Favorite quote: "Vail Health collects “supra-competitive profits,” from its physical therapy business, 20% to 40% above competitive market prices. That’s approximately $140 per session for self-pay and more than $300 per session under an insurance contract, as opposed to the more normal rate of $65 to $120 per session, the lawsuit alleges." Read full article linked below:
NormaTec is the ultimate recovery device. The technology can increase circulation and improve mobility for those who work out regularly, are training for a competition or race, experience swollen legs from traveling frequently, stand for long hours on the job, or suffer from inflammation, sore muscles, or other circulatory issues. NormaTec is used extensively in professional athletics and is utilized for both rehab and recovery by 97% of pro teams, as well as Olympic and elite athletes across a broad spectrum of sports.
The NormaTec PULSE Series is a pneumatic compression device that utilizes patented technology to increase circulation to the limbs. NormaTec was founded by a physician and bioengineer as a medical company to help treat circulatory conditions. They later worked directly with top athletic programs to develop the NormaTec PULSE Series. Using NormaTec’s leg, arm, or hip attachments boosts blood flow and reduces pain and soreness. In addition to these benefits, studies show that NormaTec decreases inflammation, clears metabolites, and increases range of motion.
NormaTec pairs compression with a sophisticated massage pattern, employing three key forms of biomimicry, including pulsing, gradients, and distal release. The patented pulsing action uses dynamic compression, effectively mimicking the muscle pump of the legs and arms, to greatly enhance the movement of fluid and metabolites out of the limbs. NormaTec utilizes hold pressures similar to the one-way valves of veins and lymphatic vessels, preventing fluid backflow, and enhancing the natural
circulatory flow. The distal release feature releases hold pressures once they are no longer needed, ensuring that each portion of the limb gains maximal rest time without a significant pause between compression cycles.
NormaTec is a clinically proven method to enhance recovery and reduce pain and soreness. The user will first experience a pre-inflate cycle, during which the attachments fill with air to calibrate and mold to their exact body shape. The session will then begin by compressing the feet, hands, or upper quad (depending on which attachment you are using.) Similar to the kneading and stroking done during a massage, each segment of the attachment will first compress in a pulsing manner and then release. This will repeat for each segment of the attachment as the compression pattern works its way up the limb. This stimulates blood flow, massages the muscles, and works in harmony with the body’s circulatory system to mobilize fluid out of the extremities and back up towards the heart.
See research articles here:
-It is estimated that 40% of asymptomatic people have a “bulging disc” on MRI (38, 39).
-Disc “bulges” reabsorb in a matter weeks and months (40-44).
-In 40-year old asymptomatic males and females, between 25-50% will demonstrate disc degeneration and signs of injury, endplate changes, foraminal stenosis and facet joint degeneration on spinal imaging (45).
-Lumbar spine degeneration starts in a person’s early 20s and there is little correlation between arthritis and LBP in later life (45-48).
-In asymptomatic elite tennis players 33% had a spondylolisthesis when scanned, with several showcasing pars fractures, stress fractures, etc., yet no pain (39).
-Despite presenting with the same LBP, patients receive completely different MRI results when visiting different imaging centers and have different radiologists interpret the findings (49).
-Among people with significant degeneration visible in their imaging, only 10% experience pain (50).
-90% of asymptomatic people undergoing cervical MRI scan have a “bulging” disc (including people in their early 20’s) (51).
-Demolition derby drivers crash over 1500 times during their career; averaging over 24 miles per hour, and yet almost all report no chronic whiplash-associated neck pain.
-One in three people over the age of 30 and two out of tree people over the age of 70 have abnormal MRI findings related to their shoulder including complete rotator cuff tears (53-55).
-After successful rotator cuff surgery and postoperative rehabilitation to regain full range of motion, strength and function, 90% of patients’ MRI reports reveal “abnormal findings” and 20% still have a complete rotator cuff tear (56).
-In asymptomatic individuals 25-50% of MRIs reveal significant “degenerative” changes, highlighting the poor correlation between knee osteoarthritis, pain and disability (57, 58).
-In active collegiate basketball players with no knee pain, 35% of the MRI scans show significant abnormalities (59).
-It is currently estimated that one in three knee replacements are unnecessary (60).
-MRI of asymptomatic people show abnormalities in 73% of hips and labral tears in 69% of the asymptomatic group (61).
-Hip MRI studies show that femoroacetabular impingement and labral injuries are common in asymptomatic individuals (62).
-In hockey players with no hip pain, two out of three have scans that show significant degenerative changes (63).
