Paul and Marlene Zweig from Denver,CO, will come again this year to perform a workshop in ‘Sensory Awareness’.
Sunday, November 6th, 10-4:30.
Cost is $60.00
Please register with us at 932 7266
They will also be at the Chapel Hill Zen Center on Fri Nov 4th from 7pm to 9pm and Sat, Nov 5th from 9:15 to 4:30 pm.
general | apt-admin October 24, 2011 | 
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You can find our new page for running expertise from the home page. Click on sports/fitness and the option will appear.
http://advance-physicaltherapy.com/postural-restoration-running-program
general | apt-admin October 17, 2011 | Comments (0)
This coming weekend we are going to host the Pelvic Floor Restoration course for the Postural Restoration Institute.
38 Physical Therapists are attending, mostly local and from surrounding states.
general | apt-admin October 14, 2011 | Comments (0)
The physical therapists at Advance Physical Therapy have experience helping people achieve the most after their ACL surgery. We follow the basic principle that our body knows how to heal itself if it is allowed to. Through monitoring the stages of healing and knowing when to make appropriate exercise progressions clients can return to their prior levels of function and beyond. Below is a summary of what to expect from your ACL recovery.
The rehabilitation process can be long, taking 3.5-6 months before returning to pre-injury level function; healing and functional gains continue up through the second year. Achieving a full recovery is dependent upon several factors. The patient’s pre-injury fitness level and knee range of motion are factors which will dictate rates of progression and complexity of rehabilitation activities which will need to be later in the rehabilitation process. The quality of physical therapy to assist in achieving specific mile stones in tissue healing, knee joint range of motion and re-establishing joint stability and neuromuscular control. Patient compliance is critical in assuring that optimal functional outcomes are achieved.
The rehabilitation process for ACL reconstruction occurs in stages based upon graft tissue healing and its tolerance to accepting stress. Various types of tissues are used for the ACL graft and have different healing considerations. Progressions in rehabilitation will vary depending upon the stage of tissue healing of the graft. See the chart below for information regarding time frames for the goals of each healing stage.
| Days 7-10 | Goal:
|
| Weeks 2-4 | Goal:
|
| Weeks 4-7 | Goal:
|
| Weeks 7-10
Weeks 10-14 |
Goal:
|
| Weeks 11-20 | Goal:
|
| 6 months | Goal:
|
| 12 months | Goal:
|
Written by Matthew Harwood PT, DPT, OCS
articles | apt-admin September 30, 2011 | Comments (0)
At our last staff meeting we were sharing the variety of orthopaedic concerns which we as a group have been treating over the past half year. It turns out to be a huge variety.
Our client base is as varied, including people of all age ranges and activity levels, from school aged adolescents to working professionals and athletes.
Here is our list::
• Carpal tunnel syndrome
• Wrist fracture
• Dequervain’s Tenosynovitis
• Tennis elbow
• Biceps tendonitis/osis
• Rotator cuff tendonitis/osis
• Post surgical rotator cuff repair
• Rotator cuff strain
• Calcific tendonopathy
• Frozen shoulder/ Adhesive capsulitis
• Inflammatory arthritis of the shoulder
• Cervical radiculopathy
• Motor vehicle accident related neck and shoulder pain.
• Temporomandibular joint dysfunction
• Pectus
• Thoracic spine kyphosis
• Scoliosis
• Osteoporosis
• Fibromyalgia
• Chronic pain
• Low back pain
• Lumbar Radiculitis
• Lumbar HNP (Herniated Nucleus Pulposus)
• Sciatica
• Sacroiliac joint dysfunction
• Post surgical ORIF of hip joint
• Post surgical Total hip replacement
• Trochanteric hip bursitis
• Anterior hip impingment
• Iliotibial band syndrome
• Hamstring strain
• Post surgical ACL reconstruction
• Post surgical knee meniscus repair
• Post surgical knee arthroscopic debribedment
• Patellofemoral pain syndrome
• Anterior knee pain
• Genu Varum
• Genu Valgum
• Gastrocnemius muscle strain
• Shin splints
• Lateral ankle sprain
• High ankle sprain
• Distal fibular fracture
• Plantar fascia tear
• Pes planus
general | advaNce September 12, 2011 | Comments (0)
These beginner classes are a series of 8 classes, beginning and ending with an individual assessment.
Each class is attended by two physical therapists. Class size is limited to 8, the cost is $170 for the series.
The Monday class is scheduled for 6pm, led by Susan Henning and Matthew Harwood.
The Wednesday class is at 9am, led by Joe Belding and Jean Genova.
