Sunday October 1, 2017

HURRICANE HARVEY TURNS LIFE BOTTOMS UP

Hurricane harvey 1

How this Iowa girl is making a difference with diapers

by Lindsey Klyn, Marketing Specialist at Kinetic Edge Physical Therapy

Landhuis FamilyA month ago, the name Harvey was on everyone’s radar. Harvey dumped 27 trillion gallons of rain in southeast Texas and southwest Louisiana over the course of six days. This catastrophic flood disaster displaced thousands of Americans from their homes and caused an estimated 450,000 victims to ask for disaster assistance. As this news unfolded, Iowa resident and former Texas native Kayla Landhuis knew she needed to do something to help.

“Most of my life was spent around Dallas, but I lived outside of Houston, for 3 years,” said Landhuis. “My parents, who are still in Dallas, had friends from Houston evacuate to their house. This family literally lost everything.”

Landhuis shared that this was the first time she knew someone personally that was impacted in such an extreme way, which really shook her. She knew she could do something to help too, even all the way from Iowa.

Through Texan friends on social media, Landhuis became aware of the desperate need for diapers, so she posted on her social media and emailed the Kinetic Edge team that she was collecting diapers and wipes to send to Baby Booties Diaper Bank in Texas.

“In a normal year, Baby Booties provides diapers for over 3,000 babies in North Texas,” shared Landhuis. “Baby Booties sent out 63,300 diapers within a seven-day period after Harvey hit Texas. Since they are a small diaper bank, they completely ran out of several sizes.”

So far, Landhuis has collected 1,512 disposable diapers, 552 wipes, and 39 cloth diapers. This donation will allow Baby Booties to restock their shelves and continue to provide support to areas devastated by Harvey. Diaper banks in North Texas, such as this one, are anticipating an increase in need of their services dues to refugees staying in the area.

Hurricane harvey 1Landhuis currently resides in Roland, Iowa and works as the Customer Care Coordinator for Kinetic Edge Physical Therapy. After living through Tropical Storm Allison in 2001, Landhuis understood better than most Iowans the impact Harvey would have on people’s lives.

“It’s been kind of surreal watching all the footage of the storm and flooding, especially of places I went as a kid!” commented Landhuis. “I think I’m fortunate to live in an age when we’re all so connected. It was easy for me to check in on friends and make sure everyone was okay.”

The need in Texas is still great! If you feel compelled to make a difference as well, please consider these ways to help:

Sunday October 1, 2017

THE 3 MOST COMMON SHOULDER PAIN MYTHS

shoulder pain

The Three Most Common Shoulder Myths 

by Troy Vander Molen, PT, DPT

 

shoulder painPeople with shoulder problems are a common sight at our clinics. Shoulder problems are the third most common condition we treat at Kinetic Edge. We estimate that we have had nearly 10,000 treatment sessions with people experiencing shoulder pain at our five clinics in the past three years. That’s a lot of shoulder pain!

One of the best things about being a physical therapist is that you get to build relationships with your clients. During our 45-minute treatment sessions, we learn a lot about them: both their hopes and their fears. And having a pain problem definitely elicits many fears.

Sometimes those fears are fanned by false beliefs. So, this month I’d like to share with you the three most common myths we hear from our clients about shoulder pain so that we can give you hope about a healthy future.

Myth #1: “My shoulder hurts. I need an MRI to figure out what’s really going on before I can fix it.”

There is no doubt that in the modern age there are many technologies available that are really exciting and allow us to understand what kind of pathology exists within our bodies. Thus, it is very tempting to default to an MRI when you’ve been experiencing pain for some time. After all, wouldn’t it be easier to fix the problem if we knew exactly what was going on in there?

There are several problems with this approach. First, MRIs are expensive. They often cost $2,000-$3,000 – sometimes even more – because the technology is advanced and expensive. Add in the cost of the medical experts who read and report on the findings, and the costs climb.

