thematchfitphysio

Physical Therapy things Random Musings For students, clinicans, patients.

[thematchfitphysio]

We are live, and it's LIT. Come learn what might be causing your #back #pain and figure out who you should be seeing! Link is in the bio! • • • If you haven't subscribed to @thematchfitphysio or @matchfitperformance, do it. Just do it. • • • #fitness #fitfam #blog #physicaltherapy #education #knowledge #healthcare #medical #getpt1st

[thematchfitphysio]

Found some #motivation #inspiration #drive #fitness #physicaltherapy #nyc #fitfam

[thematchfitphysio]

The reveal. Looking for quality physical therapy or strength and conditioning services? Look no further. We can help you get to the next level. @releazardpt Courtesy @forty5ives #power #matchfitnyc #getmatchfit (at New York, New York)

[thematchfitphysio]

The reveal. Looking for quality physical therapy or strength and conditioning services? Look no further. We can help you get to the next level. @releazardpt Courtesy @forty5ives #power #matchfitnyc #getmatchfit (at New York, New York)

[thematchfitphysio]

Just a tease. #getmatchfit #matchfitnyc #surprise (at New York, New York)

[thematchfitphysio]

The reveal... Coming soon. #matchfitnyc #getmatchfit (at New York, New York)

[thematchfitphysio]

Warming up before the first match of the day #rugby #saturday #matchfitnyc #getmatchfit #fitfam (at Randall's Island Field 74)

[thematchfitphysio]

There are no ends, but new beginnings. Pages turn to chapters and develop into other parts or acts. Growth and development lead to evolution. 'Succisa virescit.' Big things are coming. Courtesy @forty5ives #matchfitnyc #getmatchfit #twdpt #newworkcity (at Astoria, New York)

[thematchfitphysio]

Some #reading to #better myself. #smarter #stronger #newyorkcity #nyc #physicaltherapy #physicaltherapist #nodaysoff #learning #learn #startup #matchfit #getmatchfit #twdpt (at Astoria, Queens)

[peashooter85]

Peashooter Recommended: Learn CPR and Emergency First Aid!

On October 13th, 2015, seventeen year old high school student and athlete Claire Crawford suddenly and unexpectedly collapsed and went into cardiac arrest in the middle of a Volleyball game.

Immediately, staff members went to work.  One person began doing CPR while the school principal immediately fetched a defibrillator.  They were able to restore a viable heart rhythm, saving Claire’s life. It wasn’t a miracle, it was because people were well trained and well prepared.

 Everyone should take an American Heart Association approved CPR and first aid course. And I recommend courses that do both CPR and FIRST AID. Don’t do the online courses, that’s a crock of humbuggery if I every heard of one! What a load of bullshit, online CPR and First Aid!!! Actually go to a course and do it hands on. As someone whose done countless hours of CPR on real patients, I can tell you doing it on the practice manikin feels just like the real thing. Here are courses near you. Take your girlfriend or boyfriend, wife or husband, sign up the whole damn family! And keep your license up to date!

http://cpr.heart.org/AHAECC/CPRAndECC/Training/HeartsaverCourses/HeartsaverFirstAidCPRAED/UCM_473177_Heartsaver-First-Aid-CPR-AED.jsp

I know at one point the AHA was thinking of discontinuing rescue breathing for those who aren’t health care workers because most people who are not medical professionals are either too squeamish to do it or don’t do it right.  In addition the AHA is worried about infection (imagine a victim whose face is covered in blood). But as far as I know they still officially recommend you do compressions and breaths at a continuous rate of 30 compression followed by two breaths (tilt chin and head back to open airway).

This is called the Ambu Res-cue key.  It consists of a one way valve that goes into the person’s mouth and a mask that covers the mouth and nose, all packed in a pouch about the size of a 50 cent coin.  I got one of off ebay for less than $5, and I probably paid too much. There is no reason why anyone should not be carrying one.

 Also, a good idea might be to get a bag valve mask, I carry one in my car along with my res-cue key in my pocket.  They are so easy to use, I’ve bagged people while bullshitting with co-workers about how bad the hospitals cafeteria food is, a trained chimp could do it.  Just make a tight seal on the facewith the mask, keep the chin and head tilted back to open the airway, and squeeze the bag about once every 6 seconds.   In an emergency, you can recruit another person (You! Come and help me!), have that person bag while you do compressions. I got my bag valve mask for around $20 on ebay. You don’t need an expensive one, the $20-$30 ones work just fine.

