Remedy Physical Therapy & Wellness

You know what’s fun about my job? Showing people their own capability. 💪🏼
At any age or any stage. If your willing to try let’s explore.

If you run a local gym you may be…
1) uninformed in the pelvic health needs of your female clients
2) completely overwhelmed with the pelvic health needs of your female clients.

So… call me
These local workshops have been so much fun. We take the main request, which lately has been jumping rope without leaking and help you explore your personal threshold and strategy so you can perform how you want to- symptom free.

Book a workshop this fall
[email protected]

https://remedypt.com/jumprope/

How to stop leaking with jump rope - Remedy Physical Therapy Do you p*e when you jump or run? How about when you sneeze or cough?Leakage is something females deal with (in fact 1 in 3 women), but we don’t have to

https://remedypt.com/gluteal-tendinopathy/
lateral hip pain - when stretching won't help try these.

https://remedypt.com/gestational-diabetes-and-diastasis-recti/

Gestational Diabetes risk factor for Diastasis Recti - Remedy Physical Therapy it is worth considering the research and time to move beyond the structure and fear based language for women with DRA.

Fascinating !
"Controlling the fasting oral glucose tolerance test level may help reduce the severity of postpartum DRA."

Relationship Between Gestational Diabetes Mellitus and Postpartum Diastasis Recti Abdominis in Women in the First Year Postdelivery - PubMed Women with GDM have higher odds of experiencing postpartum DRA than those without GDM. The upper part of the re**us abdominis deserves increased focus during and after rehabilitation. Controlling the fasting oral glucose tolerance test level may help reduce the severity of postpartum DRA.

https://remedypt.com/diastasis-and-log-roll/

Diastasis - stop log rolling! - Remedy Physical Therapy log rolling just makes you weaker. If you have been told not to use your Re**us, let me tell you that we know better now.

✨REAL LIFE STORY✨⁣
⁣
Carolyn’s story- Lived Experience of Episodic LBP x 18 years.⁣
⁣
My first and worst episode of LBP started 2/12 after my daughter’s birth in 1990. I was sitting on the floor reading a story to my two-year-old when my back spasmed. It was significant! I was “locked up”.⁣
⁣
At this point in my career, I understand that with a levator ani avulsion and two pregnancies 18 months apart, this wasn’t surprising (no, I did not have pelvic floor physio 34 years ago) and I hadn’t strengthened my core sufficiently (or my pelvic floor).⁣
⁣
The worst thing was that I had a bath within the hour of my back spasming and my 6-foot frame could not get out of the 5-foot bathtub after a 30-minute bath. My sister and husband managed to help me out after a long struggle and a threat to call the paramedics at the small hospital I worked at to get me out of the bathtub. I managed but it was quite frightening!⁣
⁣
34 years ago, we believed in the “permanence” of disc pain…. I guarded it for 18 years and did preventative sloppy pushups, used a lumbar roll, and took good “care” of my spine. Despite that, I had at least 1-2 episodes/year, for 18 years.⁣
⁣
Then I took a course with Debbie Patterson in 2008. From her course, I understood that “fear” plays a role in sensitizing the nervous system and created a protective, pain response on a regular basis.⁣
⁣
I challenged my confirmation bias’ in 2008 and understood that my low back “injury” healed many, many years ago. Once I stopped doing protective sloppy pushups, and threw my lumbar roll away, I never had another episode of back pain again. ⁣
⁣
That was 16 years ago now!🤯⁣
⁣
If I could be sidelined by fear with my understanding of anatomy and physiology, how many of our patients are stuck in this loop?⁣
⁣
👉🏻 Melanie Connell (), physiotherapist, has created an evidence-informed BPS approach to addressing fear using the acronym SAFETY. Check out her webinar (on Embodia) and her course (on Reframe Rehab) !⁣
⁣
Link in our bio😊⁣

Pain is a lived experience. Therefore a person centered approach to pain is best done via experiential learning. Show over tell.
I used to think sharing my knowledge would get someone over the persistent pain hurdle. Then I learned how to close my mouth, open my ears, get curious, and let people experience their own safety and competence.
We will discuss in the Webinar with and you will get to learn by experience 😊 on the full course with
FEAR to SAFETY

Persistent Back pain is scary.

I asked a couple past patients to share their story. I love that she says feels safe in her body because consistency has shown her what she’s capable of 🙌

We will go over 2 persistent back pain case studies in the webinar in 2 weeks with
Both case studies are completely different in how they present. One has radiating pain. One has diffuse full body pain. We will discuss a person centered approach for how to guide people toward understanding their own capability.

For the full course with , you the clinician get to work through case studies together to understand your role and the patients role in moving from FEAR to SAFETY.