You might think, “That’s why I have insurance.” While insurance may help reduce your direct costs, these costs end up having an indirect impact on other and future medical costs. You might be able to justify the expense if the results of the testing resulted in a positive outcome. Unfortunately, most MRIs don’t change the plan of care, and, thus, they are unnecessary.

A study that looked at medical expenses in 2009 found that Americans spent $6.8 billion on 12 unnecessary tests and treatments, which included the use of MRIs. In other words, $6.8 billion was a conservative estimate of the cost of unnecessary care. This is a big part of the health care crisis we’re experiencing in America today!

The primary problem with MRIs is that they are very sensitive, but they aren’t very specific. In other words, you can clearly see evidence of wear and tear (sensitivity), but that evidence does not necessary tell you why you are hurting (specificity). That means that the information obtained in an MRI can be very misleading and lead to even more unnecessary and ineffective treatments.

You see, pathology does not equal pain. The tissue damage you might find on an MRI is evidence of wear and tear, but recent research shows that many asymptomatic people – people without pain – have evidence of tissue damage identified on an MRI. Wear and tear is normal, and it becomes more common as we get older, but having evidence of wear and tear doesn’t mean that you will experience pain. And, it doesn’t mean that you can eliminate pain by getting rid of the damage.

Most people with shoulder pain don’t need an MRI. What they do need is to figure out if their shoulder is experiencing mechanical stress due to some type of movement inefficiency in the shoulder complex. It is much more effective – and much less costly – to visit a physical therapist that specializes in evaluation and treatment of the shoulder than to immediately default to an expensive MRI. If conservative care fails, an MRI may be a good choice later in the process.

Myth #2: “I have a rotator cuff tear. I guess I’ll need surgery to fix it.”

In the previous section, I spoke about the sensitivity of diagnostic testing while cautioning you about the lack of specificity. Finding a problem with an MRI can lead to treatments that are either ineffective or unnecessary.

Let me give you some details about what I mean about that:

  • A study by Tempelhof et al (1999) revealed that 23% of people with pain-free shoulders had a rotator cuff tear. Newer research indicates that 35-40% of healthy people – people with no shoulder pain – have rotator cuff tears, and this number rises to 2/3 of people age 70 and above.
  • Recent research indicates that more than 1/3 of people who undergo a successful rotator cuff surgery still have a rotator cuff tear. 16% still have partial tears and 20% still have complete tears.

Why get a surgery to fix something that many pain-free people also have? The goal is to improve the movement and reduce the pain – to feel better and function better – not fix the rotator cuff, and this can occur without going under the knife.

Myth #3: “I’ve already tried physical therapy. It didn’t work, so I shouldn’t waste my time again.”

We’ve heard this one a lot, and, believe me, I understand your hesitance to try something again that didn’t work in the past. But, I want to share something that it took me many years to learn. Sometimes physical therapists haven’t figured it out yet.

I’ve been practicing physical therapy for 21 years. When I was a young therapist, I swear that sometimes my clients got better despite me. It stroked my ego when a former client came back to me and said something like this, “Troy, you helped me so much six months ago. My shoulder is hurting again, and I want you to work your magic like you did back then.” Of course, that message immediately felt good, but eventually I had to be honest with myself. Did I really help them if the pain came right back?

Almost every physical therapist is good at making people feel better. Rest, ice, ultrasound, massage, and basic exercises can eliminate pain. But, would it surprise you if I said that my goal isn’t to get rid of your pain?

Yes, I want you to feel better, but that is only half the battle. I want you to feel better AND to function better. Something in your shoulder is hurting because it is experiencing some kind of mechanical stress. That mechanical stress results in inflammation and pain, and as physical therapists (like the health care centers that own the MRI machines) we own some cool technology, tools and treatment devices that can help reduce the inflammation and get rid of the pain… at least temporarily.

However, if I have not helped you improve the efficiency of movement of all the parts in and around the shoulder, that mechanical stress still exists, and your inflammation and pain will likely return. I have only helped you feel better, not function better.

