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physiquality blog: will I have arthritis after my knee injury?

As a person who has had five knee surgeries now, this is a very personal subject. One particular pre-op appointment comes to mind. I was living in Los Angeles, and I was preparing for a cartilage implant. After years and years of dance (many on tile floors), I’ve shredded my cartilage, and the doctors agreed this would help to repair the hole in my right knee’s cartilage.

So I go to see my GP for blood work the week before surgery. He looks at what is supposed to be done, looks up at me, and asks when I’m going to have my knee replaced. I dunno doc, can I get through this surgery (that’s supposed to delay a knee replacement) first?

In my own estimation, I was doomed from the beginning. I had arthritis in my right knee at 14. My left knee started sounding like Rice Krispies in my 30s. But I know that if I don’t remain active, I’ll simply put on more weight, and I’ll be more at risk for arthritis, as well as lots of other things. So it’s better to be as active as I can, with the hopes of postponing these other issues and surgeries as long as possible.

Will I have arthritis after my knee injury?

with advice from Mitch Kaye, PT

Unfortunately, if you have a traumatic injury to the knee like an ACL tear, a meniscus tear or even certain types of fractures, your chance of developing osteoarthritis increases significantly.

Osteoarthritis, which is the wearing away of cartilage, can occur normally with years of use, but it can also occur more readily after trauma around the knee. The Arthritis Foundation estimates that 700,000 knee injuries a year account for 12.5% of post-traumatic arthritis cases in the U.S., and they warn that younger athletes with ACL injuries are at risk of developing arthritis before they are 40 years old, often within 10 years of the original injury.

If you’re an athlete who has had one of these types of injuries, it’s not something you probably wanted to hear.

Read the full entry at physiquality.com!

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physiquality blog: can physical therapy help with pelvic pain?

Can physical therapy help with pelvic pain?

with advice from Jessica Hice, PT, DPT

Pelvic pain is a symptom that is easy to ignore. When considering talking to a doctor or physical therapist, women (and men) think about the awkward conversations, and the prospect of an invasive examination, and they often decide to postpone such uncomfortable situations.

But like any bodily pain, the longer it continues, the more likely that chronic pain is a sign that something is wrong and needs to be treated.

Pain that continues for six or more months would be considered chronic and worthy of discussion with a healthcare professional, according to the Section on Women’s Health, a subset of the American Physical Therapy Association that offers training for physical therapists who want to specialize in women’s health or pelvic pain. Pelvic pain can present in the lower abdomen, pelvic or perineum, the Section notes, and it could also feel like aching or burning.

Read the full entry at physiquality.com!

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physiquality blog: working toward a better body

In revamping this post (it was originally “work out like a model,” which isn’t easy to relate to physical therapy and general wellness), I may have been speaking for myself, as well as my family back in the Midwest, when I wrote about the weather. Friends in Kansas City have had 10 snow days at this point of the year. My sister-in-law in Chicago has had multiple days with highs hovering around 10 degrees.

Dallas may not have been as bad as either of those, but I have done my fair share of hibernating during our first winter here. And now I need to find a way to shed some of the weight gained in the last few months. Luckily, I found some advice on that very subject. Read on for more information…

Working toward a better body

Working toward a better body

As spring break approaches, many of us are starting to realize how much we have hibernated during this overly cold and snowy winter. Trapped inside our homes, we may have been eating more and working out less.

With the prospect of spring break trips and summer weather on the horizon, here are some ways to shed those winter pounds and to shape up your physique.

Read the full entry at physiquality.com!

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physiquality blog: why is physical therapy important after a joint replacement?

Joint replacement surgery has become fairly common in recent years. It has become easier to recuperate from, and the implanted replacements last a lot longer than they used to. In the 1980s, I was told a new knee would last 10-15 years; now, they can last up to 30 years.

The older patients who often get these surgeries may not have been through orthopedic procedures before, and I’ve come across some who shrug off the prescription of physical therapy as unnecessary. Unfortunately, without the strengthening and work done in PT, these patients could end up with the very same chronic pain that drove them to have the surgery in the first place.

