Showing posts with label Bauer Physical Therapy. Show all posts
Showing posts with label Bauer Physical Therapy. Show all posts

Monday, January 27, 2014

Healthy Habits for Your Back Pain

The Care and Relief of Back Pain


As part of internship at +Bauer Physical Therapy , Michelle Hoffmann, Physical Therapy Student at the Doctoral Program at Chapman University Program in Physical Therapy, presents: Caring for Your Back. 

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Please read on and watch the video below.



If you have experienced back pain then you know how it can affect your lifestyle and ability to engage in work and daily activity. Back pain can knock you down for days or weeks. You may have debilitating pain where you are confined to a bed, or the daily nagging ache that just wears on you. There may be localized pain, or numbness and tingling that refers to the legs. 

Back pain presents itself differently based on the structures involved. There are many sources of pain that can be referred from the spine and surrounding tissue. This is why careful assessment and diagnosis is required to identify the culprit of your complaints.  


Back Pain is not Created, or Treated, Equally.

There are many treatments purported to relieve back pain once and for all. This just is not true. The relief of back pain requires looking at all possible causes and developing an individualized treatment program to address the potential stressors. 


Back pain can be the result of accumulated stressors that act on the spinal structures over time. These are a few causes of repetitive stress. 

  • Postural habits
  • Lifting technique
  • Repetitive movements
  • Repetitive compression(sitting, bouncing)
  • Poor mechanics: golf, tennis
  • Poor preparation: lack of fitness
Repetitive stress must be avoided to lessen the build up of forces acting on the culprit structures so that healing can take place. In the long-term, this includes a host of educational opportunities that are specific to each individual.

Once a back patient, always a back patient. There must be commitment and development of daily habits that promote a healthy back. These habits include:
  • Exercise specific to trunk muscles and improved fitness.
  • Attention to posture at work and home.
  • Mechanics of lifting and bending(squat).
  • Sitting and Chair selection while relaxing or at work.
  • Relaxation techniques to manage stress and pain.
  • Fatigue avoidance strategies in static and dynamic activity.

There is no one way to treat back pain. In many cases it did not take a day or a week for your pain to manifest itself. Likewise, it will not take a day, a week, or even a month to restore your body and relieve your back pain.

Managing Back Pain Begins with Education





If you have questions regarding your back pain please leave a comment below and sign up for the Healthy Back & Healthy Habits.

Practicing for over 25 years, +Randy Bauer has treated a variety of surgical and non-surgical cases involving the spine(neck and back). From the 'stay-at-home-mom', the weekend warrior, the high school athlete, business person and entrepreneur, and high-level athlete, all have been treated with the same passion and expertise, addressing each with the desire to Get Better.

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Tuesday, November 26, 2013

Game Plan for Youth Athlete Success

A Game Plan for Success in the Youth Athlete

Success is No Accident
The Youth Athlete is experiencing rates of injury at greater proportions. These injuries can be life threatening, such as head trauma that occurs in concussion. Injuries can involve ligaments, muscles and bones sustained as a result of sudden or repetitive trauma. The fact is that many of these injuries can be avoided with proper education and design of performance enhancing training programs. The goal of the Game Plan for Success program is the health and well-being of the young athlete in sports, and through adulthood.


Proprioceptive Training
There is a growing demand for the young athlete to play in sports year round, participating in school and club sports, often specializing in one sport before entering high school. The result is an athlete that has not developed athleticism, and is only exposed to consistent movement patterns and experiences. 

As a practicing physical therapist with over 25 years of experience training athletes of all ages and abilities, I have seen far too many young athletes suffer an injury that has sidelined there participation in sports for a season, and a career. There are two primary causes to this growing rate of youth injuries:

Overexposure to injury due to increased practice and competition.
I have had discussions with soccer athletes returning from college, and when asked if they are playing more soccer in college or high school/club, the answer is always high school/club. Too many contacts through out year round play in games and practice, combined with limited rest and recovery, a there will be an increased frequency of injury.

Lack of specific and individualized training progression.
Designing a sport-specific training program requires careful consideration of individual abilities, musculoskeletal development and the demands of the season. Many injuries are directly related to poor training program design. A sports performance training program must include core components:


  • Reduce the risk and prevention of injury strategies
  • Neuromuscular and Proprioceptive training 
  • Health and well-being (Recovery, Nutrition, Mental Preparation) 
  • Education of youth athlete, parents, and coaches. 
  • Fitness and Health Testing


The training of a 12 year old will require a program that is different than that of a high school senior. Likewise, training a female athlete will demand a different approach to training than that of a male athlete. The female athlete is 7 times more likely to injure the Anterior Cruciate Ligament(ACL) than their male counterpart. These findings express the need for gender specific training programs.


