What is Chronic Inflammatory Demyelinating Polyneuropathy?

CIDP is a type of demyelinating disease that is acquired and involves peripheral nerves. In most instances, it is considered to be the counterpart to the illness known as Guillain-Barre syndrome. In fact, about 16% of all individual that have this condition also present with GBS. In less than two months’ time, those with this condition usually develop symmetrical-based weakness, issues with balance, reflexes that diminish over time, sensory-based changes, and impaired sensations.

When a person has CIDP on a long-term basis, there will be abnormalities in their gait, in social-based and psychological-based functioning. The prognosis when one is diagnosed with this condition is dependent upon the age when diagnosed, the course of treatment, the response to the treatment received, and the findings that are electro physiological in nature.

What is the Pathophysiology of CIDP?

CIDP is a disease that is located in the peripheral nervous system. On the outside of the nerves of the peripheral nervous system is a fatty layer of myelin that is white in color and is composed of glial cells. These are also referred to as “Schwann Cells”. The coating that is created by these cells help the axons then to transmit neural impulses more quickly. These are transported to receptor sites – which include the muscles and the organs within the body.

First, the myelin that is located around the nerves is completely destroyed – which causes changes and starts the process of denervation within the supplied muscles. The nerves that are affected start to demonstrate a segmental-based infiltration with inflammatory cells, called “lymphocytes”. Demyelination also starts to infiltrate on a segmental basis. Soon, the Schwann cells proliferate and there is a deposition of collagen. This causes the thickening of the nerve and results in an appearance that is similar to that of an onion bulb.

What Causes Chronic Inflammatory Demyelinating Polyneuropathy?

CIDP is an autoimmune disorder of the body. It involved humoral immune-based mechanisms and the T-cells of the body and targets the myelin of the peripheral nervous system. It is considered to be idiopathic; however, it also has variants that may be associated with neoplastic process, infections associated with HIV, as well as a history of type 2 diabetes.

How Many People Have CIDP?

The prevalence of this condition has been reported as few as 0.8 per 100,000 up to 8.9 per 100,000. The risk for suffering from this condition varies and advances with age. The peak age in which this is commonly experienced is as young as 40 years old to as old as 60 years old. It seems to affect males more than females. It is believed that many more people experience this condition than is known, but it is believed that the condition is not reported as most other medical conditions. It is believed that there are inconsistencies with the diagnosing criteria.

What are the Most Common Symptoms of Clinical Presentation with CIDP?

When patients present with CIDP, there are several symptoms that may be experienced. The following outlines the most common:

1. Problems with Walking
2. Stair Climbing Difficulties
3. Balance Dexterity
4. Manual Dexterity
5. Sensory Loss
6. Symmetric Weakness in the Limbs
7. Numbing Sensations
8. Buzzing Sensations in the Body
9. Neuropathic Pain
10. Sensory Complications

What are the Major Features of CIDP?

1. Symptoms Progress Over Two Months
2. Motor Symptoms Becoming Predominant
3. A Reduction in Reflexes of the Deep Tendons
4. Evidence of Issue in Nerve Conduction Tests
5. Symmetric-Based Involvement of the Legs and the Arms
6. Involvement of Both Distal and Proximal Muscles
7. The Presence of Cerebrospinal Fluid Protein Elevation

What are the Main Differential Diagnoses of CIDP?

There are several different types of differential diagnoses associated with CIDP. The following outlines the main or most common ones:

• Multiple Sclerosis
• Guillain-Barre Syndrome
• Diabetic Polyneuropathy
• Neuropathy
• Multifocal Motor Neuropathy
• Amyotrophic Lateral Sclerosis (ALS)
• Fibromyalgia
• Nutritional Deficiencies
• Systemic Inflammatory Diseases
• Toxins
• Critical Illnesses

How is Chronic Inflammatory Demyelinating Polyneuropathy Diagnosed?

The diagnosis of CIDP is an extensive process that includes both an inpatient and an outpatient team of professionals. Individuals that are required to make the diagnosis includes a neuromuscular professional, a neurologist, pain management specialist, psychiatrist, a physical therapist, intensivist, and others. It could take months to years for a patient to receive an official diagnosis as so many other conditions and diseases must be ruled out.

What Role Does a Physical Therapist Play in the Treatment of CIDP?

A physical therapist’s role to the treatment of an individual that has CIDP is specialized to each patient that has the condition. Those that specialize in physiotherapy prescribe aids for the gait that help with the person’s balance and their movements. It is very common for patients with this condition to have issues with balance, walking, gait, and exercising. As a result of this, the exercise regimens used by patients must be tailored on an individual basis. This way, overexertion does not happen. Physical therapy helps in the following ways:

1. The special exercises ordered by the physical therapist are designed to help with balance and mobility. They help with coordination, stability, improving the gait, and help in reducing the risks of falls.
2. Physical therapy helps a patient build up their muscle strength and overall endurance. Because of this, atrophy is prevented and cardiovascular fitness is improved up to a total of 30%.
3. Physical therapy helps in both pain management and fatigue management. Examples of the activities that help in these areas include stretching exercises, energy conservation activities, and others.
4. Physical therapy helps a patient with CIDP become functionally independent. This may include providing a patient with a brace, a walking cane, or a walker in order to help make the tasks that they complete on a daily basis easier.
5. Physical therapy helps a patient to feel better, overall – both physically and psychologically.

What Should a CIDP Patient Consider When Going Through Physical Therapy?

If you have CIDP, there are many considerations that should be made. These include – but are not limited to – the following:

1. First, you should always avoid overexerting yourself. Exercise has the potential to wear you out. This could negatively impact your recovery. If you feel as if you are pushing it, slow down.
2. It is best to start treatment early in your diagnosis. In doing so, you will receive the biggest benefits. The good thing about physical therapy is, even if you delay treatment, you will still benefit from it in one way or another.
3. Physical therapy is a treatment that may be customized to treat you and the symptoms that trouble you the most. It can be tailored for you as an individual. The exercises may consist of active activities, gravity-reduced, and resistive.

How is Outcome Measured in Those With CIDP?

There are many different ways that outcome is measured in those that have CIDP. The following outlines the most common methods:

1. The “TUG” test (Timed up and go Test) – This activity measures that time that it takes to stand up from a sitting position in a chair, walk a short distance, and turn around, go back to the seat and sit down.
2. The 10 Meter Walk Test – This test measures the walking speed of the patient.
3. Patients are also encouraged to participate in grip tests in order to determine their grip strength.
4. The “FSS” test (Fatigue Severity Scale) – This test is used to measure the amount of fatigue that a patient has.
5. The “SF-36” test – This test measures the quality of life that the patient experiences. This includes their social and physical functioning, if they experience pain or not and how much. Their general health and vitality are also evaluated.

Conclusion

If you suffer from Chronic Inflammatory Demyelinating Polyneuropathy, it is imperative that you focus on treatment plans that will help you experience relief from the symptoms in which you suffer. The symptoms of the condition are progressive. It results in weakness in the upper and the lower limbs, fatigue, and a poor quality of life. Physical therapy is – by far – one of the most productive treatments for CIDP. If you have this condition and are tired of living a subpar life, contact us here at Back to Motion Physical Therapy today to learn about all of the treatment options that we have that can help you experience a boost to your quality of life. You may reach us by calling the following phone number today or by visiting our website: 303-832-5577

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Each person diagnosed with this condition is affected in their own unique way; however, all people with multiple sclerosis may benefit from participating in physical therapy.

In this guide, we will outline how physical therapy can help with multiple sclerosis.

What is Multiple Sclerosis?

Multiple sclerosis is a disease of the body that involves the direct loss of myelin. This material protects the nerves in the central nervous system. When nerves do not have that myelin protection, they cannot communicate with one another.

The symptoms experienced by patients vary based on the area of the nervous system that is impacted.

What are the Symptoms of MS?