To learn more about why PT is such an integral part of joint replacement procedures, read on…

Why is physical therapy important after a joint replacement?

with advice from Shelly Cloughley, PT, DPT, CSCS

Joint replacement surgeries like knee and hip replacements have been on the rise in the new millennium. With many Baby Boomers approaching their 70s, it’s a trend that most likely will continue.

But while patients might think long and hard about what the surgery will entail and the expertise of their surgeon, they don’t often consider the role of physical therapy in their recovery.

A patient’s decision to undergo a joint replacement is often a result of chronic arthritis or pain, as well as a loss of function and quality of life. Throughout the process of rehabilitation, patients are commonly frustrated about meeting their expectations of having the joint replacement. Patients aren’t usually prepared for the discomfort of the process of healing, and the challenges of restoring their full range of motion and building the necessary strength to return to a functional level that fits their lifestyles.

Read the full entry at physiquality.com!

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physiquality blog: four signs you should STOP working out

When a new year begins, it’s a natural time to start new habits, particularly ones related to your health. You may or may not have eaten or drank your way through the holidays, and the lack of social events in January is a good time to start eating better, drinking less (alcohol) and moving more.

However, at any fitness level, there are ways your body is telling you that your activity is too much and that you need to stop. Immediately. (I know this from personal experience — I’ve had to walk out of two different dance classes due to a sharp, stabbing pain that eventually led to joint repairs and orthopedic surgery.) These are not signs to “rub some dirt on it” and get back to exercising. They are your body’s way of telling you to sit down and possibly call your doctor or physical therapist to see what is causing the symptom.

Four signs you should STOP working out

with advice from Mitch Kaye, PT

January often brings resolutions of better health and exercising more. After a month (or 6 weeks) of indulging, hectic holiday plans, and falling off the wellness wagon, it makes sense to try to improve your health through exercise. But there are times when you should listen to your body and stop exercising.

Despite the mantra “no pain, no gain,” if your body hurts, it’s trying to tell you something. Here are four things to be aware of when working out.

Read the full entry at physiquality.com!

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physiquality blog: how often should I exercise?

Like many people, exercise has been a challenge to fit into my schedule as I’ve grown older and have more commitments in my calendar. If you’ve ever wondered how frequently you should be exercising in order to stay healthy, you’re probably not alone. (And you’re probably not exercising enough.) Read on to see what our strength and conditioning expert had to say about workout frequency and your health.

How often should I exercise?

with advice from Mark Salandra, CSCS

As the weather begins to get colder, many of us may be retreating indoors and not walking around as much. If you didn’t exercise regularly when it was warm outside, you’re probably moving less now that it’s not.

The recommendations from the U.S. government (through the Department of Health and Human Services) focus on aerobic exercise and strength training. They include 150 minutes a week of moderate aerobic activity, or 75 minutes a week of high intensity training, plus strength training at least a couple of times a week.

Read the full entry at physiquality.com!

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physiquality blog: strength training for kids and adolescents

Strength training for kids and adolescents

with advice from Mark Salandra, CSCS

When most of us think about strength training, we think of oversized bodybuilders with rippling muscles, like Arnold Schwarzenegger (during the 1970s, not as the governor of California). Or the guy from the Planet Fitness commercial that lifts things up and puts them down.

Done in moderation, however, strength training can benefit people of all ages, including children and adolescents, says Mark Salandra, a certified strength and conditioning specialist and the founder of StrengthCondition.com (a Physiquality partner program).

Read the full entry at physiquality.com!

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physiquality blog: walk more, be healthier

I will admit that since I became a mother, I have focused more on convenience and less on movement. Most shopping is done online (with the exception of the groceries). I work from home, so my commute is up a flight of stairs, and I have noticed (thank you, Apple watch) that I do not move enough during the day. At least in New York, I could walk everywhere. Moving to a more suburban environment means that the only place within walking distance was a BBQ truck, and that closed more than a year ago.