Adapted from Louw's Pain Neuroscience Education 2nd Ed.
FOR IMMEDIATE RELEASE Dec. 13, 2017 DENVER - The Colorado Chapter of the American Physical Therapy Association was very pleased to receive the opinion and order from the Denver District Court, under presiding District Judge A. Bruce Jones, that the lawsuits seeking judicial review or a declaratory judgement against physical therapists performing dry needling in Colorado have been denied. The ruling was entered 12-12-2017 at 11:51 a.m. Key to the ruling is that the Colorado PT Board acted within its statutory authority and that "there is sufficient elasticity in the Act's definition (PT Practice Act) of physical therapy to encompass dry needling."The ruling upholds prior Colorado Legislative Legal Services review in 2013 that the PT practice act encompasses dry needling under mechanical stimulation with the use of a device (filament/needle).
Respectfully, Colorado Chapter, American Physical Therapy Association
Below is a compilation of the ever-growing evidence for the effectiveness of Dry Needling. This is from peer-reviewed, medical research journals. So sorry it is only a partial list and there is just so much support for this very skilled technique!!!
Dry Needling can help me dunk a basketball?!
Dry Needling superior to injection for plantar heel pain
Get rid of your headache!
Help for herniated lumbar discs
Unlock your neck
Wake up muscle!
Physiological changes after Dry Needling (AKA not 'energy')
Physiological changes after Dry Needling (AKA not 'energy')
Help for complex regional pain syndrome (CRPS)
Dry Needling the cervical spine
Myofascial pain syndrome and Dry Needling
Dry Needling just as good as steroid injections for hip bursitis
More twitches, more results!
Upper extremity numbness and tingling resolved with Dry Needling
Less spasticity following stroke
Pain reduction in the trapezius muscle
More relief for discogenic low back pain with Dry Needling
Less pain after knee replacement with Dry Needling
Dry needling improves low back muscle function/activity
Less spasticity and stiffness in muscles following stroke with Dry Needling
Dry Needling improves shoulder mobility and pain
Dry Needling helpful for shoulder impingement
Reduces jaw pain and grinding
Positive therapeutic effects of dry needling to the upper trapezius
Dry Needling as a performance enhancer in elite soccer players
Pain Relief for plantar fasciitis
Twitch matters and means more immediate pain relief
Pain in the neck from the office. Dry Needling can help
Dry Needling helps chronic neck pain
Help following ACL reconstruction
Dry Needling and electrical stimulation/TENS effective for chronic neck pain
The effects of Dry Needling are long lasting
Relief for rotator cuff tendinopathy
Less adverse symptoms following stroke
Dry Needling helps shoulder impingement
Relief for hip pain
Dry Needling for thoracic spine pain
Dry Needling and manual therapy effective for upper trapezius pain
Relief for occipital neuralgia / headache
Dry Needling for mechanical low back pain
Prediction of improvement of low back pain with Dry Needling
Dry Needling and rats on treadmills
Chronic ankle instability improvements with Dry Needling
Dry Needling improves low back muscle functioning
Pain relief for shoulders
No more pain in the neck
Post-operative shoulder pain less with Dry Needling
Dry Needling relieves TMD/ TMJ symptoms
Reduction in trapezius pain with Dry Needling
The lower trapezius muscle needs needles too
Dry Needling and wet needling both effective for neck and shoulder pain
Dry Needling helpful for post-stroke spasticity
Dry Needling even helps elbow pain and cyberchondria
Woof! Dry Needling and dogs
Achilles tendinopathy relief with dry needling
Needles go where my hands cannot for TMD / TMJ
Thoracic spine pain reduction
Dry Needling at the top of the arsenal of pain management options
Silly rabbit, needles are for humans
Dry Needling more effective than manual therapy alone
Spasticity, baropodometry, pain pressure sensitivity and Dry Needling post-stroke
Chronic post surgical pain eased with Dry Needling
Improvement following arthroscopic hip surgery
Dry Needling successful for management of upper quarter and craniofacial dysfunction
Dry Needling relieves upper trapezius pain
Improves plantar heel pain
Even one session of Dry Needling helps neck pain
Dry Needling for knee pain in a dancer
Platelet rich plasma and Dry Needling for patellar tendinopathy
Help for frozen shoulder / adhesive capsulitis with Dry Needling
Relief for proximal hamstring tendinopathy
Shoulder tendinopaty…there's a needle for that
Dry needling for pelvic floor pain and dysfunction
Dry needling overall just as good as PRP, and more cost effective
How does it work?
