and Fitness Month, the NAHF asks employers to create a workplace environment that promotes healthier living.

There are a variety of reasons to do this as a business owner or manager, or for employees to suggest it to their bosses. For a start, the CDC points out that healthier employees take fewer sick days, incur lower healthcare costs and are more productive; in fact, one study found that by promoting physical fitness and regular check-ups, employer healthcare costs could be cut in half. In addition, wellness programs can be seen by some prospective employees as a great benefit. It shows that the company is willing to invest in its employees, leading to a more positive work environment, better morale and higher retention.

“When it comes to encouraging employees to be active,” says Stefania Della Pia, “the key is to make exercise easily accessible.” Stefania is the senior program director of education and a master instructor trainer for MERRITHEW™, one of Physiquality’s partners. She encourages employers to remember the many commitments employees will have outside of work hours. She suggests incorporating activities into lunch hours, or offering after- or before-work activities on a schedule so that people have time to plan for them.

Here are some of the activities she suggests:

  • Bring in an instructor for on-site express workouts like yoga or Pilates.Bring in an instructor for on-site express workouts during the lunch hour in whatever modality best suits the office environment, whether it be Pilates, yoga, or another form of exercise.
  • Organize a team sport that everyone can get involved in, such as ultimate Frisbee, soccer or scavenger hunts.
  • Sign up an office team for a local charity walk or run.
  • Encourage employees to walk, bike or jog to work by providing parking spaces for bikes, and provide access to showers for those who choose the sweatier route.
  • Partner with a local gym or Pilates studio to offer employees a discount to work out on their own time.

Another resource for office fitness challenges is your local physical therapist. As musculoskeletal experts, physical therapists are experts in how the body moves. Many PTs do fitness and wellness assessments. Why not partner with a local therapist to challenge your office to make healthier choices? The PT can come in on the first and last days of the month to assess each team member before and after the challenge, as well as weekly on-site visits for coaching or wellness presentations. “Using a health and wellness expert like a physical therapist might encourage employees or fellow workers to see how healthier choices can affect how they feel in and out of the office,” says Mitch Kaye, PT, PTPN‘s director of quality assurance.

These healthy competitions are a great way to encourage employees to support each other create a health-centered atmosphere.If your office challenge is made of up activities outside of the office, be sure to find ways to track people’s progress so it can be celebrated and rewarded. Fitness trackers from companies like Polar, another Physiquality partner, can be used to count numbers of steps or active minutes, calories burned or distance traveled. If everyone in the office has a Polar device, they can even create in-office challenges, where Polar works with the team leader to determine the challenge and teams. Or the entire office can sign up at the GEHFM website to compete against each other and raise money for charities. These healthy competitions are a great way to encourage employees to support each other in achieving fitness goals, and they create a health-centered atmosphere, notes Stefania.

Employers can offer a wide range of rewards to encourage these healthy competitions. Simple rewards can be gift cards (to a juice bar or sports equipment store) for the most steps in a month, or the most active team in the office. Stefania suggests recognizing the month’s winner by highlighting her accomplishment in a company newsletter or on social media, or host an appreciation breakfast or lunch at the end of the challenge to acknowledge everyone that participated. If you really want to underscore your company’s commitment to healthy and active living, she says, “every quarter, or every year, offer a substantially larger reward, such as a trip or a piece of fitness equipment, to keep employees interested in ongoing health and fitness initiatives.”

The benefits of cold and compression therapy

If you’ve ever sprained your ankle or injured your elbow, you probably know that it’s been standard practice for decades to apply ice after injury to decrease swelling and pain. Dr. Gabe Mirkin coined the acronym “R.I.C.E.” in 1978 (Rest, Ice, Compression, Elevation), and this concept became the standard in treatment of acute injuries and post-surgical patients.

While there has been some debate about whether cold therapy should be used for all musculoskeletal injuries, most healthcare practitioners would agree that proper use of ice or cold therapy can reduce swelling and pain. Here are a few reminders about using cold therapy:

  • Apply ice for no longer than 20 minutes at a time.
  • Allow your skin to return to room temperature before applying ice again.
  • Place a thin towel between the ice pack and your skin to prevent irritation and even frostbite.
  • And never ice prior to activity — doing so may cause further injury.

PowerPlay cold and compression therapyAnother option is combining cold therapy and compression. Studies have shown that people who use cold therapy and compression therapy together, as opposed to just one of those therapies alone, recover from their injuries significantly faster. Compression, particularly intermittent compression, works to push swelling out of the injured site. This can limit tissue damage and aid in the removal of cellular debris and waste in the body. Active compression therapy mimics the body’s natural muscle contractions, pumping swelling out of the injured area. This increases blood flow and delivery of oxygen to the site, stimulating tissue healing and optimizing lymphatic drainage.

It has become almost routine for patients undergoing some types of surgeries (such as ACL repairs or joint replacement) to receive cold compression therapy post-operatively in the hospital or surgi-center through mechanical devices designed for this purpose. Some patients also receive treatment from these machines at home or in skilled nursing facilities in the weeks immediately following surgery, as ordered by their physician. In recent years, these devices have become available for people who wish to use this therapy at home for injuries, such as sprains, fractures and tears, for chronic pain and swelling, or to help reduce muscle soreness and fatigue.

Ice or cold therapy can reduce swelling and pain.For minor aches and pains, icing afterwards may be enough to keep your body healthy and to avoid serious injury. However, keep an eye out for the following red flags:

  • Pain that gets worse instead of better
  • Pain after resting for a few days, or when you wake up
  • Chronic swelling in your joints, or bruises that don’t heal
  • Knees or elbows (or other joints) that lock or are unstable

Any of these problems is a sign that you need to consult with a doctor or physical therapist about your pain or swelling. Trying to treat such issues at home with ice, compression and anti-inflammatories could end up making your problem worse instead of better.

 

 

What is the difference between reactive and preventive healthcare?

Many Americans take a reactive approach to their healthcare needs: They only seek care once they have an injury or fall ill. This approach, says physical therapist Kathy Blair, often involves a costly progression of doctor visits, tests, medications, and procedures, in order to diagnose and treat conditions that might have been prevented. In addition, she points out, this type of care accounts for more than 75% of healthcare spending in the U.S.

Preventive or proactive care, on the other hand, means taking responsibility for your healthcare and well being before something happens. This includes taking simple actions, like exercising more and eating better, which can help you avoid unnecessary procedures and costly ER visits. Preventive healthcare, says Kathy, “stresses personal responsibility for staying well, and keeps healthcare spending in check as a result.”

Raj Thangamuthu  opened Empower Physical Therapy and Fitness with the express purpose of integrating physical therapy and fitness in one facility.Raj Thangamuthu, a physical therapist, opened Empower Physical Therapy and Fitness (a Physiquality member in Michigan) with the express purpose of integrating physical therapy and fitness in one facility. His goal was to encourage clients to improve their overall health and actually spend less time in his clinic as healthcare patients. Raj gives several reasons why it is better to have a preventive approach to healthcare:

  • In preventive care, pain is often not a limiting factor in making progress.
  • Muscle imbalances identified in preventive care often respond to treatment more quickly than when an injury is present.
  • Preventive care can help identify imbalances within your body and ultimately make you function much more efficiently when addressed.  Read More

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