At Kinetic Edge, we have identified two major areas that are often overlooked in people that have shoulder pain. Like all areas of the body, one area is directly influenced by its closest neighbors. By improving movement capabilities in the entire system – not just reducing inflammation in the area of pain – we can help you eliminate the mechanical stress and solve the root problem. That’s the only way to have long-term success with shoulder problems.

If you’d like to have one of the Kinetic Edge shoulder experts perform a free injury screen and look at those two major areas in your body, give us a call. We are happy to give you a brief screen at no cost or obligation to you. Just call now at 866- 588-0230 because spots are limited.

 

 

Friday September 1, 2017

7 ANKLE INJURY MYTHS: HOW TO GET BETTER FASTER

Ankle tape

by Dr. Troy Vander Molen, PT, DPT

Taping AnklesAthletic taping for all sorts of conditions has become an extremely popular and somewhat controversial topic over the past few years. There is no doubt that new products have gained great popularity over the years. Do you remember the Olympics and all the colorful tape products adorning so many athletes? The use of flexible taping products has become a fashion statement almost more than an injury preventer or performance enhancer.

Many assume since Olympic athletes use tape, they should too. With the start of fall seasons, we’re frequently asked about taping ankles for football, volleyball, and cross country.  So let’s dispel seven myths you might have heard about taping so you can keep your student-athletes ankles safe and feeling good!

  • Myth #1: Athletic taping is a new, trendy practice. Though there’s a lot of new and trendy taping products available today, traditional athletic tape products have been used for decades to enhance stability and control ankle mobility. For many years it was a practice primarily reserved for people who had recently experienced an ankle sprain or had chronic ankle instability. Even the “newer” flexible taping products were originally invented in the 1970s by Japanese chiropractor Kenzo Kase.
  • Myth #2: I should lay off my ankle after injuring it. How you treat your ankle injury depends upon the nature and the significance of the injury. However, the research is clear: early movement is critical to enhancing the healing process after tissue injury. But, that movement must be controlled to prevent unnecessary stress on the healing tissue – stress that could further damage the tissue. For a time, that may require immobilization of the ankle while bearing weight on it, but, even then, movement via active range of motion is beneficial. With many ankle sprains, the stability provided by ankle taping reduces stress on those healing tissues, and you should be able to function with less pain and move more safely.
  • Myth #3: Taping my ankles should mask my pain. The use of athletic tape should never be done to mask pain, though it can certainly reduce it. If you are taped up and still experience pain with functional performance, you could still be causing damage to the tissues and interrupting the healing process. You should also understand that athletic tape loses some degree of support when it experiences the stresses of movement. The tension of the tape wears down and the supportive effects are minimized somewhat. Therefore, a re-application of tape may be necessary.
  • Myth #4: Ankle braces are better than ankle taping. Some people will choose to use an ankle brace instead of tape. I can understand why people consider this option. Though it has greater upfront cost, a brace can be easily and more quickly applied without the help of someone who is skilled at ankle taping. Ankle taping can also cause skin irritation, and no one likes that. However, ankle bracing has its cons too. Braces are usually bulker and may be hard to fit inside an athletic shoe. Because of this, some people find braces to be less comfortable than athletic tape.
  • Myth #5: Taping my ankles makes me more susceptible to injury to other lower extremity joints. Though you may hear claims otherwise, there is no evidence that taping or bracing makes you more susceptible to injuries further up the leg. These taping interventions also do not weaken ankles or make you more susceptible to ankle sprains in the future, although I still encourage people to eliminate the extra support when the body is ready to support itself independently so that you can stimulate better the body’s proprioceptive system (see Myth #6) used to enhance balance.
  • Myth #6: Taping or bracing my ankles is a good proactive measure to prevent injury. Over the years, I have seen many people – particularly volleyball players – use ankle braces prophylactically. In other words, the athlete doesn’t have a history of ankle problems but uses a brace anyway in hopes of preventing a common problem in her sport. Because the body uses neurological feedback from tissue movement to engage muscles – something called proprioception – I do not recommend using either athletic tape or braces if you’ve never had an ankle problem. Even if you are hypermobile, double-jointed, clumsy or feel weak, it would be best for you to develop the neuromuscular skills to prevent problems than to rely on external support.
  • Myth #7: Flexible taping (like Kinesio Tape, Rock Tape, and Spider Tape) are a good solution to ankle sprains. These “magic tapes” are definitely all the hype right now. If you aren’t familiar with flexible taping products, these tapes have elastic properties that mimic the flexible properties of human skin. This means that they allow for some “recoil” or pulling force on the skin and underlying tissues.