So what’s a mom to do? I’ve written about this for a long time — walk. Even just walking 30 minutes a day can improve your cardiovascular health and help you lose weight. The reality is that it’s still winter here, and as I look out my window I see wet streets and melting snow. But I’m promising myself that as soon as our weather is less brutal, I’ll be walking more every day.

Walk more, be healthier

with advice from Libbie Chen, PT, DPT and Polar

Technology has made a lot of things easier. If you need to buy something, order it online. If you need to get somewhere, just drive your car.

What this also means is that Americans are walking and moving less. This is one of many factors leading to the ever-increasing waistlines in our country. And even if you haven’t been gaining weight, moving less can contribute to heart disease and other health issues.

Read the full entry at physiquality.com!

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physiquality blog: 6 habits for a healthier heart

Full disclosure: I am a sorority girl. Not one that skulked around the edges, either — I was our philanthropy chair as a junior, and was in charge of retention as a senior. While I have drawn more close to my university alumni groups rather than Alpha Phi social groups in recent years, women’s leadership has always been a cause that is close to my heart. In my sorority’s case, that was literal, as Alpha Phi funds cardiac care research and has for some time embraced what became a national trend: National Wear Red Day, a way to support cardiac care research, particularly for women.

Of course some may ask why this movement focuses on women. It’s because cardiovascular disease in the U.S. kills approximately one woman every 80 seconds. EVERY 80 SECONDS. It also kills more women than all types of cancer combined.

The American Heart Association has some tips for having a healthier heart, which I wrote about this week and link to below. But this is my plea for you to wear red tomorrow and donate to cardiac care — for women’s health, and for everyone’s.

6 habits for a healthier heart

in honor of American Heart Month 2018

Most of us know that exercise improves your cardiac health — you get moving and your heart pumps more, which helps your heart remain strong. But what else can you do to improve your heart health?

A few years ago, the American Heart Association, or the AHA, created Life’s Simple 7: seven ways to improve your cardiac health. One of those seven is exercising more. Your PT can help you create an exercise regimen to help you get moving, in the best way for your particular body. Use our locator to find a Physiquality therapist in your neighborhood.

Here are the AHA’s six other ways to make your heart stronger and healthier.

Read the full entry at physiquality.com!

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physiquality blog: sarcopenia and loss of strength

I know this term more from working with physical therapists than I do by observing my own grandparents — my grandfather was lifting weights and riding his bike into his 70s, and my grandma swore by her morning walks into her 80s. But they are not only the exception, they demonstrate how exercise and activity can slow down the slippery slope of aging toward frailty discussed in this post.

Aging isn’t fun for anyone. My grandmother is 90 now and describes herself as “meaner than a junkyard dog.” She can’t hear very well, and she’s pretty much blind due to macular degeneration. But I believe she is able to take care of herself and live on her own due to the healthy life she has lived for decades, one of moderate drinking, healthy eating, and plenty of activity. If I’ve learned anything from her (aside from the value of a good looking shoe), it’s that I will be striving to do the same in order to have a better chance at being healthy when I’m her age.

Sarcopenia and loss of strength

with advice from Daniel Butler, CEP

Sarcopenia, the loss of skeletal muscle mass, is a part of what has been called “the slippery slope of aging.”

As people age, they often start to experience sarcopenia, as well as osteopenia and osteoporosis. Having weaker muscles and bones, plus the arthritis caused by years of wear and tear, can make movement more difficult and painful. The pain leads to less activity, which contributes to weaker bones and muscles, making it even more difficult to move. And so on.

Doctors and scientists are still not quite sure what causes sarcopenia, but they have linked a number of factors to its development, according to the Mayo Clinic: age-associated hormone changes, physical inactivity, inflammation, and diseases like cancer and diabetes. Because inactivity can lead to sarcopenia, doctors encourage older adults to exercise more to build muscle mass.

Read the full entry at physiquality.com!