The blog posts mirror what we see in the clinic and what we think can serve the community the most. Have a movement specialist PT evaluate and teach you how to recover the motion necessary to get back to a full and functional life.
Let’s get that out of the way. Friend. You know your sport, and I know biomechanics. You want your athletes to be their best, and I can help you get them there. I believe that collaboration is the key to all of us learning, growing, and performing at a high level. I cannot coach better than you, but I guarantee that you don’t know the body like I do. It is that triangle that creates healthy high performance athletes. Every person brings a past medical history, training history, strength, athletic ability, and mental situation that WE can learn from. My passion is taking someone who thinks they can’t do something and showing them how to do it. Can I coach Lacrosse? Basketball? Football? No. But I can sure evaluate the jumping, cutting, running, throwing, and any sport related activity to make sure the athlete knows what stretching, strengthening, and biomechanics he or she should use to elevate his or her performance to the highest level possible.
STAGNANT OR INJURED ATHLETES
Training plateaus and injuries are virtually the same. At MVPT we can help a 2:05 half-marathoner who is stuck on that time and not injured. There is a training flaw, a weakness or stiffness, or a biomechanical reason full potential is not realized. What about whether or not an athlete should race or not? Fast tracking is a method of getting the athlete ready to race in a short period of time, taking in consideration of the long term health of the problem. Yes, you can race with a strain 2 weeks before a big race. An emphasis on education makes the athlete aware of what problems he or she has, and he or she is given a program to address the limitations. A coach could say “something isn’t right, let me get you to my guy and see what we need to do.” What I do is evaluate the body, evaluate the movement, and identify problems. When the athlete is ready to resume training, I hand him back to the coach. Afterward, the coach and I collaborate to reestablish consistent training and then I phase out. If there is an ongoing strength problem we do monthly training plans to allow the body to work on sound movement and if we need to film the movement, we do. Movement is the key.
Wouldn’t you prefer to see a PT who has knowledge of anatomy, physiology, running gait expertise, and can tweak physical body, sports/endurance training, and biomechanical factors so you can return to training, competing, and racing quickly? At MVPT we are reading the latest research literature to be sure that the recommendations we make are reliable and predictable. Everybody is different right? Not quite. Everyone has the same anatomy and physiology, and their body will adapt to the force placed on them. Would you want a dentist who thinks not all mouth care is the same? What about a heart surgeon who doesn’t pay attention to normal heart electricity? Everybody’s ACL of the knee is the same angle, right? YES. If that angle is not precise then the knee will not work accurately. There are many variables in the human body but having a balance of science and art is how people get needs met. As a professional, it is my job to know what is helpful and what is not. That is where knowledge comes in. Where do you apply it, how soon, AND how hard? That is where experience comes in. Wouldn’t you like to know the brace you are using actually puts you at risk for more injury? Wouldn’t you prefer a Physical Therapist who has 90% of patients either runners or athletes who use running skills?
WHO AM I?
I am an athlete. My philosophy at Maximum Velocity Physical Therapy (MVPT) is based on my lifetime in sports, experiences with both good and bad training, education in the principles of physical therapy, and searching for more information to make ME a better athlete. During my two years as an assistant coach at UNLV in the cross country and track programs, I noticed these athletes had the ideal situation. All they had to do was show up to class and practice and compete. They have coaches, strength and conditioning staff, athletic trainers, counselors, and nutritionists. That is what age groupers are looking for, why can’t regular people have that? There is a need there, and as a PT I can do the athletic training, strength training, and to a certain level counseling.
I established MVPT to give patients who fall through the cracks of traditional medicine a home because people did not take the time to listen, educate, and serve. That includes patients, athletes, or both. MVPT serves the community by ensuring healthy quality patient care and athletic performance is administered. My goal is to surround myself with passionate, knowledgeable, and fun coaches and athletes all day, every day.
WHAT AM I SELLING?
I am selling education and performance. I offer physical therapy to get healthy, I offer performance evaluation and training, and I offer monthly strength classes to reinforce healthy moving with resistance. Injury rates are low in strong athletes and performance is high in the same group. Who doesn’t need or want that? We can be creative to meet your lifestyle and time needs. I am humbled by the continued support of coaches, and your referrals mean the world to me. I am having a blast! Feel free to check out my website: maxvelocityPT.com. Please call 702-998-2900 to make an appointment or ask questions.
