Posted on 4/23/2019 by NovaCare Rehabilitation and Select Physical Therapy
For the management of some types of pain, prescription opioids can certainly help. However, there is not enough evidence to support prolonged opioid use for chronic pain. And, unused or expired prescription medications are a public safety issue that can lead to accidental poisoning, overdose and abuse. If thrown in the trash, unused prescriptions can be retrieved and abused or illegally sold. The misuse and abuse of over-the-counter medications, illicit drugs, alcohol and tobacco affect the health and well-being of millions of Americans.
With that in mind, mark your calendar for Saturday, April 27, 2019, from 10 a.m. to 2 p.m. Eastern Time, as the Drug Enforcement Administration (DEA), in partnership with federal, state, local and tribal law enforcement, businesses, medical offices, agencies and first responders, hosts events to collect and safely dispose of unwanted medications.
Removing unwanted or expired medications from the medicine cabinet is an easy way to make a difference in the opioid crisis. Make plans to dispose of unused and unwanted medications during DEA National Rx Take Back Day at a location near you.
And, remember: To achieve pain-free movement for enhanced quality of life and independence, rely on NovaCare Rehabilitation and Select Physical Therapy’s team of extensively trained and licensed therapists. Our clinicians are movement experts who can identify, diagnose and treat your pain or injury and get you back to work, athletics and daily life.
Working with a physical, occupational and/or certified hand therapist through a plan of care that is designed specifically for your needs is a safer and more effective long-term option than opioid use. Let us help you to experience the power of physical therapy today!
Side effects include:
Increased strength and flexibility
Prevention of future injury
Improved quality of life
…And much more!
Medicine dispensed includes:
…And much more!
For more information or to request a complimentary consultation, please contact a center near you today.
Posted on 4/15/2019 by Karrianna Gallagher, OTD, OTR/L, CHT
Occupational therapist? I already have a job…
The term ‘occupation’ is more general than what we typically think. Because a third of our day is spent at work, the word ‘occupation’ has taken on that set meaning. This is interesting given that another one third of our day is spent sleeping. So why isn’t sleeping considered an occupation? This is likely because everyone sleeps, and when you think of your occupation you think of something that is uniquely you. But what is uniquely you is actually a collection of occupations, not just the one that takes up the most time. You could be a mom, teacher, gardener, friend, sculptor, chef, etc. These are the roles that you identify with and the occupations that occupy your time.
Occupations are how we define ourselves and how we experience life. It’s likely that some occupations take up more of your time than others, but that doesn’t mean you identify with them any less. Each of them is part of who you are.
We live our most fulfilling life when we are able to participate in all of our valued occupations to the fullest extent. Now, imagine breaking your wrist or tearing your rotator cuff. Suddenly you can’t hold your baby, write a grocery list, chop vegetables, press down piano keys, throw a ball or achieve a full night of pain-free sleep (which we all know was already being interrupted by the baby!). Every part of who you are and the way you define yourself as a person is impacted by this injury.
There are many members of the health care team who will play a part in helping you heal. One of the team members may be an occupational therapist. Occupational therapists have the knowledge of your injury accompanied by the expertise in analyzing the necessary activities in order to guide your rehabilitation program. Their goal is to ensure your range of motion, strength and endurance are restored in the safest, most efficient way so you can get back to fully engaging in all of the occupations you want and need to live your best life.
Hand therapist? But I tore my rotator cuff…
A hand therapist is an occupational or physical therapist who has specialized knowledge in the upper limb - shoulders, arms and hands. The anatomy and mechanics of hands and arms is extremely complex and intricately connected, which is why it requires specialization. Think about all of the various movements you use your arms and hands for – turning a door knob, using a fork, tucking in your shirt, etc. Even seemingly simple tasks will be impacted by an injury to the smallest finger bone.
What’s the difference in a hand therapist who is an occupational therapist and a physical therapist?
More than 80 percent of certified hand therapists are occupational therapists, the other 20 percent are physical therapists. Both occupational and physical hand therapists have similar goals in terms of helping you heal from injury. The main premise of occupational therapy is the therapeutic use of meaningful occupation as a form of treatment. The idea here is to motivate a person to bend their elbow so they are able to feed themselves. In addition, occupational therapy has its roots in mental health. They can address not only the physical injury, but the emotional components as well.
So, now you know… occupational therapists don’t help you find jobs and hand therapists don’t just treat hands. Occupational therapists who specialize in hand therapy are creative and caring shoulder, arm and hand experts. They take you on a rehabilitation journey where your ability to return to your unique collection of meaningful occupations is the finish line.
By: Karrianna Gallagher, OTD, OTR/L, CHT. Karrianna is an occupational therapist and certified hand therapist with NovaCare Rehabilitation in Minnesota. She has experience in rehabilitation non-surgical and surgical shoulder, arm and hand injuries.
Posted on 3/25/2019 by Mike Montez, M.S., ATC, CSCS
With an aging workforce, increasing health care costs and a continued demand for physically demanding jobs to be completed by humans, more and more companies are looking into providing their employees with access to an onsite injury prevention specialist.
The injury prevention specialist role is often filled by a National Athletic Trainers’ Association Board of Certification certified athletic trainer whose unique training, skills and abilities make a great fit for the job. Athletic trainers perform skills including immediate injury triage and care, biomechanics assessment, health and wellness education and strengthening/conditioning of active individuals.
