Client Spotlight: Robert Plumb

 

Physical therapy doesn’t work unless you do, a notion Robert Plumb fully embraces. Read how hard work and dedication has helped Robert stay on the path to health and wellness, despite every reason to stop.

Robert Plumb might just be one of the most active people we’ve treated here at Rausch Physical Therapy (and that’s definitely saying something.) From skiing to ice hockey to his life’s passion—cycling—Robert does it all. He takes spin class, hits the gym for high-intensity workouts, and prefers a bike over a car. To say Robert is a self-motivator is an understatement.

“I can’t just sit at home and watch TV,” Robert said. “I just like being out and active and pushing it.”

Staying so active is what helped Robert lose an astounding 120 lbs. in a year and a half; it’s also what caused Robert a broken collar bone, torn calf, two bouts of bronchitis and—most recently—a Grade 3 hamstring tear.

“[Being injured] tests you mentally and physically. I’ve been on a really solid health plan, and I just wanted to keep the ball rolling down that path.”

After his collar bone surgery, Robert had a negative experience with physical therapy from which his injury never healed properly. So months later when he tore his hamstring in December, Robert decided to drop his HMO plan and switch to a PPO so he could come to Rausch PT.

Robert was teamed up with mountain bike-PT Sean Swopes, and in true Robert-fashion, the two hit the ground sprinting. With an extremely high re-injury rate, their goal was to not just heal the hamstring tear, but also to strengthen and increase mobility (and Robert’s confidence) so as to prevent any future hamstring injuries.

“It was important to me to get back on the bike/in the gym because that’s what keeps me sane and happy. So, I worked my butt off. I got to all my PT appointments, I did all my exercises to the letter, twice or three times a day depending on my workload.”

Once again, all Robert’s hard work paid off. After three weeks, Robert and Sean hit the trails together for one final test. Robert says Sean wanted to see him in his true element, on the mountain bike, to ensure he was ready to be cleared.

“It was good to have him there, just in case. He could see how [my hamstring] reacted to standing, pedaling, going up hills… but it didn’t bug me at all. We did my stretches after our ride, and I was cleared.”

Robert says he’s thrilled how quickly this injury healed. He’s back on the bike, and says he’s looking forward to hopefully getting in a few ski sessions in before the season is over. While he says he’s playing with the idea of racing the 2017 Trans-Cascadia backcountry mountain bike race in Oregon, Robert says he knows to properly train for it he’ll have to stay healthy for the next two years (a tall order for Robert Plumb.) For now, Robert’s just glad he’s back on track to continue his path to wellness.

March Wellness Workshop: Nutrition for Endurance Athletes

 

Fueling Fitness: Nutrition for Endurance Athletes

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When

Wednesday, March 16
7 – 8:30 PM

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Where

RauschPT-Logo-2015

28202 Cabot Rd. Suite 150
Laguna Niguel, CA 92677

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Cost

$20 per person

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The first Wellness Wednesday Workshop of 2016 features speaker Kristin Hirahatake, a registered dietitian and accomplished runner/triathlete. Kristin will discuss the fundamentals of sports nutrition with an emphasis on diet quality for endurance athletes. Learn how to determine your individual nutrition needs and optimize your diet to better support your training and active lifestyle.

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Participants will:

  • Hear in-depth explanations about the science behind nutrition from Kristin Hirahatake, MS, RD
  • Learn how to calculate your estimated macronutrient needs and identify healthy, nutrient-rich foods to propel your training and wellness
  • Receive step-by-step instruction and take-home guides on how to create balanced and appropriately portioned meals

 

Topics include:

  • Importance of diet quality for endurance athletes
  • What to eat, when to eat, and how much to eat
  • Training and race-specific hydration and nutrition strategies
  • Portion control, meal planning and weight management for athletes

Come join us for a night of interactive learning where you will learn that you are what you eat!

 [button link=”https://clients.mindbodyonline.com/classic/ws?studioid=18756&stype=-106&sView=day&date=03/16/16″ size=”small” color=”blue” align=”center” target=”_blank” ]SIGN UP NOW[/button]

 

Seven Myths About Physical Therapy: Debunked

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BY KEVIN RAUSCH, PT, PRESIDENT OF RAUSCH PHYSICAL THERAPY

If you haven’t been ordered to see a physical therapist by an MD, chances are you don’t know much about this particular field of health care. You probably only think of us when you’re fresh off an injury or in a hospital after surgery. You might think physical therapists, massage therapists, personal trainers and athletic trainers are all the same thing. Well, guess what? YOU ARE WRONG. Don’t feel bad! There are many, many people who are in the same misguided boat as you.

