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Why You Should Visit Greensboro Physical Therapy Before Your Next Run

Fall is finally almost here and that means everyone from the elite runner to the weekend hiker will be out and about trying to take advantage of those cooler temps and lower dew points (no more running in a sauna!). As you increase your activity level/performance, you may find that you aren’t as physically capable as you once were, or maybe you have been ignoring a nagging pain for far too long or perhaps there’s a longer race distance looming on the horizon. Whatever the reason, just as a regular oil change promises to keep your car running at its peak performance, an evaluation by a Doctor of Physical Therapy(DPT) may be just what you need to rev up your own engine and get back on the road safely.

A recent health segment that aired on The Today Show, featuring sports medicine physician Dr. Jordan Metzl and a team of physical therapists from the Hospital for Special Surgery, shared tips for staying healthy as we enjoy a number of activities from bike riding and running to kayaking and swimming. Under the supervision of a Greensboro Physical Therapy DPT, you can learn exercises that will strengthen muscles and prevent injuries and will be given tools to ease pain and recover faster. We are highly educated and trained to take care of the entire kinetic chain, that is, all of your muscles from head to toe. After all, physical therapists are commonly referred to as “movement specialists.”

When you take your car in for an oil change, the mechanic changes the oil, replaces the oil filter and inspects your tires, air conditioning, battery and more. You’ll likely head home with a list of future needs such as rotating the tires or changing the air filter and your car will be good to go for the next 3,000 to 5,000 miles. Similarly, a we are trained to evaluate your strength, body mechanics, posture and mobility, and to set reasonable goals for your recovery or fitness aspirations. By gathering a thorough assessment of your strengths and limitations, the we can devise a therapy/performance plan that includes a home exercise and maintenance component.

Remember: winter is coming(yep, I said it). So, what are you waiting for? Making an appointment at Greensboro Physical Therapy can be the difference between puttering through life and riding at high performance. In most cases, no referral required. Request an appointment online or call us at 336.274.5006

Welcome Now to the Stage: Blood Flow Restriction Therapy.

What is Blood Flow Restriction (BFR) Therapy?

BFR Therapy Cuff

BFR Therapy is the application of a medical grade tourniquet system to a top part of an arm or leg, which is inflated, to a personalized and specific pressure to reduce blood flow to the exercising arm or leg. The application is brief and intermittent, with variations of duration based off activity.

How does it work?

Theories range from a significant build up of metabolites by anaerobic metabolism, a systemic anabolic response and cellular swelling. It is most likely a combination of multiple factors. It does appear that muscle protein synthesis plays a primary role as this has been consistently demonstrated in the literature. Ultimately, we get the benefits of heavier resistance straining with less resistance required.

Why BFR Therapy?

With BRF Therapy, we can create significant strength and hypertrophy gains with loads as low as 20% of your 1 rep max (the max weight you can lift one time; normal strength training requires 60% or more, which typically isn’t performed. That weight that you can do 30 reps at a time with? Yeah, that’s not enough. ) This allows us to greatly improve strength with reduced loading on your body. After injury or surgery, you may be unable to lift loads or at an effort level known to induce skeletal muscle adaptation. BFR allows us to begin the strength and hypertrophy phases of rehabilitation much earlier. For example, BFR has demonstrated statistically significant improved patient outcomes after anterior cruciate ligament surgery both acutely and chronically.

BFR Cuff Application on Arm

Who might benefit from BFR therapy?

Clinically, our Doctors of Physical Therapy can apply it to many diagnoses with very positive results including, but not limited to, total joint arthroplasties(joint replacements), Achilles repairs, fractures, rotator cuff repairs, muscle strains, nerve injuries, post-operative knee reconstructions and cartilage repairs, and tendinopathies.

Is it safe?

BFR has consistently demonstrated to be a safe modality in the literature. It has been performed on thousands of subjects in the peer-reviewed literature with little to no side effects.  Our skilled Doctors of Physical Therapy will perform an individualized assessment to determine whether BFR would benefit you.