There are many symptoms associated with multiple sclerosis. In most instances, the first sign of the condition is double vision. In addition to this, any of the following symptoms may also be experienced:

• Extreme fatigue that is not relieved from rest may be experienced.
• Many experience extreme difficulty with walking and may also suffer from balance problems.
• The legs and the arms of many MS patients may feel heavy and stiffness and/or spasms may be experienced.
• Problems with the bladder and/or the bowel such as urine leakage and/or high levels of urgency may be experienced.
• Cognitive issues – such as thinking issues and memory problems may be experienced.
• Various types of sexual dysfunction may be experienced by someone who has MS; examples include experiencing less sensitivity or sensation, lower levels of desire, complications in achieving an orgasm, and dryness.
• Many patients experience pain and other types of sensations.
• Mood and emotional issues may be experienced. Examples of these include depression and not appearing to have any feelings, which is apathy.
• Vision problems are very common such as double vision, blurry vision, and random and unusual movements of the eyes.
• Many experience speech and swallowing issues when they have MS.
• Vertigo and dizziness may also be experienced.

Physical therapy is capable of assisting those that experience most of the above-listed symptoms – especially those involving movement and range of motion.

Do The Symptoms of MS Come and Go?

Yes, the symptoms that MS patient experiences are capable of coming and going. This is because the disease is capable of going into remission. When someone with MS experiences a relapse, the symptoms that they suffer from may vary in terms of strength and overall duration.

For example, one may experience a relapse as a result of being around heat. Some relapses will cause a patient to be hospitalized and other patients will be capable of managing their symptoms at home with one or more medications.

Once the symptoms start to settle a person may experience a little bit of function loss. Many may recover quickly after a relapse. Then, there are those that will experience some degree of disability after a relapse.

When in remission from Multiple Sclerosis, a physical therapist may aid in providing a boost to strength, range of motion, and endurance levels.

What Can a Physical Therapist Do for People with MS?

A physical therapist can help neurological disorders in many different ways. The ultimate goal is to help the patient return to the roles that they experienced previously at home, at their job, and within their community. The following outlines the main steps involved when a MS patient sees a physical therapist:

1. First, the patient has a complex examination done to determine the impairments, limitations, and restrictions that they have.
2. The patient will be asked about the goals that they have, and the condition of the patient will be considered.
3. An exercise program will be created that is tailored to the patient.
4. It has been established that in the early stages of multiple sclerosis that the patient experiences complications in their ability to walk, maintain their balance, and in breathing. A physical therapist will place a special focus on these activities early in the treatment program that they set up. This will help in – possibly – slowing down the overall progression of the disease.

Will Regular Physical Therapy Programs Provided Additional Benefits?

It is true that newly diagnosed multiple sclerosis patients should attend physical therapy sessions. If the patient continues to receive PT, they will reap many rewards including the following:

• Improved Gait
• Increased Strength of The Core of Their Body
• Improvements in Balance
• Higher Levels of Flexibility
• Reduced Bouts of Spasticity
• Optimal Coordination
• The Ability to Endure Higher Levels of Aerobic Activity
• Improved Functionality of the Respiratory System
• Coping with the Changes That Occur in the Body
• Help in Developing Strength and Stamina
• Aid in Helping Patients in Avoiding the Worsening of Symptoms
• Help in Regaining Various Bodily Abilities After a Relapse

Are There Different Types of PT Treatments for MS Patients

There are various types of PT treatments for MS patients. The following outlines the most common, along with a brief explanation of each:

• Exercise and Fitness – This type of treatment includes various types of exercise machines and even programs such as yoga
• Strengthening – This type of treatment is designed to build up the legs and the arms through activities like balancing, relaxation techniques, and stretching activities.
• Water Therapy – This is often referred to as “aquatic therapy”. This includes exercises performed in the pool. The overall buoyancy of the water helps in supporting people that have complications in walking. The good thing about this type of therapy is that the water buoyancy helps to offset the weight of the body of the patient and provides a high level of support for the limbs. This helps the body feel lighter and the sufferer does not have to be scared of falling or of having any types of problems as a result of coordination.

Where is Physical Therapy for MS Administered?

There are many places when people with MS may have physical therapy done. It can be done at home, at a specialized inpatient MS treatment center, and even at an outpatient facility where physical therapists do rotations. The physical therapy done is typically different at each facility or location of therapy. The following provides a brief description of each:

1. Home Physical Therapy – In most instances, home physical therapy is performed on those who are newly diagnosed. This is because the patient must learn to adjust to the new changes that are happening within their body. This type of therapy is also provided to those that are in the late stages of the disease and cannot move as easily as others.
2. Inpatient Physical Therapy – Inpatient physical therapy for people who have multiple sclerosis typically occurs at a healthcare facility where the person has been admitted. This could be a hospital, a treatment center that is designed for patients with MS, and/or a care facility that is either short-term or long-term. It may be prescribed as part of the patient’s treatment plan.
3. Outpatient Physical Therapy – This type of physical therapy may occur in a physical therapist office, a therapy center, or even at a doctor’s office. In short, it is where the patient comes, engages in the therapy, and then leaves after the therapy is done.

The Physical Symptoms

The symptoms that a patient with multiple sclerosis experiences may be minimized through the use and help of physical therapy. An individualized treatment plan will be developed and that plan will place an emphasis on the areas of the highest concern.

This type of therapy is actually considered to be essential in managing the physical symptoms the patient with MS experiences. This involves the use of various types of exercises, an assortment of techniques, and numerous strategies that will help in the improving the functioning of the patient. These place an emphasis on the following:

• Balance
• Coordination
• Mobility
• Range of Motion
• Strength

Physical therapy may also help with spasticity, gait training, difficulties in walking, and more. If you have multiple sclerosis and you want to manage your symptoms and improve your physical-based functioning, we can help you here at Back to Motion Physical Therapy. We will create an individualized treatment plan for you, work with you one-on-one and ensure that your quality of life is instantly improved.

If you are tired of the muscle tightness, the pain, the numbness and tingling, and the fear of falling, we encourage you to contact us today to set up an appointment. You may also call to inquire about the range of services that we offer, have your questions answered, and learn what insurance we accept and how much are services are. Why continue struggling when we can help give you a new handle on life? Contact us now by calling: 303-832-5577

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What is the Goal of Stroke Rehabilitation?

The goal of stroke rehabilitation is to engage in activities that will allow as much independence as possible to be restored by improving physical and mental functions as well as emotional functions. This is done through therapy that preserves the dignity of the patient and in a way that motivates the patient to relearn basic skills that have been impacted – such as dressing, walking, and even eating.

The rehabilitation should start in the hospital and as quickly as possible after the stroke has occurred. It may occur as soon as the day after the stroke and may be continued after the patient is released from the hospital. Many patients may have many months or years of therapy. It could continue as a stroke patient improves or there are some cases where the patient will continue to get worse and the therapy will be continued.

The rehabilitation options available will be dependent upon many factors such as the patient’s ability to tolerate the intensity of the rehabilitation, the level of disability that has been experienced, funding available for therapy, whether or not there is insurance and the amount of coverage that insurance provides, the area that the patient is in, and their motivation to engage in therapy.

What Are the Main Options for Rehabilitation?

The following outlines the main options that are available to those that have had a stroke and require rehabilitation:

1. Acute Care – This is a type of inpatient care that is usually done at a hospital or in a special rehabilitation section of a hospital. It provides 24-hour medical care and a full range of therapy services; the therapy is done several hours each day and it is very demanding. This is the right solution for those that have numerous medical problems and are likely to develop more problems without continued medical-based treatment.
2. Sub-Acute Care – This is usually done in a rehab center, a rehab unit within a hospital, or a skilled nursing facility that offers short-term nursing care or a long-term skilled nursing unit. This is less demanding than acute programs but lasts longer than those programs. The services offered are daily nursing care and a wide range of rehabilitation services. This is ideal for survivors that have serious disabilities but are unable to handle the demands that are associated with acute care programs offered within a hospital.
3. Long-Term Care – This is perfect for those that have medical problems that are under control, but need 24-hour nursing care. The sessions occur 2-3 days each weekend is usually offered in a nursing home or a skilled nursing facility. There is one or more treatment areas offered in these facilities.
4. Outpatient Facilities – These offer one or more treatment areas 2-3 days each week. This is ideal for stroke survivors who have medical problems under control enough to live in their own home and are capable of traveling to get treatment. In most instances, this therapy is offered at a doctor’s office, an outpatient center of a hospital, some adult day care centers, and other types of outpatient centers.
5. Home Health Agencies – These offer specific types of rehabs in one or more treatment areas as needed and within the home. This is ideal for stroke survivors that live at home but are unable to travel to get the treatment that they need.