Though there are many questionable claims about the benefit of flexible tape, there is very little empirical evidence to support its use. The most current research indicates, though, that this intervention can help in two ways: swelling reduction and pain relief. However, flexible tape does not enhance performance, and – this is important – it does not provide the stability that many ankles require, particularly when attempting to compete while tissues are still healing after a recent ankle sprain.

If you want to learn more about kinesiology taping, you can read a previous article I authored on this LINK.

Osky High AT Room-8So, are you best off taping your ankle, bracing your ankle, or leaving it be? Like most things, it depends. If you are unsure about what is best for your individual circumstances, consult with your athletic trainer or physical therapist to find out which option is best for you.

We love being your resource for musculoskeletal issues, so once again we are going to make it easy for you to get the help you need without cost or obligation. If you have a history of ankle problems – whether you’re a current or former athlete – simply call into our office at 866-588-0230 and get scheduled for a brief, free injury consultation. Spots are limited, so call now using the code phrase “FREE KINETIC EDGE ANKLE SCREEN” to claim one of the few spots we have available. It will only take 20 minutes of your time, and you could find out something that saves you both money and pain.

Friday September 1, 2017

OSKALOOSA HIGH SCHOOL ATHLETIC TRAINING ROOM RENOVATION

Osky High AT Room-14

OSKALOOSA HIGH STUDENTS TEAM WITH KINETIC EDGE FOR ATHLETIC TRAINING ROOM RENOVATION

by Marketing Specialist Lindsey Klyn

Osky High Athletic Training Room
L-R: Athletic Trainer Laura Norberg, Senior Blake Van Veldhuizen, Senior Brandt Brown, and Physical Therapist Carol Kelderman smile in front of the newly renovated taping table

If you’re a student at Oskaloosa High, you have the opportunity to take Mrs. Anna Gritters’ Written Communications course. It’s a college-prep writing class that approximately 75-125 students choose to take each year. But the course does more than just prepare students for college writing courses. It’s helping them make real differences right in their community.

Oskaloosa High worked hard over the past few years to get their students to do real-world research while working with adults in the area through project-based learning (PBL). Mrs. Gritters came up with her own PBL assignment around five years ago. She requires her students to write an essay about what improvements they could see making a difference in the school or community and then puts them in groups to actually figure out the logistics of what it would take to make that change take place.

Through this assignment, students noticed the athletic training room at the school could use some improvements.

“We use this room pretty much every day, and it wasn’t top notch,” shared Senior Blake Van Veldhuizen. “We knew we could make it better than it was.”

Alongside their group, Blake Van Veldhuizen and Brandt Brown began to research this idea. They called and emailed multiple companies to find out pricing information. They set up interviews with administration and teachers to find ways to offset costs of brand-name equipment. They talked to fellow students to see how high the demand was for improvements to the training room. Then they wrapped this all up into a presentation to share with their classmates, parents, and teachers at Oskaloosa High’s PBL night.

“A lot of people supported the idea,” shared Senior Brandt Brown. “We just needed the money to make it happen.”

In March of 2017, Kinetic Edge Physical Therapy’s Oskaloosa Clinic Manager Carol Kelderman contacted the school wondering how donations they had raised through their Join the Movement program could best be put to use, unaware of the recent PBL presentations. Through their Join the Movement program, Kinetic Edge donates to a local non-profit any time one of their clients refers a friend or family member to them for therapy. After speaking with several different activity groups around the school, Activities Director Ryan Parker mentioned Brandt and Blake’s idea.

