Why Pain-Free Isn’t The Goal

Many people get caught up in their pain. How much pain they have. How often they have pain. BUT I’d like to say that Pain isn’t what matters… at least to us as your Physical Therapist, for your long-term goal.  As I evaluate and treat new patients, I am constantly looking at your whole body function, how you are moving, how you walk, how you can squat, what do your SL balance and squat look like. Does your arch collapse too much make your knee collapse in, are your glutes weak, do you have a hip drop, do your muscle compensate for weaknesses, do you have a leg length discrepancy, how is your foot affecting your knee which affects your hip and back? I look at the pain as a problem somewhere up or down the chain; looking at the body as a whole chain instead of an individual joint.

Too many people are pain-centered. If my pain is gone, then I must be fixed right? Wrong. Pain is your body telling you that something is not right, but even after there is no pain anymore, the body can break down to the weakest areas and start having pain again. People often come to PT with the goal of surfing or being able to run, but too often they are satisfied at that 6th-8th visit mark when they are feeling better, but far too often it hasn’t “fixed” why they needed the PT, to begin with. At Rausch, we want to get you better, doing the things you LOVE, and with that comes strength, functionality for long-term benefits. As much as we love seeing you, we love seeing you more if it is for a new issue/injury, not the same one that has crept back. So please please please, book out your full prescribed treatments so we can take a look at the body as a whole for your long term benefits.  Also, if we progress your exercises to make it harder for you and more functional, it is only because we love and care about you. We want you to be pain-free YES, but more importantly for the long run, we want you to be strong functionally.


Dr. Ruth Meltzer PT, DPT, OCS

Let’s talk! We are here to help. Give us a call for a complimentary consultation. We would love to meet you.

Did you know there’s no prescription needed from a doctor to see us – but we will communicate your progress and treatment to your doctor if you’d like us to!
(949) 276-5401

RauschPT

 

 

Patient Spotlight – Chris Shilling

After twenty years of multiple doctor visits and the same diagnosis of Prostatitis time after time, Chris still was not finding the relief that he needed to live a better life while dealing with this diagnosis. In 2019, Chris met with his urologist who recommended Pelvic Floor PT, and that is when he first met Dr. Yvonne of South Orange County Physical Therapy. Finally, Chris was under the care of a doctor who understood his issues and could give him the tools to fix them. Not only did these tools help Chris physically but they made an even greater personal impact now that he finally knew that he did not have to live this way any longer.

Chris endured many years of physical work as an infantryman in the Marine Corps, which led to many other injuries and surgeries — from his knees to his shoulders. Yvonne realized that these other injuries needed some extra attention, so she referred him over to massage therapist Melissa at Rx Massage. Due to his many years of military service, Chris knew that anything worthwhile takes time and effort, so he kept coming to his massage treatments even though they hurt in the beginning.

From learning how to sit properly to standing on his feet correctly, Chris now has the tools to avoid injuries and remain active. After years of doctor visits, all treating the wrong cause, Dr. Yvonne diagnosed Chris correctly right off the bat. Once she began treating the cause and not the symptom, Chris started healing immediately. And along with feeling great because of his physical changes, Chris also has found mental relief knowing that he is in the great care of Dr. Yvonne and all of our pelvic floor PT specialists at SOCPT!


Melissa-Bruketta-Massage-Therapist

Melissa Bruketta

Let’s talk! We are here to help. Give us a call for a complimentary consultation. We would love to meet you.

Did you know there’s no prescription needed from a doctor to see us – but we will communicate your progress and treatment to your doctor if you’d like us too!
(949) 276-5401

Disclaimer — All the information that you find on our blogs and social media pages are for informational purposes only and is not intended to be used as your personal professional diagnosis, or treatment. Come and see us for your excellent, personalized care! https://rauschpt.net/

Patient Spotlight – George Alvarez

George tested positive for COVID-19 in early November 2020 and was hospitalized for 36 days, on a ventilator for five of those days. He received physical therapy while in the hospital, which prepared him for his outpatient rehab. Three weeks after his release from the hospital in early January 2021, George began his physical therapy with Dr. Rebecca Gasca at our Laguna Niguel Rausch Physical Therapy location.