Who is on the Rehabilitation Health Cre Team?

During all of the phases of your stroke recovery and rehabilitation, you will work with a team of professionals that are from various specialties. You should know your team so that you are familiar with their role and are comfortable addressing any type of issue with them. The services that you receive during stroke rehabilitation may include one or more of the following:

1. Physical Therapist – This type of specialist aids in the restoration of skills related to physical functioning and other skills such as walking, and the range of motions. Common issues addressed by this type of specialist includes partial and one-sided paralysis, balance issues, and foot drop.
2. Occupational Therapist – This type of professional aids in helping stroke survivors relearn the skills needed to handle everyday life such as going to the restroom, dressing, showering, and eating.
3. Speech Therapist – When you have a stroke, you may start to suffer from issues with swallowing, thinking, and communicating. A speech therapist will help with these issues. There are two main conditions – dysarthria and aphasia – that result in the development of speech problems who those who have had a stroke. One causes issues with pronouncing speech sounds because of issues with the corresponding muscles. The other allows a person to think clearly but they are not able to process language enough to talk to or to understand other people. A speech therapist helps the survivor and their family with methods for these common communication challenges.
4. Physiatrist – This specialist focuses on rehabilitation services after an illness, accident, or injury.
5. Neurologist – This specialist focuses on the prevention, diagnosis, and treatment of stroke and other issues that impact the brain and the spinal cord.
6. Rehabilitation Nurse – This type of nurse helps people who have disabilities by helping survivors successfully manage their health problems that affected the stroke. Examples include high blood pressure, diabetes, and they help the patient adjust to life after having a stroke.
7. Dietician – This specialist teaches stroke survivors about eating healthy and special diets such as low salt, low sugar, and low calorie.
8. Neuropsychologist – Diagnoses and treatments survivors who are experiencing issues with thinking, memory, and behavior following a stroke.
9. Social Worker – This person helps a stroke survivor about rehab programs, living arrangements, insurance, and support services.
10. Case Manager – Helps in following up to acute care, coordinate care for multiple providers, and local services.
11. Recreation Therapist – This specialist helps stroke survivors learn strategies to improve the thinking and the movement skills that are needed to join in recreational activities.

Health Insurance is a Necessity

It is a known fact that stroke rehabilitation is extremely expensive. You should know what part of your treatment will require you to pay out of pocket. Recovery from a stroke may require extensive levels of rehabilitation. You may require services in different settings that vary in costs. If you worked prior to the stroke, you should apply for disability benefits afterwards. You may get private disability from an employer and government disability from the Social Security Administration. Applying may take a while, you should keep copies of all letters they send you and all paperwork that you send them. You should also make notes of the people that you talk to, what you talked about, and when you talked to them. If you are – ultimately – denied, you should find out about the appeal process and challenge the denial. You can learn more about disability by calling 800-772-1213 or visiting www.ssa.gov.

Modifying Your Home

Once you are able to return home, it may be necessary to make modifications so that you are able to live independently and safely. You should make adjustments to the following:

• Narrow doorways
• Narrow stairs
• Stairs that do not offer stability features
• Bathtubs – transition to walk-in showers
• Add ramps
• Add Grab bars where needed
• Remove throw rugs
• Utilize assistive devices such as raised toilet seat or a grab bar toilet seat system
• Use a shower chair
• Ask your doctor if they recommend a walking device or any other assistive devices

How We Can Help

We here at Back to Motion Physical Therapy help stroke survivors successfully transition back into their daily lives. We offer a multitude of services such as dry needling, vestibular therapy, balance training, custom orthotics and the anti-gravity treadmill. We treat many conditions that occur as a result of a stroke. These include various types of pain throughout the body, and new onset disability – such as paralysis. If you want to get back to normal as quickly as possible, we encourage you to contact us today. We can create a custom care plan based on your individual needs to aid in your stroke recovery. You no longer need a referral in Colorado for physical therapy, you just have to set up an appointment. We do our best to work around your needs. You may reach one of our stroke recovery specialists today by calling the following number: 303-832-5577

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The numbers are high. Approximately 6.7 million individuals in the United States age 65 or older have been diagnosed with Alzheimer’s disease. That’s 1 out of every 9 people over 65. And the numbers are rising. By 2050, it has been estimated that 12.7 million people 65 and older will have the condition. Let’s dive deeper into how Physical Therapy can help.

What is Alzheimer’s Disease?

Alzheimer’s disease is a type of progressive illness that initiates with mild levels of memory loss. It is considered to be the most common form of dementia.

While all Alzheimer’s patients have dementia, not all people with dementia have Alzheimer’s disease. This disease impacts the aspects of the brain that control thoughts, memory, and language. It destroys memory, cognition, and other mental functions.

Once believed that the development of the Alzheimer’s Disease was a normal part of the aging process, it has been determined that it is not.

How Common is Alzheimer’s Disease?

According to numerous reputable sources – such as Mayo Clinic – Alzheimer’s disease is a very common issue. Each year, more than 3 million people are diagnosed with the condition. There are treatments – such as physical therapy – that can assist patients, but the condition cannot currently be cured.

What Causes Alzheimer’s Disease?

Scientists and medical professionals do not have a full understanding of the underlying cause of Alzheimer’s disease but believe that it stems from an abnormal buildup of various types of proteins that are located in brain cells and surround the brain cells.

These proteins identified as potential culprits have been identified as amyloid and tau. The first creates plaques around the cells of the brain. The second creates deposits that create tangles within the brain cells.

The newest research is labeling Alzheimer’s as “Type 3 Diabetes“

Palmetto Endocrinology further describes it as such:

Type 3 diabetes is a way of describing Alzheimer’s that is caused by insulin resistance inside the brain. So, your outlook will vary according to several factors, including your diabetes treatment and the severity of your dementia.

What Happens to the Body When Someone Has Alzheimer’s Disease?

It is not known what initiates the actual process of decline in the body of those who have Alzheimer’s, but it is known that the physiological decline starts well ahead of the first symptoms appear. In short, the impacted brain cells are compromised. A decrease in neurotransmitters – which are chemical-based messengers – occurs which results in a reduction of messages or signals in the brain between the cells. The neurotransmitter known as “acetylcholine” becomes very low.

As this continues to progress, parts of the brain actually start to shrink. When this occurs, the very first area that is typically impacted is the part of the brain that is responsible for storing memories. In other instances, the first part of the brain impacted may be the area that is responsible for vision or the part of the brain that is responsible for language. The first symptoms experienced by a patient will depend on what part of the brain was impacted first.

How is Alzheimer’s Disease Treated?

When an individual has been diagnosed with Alzheimer’s disease, the goal of treatment is simply to improve the quality of that person’s life. Medical professionals, psychologists, and other specialists – such as physical therapists – will work in collaboration to aid in the following aspects of a person’s health and life:

• An emphasis will be placed on helping the patient maintain as much of their brain health as is possible with the condition.
• There are several behavioral symptoms associated with Alzheimer’s disease. Those helping the patient will focus on assisting in managing these symptoms as much as possible.
• Multiple symptoms occur in patients with this form of dementia. Professionals will work together to help slow the progression of those symptoms so that the patient is able to live the best life possible.