Recommended book by +Warren Potash 


They're Not Boys - Safely Training the Adolescent Female Athlete




Game Plan for Success: Youth Athlete (follow this link)
By completing the above link you will begin to define Your Game Plan for Success. Randy Bauer, Physical Therapist will contact you with an personal email for a 20-minute session to outline Your First Steps to a Game Plan. If you have any comments or questions please enter in the comment session below.



Strategies that prevent re-injury also demand attention. Young athletes that are injured have a greater incidence of reoccurring injury. Return to play strategies must include fear avoidance strategies, progressive return to play opportunities and development of fitness levels consistent with competitive demands.

Included below are a series of excerpts that discuss the youth athlete game plan for injury prevention, sport-specific training, fitness and health. 



https://plus.google.com 06/03/2013 18:40

Youth athletes are being overexposed to practice and competition in sports, and the result is increased overuse and traumatic injury. Youth sports is important for the development of our children's well-being. The are some helpful tips that can be followed to take proactive approach to monitoring the youth athlete. There must be an Athlete Game Plan that ensures safety and well-being of the youth athlete.
#athletegameplan   #youthsports   #youthsoccer   #overuseinjury  
Read more ...

Performance Nutrition for Energy, Recovery and Health

http://www.slideshare.net 2011-11-07

A Successful Athlete will have a Game Plan. A Vital Component to High Level Performance is Nutrition. Performance Nutrition Provides Energy for Training, Recovery and Maintains Mental Function, all Vital to Success on the Competitive Field.
Read more ...

Speed Training and Dynamic Warm-up

GamePlan for Success:Speed Training Dynamic Warm Up
http://www.slideshare.net 2011-10-09 
Speed training requires proper warm-up to prepare for the workout session. Speed training is an intensive neuromuscular activity. Proper preparation is required for successful outcome and injury prevention. Gear For Success: Athlete Wellness Game Plan


Speed Testing and Training for Football

Football Training: Speed Testing and Training Considerations
http://www.slideshare.net 2012-08-11 
Football Speed Considerations Energy systems Testing considerations Periodization Dynamic Warm-up Speed training Sprint techniques Specific-conditioning Presented by Randy Bauer Bauer Physical Therapy Laguna Hills, CA www.bauerpt.com 94 ...
Read more ...


Ankle Injuries in Soccer: Treatment and Prevention

GamePlan forAthlete Success: Treatment and Prevention of Ankle Injuries in Soccer
http://www.slideshare.net 2011-07-30 23:47:38 UTC
Ankle sprains are common in soccer. Prevention and initial treatment of the ankle sprain will improve return to play and reduce the incidence and re-injury, maximizing performance on the field. www.bauerpt.com
Read more ...

Return to Play Following an ACL Injury

https://plus.google.com 10/20/2013 14:02
ACL Injury: When Can I Play?

The Anterior Cruciate Ligament(ACL) Injury devastates athletes of all ages. From the aspiring young athlete to the seasoned professional. Careers are interrupted and often ended by the ACL injury.


Reducing the risk of injury requires preparing the athlete to meet the sport-specific demands of the activity. Decreasing the exposure to injury is another way to impact the growing number of sports injury, specifically in the young athlete population. 



The development of sport and age-specific training programs must consider neuromuscular and technical training concepts to ensure gradual progression of a comprehensive performance based program. The young athlete must not be trained 'as if ' they are already at the next level.

Read more on Overexposing the Youth Athlete to Injury  http://goo.gl/6Hlf29

Read More on the Mechanism of Injury and Reducing the Risk of ACL Injury in Soccer http://goo.gl/MNpgAF

Read More on Teens and ACL Injury: Reducing the Exposure and Return to Play  http://goo.gl/ZWUilO

#aclinjury #youthsportsinjuries #returntoplay

+Warren Potash +Bradford Lowry +Joe Napolitani +Soccer Talk

Read more ...



Thursday, October 17, 2013

How to Relieve Joint Pain Exercise or Supplements

Relieving Joint Pain with Exercise and Supplements

Ted Kinsman/Science Source
Suffering from joint pain as a result of osteoarthritis is both debilitating and costly. This has lead to an increase of joint replacement surgery. To avoid progression of degenerative joint disease the advancement of treatment protocols and proliferation of joint supplements and  exercise therapies has resulted in growing services and products. There are many supplements that have been reported to benefit the pain relief and further breakdown of the joint surface.