There are many types of physical therapy: neurological, in-hospital, pediatrics, and orthopedic, just to name a few. With so much variety and a lot of long-held misconceptions, most folks simply don’t know what a physical therapist does or realize how s/he can help them. So here are the top seven myths you hear about physical therapy: debunked.

 

Myth 1: Physical therapists are just personal trainers who do massages.

It takes a lot more than a weekend certification course to become a licensed physical therapist. Your physical therapist has had at least seven years of schooling (four years of undergrad and three years of “PT school.”) Some physical therapists—like the majority of our staff—actually have a doctorate degree. After nearly a decade of schooling, physical therapists then have to pass national and state licensing exams. So trust me when I say it takes a lot of time, money and perseverance before a physical therapist is allowed to get his/her hands on you!

 

Myth 2: You need a doctor’s prescription to come to physical therapy.

In the past you needed a doctor’s prescription before you could go to a physical therapy clinic for treatment. However, two years ago California enacted a law that allows full “Direct Access to Physical Therapy.” This means Californians can now go directly into a physical therapy clinic at any time for any aches, pains, sprains, etc. without having to get permission from their doctor first. Of course, there are some injuries that do require a doctor’s exam and treatment (and sometimes even surgery,) which is why we work closely with the absolute best physicians in our area.

 

Myth 3: You can only get treated at the physical therapy clinic your doctor recommends

While your doctor may recommend you go to a specific physical therapy clinic, you do not have to go there. You can request to go to any physical therapy clinic you want. Do your research and find the clinic that’s right for you, matches your lifestyle, and will be the best fit for your goals.

 

Myth 4: Physical therapy is only for post-surgery patients and old people.

Did you know physical therapy can fix stuff like migraines, chronic back pain, and old injuries? Most people simply don’t realize that physical therapists are able to alleviate things like chronic headaches. Physical therapists work on backs, knees, necks, ankles, elbows, shoulders… basically if it moves, we can fix it. If it’s stiff, weak or painful, you should already be in here.

“Pre-hab” is also a thing! In fact, most elite athletes work with a physical therapist on a weekly basis to prevent potentially-sidelining injuries. And no, we don’t order you to stop everything you’re doing, in fact we like you exercising! Your physical therapist can review your current regime and offer some suggestions for modifications to help keep you active.

 

Myth 5: Physical therapy is just a bunch of stretching.

If this is what you know as physical therapy, then you should go somewhere else. Physical therapy treatment should consist of a great exam, some soft tissue work, joint mobilization, biomechanical corrections, and activity or sport-specific exercise. Basically, your physical therapist should have his/her hands on you during every appointment and should come up with a goal-specific treatment plan to get you back to doing what you love.

 

Myth 6: Physical therapy hurts.

Many people are scared to see a physical therapist because they think we’re mean drill sergeants who want to torture you back to health. The truth is that the old saying “No Pain, No Gain” has no place in a physical therapy clinic! PT does not stand for “pain and torture” (Unless you forget to pay your copay.) Physical therapy is not supposed to hurt! It does often challenge you physically, but it should make you feel better, every time.

 

Myth 7: Chronic pain is something you have to live with.

So many people have a defeatist attitude when it comes to their bodies; they think that if their pain has been around for so long, their only option is to have surgery or just live with it. I see it often in ex-collegiate athletes who think because they’re not competing anymore, there’s no point in addressing their chronic pain/injuries; they “accept” they’ve “ruined” their bodies and settle for day-to-day pain and limited activity. I love it when I get a patient who tells me they had to give up playing their favorite sport years ago because of chronic pain, and then after a few months of physical therapy they’re back to doing what they love.

Remember, pain medication and surgery are not your only options, and you don’t have to suffer! It’s never too late to start physical therapy. In fact, fixing the tough, been-there-forever stuff is our favorite challenge at Rausch Physical Therapy.

