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A Better Way to Treat Back Pain

Posted by on Jun 25, 2017 in Blog | 0 comments

A Better Way to Treat Back Pain

The May/June 2017 edition of Scientific American MIND magazine contains an excellent article entitled “Rethinking Relief” in which it states that Doctors are breaking away from opioids to treat chronic pain with non-drug remedies and psychological interventions instead. The article states that nearly half of all overdose deaths in the US are related to opioid medication and that opioids claim almost as many lives as car crashes. Although opioids do work well for acute pain they are not effective for most chronic (greater than 6 month duration) pain and in many cases can actually increase a patient’s pain in such instances. The Centers for Disease Control is now recommending that opioid medication is not prescribed for chronic pain unless rewards outweigh the risks. Alternative therapies that are being studied and recommended by professionals now include: acupuncture, biofeedback, mindfulness training, yoga and physical therapy. The good news is that those who suffer from many types of chronic pain now have options other than opioid medication. At Performance Plus Rehabilitation Center we use physical therapy and aquatic therapy to treat patients with chronic pain and see outstanding outcomes. I would challenge you to read the article for yourself and if you or a loved one suffer from chronic pain suggest that they ask their Doctor about a treatment regimen that includes physical therapy and other recommended treatments prior to reaching for another bottle of opioid...

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May is Posture Month!

Posted by on May 14, 2017 in Blog | 0 comments

May is National Posture Month. With that in mind it is a good time to check our posture! Some of the bad effects of poor posture are: Neck Pain Shoulder Pain Headaches Low Back Pain Spinal Degeneration and Disc Issues Poor Circulation To name a few! When our posture is poor much more stress is placed on the joints and muscles of our spine which can produce acute pain as well as chronic wear and tear that can result in the symptoms above. Picture this: an increase in our low back curvature due to weak abdominal muscles will result in the anterior head carriage posture that we frequently see. With an anterior head carriage we become much more prone to neck pain, headaches and shoulder pain. It is true that weak abs can cause a headache! Try it – stand up and push out your stomach by swaying your back and see what happens to your head. Your body will always attempt to keep your head over your center of gravity and will do so by pushing your neck forward. Imagine what this will do to your spine if left that way for a long time! Stand in a mirror and look at your posture. From the front of your ears, shoulders and hips should be level. From the side, your head should be directly over your shoulder which should be over your hip which should be directly over your ankle. Any variation from the above can produce pain and if you notice a variation a evaluation with one of our Chiropractors or Physical Therapists would be in...

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How Young Is “Too Young” to Start Training?

Posted by on May 11, 2017 in Blog | 0 comments

If you are like me, you want the best for your children and work to provide every opportunity for them to succeed in life, athletics, etc. We face enormous societal pressures to place children in competitive athletics younger and younger so they don’t “fall behind” their peers. The issue with starting children at such young ages and expecting them to specialize early (play one sport year round) is that we are seeing a scary trend of significant orthopedic injuries earlier and earlier. Recent evidence indicates that not only does early specialization create a greater degree of burnout, but it also causes children to have significantly higher rate of serious sports related injuries such as ACL tears and rotator cuff tears. The reason for these injuries is that we are stressing young, developing muscles and joints at a time when they are vulnerable. In many cases these injuries would be completely avoidable if they were placed on a proper training program and varied the type of sports they play throughout the year. The most recent evidence indicates that training methods called Integrative Neuromuscular Training are the best approach to utilize with young children and into adolescence. This training method focuses less on the specific sport and more on the fundamental movements that are a component with sports. They consist of strength and conditioning activities including resistance training, dynamic stability exercises, core focused training, plyometric drills and agility training. The most important aspect to keep in mind with this type of training is the proper form and avoidance of compensation. The other expectation is that any athlete that comes into a season “out of shape” is at a greater risk of injury. The child that plays hard for one season and then plays on their phone and barely leaves their bedroom the rest of the year will have issues. A healthy child is one that keeps active year round, that is where you can help your child succeed. Encourage your children to be kids and play tag, catch, and be outside. Your children do watch you and will adapt your habits, so a healthy lifestyle in your life will lead to a healthy lifestyle in theirs. Lead by example and get moving. We at Performance Plus Rehabilitation Center specialize in exercise, movement, and general health and wellness. Let us help you and your children lead a happy, healthy...