What to do?
Help them move from FEAR to SAFETY
Free webinar for health providers
May 14
5pm PST
On Embodia app

Exhale/contract is one way not the only way.
What if Inhale/contract helped the coordination ? What if you could *gasp* get a better contraction on inhale? I’ve seen it happen.
And usually the person is so shocked because they’ve been told the opposite. Great- you are good that way. Now you get to be good at many ways. Train the pelvic floor like you expect it to adapt because it does and you may just see your performance improve.

Improvement in 3 sessions . She’s been dealing with these issues for about 2 years and finally sought help.
FYI- Physical therapy doesn’t have to be 3x a week for 6 weeks in order to see improvement in symptoms.

Patellofemoral pain
2nd most common knee pain in adolescents.
Affects 16.5% of runners and women are 2 x more likely to have it than men.
-
The common narrative around Patellofemoral pain has focused on structure alone.
This leads to people being sidelined from activity until pain subsides.
A quick google of Patellofemoral pain syndrome advises - rest and avoid activities that cause pain or don’t run until the pain is gone. 😢
-
So structure that needs to be fixed + avoidance advice = no wonder people are afraid to exercise or load the knee joint.
-
But
Loading the knee is valuable and can be done in ways that aren’t as symptomatic . Like changing pace (increasing step rate), managing load intensity or overall volume, adding variability to the load, building one’s capacity. This can all be done according to the persons unique goals.
Person > diagnosis

For athletes, active adults, and the aging.

Numerous Benefits of Creatine- beyond getting jacked - Remedy Physical Therapy It is relatively inexpensive and safe.The recommended effective dose is 3-5 g/day. Discover the numerous benefits.

Exercises built around the person not the diagnosis!

Stop giving core exercises to fix back pain and start building resilience which may include core exercises.

I have absolutely had people ask me to help them build more core strength.
I’m ok with that. Meet people where they are at. The exercises are then challenging at their current capacity. And sometimes their current capacity is rather strong!

had fun contributing on this one.

Expert Tips: How to Breathe While Running in Cold Air - The Mother Runners Learning how to breathe while running in cold air can save you from that burning sensation so you can keep running. Here's how.

Telehealth from your home, office, or gym.

Exactly what you need + From where you want to be + In less time with less hassle
https://remedypt.com/telehealth/

Virtual rehab
- exactly what you need
- from where you want to be
- in less time with less hassle
——
Remedypt.com

On average, a patients story is interrupted by their doctor within 11 seconds.
Imagine if we started with listening then listened some more.
How much more valuable healthcare would be!

No evidence was found for the superiority of cortisone injections compared to PT for pain and ROM in shoulder impingement

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9772720/ #:~:text=Conclusion,on%20three%20RCTs%20(2B).

This is a passion of mine.
It can apply to many other demographics but over and over I see a gap in the rehab/training world. It’s such a disservice to these kids who work so hard day after day.
They need to know someone’s got their back and they are smart enough and motivated enough to share in the decision making.
If you feel stuck contact me !
Remedypt.com

Quad injury -
Most of the time my schtick is helping you return to what you love with persistent pain.
This is an acute injury. This is when you rest.
1. Definite mechanism of injury
2. Notable Swelling
3. Reduce function , range, and capacity.
4. Pain with activity
5. X ray came back normal.
6. Working around Soft tissue injuries- respect the healing timeframe.
-Continue working the rest of the body for mental and physical health. -Gradually progress the load and capacity of the injured body part. -Always test and retest for capability. -Aid resiliency and variability to reduce further injury risk.
-Last but not least make sure the capacity meets sports specific demands.
🏃
For reference he’s Flexing his quad in both photos in a One week difference.

Hand grip strength may be a simple and inexpensive method to identify early signs of cognitive decline!!

Longitudinal Relationship Between Handgrip Strength and Cognitive Function in a European Multicentric Population Older Than 50 Years AbstractObjective. The aim of this study was to analyze the bidirectional association between handgrip strength (HGS) and cognitive performance in different cog

"I came here after a long time of hamstring issues and I have nothing but positive things to say. I'm an elite long distance runner and struggled with nerve damage that lead to very weak and tender muscles that was causing problems. Melenie is extremely good at listening and questioning to find the accurate antedote for the issue."

runners are a lot of fun to work with

Google review of Remedy Physical Therapy & Wellness by Josh Espinoza ★★★★★ "I came here after a long time of hamstring issues and I have nothing but positive things to say. I'm an elite long distance runner and struggled with nerve damage that lead to very weak and tender muscles that was causing problems. Melenie is extremely good at listening and question...