George had heard about Rausch Physical Therapy through a friend, and when he came in for his initial evaluation, he was extremely impressed with the outstanding, laser-focused evaluation that he received from Rebecca. She diagnosed that his back muscles were very tight due to COVID and that his balance needed improvement, as well as his weak core and weak leg muscles.

After recovering from COVID and his hospital stay, George had a ways to go in order to get back to the bike rides that he enjoyed so much. He spent his time with Rebecca working on balance, endurance, flexibility, and core strength. After all of his dedication and hard work, George now feels more energetic and flexible. Just last week, he was able to get back on his bike for his first ride since his recovery! George can not express enough how much his time working with Rebecca helped him get back to his peak physical strength and activity after COVID.


Rebecca

Dr. Rebecca Gasca

Let’s talk! We are here to help. Give us a call for a complimentary consultation. We would love to meet you.

Did you know there’s no prescription needed from a doctor to see us – but we will communicate your progress and treatment to your doctor if you’d like us too!
(949) 276-5401

RauschPT


Disclaimer — All the information that you find on our blogs and social media pages are for informational purposes only and are not intended to be used as your personal professional diagnosis, or treatment. Come and see us for your excellent, personalized care! https://rauschpt.net/

Should I keep running or stop?


How often have you heard a runner say my hip, ankle, knee hurt so I took some time off and it got better but then I started running again and it came back.

Running injuries are very different from the common injuries you hear about from football, basketball, or soccer. Rarely do they occur because of traumatic injury or a specific moment, most commonly it is an overuse injury caused by “training load error.” Basically what happened is the tissues you are stressing during running were overloaded for some reason be it mechanics, training stress, or tissue resiliency. The most important aspect to always look at is have you changed something about your running recently: mileage, intensity, frequency, or terrain? These factors change the accumulation of stress on your body and tissues, if you are not properly prepared for that then injuries will develop.

Pain is difficult to judge with running as there is always a level of discomfort/pain associated with running. So how can you tell if you can keep running, stop running, or as is most often the case alter how much or often you are running. The danger with stopping to run completely is you may not be helping the problem but actually making it worse. If you stop you will decondition the tissue you’ve injured and it will stop hurting but run the risk of restarting the same injury. This can lead to a bad cycle of run-injury-rest-run-reinjury etc. The best option is to alter what you’re doing and work on the tissues in order to strengthen them so that when you resume running at your goal mileage/intensity etc you will be able to handle the load.

The best way to judge what you need to change is to ask yourself a few questions about your
injury/pain.

1. Does it hurt all the time?

If it hurts all the time you probably should stop running and get it checked out by your PT.

2. How long does it take for the pain to start?

If it kicks on at X miles or after X minutes then just run less than that for a few weeks and gradually start lengthening it back out

3. Does your pain get worse if you keep running?

If your pain keeps getting worse the further you run then you probably should back off.  Keep an eye on whats happening but take it easy and probably get it checked out by your PT.

4. Are certain workouts better or worse?

Speedwork or hills is the only thing that irritates your injury? Avoid that specific type of running for a few weeks and then slowly try to ramp back into it.

5. Does your pain return to normal after?

If you stop running and everything feels fine again, give it a few days or a week. If it’s not improving then go see your PT.

Overall stopping to run is not always the best option, there are plenty of ways that you can modify what you’re doing in order to keep forward on your goals or keep active.

Rausch Physical Therapy remains your caring team and can accommodate you with a specific, personalized plan. Visit our Facebook page at https://www.facebook.com/rauschpt or call us at (949) 276-5401 to learn how we can help you. Don’t forget: there’s no prescription needed to see a PT in California.


Dr. Max Biessmann PT, DPT

Let’s talk! We are here to help. Give us a call for a complimentary consultation. We would love to meet you.

Did you know there’s no prescription needed from a doctor to see us – but we will communicate your progress and treatment to your doctor if you’d like us too!
(949) 276-5401

RauschPT