[Click to view or download the PT Myth Infographic]

So, now that we’ve demystified physical therapy, take control of your wellness, pick up your phone and make an appointment to take care of YOU. Oh, and don’t forget to do your home exercise program!

All the best to your health,

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Kevin RauschAs the president and founder of Rausch Physical Therapy & Sports Performance, Kevin Rausch, PT, MPT takes great pride in the care of every single patient he treats. Kevin specializes in sacroiliac joint dysfunctions, running and cycling injuries, and return-to-sport planning for athletes. Since the first day he opened his clinic in 2006, Kevin has strived to provide the best in care, service and technology so as to strengthen his patients’ total body health and get them back to doing what they love.

Find Kevin on Google+

How to Alleviate Shoulder Pinching

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BY JONATHAN MELTZER, DPT, RAUSCH PHYSICAL THERAPY

Have you ever felt an annoying or painful pinch in your shoulder when lifting your arm? Shoulder impingement is a common diagnosis that we at Rausch Physical Therapy treat in a surprisingly wide variety of people, from tennis players to swimmers to desk employees. I’ve even treated a businessman who felt a terrible pinch every time he put his luggage in the overhead bins while traveling. Do you present with this painful arch of motion?

What is Shoulder Impingement?

Imagine your shoulder as a ball-and-socket joint, where the ball is the arm and socket is a suction cup within the shoulder. When the arm moves through space, the ball is designed to sit in the suction cup to freely rotate and spin around. Injuries develop and patients will notice a pinch when the ball has migrated too far upward or backward so that it’s now hitting on the shoulder component every time the arm lifts to the 90° range. Once the ball clears the socket, the pain stops because there’s no longer compression at the top of the shoulder, hence the quick “pinch” feeling.

If you take a look at the diagram here, you’ll see:

  1. The rotator cuff muscle
  2. The bursa: a fluid filled cushion sac
  3. The acromion: the top of your shoulder blade

 

As you can see, these three structures have very little space between them to begin with. The more the ball resides in the superior position, the more these individual structures are going to become damaged. The chronic wear-and-tear on this impingement is similar to rubbing a rope on a rock over and over again; if impingement is left untreated, there could eventually be the development of a rotator cuff strain or even the potential for a full tear.

Who is at Risk for Shoulder Impingement?

For one, if you’re an overhead athlete (baseball, swimming, volleyball, etc.) you are constantly jamming the shoulder joint, which creates further compression of the rotator cuff. Or, if you are like the majority of Americans and sit at a desk for work, your shoulders start to roll forward from sitting in this position five days a week. Without postural correction, over time your body actually changes its alignment to round over, which again decreases the space in your joint and ultimately limits your overhead motion.

Three Stretches to Help Alleviate the Pinch

Here are three exercises to help alleviate shoulder impingement and encourage the recruitment of our shoulder blade muscles to improve posture:

2Jon-ShoulderImpingement-ExercisesClick to enlarge image

  1. Pec Stretch in Doorway: Lean forward in a doorway until stretch is felt (30 seconds x 3)
  2. Prone I, Rows: Laying on a flat surface, squeeze your shoulders blades together, then slightly lift your arms (15 reps x 2)
  3. Bent Over Lat Stretch: Grab band, turn palm up, kneel on opposite knee, then carefully lean back to feel stretch (30 seconds x 3)

 

In addition to these recommended stretches, you should also make modifications to certain activities that aggravate your shoulder, such as limiting overhead lifting and correcting your sitting posture throughout the day. If the painful arch continues, call us to make an appointment (no, you don’t need a doctor’s referral or Rx!) Our licensed physical therapists at Rausch Physical Therapy will quickly evaluate your specific injury and help alleviate pain and recommend additional exercises to help you finally find relief from chronic shoulder pain.

 


StaffHeadshot-JonJonathan Meltzer graduated from the University of Redlands with a bachelor of arts in biology and a minor in physical education. Following graduation, Jonathan discovered his passion for physical therapy while working as a Physical Therapy Aide. After graduating top of his class from Loma Linda University in 2012 with a Doctorate in Physical Therapy, Jonathan began his career at Rausch Physical Therapy and Sports Performance. Jonathan’s goals are to identify limitations and treat his patients with the most recent and innovative techniques in order to maximize functional independence and obtain his patients’ individual goals.