What is the Main Goal of Physical Therapy with Alzheimer’s Disease?

When a physical therapist works with an Alzheimer’s patient, the main goal is to work with the patient and their family or caregiver to ensure that they are able to move around safely and have the highest quality of life possible. Brain health is just as important.

Examples of activities that physical therapists engage in include patient education, hands-on care, and to issue personalized prescribed movements.

Movements and Other Prescribed Treatments from Physical Therapists

It is a known fact that movement aids in those who have Alzheimer’s and other aging populations. Physical therapists help patients move to their advantage and other prescribed treatments. These help dementia patients in the following ways:

• Physical-based activities help in optimizing the function of the brain and in memory.
• Physical therapy helps to improve the strength, the balance, and the walking ability of a person. As a result, the decline in performing certain tasks may be delayed in an Alzheimer’s patient who works with a PT.
• Studies have shown that exercising on a regular basis may help in delaying the onset of dementia in older adults.
• PT helps to ensure that a dementia patient is able to stay mobile for longer periods of time. This means the patient will be able to maintain their level of independence for longer.
• Physical therapy helps patients who have Alzheimer’s disease to continue doing activities of daily living as they progress in their illness. Not only does this help in levels of independence, but it helps to reduce the burden that is commonly experienced by family members and those who act as a caregiver for the patient.
• Physical therapists are able to go into the home of a patient and conduct an assessment of its safety. In turn, recommendations may be made for modifications that will keep the patient safe and allow them to delay entrance into a memory care unit or a skilled nursing facility.
• Many PTs will use cues that involve the senses to instruct a patient. These include touch, sight, and sound. For example, touching the hand may indicate it is time to walk. Lifting the arms may indicate it is time to stand up. As a patient progresses in their Alzheimer’s these cues may prove to be very helpful in effectively communicating.
• Many physical therapists will have Alzheimer’s patients mirror the actions that they take in order to get them to engage in the physical activity that they want them to complete.
• Muscle training is an effective measure that PTs use when working with dementia patients. In short, this teaches the patient how to respond to changes in their environment, such as an uneven walking area.
• Physical therapists engage in a task breakdown system that helps patients learn various actions, such as getting into bed. In short, it breaks the process down into simple steps that may be safely performed to achieve the final goal.
• Physical therapy helps the loved ones and the caregivers of an Alzheimer’s patient by educating them on the disease, how to move or lift the patient, how to prevent injuries to all, and how to provide hands-on therapy with the patient.
• Finally, touch therapy is performed with dementia patients. This is not only good for the body, but it is good for the mind. It helps patients feel loved and cared for. It helps them feel connected to others.

Contact Us Today

If your loved one has been diagnosed with Alzheimer’s disease, we here at Back to Motion Physical Therapy are capable of assisting them and you! We can create a customized care plan that will help keep your loved one safe, make them feel connected to the world around them, and help delay the progression of the dementia that they suffer.

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What Parts of the Body are Impacted by Repetitive Strain Injuries?

Repetitive strain injuries may impact any part of the body; however, the following outlines the most commonly impacted areas:

• Fingers
• Thumbs
• Wrists
• The Elbows
• The Arms
• Shoulders
• Knees
• Ankles

This type of injury develops when the same motions or the same activities are repeated to the point where discomfort and pain occur. Any activity or motion may result in this type of injury. It does not matter if it is competitive dancing, playing a sport – such as tennis – or, simply typing on a keyboard to a computer.

Who Commonly Experiences Repetitive Strain Injuries?

It is possible for absolutely anyone to experience a repetitive strain injury; however, they are the most common among the following types of people:

• Those that have jobs that are physically demanding and require constant or repetitive actions
• Individuals that play musical instruments
• People that are required to sit at a desk and write, use machinery, and/or a computer often throughout the day
• Athletes

Can Repetitive Stress Injuries Lead to Other Problems?

While considered a common issue, repetitive strain injuries may lead to other complications. These include – but are not limited to – the following:

• Back Strains
• Back Sprains
• Bursitis
• Carpal Tunnel Syndrome
• Dupuytren’s Contracture
• Ganglion Cysts
• Herniated Discs
• Nerve Compression Syndromes
• Osgood-Schlatter Disease
• Shin Splints
• Stress Fractures
• Tendinitis
• Tennis Elbow
• Trigger Thumb
• Trigger Finger

What are the Symptoms of Repetitive Strain Injuries?

There are a wide variety of symptoms associated with repetitive strain injuries. Many are dependent on the location where the injury occurs and others stem from the severity of the injury. The following outlines the most commonly experienced by those that suffer from repetitive strain injuries:

1. Numbness
2. Pain
3. Sensitivity to Either Heat or Cold
4. Stiffness
5. Swelling
6. Tingling
7. Weakness

What are the Causes of Repetitive Strain Injuries?

Any type of activity or motion that is repeated may cause an injury that stems from repetition. The body experiences constant stress and a hefty strain, over a period of time. Examples are outlined below on the underlying causes of these types of injuries:

• Working in extreme temperatures
• Working with tools or equipment that vibrates
• Working out without going through a warm-up and a cool-down
• Poor posture
• Engaging in sporting activities or other activities that involve the same motions

Getting Diagnosed

If you feel as if you have a repetitive strain injury, you must meet with your medical doctor or healthcare provider. A physical examination will be performed. The professional will inquire about your symptoms, your daily activities, and your health history. If the provider feels as if a repetitive strain injury has occurred, the following may be ordered:

• A Computed Tomography Scan (CT)
• A Magnetic Resonance Imaging Scan (MRI)
• An Ultrasound
• X-Rays

How is a Repetitive Strain Injury Treated?

The treatment for a repetitive strain injury depends upon the underlying cause and the severity of the symptoms experienced. First, a healthcare provider will recommend that you either make modifications to or engage in a reduction of the activity that is believed to have caused the issue.

Next, the provider will instruct you to follow the standard known as “R.I.C.E”. The following outlines this:

• Rest – This is the part of the treatment where you should avoid the activity or motion that resulted in the onset of the injury. No injured part of the body should be overused when it is in the process of healing.
• Ice – A cold compress should be directly applied to the injured part of the body a few times during each day for a period of up to a total of 15 minutes.
• Compression – You may reduce inflammation around the site of the injury by wrapping it in an elastic bandage.
• Elevation – Finally, the injured part of the body should be elevated. You will want to ensure that it is situated above the location of the heart. You may elevate as often as you need or want to during the recovery period.

In addition to the R.I.C.E method, you may take over-the-counter medication. You should focus on taking those that eliminate pain – such as acetaminophen – and those that alleviate inflammation – such as ibuprofen. You should not take these medications for a period that extends 10 days.

Once you initiate the healing process, a healthcare provider may elect to refer you to a physical therapist. If you want to, you may initiate the process of going to a physical therapist. Most states no longer require you to have a referral for physical therapy.

These professionals will help you through the recovery period by providing you with exercises and strategies for improving your level of flexibility, correcting your posture, and optimizing your strength. A customized plan will be tailored by the physical therapist to address your needs, specifically.

If the repetitive strain injury is considered to be severe and has caused an immense amount of damage, you may be referred to a surgeon. The surgeon will go through the process of repairing the damage that has been done. The good news is, most repetitive strain injuries do not require surgery.

Should I Go to the ER for a Repetitive Strain Injury?

If you have an injury that is caused by repetitive strain, there are some instances in which you will need to go to the emergency room. If you have any of the following, it may be time for immediate medical intervention:

• You find that you are experiencing extreme levels of pain
• The swelling associated with the injury appears to be getting worse
• There is unusual discoloration or swelling near the area that is injured
• It is difficult for you to move the injured part of your body
• You start experiencing a fever
• You start to feel poorly – especially if a fever is involved

How Can Repetitive Strain Injuries Be Prevented?

If you engage in activities that require repetitive motions, rest periodically so that repetitive motion injuries do not occur. You may also regularly massage the various joints and limbs of your body. Muscles may be stretched and hydration should be maintained. If you find that you experience difficulties consult with a healthcare provider or a physical therapist.