Please call to reserve a space 932 7266
announcements | advaNce September 7, 2011 | Comments (0)
By Matthew Harwood, PT, DPT, OCS
Postural Restoration trained therapists implement tests which assess for asymmetries in posture and muscular strength. These asymmetries can lead to overuse of certain muscle groups over others and patterning of movement. For example, right shoulder pain may result from the right ribcage being restricted during inhalation; this positions the scapula to rest forward on the ribcage. Thus, when the person goes to raise their arm, it will be limited.
Is it the forest or the tree? Postural Restoration gives our physical therapists a global picture (the forest) of the individual we are working treating. It helps us to identify how the interactions of one part of the body can influence another part of the body. In the example above, the tree was the shoulder pain and the forest included the ribcage and scapula. Other global influences we look at involve the position of the pelvis, feet, and spine. We identify the resting length of the abdominals and other muscles that attach from the legs and thighs onto the pelvis and spine. We look at movement patterns which may contribute to the development of local (tree) issues. A thorough physical therapy evaluation including medical screening and differential diagnosis testing helps us to identify underlying impairments, functional limitations and appropriateness for physical therapy services.
general | advaNce August 3, 2011 | Comments (0)
I love my mother. I have learned, and continue to learn, more from her than from any other source in my life. One of her favorite expressions, now at 80, is that “if you can change your mind, you can change your life”.
As an established orthopaedic therapist, my practice and mind were pretty well fixed on rehabilitating bones, joints and muscles in various states of disrepair. Things were going along just fine, then I took a course in Postural Restoration. Now, I have to change my mind. I’ve come to realize that I’m not just an orthopedic therapist, but I must be a neurologic (brain) therapist as well.
Bones, joints and muscles are nothing without the powerhouse of the brain that tells them when they are too tight, too long, too loose or too close together. If I don’t teach my patients what it feels like to be in balance, to know where their body is in space, they will never stop being on my orthopaedic caseload. This year a knee, next year a shoulder and so on…… But, if I can teach my patients to know when they are in “balance”, to change their mind about what feels “normal”, they will be able to manage and prevent the common chain of bone, joint and muscle problems that come from years of faulty habits and patterns of imbalance.
If I can help you “change your mind”, to get better and stay better, you can thank my mother.
Jean
general | advaNce March 16, 2011 | Comments (0)
Running Injuries: Injury Prevention Check-List
Before an airplane leaves the airport for its next destination, the pilot, ground crew and mechanics run through a check-list to identify how the plane is functioning and if there is any reason the plane should not take off. Running, whether for training for a goal race or as a form of general exercise, can be approached the same way.
Below is a check-list which you can complete that helps you organize your running program, identify areas that could lead to potential injury and help you identify characteristics about an injury before it gets worse. Questions 1-12 are helpful in organizing your running program, 13-16 can be used when an injury is starting; take this information with you if you need to seek medical care for a running related issue. It will assist in getting right to your issue and getting you back running!
If you have questions about one of the questions or about injury prevention let me know. I check the blog regularly.
Injury Prevention Check–List
1. What are your running goals?
2. How long have you been working to achieve this goal?
3. How many miles do you run per week?
____ days/______ week
4. How much time do you spend with non-running training/cross training?
5. Have you had a musculoskeletal exam to identify functional fitness?
Yes / No
6. What is your running schedule?
_____days/ _____ week
7. Do you maintain a running log?
Yes / No
8. Are you following a specific running and cross-training program?
Yes / No
9. What type of surface have you been running on?
(Road, trail, grass, rubber track)
10. Do you know your foot type? High/Average/Low Arch
Yes / No
11. How old are your running shoes:
Years/months
12. Do your shoes show an observable wear pattern on them? Look at your older shoes if you have a new pair.
Yes/ No
13. Are you currently running with an injury?
Yes/ No
14. Where is your injury?
(Foot,ankle,knee, hip,etc.)
15. When do you experience the pain or discomfort? (During the run, after running, on days you are not
running)
16. Has there been a recent change in running program? Intensity/ Duration/ Frequency
Tags: Running Injury
general | advaNce January 5, 2011 | Comments (0)
I recently spoke to a local running group sponsored by Fleet Feet in Carrboro. I talked about injury prevention for runners. Specifically, I talked about identifying variables which can help identify causes for injury such as: changes in running surface, increasing mileage too fast, following an unstructured running program. I will be posting more on this topic and will provide you with more information. For now though, here is a summary of common injuries, causes and what to do about them.
Matthew Harwood, PT, DPT
Tags: Running Injury
articles | advaNce December 7, 2010 | Comments (0)