“When Mr. Parker told me the athletic training room could use work, I thought that was perfect!” shared Physical Therapist and Clinic Manager Carol Kelderman. “We couldn’t ask for a better match for Kinetic Edge since we provide athletic training coverage for the school and regularly treat their athletes in our clinic.”

Osky High AT Room-16

Thanks to Kinetic Edge Physical Therapy’s donation of $1,000, renovations to the athletic training room began. The Kinetic Edge team along with Brown and Van Veldhuizen added a fresh coat of paint, brought in a new cabinet to help with the room’s organization and add counterspace, purchased a new treatment table, and hung décor around the room. One of the biggest changes came with the new taping table, which was renovated from an old science cabinet so that four athletes can sit on it to be taped.

“The renovation is awesome and makes this a much more functional space,” shared Kinetic Edge’s Athletic Trainer Laura Norberg who cares for all the school’s student-athletes. “The addition of the taping table means I don’t have to bend over so much which is good for my back and also allows me to more quickly get kids taped up and out to practice since at least four of them can sit in a row on it.”

Norberg provides injury prevention, screens, and care, and all of her services are free for students of Oskaloosa High. She’s onsite at the school’s athletic training room, located between the boys’ and girls’ locker room, every Monday from 3:30-5:00 PM and every Wednesday from 2:30-4:00 PM and covers all home varsity events, away football games, and JV football games.

Parker shared that Oskaloosa High already has 160 students out for fall sports and anticipates that number to rise well over 200 before the end of the year. Norberg estimates she serves an average of fifteen students each day from the athletic training room, and the new space will allow her to serve the students better than ever before.

 

 

 

Tuesday August 29, 2017

REASONS TO TRY PEDIATRIC PHYSICAL THERAPY

Outdoor recreation

Is pediatric physical therapy right for your child?

by Emily Norton, Marketing Strategist and Analyst

Outdoor recreationThe American Physical Therapy Association states, “Pediatric physical therapists (PTs) work with children and their families to assist each child in reaching their maximum potential to function independently and to promote active participation in home, school, and community environments.  Physical therapists use their expertise in movement and apply clinical reasoning through the process of examination, evaluation, diagnosis, and intervention” (Section on Pediatrics, APTA, 2009).  Pediatric physical therapy is adapted to the individual need of each child to progress motor development and function as well as strength and endurance in children ages 0-21.

Top 6 reasons to try pediatrics physical therapy:

  • Delayed Milestones (0-15 months) – Is your infant behind in rolling, sitting, crawling, standing, walking?
  • Delayed Coordination (3-15 years) – Does your child struggle with motor coordination or sports activities like jumping, catching, running, or skipping?
  • Walking Difficulties or Deficits – Does your child trip or fall often? Can your child walk for long distances without rest?
  • Musculoskeletal diagnoses – Does your child suffer from cerebral palsy, spina bifida, TBI, Down Syndrome, or a similar diagnosis?
  • Torticollis (0-8 months) – Does your infant look to one side more often than the other or have difficulty turning their head?
  • Does your child have any musculoskeletal injuries?

If you have answered YES to any of the above questions, then your child might benefit from pediatric physical therapy. A physical therapy session at Kinetic Edge entails hands on techniques and therapeutic exercises tailored to each child’s specific needs.  Goals are reached through play or recreational based activities.  It is important that each child is engaged, motivated, and having fun throughout each therapy session so they can succeed and achieve functional goals to carry over into their everyday activities.


We’re offering these FREE pediatric screen days with Whitney Steingard on:

 

Tuesday, October 10 from 1:00-6:00 PM

Kinetic Edge in Pella — 604 Liberty Street, Suite 227

 

How do you reserve a time for the pediatric screen day?

Email us or call our office to register using our toll-free number, 866-588-0230. Don’t hesitate reserve a time. We have limited 20 minute screens.

So if you would like to attend, register now! Call 866-588-0230 or email us.

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