The Role of a Physical Therapist in Recovery

When you work with a physical therapist for repetitive strain injuries, the goal is to reduce inflammation and pain, improve motion, and provide a boost to strength. These injuries occur over time and are considered to be chronic. It is imperative that you engage in a rehabilitation program to ensure a full recovery. By completing such a program, you are taking the step that will aid in a quick, complete recovery.

Physical therapy provides a solution that is long-term. It allows you to optimize your overall quality of life. If you would like to get some sense of normalcy back into your life, contact us here at Back to Motion Physical Therapy today. We offer a wide range of services that will benefit you immensely. You do not have to get a referral from a medical doctor to see us. Simply contact us today and set up an appointment: 303-832-5577

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What is an Autoimmune Disease?

An autoimmune disease is a type of disease where the immune system of the body attacks healthy cells. In other words, the immune system attacks the body, mistakenly. In normal instances, the immune system knows the difference between foreign cells and the body’s own cells.

If an autoimmune disease is present, the immune system may mistake certain components of the body – like the joints – for a foreign body. It is at that time that special proteins are released and they go after healthy cells. These are referred to as “autoantibodies”.

Why Does the Immune System Start Attacking the Body?

Medical professionals are unsure as to what causes the immune system to start attacking the body. There do seem to be certain risk factors involved. These include being female, being between the ages of 15 and 44, and being of certain ethnic groups. For example, lupus is highly prevalent among Hispanic and African American populations. Additionally, environmental factors may play a role.

Examples include infections and exposure to certain substances – such as solvents. Many doctors feel as if inflammation in the body may also contribute. Many believe genetic influences and diet may play a role.

Symptoms

The symptoms of autoimmune diseases vary from one illness to another. Individuals may experience muscle weakness, fatigue, high levels of inflammation, and more. While it is true that there are medical treatments that address the disease – such as steroids, disease-modifying medications, and interferon – it has been found that physical therapy has the ability to reduce the symptoms that are experienced.

The exercises provided aid in increasing strength, improving gait, and increasing the range of motion. As a result, the effects of the disease are successfully counteracted.

What are the Benefits of Physical Therapy for Autoimmune Diseases?

When you initiate interactions with a physical therapist, you will be provided with a regimen that includes stretches, exercises, and other activities that are designed to improve strength, endurance, and flexibility. The program offers the following benefits to those that have an autoimmune disease:

• Pain and stiffness are drastically reduced
• Mobility is improved
• The range of motion is improved
• Neurological coordination is retained; therefore, the risk of falls is reduced
• Strength is improved
• Higher levels of stabilization are achieved
• The ability to fall asleep, stay asleep, and get sound rest is improved
• Unnecessary weight may be eliminated
• Stress levels are drastically reduced
• If depression is experienced, the feelings may be decreased
• Higher energy levels are experienced
• The capacity for exercise is improved
• The heart muscle is strengthened
• Connective tissue and muscle tissue is made stronger
• Muscle stiffness is significantly reduced
• Joint pain may be eliminated
• Bone density improves
• Quality of life is improved

What Type of Exercise is the Best for an Autoimmune Disease Sufferer?

It has been determined that low-impact exercises are best for those with an autoimmune disease. This is because of the fact that these activities are much easier on the back, the knees, and the joints. When working with a physical therapist, you will often find that they create a customized exercise plan that is based on the disease that you have and your individual needs.

Examples of these activities include walking on a treadmill, lightweight training, swimming, simple stretches, and even manual massage therapy in areas highly impacted by disease.

What are the Most Common Treatments for Autoimmune Diseases?

Generally speaking, an autoimmune disease cannot be cured; however, there are many treatments available that help control the symptoms associated with the disease. The following outlines these treatments:

1. Anti-Inflammatory Medication – This treatment aids in reducing pain and eliminating inflammation
2. Corticosteroids – This treatment helps in reducing inflammation and treating a flare-up of the symptoms associated with the disease
3. High Dose Immunosuppression – This treatment uses drugs that are designed to suppress the immune system so that a flare-up of symptoms is not experienced
4. Pain Medication – These medications aid in reducing the pain that is experienced with the autoimmune disease
5. Physical Therapy – This treatment helps alleviate symptoms and aids in both encouraging and improving mobility levels
6. Surgery – If the autoimmune disease results in complications in the body, surgery may be used to reverse and/or resolve those complications
7. Treatment for a Deficiency – If the autoimmune disease results from a deficiency, treatment may be given – such as insulin with diabetes – in order to address that deficiency

Types of Physical Therapy Used in Those with An Autoimmune Disease

Autoimmune diseases make life quite challenging. The treatments used in physical therapy are done to improve the quality of life of the sufferers.

Physical therapy and rehabilitation aid in alleviating pain, stiffness, and inflammation, rebuilding muscle tissue, improving dexterity, optimizing function, and eliminating the possibility of the development of a deformity. The following outlines the most common types of exercises and procedures used in physical therapy for an autoimmune disease:

1. Assistive Devices – If full function is impacted and cannot be restored, many physical therapists will introduce assistive devices to aid in activities of daily living.
2. Thermotherapy – This utilizes a cold source or a hot source of a contrast bath that includes water submersion to help in alleviating pain. Examples include hot packs, ice massage, and even ultrasound therapy.
3. Hydrotherapy – This is a treatment that involves exercises in water. The water is typically warm and the antigravity effects aid in alleviating symptoms.
4. Electric Therapy – There are several types of electric therapy that may be used. These include a TENS unit, interferential current, low-level laser therapy, and therapeutic ultrasound.
5. Therapeutic Exercise – There are many types of exercises that may be used to assist those with an autoimmune disease. These include exercises on land and in water. Recreational, occupational, aerobic, muscle-strengthening, balance, core stability, flexibility, and daily-living exercises.

Body Disruptions

Individuals that have an autoimmune disease have disruptions in their musculoskeletal system and impairment with their QoL. To assist in easing the overall burden of the symptoms that are experienced by the patient and the functional-based deficits that occur, physical therapists will create a customized exercise plan that will benefit the patient. We here at Back to Motion Physical Therapy specialize in these customized care regimens. If you have an autoimmune disease, we are standing by to assist you.

Contact Us

To schedule an appointment for an evaluation, contact us here at Back to Motion Physical Therapy today. We offer a wide range of services to our clients. Examples include dry needling, vestibular therapy, balance training, an anti-gravity treadmill, smart fit, and more. We are capable of creating customized care plans for any and all parts of the body.

It does not matter what type of autoimmune disease you have, we have a treatment that can assist you! If you are in search of rehabilitation that can help you move easier, experience less pain, and live the highest quality of life, contact us today. You may reach us by calling the following number: 303-832-5577

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“Arthritis” is a term that is used to describe a type of joint disease and/or pain within the joints. There are more than 100 individual arthritis types and associated conditions. Individuals of all ages, of all races, and of all backgrounds suffer from arthritis. In fact, this is considered to be one of the leading causes of disability within the country. There is currently no cure for arthritis.

Instead, there are treatment plans that are designed to preserve the function of the impacted joint or joints, reduce inflammation, and limit the pain experienced. Physical therapy is one of these treatment plans. In fact, it has been determined that physical therapy offers effective symptom relief for those that suffer from arthritis. Continue reading to learn more.

How Does Physical Therapy Help People with Arthritis?

Whether it be in your knees, hips, or anywhere else in the body, Physical therapy helps people with arthritis by increasing mobility, managing symptoms, and improving physical function.

The physical therapist that you will work with will provide very specific exercises – tailored to your individual needs.

Additionally, you will be instructed on an assortment of techniques that will help you move with a higher level of ease and a lower level of pain.

Will Physical Therapy Reverse Arthritis?

No, physical therapy does not reverse arthritis; however, it does aid in slowing the progression of the condition and reducing the symptoms experienced with the condition.