Help for hamstring strain
Lots of studies supporting dry needling for upper quarter pain
Dry Needling helpful for TMJ / TMD
Imaging confirms immediate change with Dry Needling
Dry Needling tendinitis / tendinosis / tendinopathy
Dry Needling superior for paraspinals
Dry Needling benefits for fibromyalgia
Total Knee Arthroplasty / Replacement pain relief with Dry Needling
Chronic Low Back Pain relief
Dry Needling changes rabbits
Pain relief for TMJ / TMD
Physiologic changes with Dry Needling
Dry Needling is for real
Relief for musculoskeletal chest wall pain / costochondritis
Jaw pain and Dry Needling
Relief for lateral epicondyalgia / epicondylitis
Depth does matter
Dry Needling rabbits
Mechanisms of Dry Needling
Lumbar spinal stenosis relief with Dry Needling
Dry Needling trigger points
Shoulder pain and volleyball players
Dry Needling away jaw pain
Improved circulation and oxygenation
Dry Needling vs local anesthetic injection
Regional effects of Dry Needling
No reason to inject a substance for headaches
Pain and trigger points
Dry Needling and the elderly
Widespread effects of Dry Needling
Positive results for patellar tendinopathy / tendinitis / tendinosis
Relief for media epicondyalgia / golfer's elbow
Treatment for myofascial pain syndrome
Postherpetic pain and Dry Needling
Dry Needling plus stretching more effective than stretching alone
Twitch matters in Dry Needling
Dry Needling for shoulder impingement
Diagnostic testing or effective treatment?
Trigger points in dogs and Dry Needling
Post-surgical pain relieved with Dry Needling
Dry Needling for chronic low back pain
Dry needling for chronic low back pain again
No medication necessary…the needle effect!
Do you want the chance to create a more effective swing and increase clubhead speed? See how mobility exercises can help...
As a whole, the vertebral column (often described in press as ‘the spine’ or ‘spinal column’) has 5 main functions:
1. To support the weight of the head and the trunk
2. To allow movement of the head and trunk
3. To protect the spinal cord which transmits signals all over the body
4. To allow nerves to exit to each part of the body
5. To provide sites for muscle attachment
The functions of the vertebral column, from an anatomical point of view, are well established. However, how we improve movement in the thoracic region and transfer it to the golf swing needs further investigation. This blog focuses on function number 2 -- the ability of the spine to allow movement of the head and trunk -- and in particular, the movement of the trunk.
We know that golf is a sport that involves a great deal of rotation...and that rotation has to come from somewhere in the body. Ladies and gentlemen, I give you: The Thoracic Spine!
The effect of dry needling on the radiating pain in subjects with discogenic low-back pain: A randomized control trial.
Author information: Mahmoudzadeh A, Rezaeian ZS, Karimi A, Dommerholt J.
Disk herniation is the most common cause of radiating low back pain (LBP) in subjects under 60 years of age. The present study aims to compare the effect of dry needling (DN) and a standard conservative approach on the pain and function in subjects with discogenic radiating LBP.
MATERIALS AND METHODS:
Fifty-eight subjects with discogenic radicular LBP were screened and randomized into control (Standard physical therapy, n = 29) and experimental group (Standard physical therapy and DN, n = 29). Radiating pain intensity and disability were measured using visual analog scale (VAS) and Oswestry Disability indices at baseline, at the end of treatment and 2 months after the last intervention session. The changes in pain intensity and disability were studied using a 3 × 2 repeated measures analysis of variance considering time as the within-subject factor and group as the between-subject.
Pain intensity and disability scores decreased significantly in both experimental and control groups (experimental group: VAS = 37.24, Oswestry Disability Index [ODI] =28.48, control group: VAS = 45.5, ODI = 32.96), following the intervention. The change continued during the follow-up period (P < 0.001 for all comparisons). Pain and disability improvement, however, were more significant in experimental group, both in post intervention (experimental group: VAS = 25.17, ODI = 22.17, control group: VAS = 42.4, ODI = 30.27) (P = 0.05 and P = 0.03, respectively) and follow-up measures (P = 0.006 and P = 0.002, respectively).
Both intervention strategies seem to significantly improve pain and disability immediately following intervention, where the improvement continued during 2 months after the last active intervention. Therefore, supplementary DN application may enhance the effect of the standard intervention considerably.