Why Choose Greensboro PT?

Greensboro Physical Therapy is proud to offer you the same access to top quality physical therapy services that professional athletes, Olympians, and others receive. This includes our LightForce Deep Tissue Laser, NormaTec Compression Recovery System, Hypervolt Percussive Massage Device, Intramuscular Trigger Point Dry Needling, and now, Blood Flow Restriction Therapy. Our Doctors of Physical Therapy demonstrate an educational commitment above and beyond the baseline requirements of the profession that allows us to offer you the best care.

Call us at 336.274.5006 or visit our site to sign up for your evaluation today!

*BFR Therapy is a highly skilled application of medical grade equipment and must only be performed by educated medical professionals*

Lazy Summer or Deconditioning?

The weather is hot, the gym is closed, and you’ve been trying to relax- enjoying the lazy, hazy days of summer. Taking a day off here and there is no problem, but if you’ve been consistently missing your regular run/walk, bike ride, or gym session and notice some aches and pains showing up, you might have the beginnings of deconditioning.

Deconditioning Explained

Exercise creates many changes in your body – your heart begins to pump blood more efficiently, your muscles use oxygen more efficiently, they contract in a more coordinated manner, and your body gets more efficient turning food into fuel to name just a few. Deconditioning is the reversing of these changes. Exercise is a “use it or lose it” kind of thing, and deconditioning is the process by which we “lose it.”

How Long Does It Take To Decondition?

As with most things related to a system as complex as the human body, it depends. According to the ACSM, two weeks without exercise can lead to significant loss of cardiovascular fitness. Two to eight months of detraining can erase virtually all of your gains. As you detrain, cardiovascular fitness tends to decline first, with muscle strength declining later.

Other factors are your age, and your exercise history. If you’re younger, you’ll probably lose fitness at a slower rate than someone older. If you’ve been consistently exercising for a long time, or at a high intensity, your losses will probably be slower than for someone who just started.

Reversing Those Losses

If you’re just undergoing a period of increased time commitments at work or with family, using a shortened exercise routine can help minimize your losses. Even one session a week will help you keep most of what you’ve gained. Other options are to use shorter but more intense interval training sessions, or breaking up your activity into multiple short chunks during the day. If your layoff was longer, it may take just as long to retrain as it did to make the gains initially. If you’re having those aches and pains due to inactivity or need help designing a safe program to either maintain your fitness or gain it back after a layoff, one of our Doctors of Physical Therapy can help. Injury and illness are other common reasons for de-training. Greensboro Physical Therapy can not only help you recover faster, but they can also find activities to maintain your fitness while safely working around an injury or illness.

Click here to schedule an appointment or call 336.274.5006 today!

All Physical Therapy Clinics Are Not Created Equal – Which Door To Choose.

Imagine a scenario in which a patient learns he needs a dreaded root canal. The dentist’s plan of care requires four visits instead of the standard two and the patient will be on the hook for double the typical out-of-pocket costs. On top of that, the patient will receive a lower quality of care than if he went elsewhere. Should the patient stand for that? Of course not.

When it comes to the physical therapy needed following total knee replacement (TKR) surgery, a study published in the scientific journal Health Services Research says this type of scenario may be more common than you think. Where patients get physical therapy following TKR may affect how much the rehab costs, how many visits they need, and the quality of care they receive.

Led by Jean M. Mitchell, PhD, James D. Reschovsky, PhD, and Elizabeth Anne Reicherter, PT, DPT, PhD, the study examined whether the course of physical therapy treatments received by patients who undergo TKR surgery varies depending on whether the orthopedic surgeon has a financial stake in physical therapy services, often called physician self-referral. In reviewing 3,771 TKR patients, the study investigators concluded that physical therapists not involved with physician-owned clinics saw patients for fewer visits and provided more individualized care at a lower out-of-pocket cost.

