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CPR in the Community

Brian GilbertI have been working as a Physical Therapist in the Forest Hills area for 17 years now. I’ve seen a lot change over the years especially in the health care arena during this time. What I’ve come to appreciate during this is the consistency of our communities in which we serve. Here at The Center for Physical Rehabilitation we have worked alongside many schools and organizations to deepen our connections to the people we live with and work with. Many may not know that we have provided the Athletic Training services to all the Forest Hills Schools. We also do this for Byron Center schools, Catholic Central, and Cornerstone University.

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Phase 1 Inflammation: Days 1 – 7

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This week's topic is the inflammatory phase following injury. As stated last week, this is the immediate time following injury. Injury can be described as post surgical or traumatic. At this time the body is wounded and in its most painful stage of recovery. It is bleeding and forming clots, swelling to protect itself and is usually red, hot and painful. Remember WE NEED INFLAMMATION TO HEAL! If we try to eliminate inflammation too soon we can interrupt the healing cycle. Bone healing is slightly different than soft tissue healing yet still goes through and inflammatory process with bleeding at the site and inflammation of the surrounding tissues.

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Rebekah GlassRunning is a means to good health for many, it can be a stress reliever for some, or pure enjoyment for those running enthusiasts! As a physical therapist and gait analysis specialist I want to keep runners running healthy and for years to come. However, this population tends to see a high percentage of injuries. So I have a question:

To all the runners out there…Do you strength train?

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Early Intervention is the Key to Success

Ben EgglestonThe relationship between longevity of symptoms and healing time is of reciprocal proportion. The longer a person has symptoms, the longer it takes to relieve those symptoms. In my experience, this holds true most of the time. I’m not solely talking about musculoskeletal pain either.  I am talking about all pathologies.

            I was diagnosed with hypertension a few years ago. I was extremely fit and very conscious of diet at the time. That has changed slightly as I am a new father and attending school while working. Nonetheless, my doctor decided it was related to genetics, as most of my family is hypertensive. The point I want to make with this is that I could have continued with slightly elevated blood pressure for a while because I had no contributing factors other than genetics. Instead, with the guidance of my doctor, we decided to employ a very low dose chemical intervention. This decision was made because hypertension is a precursor to cardiovascular disease; even with slightly elevated blood pressure, especially if it is high for a very long time. I think I was 29 at the time and planned on living a long time as we all do. Because I sought early intervention, I have significantly reduced my risk of developing cardiovascular disease. Now I also must make sure I am maintaining a healthy lifestyle in order to keep my blood pressure stable.

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What Is McKenzie Therapy

McKenzieMethod 450x350A very common question I receive from my patients with spine conditions is “What exactly is McKenzie Therapy?” Often, these individuals have been referred to our clinics with instructions to see a McKenzie-trained therapist but they don’t know what that entails. Mechanical Diagnosis and Therapy (MDT or more commonly “McKenzie”) is one of the best researched schools of thought in the physical therapy world and many insurance companies that we deal with are requiring patients to see a PT certified in MDT before referring on

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Is Technology A "Pain In The Neck?"

Text neckTechnology is everywhere. Computers, video games, smart phones, ipods, ipads, and tablets. You name it – it’s all at our fingertips. The advances in technology have been outstanding over the past decade, but so have the rates of neck and back pain. This is already a leader in the largest diagnoses seen in physical therapy. What hasn’t been common in the past is the outrageous number of adolescents who now are in physical therapy because of complaints of back or neck pain.