When we look at the history of Physical Therapy the profession is only about 50 or so years old. We as a profession are in an infant stage of development. The medical profession is hundreds of years old and the amount of learning and discovery is still happening. As you might imagine the growth of Physical Therapy research is growing at an alarming rate. We have to in order to catch up. So every physical therapy school in the country will soon be a Doctor of Physical Therapy. This level of education is the same as a dentist or a lawyer and now requires a thesis-type paper. These programs are heavy research oriented. They have to be, we are catching up. In order to bring the Physical Therapy research to reach the community the students must practice “evidence based.” This means that all of our interventions (exercises, treatments, etc) must be backed up by science and the treatment must be scrutinized. The way it actually plays out is the physical therapy industry has split intentions. If I sit here and provide only evidence based interventions, what will I bill for? How much time will the PT’s spend with the patients? Insurance companies will deny unqualified treatments too, sometimes that’s good and sometimes not so good.
What if a patient walked in and said, “I only want you to scratch my back. Your fingernails on my back will make this neck pain go away.” The role of the PT is to say “Sorry, but this is what has been shown in the literature to be effective for treating the bulging disc in your neck.” There is an art to treating that bulging disc in her neck too. The PT must incorporate the personality type of the person and educate them as a person. The skill of communication is where the art of educating the patient takes place. As a profession we have less time to communicate or listen, our ability to grow the profession is losing. This post is designed to highlight 6 things that patients are very surprised physical therapists can help with.
1. Scoliosis or any “hereditary” spine problem. Our body responds to the force or pressure we put on it. So with attention to details, some hardwork, and proper education PTs can change the way a faulty spine moves. It requires a mechanical or physical change the patient has to be ready for and the PT has to educate what the person should feel and not feel. Ultrasound, electricity, and anything else from the outside in cannot change how the spine actually moves. Movement can improve the function and can help with a lot of the pain and stiffness associated with long term spine problems. If the spine moves the same way then that same spine will adapt to that same motion.
2. Intimate problems even sex associated problems. Womens Health specialty of physical therapy is growing at an alarming rate. Before and after pregnancy for women. Intervaginal techniques help restore normal function of the reproductive system. Inter rectum treated prostate problems in men. IT IS NOT NORMAL FOR WOMEN TO LEAK URINE AFTER THEY GIVE BIRTH. Exercises, manual therapy techniques, and movement retraining can definitely help these people. This can completely change a persons life. (There is very little expertise in this area from MVPT, LOL but I can get you someone who knows)
3. Wound Care. Now-a-days a big role for PTs in the hospital is addressing big ugly wounds. Bloody, pus-y, tunnels, dressings, ointments, stages of healing, wound vacuums, post-surgical, and any other method of helping people heal from these limits in function due to wounds. This education is part of the general knowledge base of every PT.
4. Arthritic conditions or presurgical care especially ACL. Our body craves moving. If there is no movement then the body breaks down. Arthritic problems are more associated with movement errors than “wear and tear.” It is not what you do, its how you do it. There are plenty of previous athletes who do not suffer years later. The ones who do not suffer continue to move and the ones who suffer either move in a way that creates the arthritis or they lose the motion all together. The answer is re-educating movement through strengthening and stretching. There is a lot of evidence to show that appropriate PT can be just as if not more successful than total joint replacement. Also, if you get one replacement the trend is to add hips and the other knees to the mix if you cannot get the movement problems under control. Before surgery have a movement reeducation PT evaluate your mechanics and learn to move better.
There is an extremely high incidence of total knee replacement in knees that have ACL reconstruction. It has nothing to do with the surgery but the mechanics to tear the ACL is the same as the mechanics that offer the arthritis to the knee. Get stronger first, learn what motions put tension on the graft, and what exercises you can do to eliminate the problem. If you move the same way, you will get the same problems. PT for the ACL for athletes should be up to 20 weeks long. Usually the patients get discharged at 12 weeks or so. Learn to cut well, learn to jump well, learn to run with no biomechanical errors. These concepts will save the graft for the long term. Any major surgery will have this same phenomenon. If your not sure what your PT will do about these topics, interview them before you go. Make sure you are getting value for your time and money. Be a good consumer, not all health providers are up on the latest techniques. At MVPT we specialize in ACL reconstructed knees and the rehab after. Running is a pre-cursor to sports. Good mechanics are a pre-cursor to running.