Specifically, the study found that TKR patients who were treated in a clinic owned by their orthopedic surgeon received an average of 8.3 more (or twice as many) PT visits than those who were treated in a clinic in which their orthopedic surgeon had no financial stake.

We at Greensboro Physical Therapy would like patients to know they have options and do not automatically need to attend PT in the surgeon’s own clinic. Members across the PT profession are urging patients to seek out an evaluation by a physical therapist, recommending one that specializes in orthopedics (We have Dr. Mike Wright, a Board Certified Orthopedic Clinical Specialist), ideally before scheduling a surgery consult. If that’s not possible, it is highly recommended for the public to consider seeing a PT outside of the physician self-referral clinics (like Greensboro Physical Therapy) in order to receive more individualized care that is task specific to each patient’s deficits and impairments following surgery.

The rehab program in a physician self-referral clinic is often heavily focused on group therapy sessions. In such a setting, the PT may not be able to observe and address each patient’s deficits. Conversely, patients treated in an individualized physical therapy program will be better sooner and receive better care. Higher quality care correlates with more efficient and effective episodes of care.

Greensboro Physical Therapy strives to create a direct, individualized experience in which you forge a direct clinical relationship with your Doctor of Physical Therapy. No schedule shifting done here. You get to see the same clinician each and every visit, unlike some of the other clinics in the area. We strive to be your PT for life. Come see the difference at Greensboro Physical Therapy – schedule your appointment here.

Why You Need Our Doctors of Physical Therapy on Your Healthcare Team

With health in sharp focus as a result of the pandemic, now may be a good time to look at the team of experts you have in place and see if there are any improvements you could make. You probably have a family doctor, dentist, and optometrist. Maybe you have some specialist physicians, a personal trainer, or a massage therapist. If a physical therapist isn’t a part of your healthcare team, you’re missing out on taking care of a big part of your health that could save you time and money. To understand why you need a physical therapist, you might need to understand what they do.

Our Doctors of Physical Therapy (DPTs) Help You Do Things

The American Physical Therapy Association defines PTs as “health care professionals who diagnose and treat individuals who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives.” So physical therapists help you do things that you have trouble with. That could be going for a hike, playing with your kids, or getting through a day of work without pain. Our physical therapists are Doctors in the profession, often with advanced education and certifications, such as Dr. Aart‘s oro-facial/trigger point certification, or Dr. Mike as a Board Certified Orthopaedic Clinical Specialist.

Our DPTs Help You Reduce Pain

Chronic pain is a huge problem worldwide. A big part of that is low back pain. Statistically, around 80% of people will have low back pain in their lifetimes. Our DPTs are trained to treat pain without surgery or medications. If you have back pain, an arthritic knee, neck pain, or an old injury that won’t go away, ours DPTs may be able to help.

Dr. Logan Barbour PT, DPT hard at work

Our DPTs Help Keep You Healthy

The APTA goes on to say that “PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles.” That means that our DPTs can help you determine your risk for injury, choose the right fitness program, and improve the quality of your life by improving your health and ability to move. Not all physical therapy is about pain and post surgical care. There’s so much more to it that can help you reach your full potential.

Dr. Brad Banker PT, DPT with client.

Physical Therapy Can Help You Live Longer (and Better!)

It’s well known that the risk of many of the leading causes of death can be reduced by exercise. Some of these conditions would include heart disease, cancer, lung disease, diabetes, and stroke. By helping you move better with less pain, finding the right exercise program, and helping you to make healthy lifestyle choices, our DPTs could help you live longer.

Our Doctors of Physical Therapy have a unique set of skills and expertise that can do a lot to improve your health and quality of life, above and beyond what your typical PT might possess. Find more about them here.

Find the difference at Greensboro Physical Therapy. Share the difference with those you know.

Schedule an appointment today.

Adapted from Private Practice Section of APTA