By participating in physical therapy, you have the ability to live more comfortably.

Your therapist will prescribe you exercises and various stretching techniques that are targeted for your individual health. These will aid in ensuring that joints remain mobile and that you experience as little pain as possible.

Will Physical Therapy Help Reduce Inflammation?

Yes, various exercises and physical therapy techniques will reduce inflammation in and around the joints of the body. The physical therapist that you work with will evaluate you, your medical history, and the impacted region of the body, and try to determine the underlying cause of the inflammation. Then, a treatment plan will be established for you.

What Are the Benefits of Physical Therapy for Arthritis?

If you are prescribed physical therapy for arthritis, you may experience one or all of the following benefits:

1. Increased Muscle Strength – In arthritis patients, the muscles that surround the impacted joints may become weak. This is often due to the extra level of stress. In turn, they may become very painful. Physical therapy will help in increasing the strength of the muscles. As the muscles become stronger, the weak joint will be stabilized, and pain will be decreased.
2. Optimized Range of Motion – One of the most common of all complaints among arthritis sufferers is stiffness in the joints. Physical therapy provides exercises that help in stretching out the joints and associated components. This helps increase the range of motion.
3. Assistive Device Assistance – If you have to use assistive devices – such as a walker, a cane, braces, etc. – physical therapy helps in teaching you how to properly use the device so that stress is eliminated from the muscles and the joints that are negatively impacted by arthritis.
4. Pain Reduction – Physical therapists are highly knowledgeable in strategies to alleviate pain. Additionally, they may assist you in the adjustments of your activities so that you are not in as much pain.

How Does Physical Therapy Work?

The physical therapist that you work with will review your medical history and attempt to create a treatment plan to benefit you and provide relief from arthritis. The following may be expected:

1. You may be provided with an individualized treatment plan that includes custom exercises for your specific situation.
2. You may be educated about various pain relief strategies and they even may be administered. These may include heat packs, ice packs, ultrasound strategies, and even electrical stimulation.
3. Many physical therapists will administer soft tissue massage, hands-on joint therapy, and mobilization techniques.
4. You may be encouraged to use assistive devices. If so, the physical therapist will educate you on the proper use of those devices and inform you about the maintenance of such devices.

How Often Does an Arthritis Sufferer Need to See a Physical Therapist?

In most instances, arthritis sufferers will see a physical therapist at least once a week. It may be more – depending on the severity of the issue. If acute pain and discomfort is experienced, a physical therapist will need to be seen more often.

As you learn the exercises and techniques offered in physical therapy, you will likely be seen less often. Appointments may be moved to once every 2-4 weeks or once every few months. It all depends on your overall progress.

What Forms of Physical Therapy are Best for Arthritis?

In most cases of arthritis – without severe complications – passive treatments are considered to be best. These include custom exercises, hands-on massage therapy, techniques that place an emphasis on joint mobilization, and even electrotherapy. In addition to this, many may benefit from modifications to the home and even orthotics.

Does Physical Therapy Cure Arthritis?

No, there is no current cure for arthritis. Physical therapy is an effective solution for managing the symptoms of the condition – such as limited mobility, activity intolerance, pain, stiffness, and inflammation.

To date, physical therapy is considered to be one of the most effective treatments for arthritis symptom relief. This treatment may help in slowing the overall progression of the issue.

Is it Best to Exercise or Rest When You Have Arthritis?

Arthritis is a very painful condition. As a result of the discomfort it causes, it is likely that you will not feel up to engaging in exercises. If it is possible, though, it is best to exercise! This will help reduce inflammation around the joints and in turn reduce the amount of pain that is experienced.

Are There Other Ways – Apart from Physical Therapy – to Help Slow the Progression of Arthritis?

Physical therapy is one of the best ways to slow the progression of arthritis. In addition to this, the following helps to slow the progression of the condition:

1. Healthy Diet
2. Control of Blood Glucose
3. Regular Exercise and Stretching
4. Over-the-Counter Medication
5. Prescription Medications
6. Healthy Body Weight
7. Joint Support
8. Healthy Lifestyle Choices
9. Regular Doctor Follow-Ups
10. Surgery

What is the Best and Fastest Way to Stop Arthritis Pain?

Ultimately, combinations of heat and cold will help stop arthritis pain. Apply heat directly to painful joints. You may use heat in the form of a hot bath, a hot shower, warm paraffin wax, and the use of a heating pad.

If you elect to use a heating pad, be sure to avoid using it for more than 20 minutes at a time.

You may transition between hot and cold therapy every 20 minutes for optimal relief.

A physical therapist will be able to provide detailed instructions on the use of heat and cold to stop arthritis pain.

What Causes Arthritis Flare-Ups?

An arthritis flare-up typically results from overactivity or trauma to the joints that are impacted by the condition. Examples of triggers include stress, cold weather, repetitive motions, barometric pressure changes, infections, weight gain, and inflammatory-based diseases.

Contact Us Today

If you have arthritis, we here at Back to Motion Physical Therapy can assist you! We will work with you to create an individualized care plan. Reduce inflammation, eliminate pain, and improve your mobility today!

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Reduction in Physical Activity

As fall arrives, the weather cools down. It has been estimated that most individuals are less physically active during this time of year. Physical therapy is a means of self-care that can boost emotional health, psychological health, and physiological health.

Physical Therapy is not just for those recovering from various illnesses and injuries. It is also for those that want to prevent illnesses and injuries.

Furthermore, physical therapy has been established as an effective treatment for emotional and mental health disorders. Just like the proper diet and appropriate amounts of exercise, physical therapy is an activity that can instantly optimize your overall health!

What is Physical Therapy?

Physical therapy is a type of treatment for various illnesses and injuries. It may also be used as a preventative health measure to boost both physiological and psychological health.

The methods utilized in physical therapy include massage, heat, and exercise.

Many people choose to actively participate in physical therapy rather than having medications prescribed, medical procedures, and surgery.

While considered to be an alternative form of therapy, it has been established as being highly effective.

Do I Need a Referral to Receive Physical Therapy?

Generally speaking, no, you typically do not need a referral from a medical doctor for physical therapy. However, there are some instances where a referral is needed. This usually stems from the guidelines associated with your health insurance company.

You should contact your insurance company directly to determine if a referral is needed. While on the phone with the company, you will be able to find a provider that is covered by your plan that is in close proximity to your area.

Is a Physical Therapist a Doctor?

A physical therapist is not a medical doctor. They are unable to write prescriptions. To become a physical therapist, the professional must earn a doctorate in the profession. This provides them with the initials “DPT” to their name. Additionally, many physical therapists will use the term “Dr.” prior to their name to indicate that they are a doctor in the physical therapy field.

What are the Main Benefits of Participating in Physical Therapy?

Physical therapy is designed to aid people of all ages and in all circumstances. It provides treatment to those that have certain medical conditions, mental health conditions, illnesses, emotional issues, and injuries that limit the ability to move and function appropriately in their day-to-day lives.