These supplements, including Chondroitin and Glucosamine, initially trialed on horses, are purported to do both, decrease pain and slow the breakdown of the cartilage surface of the joints.
The idea behind supplements is restoration of the weight bearing surface. There has been research that looks into the benefits of these supplements as a reliable treatment for mild to moderate osteoarthritis and knee pain




Due to the weight-bearing nature of the knees and hips, these joints are particularly sensitive to the loads of daily living. The result is progressive loss of function and performance with activities that include walking, sustained sitting and standing, stairs and bending. The progression of joint pain and functional loss then becomes a source of de-conditioning and potential weight gain. This leads to a cascading effect of diseased actions on the cardiovascular system(heart and circulation), and other systems of the body.

Exercise and weight loss in the aging individual is a proven method of relieving pain and improving functional ability when you have been diagnosed with osteoarthritis. Maintaining healthy weight has a significant impact on reducing the stress to weight bearing joints. Orthopedist +Steven Meier  noted in a post that " for every pound of weight you lose there is a four fold decrease in the stress of each knee ".

There has been further research to support the benefits of Intensive Diet and Exercise for Arthritis:

The combined diet and exercise group also showed reduced knee pain, better function, faster walking speed and better physical health - related quality of life, compare with the exercise only group.




What type exercise will benefit my joint pain?

When it comes to exercise for joint pain related to degenerative changes the bottom line is exercise more. It does not matter what type of exercise you do, Just Do It. 

The primary goals of exercise with degenerative joint changes are:
  • Improve mobility
  • Increase strength and endurance of the muscles
  • Decrease body weight if you are overweight
  • Maximize functional capacity
  • Experience less pain
Increasing strength of the muscles that support the joint provides controlled movement and absorption of joint forces. A body that is able to exercise and move increases vascular supply throughout the body and locally to joint, improving circulation to cartilage. Increasing weight bearing activities also benefits the the skeletal system, increasing body density. This helps to slow the softening of bones, Osteoporosis.

Exercise for joint pain can be applied by varied modes of activity with these goals in mind. 

Walking is a great activity that can be performed to engage the body in an activity, and provides a means of stress reduction. If you have mild to moderate joint pain try using walking poles, or sticks, to provide some relief of excessive joint stress. Using durable trekking poles on uneven terrain provides increased economy and additional calorie consumption over the long haul. On a recent trip on the John Muir Trail, Ron's Trek for Parkinson's, the trekking poles provided the necessary support and protection over the 80 miles that I accompanied my brother as he hiked the complete 210 plus mile journey.

Hiking With Sticks

Riding a bike is another activity that gets you outdoors, and minimizes excess loads to the hips and knees. Riding a stationary bike provides more control over workloads and ensures stability. Perform with light resistance initially, emphasizing revolutions per minute, or RPM's, greater than 70 RPM's. Light resistance with increased RPM's reduces the friction of the joint. Gradually increasing the tolerance of resistance and duration as this will provide an excellent stimulus to muscular strength and endurance that will carry over to you walking ability.

Aquatic exercise provides the benefits of reduced joint compression due to the buoyancy effects provided by the water. Exercising in the water is preferred if you have moderate to severe joint pain. Water activity can be swimming or a movement based program of designed exercises to engage the whole body. There are a variety of water exercise tools that can be used to support and resist your efforts.

There are additional exercises that are great for total body fitness and support for exercising joints that require improved mobility, endurance and balance.

Consult with a Physical Therapist
Physical Therapists are trained in the science of movement and exercise physiology, and how this relates to injury, pain and degenerative processes of the body. A Physical Therapist works closely with your Medical Specialist(Orthopedist) to design an individualized program, educate you on a home program, and progress your program to meet functional goals and return to activity. 
If you have any questions regarding exercise and what you can do to help your joint pain you may contact  +Randy Bauer through my website: Bauer Physical Therapy(http:bauerpt.com) or Page at +Bauer Physical Therapy .

Progress to movement based exercises can include Yoga, Pilates and Tai Chi. These activities, when engaged in a supportive environment are safe and effective modes of exercise, and provide added challenge to maximize your fitness and well-being.

There is much you can do to prevent the progression of joint pain and progression of degenerative changes of the joint. Self-management through intensive diet modification to reduce the effects of body weight on the joint, and an individualized exercise program designed to improve your functional capacity are backed by research. Supplementation, while supporting relief of symptoms of those experiencing pain related to mild to moderate joint changes, does not reverse the degenerative process, and does nothing for improving your functional ability to move and exercise.