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Lower Back Pain

Posted by on May 8, 2017 in Blog | 0 comments

Low back pain is responsible for over 1 in 5 visits to a Doctors office and is one of our nations most expensive healthcare issues. Combined with the prevalence of Opioid addiction of people who have chronic pain it is no surprise that more and more effort is being put in to finding an effective treatment. The good news is that current research is proving that Chiropractic Manipulation and Physical Therapy are effective ways to treat many types of low back pain. Of course we at Performance Plus Rehabilitation Centers have been using Chiropractic and Physical Therapy for years to combat low back pain! Here is how it works. Most low back pain is due to misaligned joints in the spine and the resultant lack of mobility and inflammation that it produces. Properly trained Chiropractors by using carful exam techniques and X-ray are expert in restoring proper alignment and mobility to low back (lumbar) joints. Physical Therapists are professionals in finding muscle imbalances, tightness and weakness that may have either produced the spinal alignment issues or have resulted from those issues. Our treatment method addresses all of the components necessary for a health joint: 1. Alignment 2. Flexibility 3. Strength Only when all 3 components of proper joint health are addressed will joint dysfunction and pain be overcome. The research is in: pain medication is out and Chiropractic manipulation with Physical Therapy is the most effective form of treatment for many kinds of low back...

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Back to School– Tips for Reduced Stress

Posted by on Aug 16, 2016 in Blog | 0 comments

By Dr. Allyn Smith                   School has started and for many parents and students this is a time of increased stress. There are a number of things I can think of that will help minimize the stress of the school year. 1. Don’t overcommit a student. We often stretch ourselves too thin with too many “good” activities. Do students really need to play multiple sports, be involved in multiple school activities as well as community activities? Take time to decide what is really important and what is not. Realize that most students do not pursue sports after the age of 17 due to burnout and time constraints. 2. Don’t overcommit as a parent. The same holds true for parents; are all of the activities we do truly important and do they move us and our families closer to our goals or are they activities that may be “good” but not the “best” for ourselves and our families. 3. Always be sure that there is time for healthy exercise, sleep and eating habits. I am always amazed how kids will have to eat at the fast food window at night because they have sports practice (kind of defeats one of the purposes of sports!). Same with breakfast in the am – are students too busy to eat a healthy one? If so they are too busy! I read a great quote in the book “The One Thing” by Gary Keller: “It’s not that we have too little time to do all the things we need to do, but it is that we feel the need to do to many things in the time we have”. Have a great start to the school...

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Time to get outdoors

Posted by on Apr 28, 2016 in Blog | 0 comments

This time of year is when the weather starts to get nice, days get longer and temperatures rise. For many people this is the time of year to get outside and pick up the exercise whether it is walking, running, biking, team sports or yard work. Here are a few points to remember before getting started on outdoor activities.   1. Be honest with your overall fitness. If you have been on the couch all winter it will be necessary to start any exercise routine very conservatively. The 10% rule is good to remember here and that is that you do not increase your overall exercise volume by more than 10% per week. If you are used to walking a certain time or distance per week do not increase that time or distance more than 10% per week. An increase of over 10% can lead to injury as the body has not had time to adapt to the increased stress.   2. Assess your core strength. If you have not been doing any core exercises now is the time to start. A strong core will help minimize risk of injury with all outdoor activities.   3. If you are a weekend warrior spend some time getting in shape prior to the start of your season. Most weekend warrior injuries occur due to a lack of fitness in strength, cardio vascular fitness or flexibility and usually a combination of all three.   4. Even yard work can be demanding and requires a level of fitness if you want to avoid injury. Core strength is again critical here as is flexibility. It is important as with any exercise to start slowly and not overdo it especially if the winter has been a sedentary one. Always observe good posture and use good lifting techniques!   5. If there is any doubt about your ability to handle increased outdoor activities I would recommend a visit with a Physical Therapist or Chiropractor for an evaluation and any recommendations.   It is much better to start out slow and easy and enjoy an entire summer of outdoor activities and sports than to push it too hard and have to spend the summer injured or at Performance Plus Rehabilitation getting an injury...

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