 

7 Ways to Avoid Injuries When Starting a New Exercise Program

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BY LYNDSAY DEFILIPPO, DPT, RAUSCH PHYSICAL THERAPY

We have officially reached February! Are you still keeping up with that New Year’s Resolution to get back to the gym and get in shape in 2016? Hopefully you’re all answering with a resounding, “YES,” because healthy is where it’s at! For those of you who may have already broken your resolution, that’s okay, too! We still have quite a bit of 2016 left. Whether you’re looking to exercise more to get the body you want or to get back to your glory days of sporting, there are a few important notes to remember when kick starting a new workout regimen.

The beginning of the year is always a busy time for physical therapy clinics, not only because everyone starts fresh with their insurance, but also because so many people have a fierce new motivator (in the form of New Year Resolutions.) You probably notice how much more packed your gym, sports club, or Pilates class is with hopeful people looking to shed those extra holiday pounds, and with greater numbers of people exercising comes more injuries, and more patients for us! While we love our patients, we’d rather see you on the table for “pre-hab” not rehab, so here are a few tips for avoiding any New Year Resolution injuries.

7 Tips When Starting a New Exercise Regimen

 

1. Start slow, and don’t expect to begin where you left off.

Often we find that patients overdo it in the first few weeks of their program causing increased injury to the tissues. Some people write it off as “out of shape” pain, when in fact it could be a greater underlying issue. While it’s tempting to hit the ground sprinting on Day 1, don’t burn out your body or motivation! Take it slow that first month and allow your body to get used to working out again.

2. Have your form assessed by a professional.

Form evaluation is necessary for everything from running, lifting, swimming, throwing, etc. If you don’t have the necessary mobility, flexibility or stability, you can damage your body from the repetitive motions that cause stress on your joints, muscles and tendons. Having a professional evaluation by a sports performance expert will pay off in the long run by not only keeping you injury-free, but also by helping to improve your performance. We’re lucky to have running, biking and throwing analyses here at Rausch PT, but we can also assist with form in other areas as well.

3. Don’t compete with other people.

Your workout plan should cater to your body and your current abilities. A competitive drive is deep-seated in most of us, but when it comes to an advanced yoga pose and you are in your first ever class, swallow your pride and sit that one out. Start from the basics, ask for help and modifications, and I promise your body will thank you later.

4. Know your limits.

It’s okay to push your body to reach new levels, but you should always proceed within reason. Don’t ignore the signs where your body may be telling you to slow down, such as fatigue, excessive thirst, loss of motivation, long duration aches, pains, cramping, and even sleep disturbances and immune system crashes. There are also more serious side effects of overtraining which may require immediate medical assistance. You can read more about overtraining symptoms here.

5. Allow your body to recover.

This includes rest days, stretching and foam rolling before and after every workout, doing a nice dynamic warmup prior to exercise, staying hydrated, getting a good night’s sleep, and scheduling a therapeutic massage at least once a month. Your muscles and body are working hard for you, show them a little TLC!

6. Remember: Health starts in the kitchen.

I can’t stress enough how important it is to maintain a healthy diet that’s specific to your body. Avoid fad diets if you can and think long-term meal planning and healthy eating. Remember, you want this newfound routine of health to be for life! Also, don’t be afraid to seek help from a nutritionist who can craft a meal plan to match your lifestyle and your goals.

7. Switch it up and HAVE FUN!

If you find yourself getting bored with your exercise routine, change it up. If you’re a runner, try an upper-body-focused Pilates workout, or if you’re a swimmer, go for a bike ride. Cross-training will not only keep you entertained and your body guessing, it will also help you to avoid repetitive movements that can injure muscles.

If an injury should occur when getting back into an exercise routine, don’t wait for it to go away on its own or push through the pain. Make an appointment with your physical therapist; we here at Rausch Physical Therapy can quickly evaluate your injury and get you back on track toward your wellness goals.


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Lyndsay DeFilippo PT, DPT, CKTP received her Doctorate of Physical Therapy from New York University in 2010. She’s a Graston Practitioner and a Certified Kinesiotaping Practitioner. Lyndsay looks at each injury as a constantly changing puzzle, which is only solved when her patient returns to what s/he loves doing. She enjoys helping with the full recovery process, which includes providing the education, tools and fundamentals to prevent re-injury and the potential for new injuries.