It is also highly beneficial for those that simply have a desire to optimize their overall health. In all actuality, physical therapy is beneficial to everyone. The following outlines the main benefits of participating in physical therapy:

1. Pain Reduction and Elimination – Many people who experience pain will engage in physical therapy to find that their pain levels are reduced or completely eliminated – all without the use of potentially harmful medications and risky medical procedures. Components of care may include massage, ultrasound technology, and/or electrical stimulation for pain reduction.
2. Mobility Improvement – Physical therapists work closely with those that suffer from mobility complications. The goal is to restore movement. A customized care plan is created to ensure that you get the care that you need to stand, walk, and move with ease – including being fitted with assistive devices.
3. Balance Improvement – When you initiate the process of working with a physical therapist, the professional will screen you to determine if you are a fall risk. If so, you will be provided with exercises and activities that are designed to safely improve your balance and coordination efforts. If the issue stems from the functioning of the body’s vestibular system, the therapist will utilize special techniques to restore the functionality of the system in order to improve your balance.
4. Vascular Management – If you suffer from a vascular condition, physical therapy can assist in helping the body heal itself through increased circulation, reducing mobility issues due to the restrictions imposed by the condition, reducing numbness, strengthening any component of the body that is weakened by the condition, and more. By reducing the symptoms of the condition and improving circulation, you will find that you are more capable of physical activity and that your overall quality of life improves.
5. Help with Metabolic Disorders – If you suffer from a metabolic disorder – such as obesity, high blood pressure, or diabetes – participation in physical therapy will benefit you. Exercise has been found to be highly productive in controlling blood sugar, triglycerides, and cholesterol – all of which contribute to the onset of metabolic disorders.
6. Age-Related Issues – As we age, our bodies change. Some become stiff and sore. Others develop arthritis. There are those that find that they lose muscle mass and strength. The good news is, physical therapy can help with all age-related problems.
7. Women’s Health Issues – Many physical therapists provide techniques that place a special emphasis on issues that are common with women. Examples include breast cancer, lymphedema, reproductive health complications, and more!
8. Men’s Health Issues – Just like the assistance provided to women, there are physical therapists that provide assistance to men and their unique health issues – such as male pelvic health, constipation, and more.
9. Mental Health – Many do not realize it, but physical therapy is highly beneficial to those experiencing emotional or psychological problems. Physical activity, massage, and other treatments have been found to increase the levels of serotonin in the body. As a result, a person’s mood and general emotional health are instantly boosted. There are many techniques used by physical therapists that also aid in reducing depression and anxiety.
10. Preventative Health – Due to the types of treatments that are utilized in physical therapy sessions, those that participate are able to prevent many future mental and physical health problems. This is because of the fact that the treatments help in increasing balance, coordination, strength, and mood. As strength is improved, the body’s immune system is also improved. Those that engage in physical therapy are less likely to fall, experience an injury, or develop serious illnesses.

Contact Us Today

This October, we here at Back to Motion encourage you to celebrate National Physical Therapy Awareness Month by signing up for physical therapy sessions. Even if you just utilize the services and techniques provided just during the Month of October, you are sure to find that you experience nearly instant results. We offer a wide range of services and activities that are sure to optimize both your physical health and your mental health.

Examples include balance training, vestibular therapy, dry needling, and customized treatment plans for all areas of the body. If you want to prevent illnesses and injuries, we recommend connecting with us now. If you already have an illness or injury, we can assist in the healing process and help you get back on your feet quickly! To learn more, contact us today.

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What is Neurological Physical Therapy?

Neurological physical therapy is a specialized form of physical therapy that aims to restore a patient’s level of functional mobility, improve their strength, and optimize their balance and level of coordination. Its primary focus is to aid those with neurological conditions in moving freely and improving the quality of their day-to-day lives. This form of physical therapy is beneficial in both recovering from neurological conditions and preventing the progression of the condition experienced.

What Conditions Do Neurological Physical Therapists Treat?

Neurological physical therapists treat patients that are experiencing issues and/or conditions involving the brain, the spinal cord, and the nervous system.

These conditions include traumatic injuries, Multiple Sclerosis, stroke, and Parkinson’s disease.

The goal is to increase the overall functionality and comfort of the patient. If you are suffering from a brain condition, a spinal cord issue, or even issues with your nervous system, you are a good candidate for neurological physical therapy.

How Does the Process Work?

If you are in need of neurological physical therapy, you will receive your treatment on an inpatient basis or outpatient basis. If you are required to complete the therapy on an inpatient basis, it will be done at a hospital or a center that specializes in rehabilitation.

If you are a good candidate for outpatient services, these may be performed at a clinic, an outpatient-based rehabilitation center, or even at your home. Your needs will be determined based on the overall severity of the condition in which you suffer.

The process initiates with an evaluation by a licensed physical therapist. During this meeting, the professional will gather information regarding your medical history and a physical examination will be performed. In this examination, the physical therapist will evaluate your overall strength, how coordinated you are, your general range of motion, the muscle tone of the body, and your reflexes.

In addition to the previously mentioned, the physical therapist will also review your attention span, the cognitive abilities that you possess, and your sensations. Your ability to transition from one position to another will be evaluated. The therapist will determine if you are able to transition successfully on your own or if you require assistance. Your balance, the way that you walk, and how you move will be reviewed.

Finally, you may be issued neurological tests. These will aid in examining the level of coordination that you have. Examples of the activities that are often performed during these tests include following various types of objects with your eyes, moving between movements that are alternating, and placing your finger on your nose – usually with your eyes closed.

What Interventions Are Provided with Neurological Physical Therapy?

Neurological physical therapy offers numerous interventions. These include – but are not limited to – the following:

1. Balance Training – This type of training places a focus on the stationary (static) and moving (dynamic) forms of balance. It aids in helping you sit upright and without support. This is designed to provide a boost to the control of your core. It also helps in standing in the upright position both with and without any kind of support (depending on your individual needs).
2. Endurance Training – This type of training is usually done with the use of various types of equipment that is known to improve your cardiovascular health. Examples include stationary bicycles and a treadmill.
3. Gait Training – This type of training is designed to assist you in improving your overall ability to walk. It may also include instructions on how to utilize various types of mobility devices such as canes and walkers.
4. Therapeutic Activities – This type of training helps in improving your individual level of independence. Examples include improving bed mobility by teaching you how to easily sit up from the lying position and transferring onto items such as chairs and the toilet.
5. Therapeutic Exercises – This type of training involves the use of various exercises to strengthen the muscles, improve your level of motor control, and optimize your coordination.
6. Vestibular Therapy – This type of training is perfect for those who experience dizziness and inner ear problems. It improves the overall control of movements associated with the eyes. It also places an emphasis on exercises that improve balance that include various types of head movements.

What Types of Conditions Does Neurological Physical Therapy Treat?

Neurological physical therapy treats a wide range of brain disorders, spinal issues, nerve problems, and neurological conditions. The following outlines the most commonly addressed among therapists:

• Amyotrophic Lateral Sclerosis (ALS) – Many refer to this as “Lou Gehrig’s Disease”
• Cerebral Palsy
• Essential Tremor
• Guillain-Barre Syndrome
• Multiple Sclerosis
• Parkinson’s Disease
• Polyneuropathies
• Spinal Cord Injuries
• Stroke
• Traumatic Brain Injuries
• Vertigo

Why Would Someone Need Neurological Physical Therapy?

If a patient has experienced an accident or has been diagnosed with a neurological condition, physical therapy is highly beneficial in recovery, reducing the progression of the issue, improving strength, optimizing the ability to move, and improving their abilities. The goal is to ensure that each patient experiences the highest level of independence and is able to perform activities of daily living as optimally as possible.

What Does a Physical Therapy Neurological Test Look For?

The neurological test conducted by a physical therapist is designed to evaluate the coordination of various body parts. It also examines the motor control that is occurring between the brain and the muscles of the body.

In short, the result helps the therapist determine if signals that are sent to the brain are successfully reaching the muscles, how quickly that is occurring, and if this ability is functioning in a proper manner.

Do Neurological Physical Therapists Have More Training Than Regular Physical Therapists?

Yes, physical therapists that specialize in neurological conditions typically pursue a certification that allows them to become a neurological clinical specialist or “NCS”, for short. This requires working 2,000 hours with individuals that have a neurological conditions. Once this has been achieved, the specialist will then take a board exam that must be passed.

The physical therapist that you work with may be in training or may have completed this training in order to obtain this certification.

Why is Neurological Physical Therapy So Important?

If you are a patient who has a neurological injury or a neurological condition, it is imperative that you participate in neurological physical therapy. This is because of the brain, spinal cord, and associated components of the body aid in controlling both movement and sensation. If cells die in these areas, it could result in the loss of function. If this happens, you may not be able to perform certain activities now and/or in the future. If activity intensity is decreased, other health problems may develop related to the organs and systems of the body. Furthermore, you will suffer from low quality of life.

