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Dear Friends,

Happy New Year to all of our patients, families and friends. After 22 months of feeling invincible and healthy without any worries, the Covid 19 virus finally broke through my own defense system, despite vaccination protection, KN-95 mask defenses, healthy eating (most of the time) and regular exercise. I am on my fifth day post positive test and symptoms. I am still a bit drained and have an annoying cough.

This sickness, most especially during the grey freezing months of winter, has been very depressing and overwhelming. I had just flown back to town from helping my 93-year-old Dad who happened to fall and was having a great deal of difficulty with back and hip pain. Seeing him struggle to get out of his chair and trying to walk with his walker with sharp pain was difficult to watch. His attitude is as positive as always, but his body is beginning to fail him, even with his positive attitude and smile.

I can’t help but be amazed at my Dad’s zest for life! He has always been a person that looks for the silver lining in the clouds. Nevertheless, doing so when he’s 93 years old, has had a tough year losing his independence after a more severe fall, having had Covid-19 with pneumonia, having been overmedicated and having everyone, including his physician of over 20 years thinking he wouldn’t last the year, is a testimony to his strong belief that his life continues to be a blessing. I can only hope to be as strong and positive as he is.

I am 67 years old and have cruised through most of my life, physically. I work out, eat fairly healthy and love my work. Last Sunday I caught Covid, it took me down this entire week and I am already questioning my mortality. My Dad has gone through more suffering physically and emotionally than I may ever face, and he has more positive energy and a more positive attitude than I do! Looking at life through his eyes can’t help but make me appreciate all of my blessings more than ever.

A younger patient recently heard me emphasize to a young 85-year-old person how remarkable I thought they were for getting up three days a week on their own to independently exercise in our clinic. The young patient responded quietly, “What else do they have to do?” My response, “I wonder if you will have the energy and determination to get up and take care of your body at 85 years old?”

It is easy to miss how challenging life is for every person who walks in our doors. Some are teenagers crutching in after having an ACL repair or leg fracture. They are sad and wondering if they will ever get back to normal activity levels. Some are 30 or 40-year-olds with terrible back pain which has them questioning whether they will need a serious back surgery. Will they ever be the same? Some are 70-80 years old’s who have just had a total knee replacement. They are walking in with a walker. They are wondering, like the other two groups of patients, when will they be able to get back to normal activities.

If there is one thing, I have learned working with patients of all ages every day for the last 40 years, we all have similar worries and fears. It doesn’t matter what age we are. Each one of us want to get back to better health in order to spend more precious time with our family and friends.

With this in mind, I hope you all find a way to see the silver lining in any clouds that come your way in 2022! Is it a challenging task at times? You bet, and if my 93-year-old Dad is an example to follow, I think it is well worth it!

Enjoy the journey,
Fran McDonald, PT,DPT,OCS
Five Reasons to Choose Physical Therapy
Early for Pain

If you experience an injury or develop pain, seeing a physical therapist early can help you address and manage your symptoms. Physical therapists are movement experts who improve quality of life through hands-on care, patient education, and prescribed movement.

A physical therapist can help you:
  • Get better safely and without fear of causing further injury.
  • Stay physically active and avoid the cost and potential risks of surgery and prescription opioids.
  • Recover as soon as possible.
  • Avoid other problems caused by changes your body makes to avoid pain.
  • Achieve your goals.

Acute Versus Chronic Pain
Acute pain. Typically, the first two to three weeks after an injury is called the acute phase. During this phase, it is easier to diagnose and treat pain.

Chronic pain. Pain lasting longer than three months is considered chronic. Identifying the cause of chronic pain is more complicated, and treating chronic pain takes longer.

recent study, published in May 2020 in Archives of Physical Medicine and Rehabilitation, found that people who get physical therapy early after the onset of low back pain have much better results than those who wait. Other studies, such as an October 2015 article published in JAMA, and a July 2020 article published in The Mental Health Clinician, have shown that early physical therapy improves disability and decreases pain and reduces the need for medication.

Seeing a physical therapist early, in the acute phase of pain or injury, often leads to the best results. Here are five benefits of seeing a physical therapist early if you experience pain.

1. Get Better Safely, Without Fear of Causing Further Injury
Pain may cause you to avoid activity for fear of causing more damage. After a thorough evaluation your physical therapist will design a personalized plan of care based on your needs and goals to:
  • Improve and manage your pain.
  • Safely improve movement, function, and quality of life.
  • Recover from injury and prevent future injury.

Physical therapists often work with other members of your health care team to ensure the best possible care.

2. Stay Physically Active To Avoid the Cost and Potential Risk of Surgery and Prescription Opioids

When an injury or pain occurs, our body enters protection mode. Often, people in pain avoid moving altogether. But avoiding all activity can delay recovery, and lead to new problems.

To recover from most causes of pain, it's important to keep moving. An active lifestyle that is appropriate for your condition can help you manage symptoms and decrease or eliminate pain.

A physical therapist will help you:
  • Understand your pain.
  • Set realistic expectations for recovery.
  • Prescribe exercise specific to your condition, needs, and goals.

A physical therapy program may help you avoid or delay surgery and can help you properly prepare for surgery, if required. Physical therapy also is recommended by the Centers for Disease Control and Prevention as a safe and effective alternative to opioids for the management of most non–cancer-related pain. A physical therapist can help you understand the use of any medication that is best for your condition and show you safe ways to reduce your pain.
3. Recover as Soon as Possible
Those who seek care within two weeks of an injury or onset of pain may require less care. In addition to treating your pain, your physical therapist will help you better understand your symptoms and provide strategies to manage your pain and recovery, as soon as your condition allows.
4. Avoid Other Problems Caused by Chronic Pain
When pain lingers, we may develop new movement patterns to avoid it. As a result, you may develop additional issues that require more time and effort to treat and reverse. Problems that may develop include:
  • Stiffness.
  • Loss of strength and endurance.
  • Increased sensitivity to and frequency of pain.
Seeing a physical therapist at the onset of pain may prevent it from becoming chronic.
5. Achieve Your Goals
Movement is crucial to your health, quality of life, and independence. For some people, pain makes movement a challenge. Your physical therapist can discuss your goals and work with you to develop a program to achieve them so you can get back to your desired activities or sport as soon as possible.

** article from choosept.com



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