 Also for around $40 - $50 they make collapsible ones that fit into a container a bit bigger than a hockey puck.

http://www.rescue-essentials.com/pocket-bvm-bag-valve-mask/

Finally, speaking of first aid kits, have one.  Not those overpriced ones that have bandaides and Neosporin.  A real first aid kit.  A basic first aid kit for a non-medical professional should have bandages (the more the better), medical tape, scissors, a small flashlight, a blanket, aspirin (for heart attacks, give 325mg), a bottle of water (to clean or irrigate wounds), and a tourniquet (only use as last resort to control bleeding). Believe it or not feminine pads and baby diapers can be used as emergency bandages and tampons are awesome for piercing wounds. This stuff can all be found cheap at any drug store, Kmart, Walmart, or other large store. Carry a first aid kit in your car, carry bandages in your purse or briefcase.

You never know when you’re going to have to be the one to step up to the plate to save someone’s life. Get it done!

[thematchfitphysio]

Great info.

[thematchfitphysio]

So what do you do?

It’s a common scene at any random bar or dinner: People intermingle, imbibe, inquire.

“Wait, so what do you do?” I briefly consider telling this person that I’m a math teacher.

“I’m a physical therapist.”

Sometimes, I get, “Oh, well my neck hurts,” followed by “Well, I hurt my back, what can I do to fix it?” The math teacher lie might have proven useful. I would regret my earlier decision, but I enjoy talking shop, so it’s not a big deal.

However, “I’m a physical therapist” is frequently followed up with, “Oh, you give massages and stuff? That’s nice.”

My initial instinct is to restrain myself from lashing out and destroying everything in sight a la Gojira.

I take a deep breath and tell myself to shut up.

My actual gut reaction is to help educate the questioner and to help them understand what I do for a living. It’s then that I realize that our field is understood by the general public.

             So what do we really do? What is our purpose?

We can figure out almost everything musculoskeletal about your body from the way you move. Your movement tells us about limitations in your strength, your range of motion, and how your body carries itself.

We can use our hands and words to direct attention to parts of your body that you are aware of (or not aware of) using. Many people are unaware of their pelvic position which can affect posture and ultimately, anything from your head to your toes.

Those same hands are used to mobilize (or move tissue around). Therapists call it soft tissue manipulation or myofascial release. The work that we do on your muscles is simply not just a relaxing massage, but specific tissue work in order to restore muscle length and function.

We assess acute medical injuries to an extent. Since most therapists don’t have X-ray vision or an MRI built into our operating hardware, we depend on our hands and our clinical judgement to determine whether or not a lacrosse player has an ACL tear, or if a crossfitter has torn their rotator cuff.

We use exercise to assist with your rehabilitation. Little tweaks in your technique will make you sweat – and you will see the difference. Ultimately, you will feel stronger and more stable for it.

We use these assessments, tools and treatments to help you return to the activities that you want to do.

We are well educated on how the body functions. We spend three hard years studying the musculoskeletal, cardiac, nervous, endocrine, reproductive and digestive systems in order to understand how to approach specific health issues.

As a medical professional, we are also qualified to refer to another professional when we realize that the discomfort or pain you are feeling is out of our scope of practice.

We don’t just work with athletes. Our field was born with the rehabilitation of soldiers after World War I. Today, we work with patients that have suffered from a stroke or heart attack, post-heart or lung transplant, and help children with sensory integration issues or cerebral palsy.

I helped a photographer return to holding positions to take pictures for work after severe knee pain, assisted an older patient to independently get into and out of cabs using their own strength, and helped a stroke patient re-learn how to walk without an assistive device.

To bring it full circle, we don’t just “do massage,” but we work with our patients to help them return to the things that they need and love to do on a daily basis.

We can help you if you let us! Pay a visit to your local physical therapist to get to know more about what they can do to help you if you’re not feeling 100%.

Please subscribe to @thewelldressedpt or contact me at [email protected] for injury pre-hab tips and a laugh.

[thematchfitphysio]

I issued a push-up challenge to my boss and #lost. This is the #visual #story. #humblepie #fitness #workout #pushups #fitfam #sore #nyc #timessquare #sweat #nosweat #flex #pump #challenge #health #wellness #work Workout: 20 push-up EMOM until failure to complete 20 push-ups in one minute Score: Brian: 151 Erwin: 99 (at BeFIT Therapy)

[thematchfitphysio]

Day 1: working with #teamdynamix #teamdynamix2016 #twdpt #bigthings #fitness #woof #strength #olympiclifting #physicaltherapy #physio #dynamix (at CROSSFIT DYNAMIX)

[thematchfitphysio]

Crashing the HSS MLS Medical Symposium

The date is January 9th, 2016. All of Major League Soccer’s twenty medical teams are seated and mingling before the opening speech, all of which include interested outside healthcare providers not limited to: MD’s, physical therapists, PA’s, dentists (what?), and athletic trainers. 