Contact Us Today

If you have a neurological injury or a neurological condition, we here at Back to Motion Physical Therapy can assist you. Our goal is full recovery, slowing the progression of illnesses, and improving your overall quality of life. We offer many services that are sure to provide a boost to your health and optimize your general well-being.

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Nutrition is Essential to Healing and Recovery

According to the American Physical Therapy Association, nutrition is important to healing and the recovery from various types of injuries, illnesses, and other situations. This is due to the fact that when the body is suffering – in one way or another – its nutritional needs increase dramatically. The following outlines this:

• When the body enters into the healing process due to an illness or an injury, it requires higher levels of energy. As a result, it enters into a higher state in terms of metabolic state.
• The immune system experiences an immediate state of weakening due to the stress and/or the shock of the injury and/or illness. If nutritional needs are not met, this could lead to detriment of the immune function.
• If an injury occurs, the lack of use associated with the trauma leads to atrophy of the muscles involved. The proper nutrition – such as protein – aids in combatting this atrophy process.
• If a wound occurs and the individual does not receive the proper nutrition, it increases the risk of an infection developing.
• If inflammation develops, the proper anti-inflammatory nutrients should be consumed or there could be a dramatic delay in terms of the ability to return to the state of function before the illness or injury that caused the inflammation.
• Any type of physiological-based stress could lead to the development of fatigue. One requires nutrition that will combat this level of fatigue.

Medical professionals have found that nutritional deficiencies have the capability of actually hindering the natural healing progression of the body. If the proper nutrition is not obtained, one may suffer from infection and/or find that it takes significantly longer to recover.

Physical therapists not only help in providing physical exercises and techniques that help in positive outcomes. They have the capability of instructing a patient on the types of foods, supplements, and nutrients that are required to optimize the healing process.

Undernourishment and Malnourishment

It is a known fact that most individuals throughout the country are overfed, but are actually undernourished. According to data retrieved from medical files nation-wide, approximately 50% of all patients have some degree of undernourishment or malnourishment. As a result of this, these individuals face the possibility of experiencing more complications and issues than those that are properly nourished.

In fact, it has been determined that, for every $1 that is spent on nutritional therapies, it saves $52 in costs associated with hospital stays.

Medical professionals have studied nutritional deficiencies at length and have determined that the following are the most commonly experienced by patients in the United States:

• Vitamin D
• Vitamin E
• Magnesium
• Calcium
• Vitamin A
• Vitamin C

Physical Therapists Place a High Emphasis on Nutrition

The American Physical Therapy Association has stated that when it comes to the general scope of the overall practice of a physical therapist, nutrition is key. When you work with a physical therapist, you are working with a professional that knows that your diet and your general nutrition are essential elements to healing from the illnesses and/or illnesses in which they help you recover. These professionals are able to recommend nutritional products, supplements, and even advice that will help to provide an immediate boost to your health.

The Importance of Nutrients

All body tissues need nutrients because they are composed of nutrients. Additionally, nutrients are the basis of creation when it comes to neurotransmitters. They play an active role in the regenerative processes of the body and help in the process of physically adapting to physical activity.

Of course, everyone’s nutritional needs are different. Your needs will be evaluated based on your age, what gender you are, what level you are at in terms of physical activity, the types of medications that you use (both over-the-counter and prescription), as well as the injuries and/or illnesses in which you suffer.

By working with a physical therapist, you are doing more than simply healing or recovering. You are making a lifestyle choice that will optimize your overall health and success during and after the recovery and the healing process. Consider the following:

• Proteins aid in the growth and strengthening of your bones, the muscles in your body, and the connective tissues throughout your body.
• Calcium helps build bones, allows our blood to properly clot, helps in muscle contractions, and enables our heart to beat.
• Magnesium is a requirement for more than 300 different biochemical reactions that occur within the body. It helps in the function of nerves and muscles, the strengthening of the immune system, and helps ensure the strength of both the heart and the bones.
• Zinc helps the metabolism in the body and ensures the functionality of the immune system. It is also a necessary mineral for the healing of wounds that you experience.
• Copper is critical to maintaining health in the blood vessels, the bones, the nerves, and the immune system. Additionally, it helps the body in the process of iron absorption.
• Silica helps in strengthening all of the connective tissues that are part of the nervous system and it plays a role in stabilizing the release of insulin from the pancreas.
• Vitamins help in ensuring that the cells develop, grow, and function appropriately. Naturally, cells are an essential component of all of the aspects of your body.

How Are Nutrients Lost?

There are several reasons as to why nutrients are lost within the body. In a lot of cases, it stems from the body being unable to appropriately absorb the substances. This is often caused by a problem with the metabolism of the body or an infection.

It may also stem from illness, stress, and/or the utilization of certain types of prescription medications.

Nutritional deficiencies may also be a result of lack of information about nutrient needs, restrictive diets, overeating, and poverty.

Aging may also play a role in lack of nutrients throughout the body. For example, the muscles of an older individual may be resistant to certain nutrients; therefore, the need for increasing protein is required.

The Pain Factor

Many individuals who are ill or injured may suffer from inflammatory-based pain. If this describes you, it is important to know and understand that your diet will play a critical role in overcoming that pain and the oxidative-based stress that is placed on your body.

Nutritional advice that you may receive from a physical therapist could be to consume a diet that has a lot of whole grains, vegetables, berries, legumes, and fruits. These contain massive amounts of micronutrients and also phytochemicals that will provide a boost to your immunity and will reduce inflammation.

Additionally, you may be encouraged to consume items that are high in omega 3 fatty acids, as these act as a natural anti-inflammatory.

Supplements such as B12 and Vitamin D also help combatting inflammatory pain.

By working with a physical therapist and following nutritional guidelines offered, you may be able to quickly eliminate pain.

The Role of Nutrition and Physical Therapy

Nutrition has a direct impact on the recovery and functionality of the body. It is so critical that many physical therapists find themselves evaluating and treating poor nutrition levels more than any other condition. Chronic disease, repetitive injuries, obesity, and a lifestyle that is considered to be sedentary call for immediate intervention in terms of nutrition.

By working with a physical therapist on your nutrition, you will quickly discover that you have an improved outcome in your treatment and that it produces change that is long-lasting and highly beneficial to your overall health.

A few examples of the immediate benefits of physical therapy combined with nutrition include – but, are not at all limited to – the following:

• You will discover that you have significant less inflammation throughout your body.
• You will experience far less general pain because the nociception input in the body is decreased.
• Your general level of cognitive functioning will improve in a significant manner.
• There will be an improved level of regulation with the insulin/blood sugar throughout the body.
• The healing process of your body will improve which will leave you healing very quickly.
• You will discover that your immune system is much stronger and that you experience far fewer illnesses.
• You will find that you have a better outcome in your treatment than you have ever previously experienced.

When you visit a physical therapist, you should inform the professional that you would like a nutritional evaluation right in the beginning of your treatment.

When you get this and receive nutritional instruction from your therapist, you will quickly discover that – when combined with your exercises, the manual therapy that you receive, and the education that you receive – that you will have a quicker and more effective recovery than you would if you received only standard exercise therapy, alone.

When combined, nutritional therapy and physical therapy result in immense positive changes in the body.

Nutritional Therapy

In short, nutritional therapy is a form of therapy that places on emphasis on the general idea that health care may be achieved by combining both a holistic approach and a bio-individual-focused approach to both nutrition and lifestyle choices. It is a special type of therapy that focuses on respecting the feedback system of the body.

This system is directly responsible for the restoration and regeneration of itself. You will learn many techniques and will be provided with a variety of resources and educational tools that helps to pinpoint nutritional-based imbalances within the body.

If you are ready to take your health to a whole new level and to provide a boost to your general well-being, we here at Back to Motion Physical Therapy can assist you!

For more information and/or to set up an appointment to create an individualized treatment plan, simply contact us today by calling the following number: 303-832-5577

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