Thursday, August 29, 2013

How SmartBells Work For Physical Therapy

How SmartBells Work for Physical Therapy


I was introduced to SmartBells over 5 years ago in my Physical Therapy practice, Bauer Physical Therapy. In no time was hooked by the innovative and genius design, and began to understand how I could use the SmartBell, not only with my Physical Therapy clients, but also for specialized fitness and sports conditioning programs, and work conditioning.



In my practice I have developed functional routines for a variety of rehabilitation implementation. This has included teaching body mechanics of lifting, postural re-education, and upper and lower core conditioning for baseball players. The design of the SmartBell allows for a variety of functional grasping techniques. This instills ergonomic gripping unlike the conventional use of bars and dumbbell.



The SmartBell also is sturdy, making it literally unbreakable. Place it on the floor and it becomes a platform for push-ups, plank rows, and even standing to promote balance. In the manner of upper extremity weight-bearing the wrist is assumes a more neutral position, unlike the standard push up posture where the position of the wrist is more extended.

The SmartBell can be used with a bilateral grasp, or you can grasp two SmartBells in the middle portion. This allows for bilateral symmetrical and asymmetrical exercises (bent-over flies, alternating flies). This functional emphasis provides for a variety of movement patterns. Developing protocols to meet the demands of your clients, or your own fitness needs are only limited by your own innovations.

You can visit ThinkFit if you are interested in purchasing your own SmartBells. If you have questions regarding the use in your own setting or fitness program do not hesitate to comment below, and I will be glad to answer your questions or comments. If you choose to purchase a SmartBell at ThinkFit use the coupon code: RBPT on check out and you will be provided a 10% discount on purchase.


 

Saturday, November 10, 2012

A Guide to Good Posture

A Guide to Good Posture





This is a great guide to good posture. There is one important suggestion that I must add. That is to become more attentive to how you feel during the day. Remember that fatigue will sneak up on you at work, around the home, or driving around town. When muscles fatigue and you do not provide some postural relief, the muscles will become painful. It is recommended that postural relief, fatigue avoidance exercises be performed throughout the day, even before fatigue is experienced.

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Wednesday, October 24, 2012

Shifting Your Wellness: Why Do You Want Wellness?

Shifting Your Wellness


Why do You want Change?

+Lifehack 
Shifting Your Wellness begins with understanding what is important to You. Why do You want Wellness? This is a question that will fuel Your pursuits toward greater Well-Being. Answering the question: Why do I want to be WELL helps establish direction and is the foundation to developing Your Wellness Vision.


To better develop this Wellness Vision that will lead You to more profound changes in areas of Your Wellness let's begin with defining Wellness. As you proceed through the +SlideShare  below You will better define Wellness, and more importantly, better define Why Wellness is important to You.





Wellness Shift: Wellness Defined First Steps to Balanced Change from Bauer Physical Therapy

The primary areas of Wellness encompass the physical, mental, emotional and spiritual areas of Your Self. It also includes Your social and environmental aspects of Your life. Being Well may allow You to be more productive at work and home, and perform activities that you enjoy with others, or Yourself. It may be overcoming an injury or health condition that would otherwise make you more dependent on Your loved ones. It may be taking a more active approach in your health by eating better, finding time to rest and reducing Your stress. It may be Shifting Your Health by monitoring various health indexes like Your blood pressure, steps in a day, or wearing a heart rate monitor while exercising.






I hope this provides some impetus to a Shift in Your Wellness. Most importantly, I hope the question; Why Do You Want Wellness? is answered. If there is any way I can help in Your Wellness Pursuits complete the following survey and I will get back to You with additional information regarding Your Wellness.




Monday, July 23, 2012

Core Strengthening for Baseball: ProBell and SmartBell

Core Strengthening for Baseball: ProBell and SmartBell Applications


Developing core strength and endurance is the foundation of baseball fitness. Implementing a core stabilization program improves performance and prevents injuries. This Core Strengthening for Baseball Program is an overview of the application of the ProBell and SmartBell. At Bauer Physical Therapy we use these tools extensively in our rehabilitation and sports performance programs.








If you have questions regarding the ProBell and SmartBell applications with Baseball Training and Core Strengthening please contact Randy Bauer at Bauer Physical Therapy, Laguna Hills, CA.

If you choose to purchase online at http://thinkfit.com use the Coupon Code: RBPT (10% off).

Thursday, February 23, 2012

Managing a Pain in the Neck

Managing a pain in the neck requires a few basic, yet important concepts. Adam Babitts, a physical therapy intern at Bauer Physical Therapy (Laguna Hills,CA), provides some suggestions that will
help manage that "pain in the neck". Simple exercises that can help relieve postural stress, fatigue and the onset of pain that you may experience.

.