Major League Soccer’s recently revamped logo adorns posters throughout the Harbor Bay Marriott Resort and Spa. The MLS combine had been raging nearby since the day before. What stands out more to me at that point is the overwhelming use of purple. I am in Fort Lauderdale. Figures. I march on. 

Enter @thewelldressedpt.

I came in late, so I grab a seat in front while John Galucci (MLS Medical Coordinator) and Dr. Daryl Osbahr are presenting on a patellar subluxation case and I settle in. Case studies are the relative normal and medical teams will present their rehabilitation schedules with an emphasis on return to play (duh) since these players get paid a decent amount of money (maybe not in MLS). Dr. Osbahr dropped a hilarious comment regarding knee compression and patient population: “Soccer players don’t need knee compression. Their jeans are too tight,” to the delight of the audience. All jokes aside, as a physical therapist, these presentations can give an alternative point of view in terms of treatment.

“Soccer players don’t need compression. Their jeans are already too tight.” - OCSC Team MD

The first session continues with knee injuries discussed by the NYCFC trainer, Kevin Christen, who tries to keep from mentioning player’s name (something about HIPAA) but end up showing a video of the injury that divulges the player’s identity: Tony Taylor.

As an NYCFC season ticket holder, I cringe as I vaguely remember the incident because it happened along the opposite half and along the far touchline. The video is quite brutal, as the trainer picks it apart and then describes the plan of care that TT endured.

Dr. Christopher Ahmad, NYCFC team MD, discussed ACL failure considerations, all of which seemed to center between ACL graft placement and the source of the graft placement. Many things considered, 36% of patients that sustained ACL injuries are still playing post-operation, which is an interesting number considering how many ACL injuries I see in and outside of the clinic.

One of my favorite presentations was delivered by the RBNY team MD, Dr. Riley J. Williams on the interventions available for athletes with cartilage injuries in the knee.

Breaking it down: your meniscus is composed of cartilage which essentially serves as a cushion and lubricant for the movement of your knee. Traumatic injuries can damage the meniscus, leaving it open to arthritis and joint damage.

Cartilage injuries can limit a player’s activity until the inflammation is removed from the knee, and the knee gets a chance to heal the tissue. The caveat here is that your joints get poor blood flow, so healing is super slow. The original accepted method was to ‘accelerate healing’ by opening the knee up, scraping (read: drill mini holes into the cartilage) where the cartilage used to be to create bleeding and scar tissue.

Dr. Williams comes right off the bat to say that he doesn’t do it on his patients because of the poor rate of healing and success, even though it happens to be the ‘gold standard’ procedure for cartilage injury.

Shots fired. *Multiple gun emojis*

Figures that two NY doctors come and tell everyone that they’re doing things wrong. Shocked? I wasn’t.

NYCFC team physio Aisling Toolan presented on Taylor’s recovery, citing the importance of eccentric strength of the single leg and an interesting statistic: 73% of ACL injuries occurred while defending in a study done in 2015.

“Ferraris are nice cars, but you need to steer and break, not just be able to accelerate and speed away.” - NYCFC Team Physio

Of note were the hilarious bantz offered by the Portland Timbers team staff winning the MLS cup. Thanks, guys, we got it. You won. I’m sure Seattle is licking their wounds. 

Concussion management was the topic of discussion and debate after the lower extremity, touching upon return to play from concussion, and the ever hot debate of banning heading for youth soccer. The debate was managed by several top MD’s from the Columbus Crew and US Soccer, defending the lack of development of brain tissue and its heading’s purported effects on future development.

The discussions after lunch shifted back towards the lower extremity involving foot and ankle injuries, including an interesting session on diagnosing severe ankle injuries presenting as ankle sprains presented by the Sacramento FC team MD, Dr. Eric Giza.

The conference was concluded in the next room with provided drinks (and open bar!) where I met a few USMNT and DCU team dentists (see what I mean?) and talked with them about trying to get involved in the US soccer setup.

All in all, an educational day. I also got to see MLS combine players playing and failing at massive Jenga, so that was a plus.

[thematchfitphysio]

Oh, word? #fashion #imakethislookgood

[thematchfitphysio]

#tbt to #mobility at Schipol after spending the day in Den Haag. #silhouette #blueskies #hipflexor #tight (at Amsterdam Schiphol Airport, Gate F-04)

[thematchfitphysio]

Now that I'm back in #NYC, it's back to the grind. Big things coming... #riseandgrind #work #getitin (at Astoria – Ditmars Boulevard)