Discogenic; dry needling; low back pain
PMID: 28163732 PMCID: PMC5244646 DOI: 10.4103/1735-1995.192502
Check out this video presentation by Dr. Mike Voight from the First International Sports Physical Therapy Conference:
Return to Play: The Role of Assessing Movement in the Return to Play Decision
Movement Physical Therapy is the only clinic in the Vail Valley area certified in the Selective Functional Movement Assessment (SFMA), Functional Movement Screen (FMS), Y-Balance Test (YBT), and computerized algorithms. All are integral components in determining the athlete's readiness to return to sport. Movement Physical Therapy calls the in-depth analysis our Injury Prevention Physical. No other clinic in the Vail Valley offers worthwhile testing. Some locally used examples are "sport testing" and impairment measurements such as limb circumference, ROM, strength testing, etc. The research is clear...who do you trust for your injury?!
Move to Achieve!
Remember this simple mantra:
-T: Tongue on the roof of the mouth
-S: Swallow correctly
-B: Breathe well
-TLC: Teeth apart, Lips together, and Calm your muscles and mind
PoTSB TLC further described:
-Preferably sleep on your back, definitely not on your stomach.
-Don’t get stuck sitting for long--move often! Remember variety is more important than one static, “perfect” ergonomic position. Sit in a chair, stand, kneel, sit on the floor, take microbreaks, etc.
Tongue on the roof of the mouth
-Anchor the front third of the tongue on “the spot” on the roof of your mouth. Find “the spot” by making a clucking sound.
-Tongue should already be at “the spot.”
-When you place a cup to your mouth, your tongue should not push against the cup.
-As water enters your mouth, let your tongue drop down to collect the liquid.
-Swallowing starts when you close your lips and the tip of your tongue goes back. to its resting position, or “the spot,” and helps stabilize the lower jaw. That is where a wave of the tongue starts on the alveolar ridge, where those bumps/ridges give your tongue some traction to push off and initiate the swallow.
-Next, your tongue segmentally squeezes and waves the fluid or food along the roof of your mouth from front to back toward the back of the mouth and esophagus, like a peristaltic wave.
-Your top back teeth should touch lightly on your bottom teeth, helping to stabilize the jaw.
-Your tongue then returns to anchor in its postural resting position on the roof of your mouth, allowing your head, neck, and jaw to relax.
-Your head and neck muscles and lips should not noticeably move or contract when you swallow.
-Breathe through your nose and diaphragm, keep your lips closed.
-Calm your breathing to 12 breaths/minute. Small/short breaths in and relaxed/slow breaths out.
-Do not brace, clench, or grind your teeth.
-Teeth should only momentarily touch when swallowing.
-Stretch your upper lip if needed. Keep your nasal pathways clear.
-Helps create gentle suction to keep the tongue to the roof of the mouth which in turn allows you to separate your teeth and keep your jaw muscles relaxed.
Calm your muscles and mind
-Reduce stress and exercise.
-Practice proper breathing again.
Stop Hurtful Habits:
-Do not brace, clench or grind your teeth
-Do not keep objects between your teeth, e.g. smoking, instruments, whistles, snorkels, pencils, toothpicks, your cheek, hair, etc.
-Avoid excessive biting, chewing, and licking: stop biting nails, cheek, gum, suckers, etc.
-Avoid external pressure on the jaw:
-Stop sleeping on your stomach at night. Sleeping on your back is best.
-Use a headset or speakerphone and don’t hold the phone between your ear and shoulder.
-Stop resting your head by putting your head under your chin.
-Food to avoid:
-Anything chewy, painful, or tiring
-Chewing gum and ice
-Hard and chewy candy
-Sinewy meat such as steak
-Crunchy raw vegetables
-Chewy bagels and hard or chewy bread
-Crunchy foods such as nuts
-Mixed consistency foods such as ice cream with nuts
-Avoid full unsupported yawns or other full jaw opening activities. When yawning, keep your tongue on the roof of your mouth and hand below the jaw to help support it.
Partially adapted from the book: The TMJ Healing Plan by Cynthia Peterson and other sources
Another first for Movement! Recently Scott became the only MovNat Certified Trainer (MCT) in the Colorado mountain region. MovNat is a physical education & fitness system based on the full range of natural human movement abilities. These include the locomotive skills of walking, running, jumping, balancing, crawling, climbing & swimming. In addition we practice the manipulative skills of lifting, carrying, throwing & catching. How we move is how we train. More about MovNat can be found at: https://www.movnat.com/
We have found "Natural Movement" is one of the most powerful ways to help the rehabiliation process and to stay moving well throughout the lifespan. Contact us to learn more about integrating MovNat into your rehab or fitness programming.