Onsite athletic trainers work with industrial athletes who might be delivering online purchases, assisting with luggage at the airport or even cleaning a hotel room. The main goal of the industrial athletic trainer is injury prevention. Just like in sports, industrial athletic trainers “keep the worker in the game.”
Many individuals don’t know when to use ice or heat, how to stretch a tight muscle, basic nutrition needs for a physical job or even how lack of sleep can affect the body’s ability to heal, decrease motor coordination and increase blood pressure. That is where the role of the industrial athletic trainer comes into play.
Employees suffering a wide array of pain or discomfort from work-related and non-work related activities can seek out care from the onsite injury prevention specialist. Care may include assessing the individual, developing a plan of care and attempting to conservatively manage the issue through a combination of ice, heat, soft tissue massage, prophylactic, non-rigid taping and the application of a topical analgesic.
More often than not, an employee’s symptoms resolve within a few visits. If not, the industrial athletic trainer will discuss potential next steps in the process which could include following up with a doctor for further treatment. The industrial athletic trainer also serves as a referral source for other available services which may include dentistry, registered dietitians, follow-up with the employee’s primary care physician/specialist or even psychological consults.
Think of the industrial athletic trainer as a one-stop shop for all your health and wellness needs while on the job. The service is free (paid for by the employer) and is designed to keep the workforce healthy, happy and safe!
For more information regarding services for the industrial athlete through the Select Medical Outpatient Division’s WorkStrategies Program, please call 866.554.2624 or email [email protected] today.
By: Mike Montez, M.S., ATC, CSCS, WorkStrategies coordinator for Select Physical Therapy’s Southern California community. He serves as the site supervisor with our OnSite Program at Delta LAX and offers more than 15 years of experience. He is a graduate of Cal State University Long Beach.
Posted on 3/18/2019 by Martin Ryan, C.P., CFO, FAAOP | Comments
How does a prostheses attach? Great question and one that has a number of possible styles for the below the knee patient.
Suspension systems in prosthetics come in a number of configurations. One system common today is the mechanical pin lock system. A pin is attached to the distal liner and inserted to a lock mechanism that provides the interface for suspension. The system is clinically referred to as the Below Knee Prosthesis with a Pin Locking Liner.
Pin lock suspension can be used with patella tendon bearing (PTB), total surface bearing or hydrostatic socket design. With pin lock liners, a silicone liner is rolled onto the residual limb creating a seal between the skin and the liner. The liner has a pin on the end that locks into the bottom of the prosthetic socket. A prosthetic sock may be worn over the silicone insert in order to allow for volume fluctuations.
PUTTING ON THE PROSTHESIS:
Turn the liner inside out. Make sure the liner is clean and dry and has no dirt on it that will irritate the skin.
Make sure a good portion of the bottom end of the liner is exposed and place it against the limb. (Figure 1) With light pressure, roll it up and over the limb. Make sure no air pockets exist between the liner and the skin.
Roll the liner up the limb. (Figure 2) Do not pull or tug. Be careful not to tear or puncture it with fingernails or jewelry.
Pay close attention to the placement of the pin. In most cases, it should be in line with the limb. Be careful not to pierce the liner with the pin.
When using a liner without a fabric cover, a lubricant may be necessary. Consult with your prosthetist to determine the best lubricant for your use.
Add the appropriate thickness of prosthetic sock over the liner, if necessary.
Push the residual limb into the prosthetic socket. The pin will insert into the lock and click down as the limb goes into the socket. It should take some effort to put on the prosthesis. If it clicks down easily, a thicker prosthetic sock may be needed. (Figure 3)
REMOVAL OF YOUR PROSTHESIS:
Push and hold the lock button in and lift the limb out of the socket.
CLEANING AND MAINTENANCE:
The prosthetic socks and sheaths should be cleaned according to the manufacturer’s directions. The soft insert and the prosthetic socket may be wiped out with warm, soapy water or alcohol as needed. Clean socks should be worn every day.
TIPS AND PROBLEM SOLVING:
One of the most difficult concepts to master is how to determine the correct sock ply to wear. Wearing the correct amount of socks is critical for comfort and safety. Your prosthetist and physical therapist will supply you with general guidelines in wearing socks, but if you have questions do not hesitate to contact or visit your prosthetist.
OH NO, IT’S STUCK:
It can happen. You get stuck and the pin will not release. Many times, the sock has covered the pin and is providing in ability of the pin to release.
Do not panic. In most instances, some consistent pulling will release the pin and free the lock. Ask someone to assist you in this process if necessary.
In extreme cases, pour soaping water into the liner next to the skin breaking suction and allow it to release from the prostheses and work free.
Contact your prosthetist.
For more information on the Below Knee Prosthesis with a Pin Locking Liner, please contact a NovaCare Prosthetics & Orthotics centers near you.
By: Martin Ryan, C.P., CFO, FAAOP, is prosthetist for NovaCare Prosthetics & Orthotics. Marty is certified in advanced prosthetic designs for adults and pediatrics. He received prosthetic training at Northwestern University and the Rehabilitation Institute of Chicago. Marty is certified in prosthetics by the American Board for Certification and works out of NovaCare P&O’s Fond du Lac center in Wisconsin. NovaCare Prosthetics & Orthotics is part of the Select Medical Outpatient Division family of brands.