5. Balance problems like dizziness or vertigo. Your balance depends on 3 systems to hold you up: sight, body awareness or position, and vestibular or your inner ear. When these things are on the same page you have balance, when they stop working together you lose it. A PT with experience can treat you in the clinic without the big and fancy gadgets. The gadgets make it fun and cool and help to a certain extent but you still need movement re-education. It is not uncommon for weakness to bring on balance problems and get mistakenly referred to a balance clinic where they work on the vertigo stuff. Let a movement oriented PT teach you a strengthening program you can do on your own and eliminate balance issues in order to prevent falls. Falls are the leading cause of death in folks 65 or older. Falls lead to hospitals, hospitals are where people get sick (perhaps the topic of another blog post, lol).
6. Head Aches. The general health care system has to start realizing there is no one better at treating head aches than a PT. This is the only quick fix in PT. The upper cervical spine is the place that connects your skull to your spine. When your skull is moving incorrectly you can get head aches. They are very often mistaken for migraines. Your posture and your head position can greatly influence head ache pain. Teaching the spine and skull to move, strengthening the muscles that hold up right posture, and stretching if there is lack of ROM can eliminate a head ache in 1 visit.
At MVPT the answer to physical or functional problems will always be movement re-education. There is NOTHING we can do from the outside that is better than what the body can do for itself. We use cutting edge techniques to educate consumers on the best way to treat themselves. Evidence based practice is crucial to improving the functional lives of the patients that we see. Otherwise we might chase our tail and not know what is what. Prevention is the best way to treat injuries. If you or someone you know has a movement problem feel free to call, stop in, or email. I love taking inquiries. If it is something that needs one on one stuff for we handle it. If it does not require that then I will refer you accordingly. The focus is re-education. Feel free to call at 702-998-2900. The website is www.maxvelocityPT.com. Happy training!!
Physical Therapy (PT) is a very dynamic profession. When compared to the rest of the professions in the medial field PT is very young. Very young professions are trying to prove they belong. PT has an initiative in place to build more and more evidence that we belong. When I hear about my colleagues rushing over 50 patients a day through a clinic, my heart breaks. When I hear people complain about the type of care they received and I see "hot pack, ultrasound, massage," I cringe. Physical Therapy is fighting for legitimacy and greed or money takes precedence over quality care.
When Physical Therapy puts out a watered down, factory-like product people think thats what Physical Therapy is. This style of treatment breeds a patient expectation that I call "DO ME." DO ME's believe that when they arrive at PT someone is going to DO something to them to make their impairments go away. When the patient return to the doctor with no change in impairments the doctor proceeds to the next level of care. Usually something more invasive. PT has let the patient and the medical community down by not fulfilling our role. DO MEs dont realize this is happening as they are relying on the experts. DO Me's dont read research. They dont realize that hot packs, ultrasound, electricity, dry needling, and massage are not proven to be beneficial. There is a lot more to the treatment of medical problems especially musculoskeletal problems. Sure those treatments feel nice but changing impairments sometimes doesn't feel nice. Thats where the SHOW ME's come into play. You cannot replace the work.
SHOW ME's do not crave short term benefit. SHOW ME's can be educated on why they feel, what they feel, what they need to do to change it, and be given a plan for the future. PTs are experts in biomechanics, movement, and the treatment of such injuries. If the problem is climbing stairs then the PT should evaluate the task of climbing stairs for you. The PT should identify a movement error and apply a plan to help this person move better. Show them how to move better. Movement disorders are governed by daily habits that causes anatomical reactions that can lead to performing well or limiting performance. For everyone how we feel is a result of how we are trained. By sitting on the couch or not training, anatomical problems find you. Arthritis is a result of inactivity not overactivity. For those who are exercising but not controlling all variables may be contributing to symptoms without knowledge.
If you are not getting what you want out of your body or the treatment you have received ask yourself "how much responsibility have I taken during this process?" Am I a SHOW ME or am I expecting someone else to do this for me. DO ME's can become SHOW ME's. If your network of health professional are not educating you and are supplying "things" (modalities such as heat, ice, ultrasound, elctro, massage, braces, orthotics, etc) for you, take control and change your network. I am challenging the health care system, health care professionals, patients, and anyone who will listen to take responsibility for your role in this situation. In this era of fast food type health care voice your opinion with where you spend your money. Don't let big business rob you of your functional life especially your happiness. Every human according to our biology is hard wired to move. Thats right, our happiness is directly related to how much we move. When was the last time someone regretted a workout or a run?