Let’s think about what the average teenager does nowadays through the week. Let’s take a Monday, for example. Wake up, check their phone for any message they possibly missed through the night. Let’s see, scroll through Kik, Instagram, facebook, twitter, and general text messages. Oh yeah, now it’s time to get ready for school. Once showered (hopefully!) they eat their bowl of cereal, once again starting at their phone on the table with their head in this awful forward bent position. Then they go to school for the next 7 hours sitting in the most horrendous positions in their desk. If they are tall at all, they are already at a disadvantage to how much slumping is required to read and write at their desk. Then they get on the bus, get back to looking at their phones, sit in a horrible posture, walk in the door and “decompress” on their computer or video games! The next several hours they are once again hunched forward and

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Direct Access for Physical Therapy

As we all begin the year with hopes and dreams of getting healthier, it’s important to know how to understand how to do this the smart way. One of the more common ways to get healthier is to begin a new exercise regimen. When a new CascadeBriananklemobs20ishDUathleteroutine is begun we often hear about people experiencing new aches and pains as a result. Sometimes these are nothing more than muscle soreness from a good workout. Other times there is something occurring that should be addressed by a professional.

Physical Therapists are experts in the musculoskeletal system of the body and now you have the opportunity to see them sooner for those aches and pains.

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Be Active In Your Health Care

b0906a69e43b79587413d20be6370accMan with hand on heart cardiac arrestI am 28, eat relatively well, and exercise a few times a week. I am by no means the poster child for health, but I have always been fairly healthy. A year ago, which happened to be a few days before I ran the riverbank run, I was told I was
pre-hypertensive. Basically, my blood pressure (BP) was higher than the accepted range and could become problematic if left uncontrolled. I thought to myself, I could control this. I will increase my exercise frequency, reduce salt and caffeine, drink more water, and manage this on my own. I began taking my BP at home and over time, saw no change in my numbers. There were times it would sky rocket, and it really began to scare me after reading about the “silent killer.”

The “silent killer” refers to hypertension, left untreated, because the person did not know they were hypertensive. Hypertension can lead to heart attack and stroke if left untreated. With my family history of cardiac pathologies, I decided to make some life changes to control this on my own.

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8 Tips for Staying Safe This Winter

warningWinter is upon us with conditions quickly becoming slick. Falls are a major danger in this weather, with the potential for serious injury. This winter could be a long one, so be sure to practice these 8 tips for a safe and enjoyable season. If you
 would like a more information, be sure to contact the friendly staff at your local resource, The Center for Physical Rehabilitation.


1) Leave those comfy shoes at home
You may want to think twice about wearing out those house slippers. Smooth-soled comfort shoes, like moccasins should be avoided when venturing outside this winter. Smooth-soled comfort shoes, as well as shoes made of leather and plastic, don't offer the grip you need in icy conditions. Choose rubber or neoprene soled shoes instead for better stability and a surer step.


2) Grab that Gore-Tex
Wear layers, get that poofy coat on, and wrap yourself up nice and warm when venturing out. Even if you think your stint outside will only take a minute, remember it takes far less than a minute for an injury to occur. Bundling up decreases the tendency to hurry and to tense your muscles from the cold, both of which greatly increase your chances of falling. So be sure to bundle up super snug this season and don't forget your hat. Mom really was right.

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Three fit women walking and talkingMany women at some point in their life begin to feel like “something is falling out” or “heaviness in the pelvis”.  They complain of back pain at the end of the day, needing to use finger pressure to support a bowel movement, difficulty starting to urinate or having a weak stream of urine or not fully emptying the bladder.  Leakage of urine or frequent need to urinate and pain with intercourse are also common. 

These complaints are typical of women with pelvic organ prolapse.  Pelvic organ prolapse is defined as the descent of one or more of the anterior vaginal wall, the posterior vaginal wall and the apex of the vagina or vaginal vault after hysterectomy.  Essentially the muscle and fascia that support the pelvic organs weaken.  The pelvic organs then begin to descend into the vagina.  Organs that can descend into the vagina include the bladder, the uterus, the intestines, the rectum or the vagina itself.

Nearly 50 percent of women between the ages of 50 and 79 have some type of prolapse. Risk factors associated with prolapse include genetics, ethnicity, injury to pelvic floor during delivery of baby, surgery, pelvic radiation, hysterectomy, constipation/straining, chronic coughing, smoking, chronic heavy lifting, joint hypermobility, obesity, poor posture, and hormonal changes affecting pelvic floor muscles.

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