FOCUS PHYSICAL THERAPY/ HANDS ON PHYSICAL THERAPY

Problem Scar Tissue After Mastectomy/Radiation: ASTYM Treatment Removes Scar Tissue and Restores Movement - Resolving aches, pains and injuries. | Performance Dynamics

2011-09-14T09:52:00.000-07:00

If you have had a Mastectomy/ Radiation and are experiencing aches and pains due to Scar Tissue, this article is a must read on how ASTYM can restore movement and resolve the aches and pain. Please take a look. Problem Scar Tissue After Mastectomy/Radiation: ASTYM Treatment Removes Scar Tissue and Restores Movement - Resolving aches, pains and injuries. Performance Dynamics

If you have more questions please give our office a call and we can set up a Free Consult for you to see if this is a treatment option for you.

Backpack Awareness

2011-08-19T12:04:00.000-07:00

BACK PACK SAFETY

As the school year quickly approaches, and Target, Wal–Mart and others display their latest in backpack styles it is a good idea to look into the safety of your child’s backpack. One factor associated with musculoskeletal pain in school-age children is backpack use. Many school aged children are carrying a backpack that exceeds the legal occupational weight established for adults, causing an occupational risk for children. The day to day repetition of carrying heavy school backpacks may place additional stress on the rapidly growing child’s spinal structures, making them more susceptible to postural changes. A study completed by Lohman et al found a positive correlation between backpack weight and spinal deviations in the cervical (neck) and thoracic (mid-back) spines.

Some Guidelines for Backpack use include:

Do not let the backpacks weight exceed 15% of your body weight (less for younger children)

Use a backpack with wide, padded straps and a padded back. Use both straps so the backpack rests symmetrically on your back.

Tighten the straps to allow the backpack to rest 2 inches above your waist.

Place the heaviest items closes to your spine

Use good lifting techniques: keeping your spine straight and bend at your knees to lift.

Consider purchasing a backpack with wheels.

Engage in regular exercise and stretching for your back.

If you have any questions regarding any backpack, stop in and have us take a look. If your child is complaining about back and neck pain or any other pain, give us a call. There are stretches you or your child can do to strengthen your back and minimize your pain go to our blog to find out more!

THERFLIX... OUR NEW EXERCISE PROGRAM

2011-08-10T13:47:00.000-07:00

In the last few months we have been implementing a new exercise program at Focus Physical Therapy. This program allows the patient to set up a FREE account that allows them access to their exercise program anytime. They can watch videos or see the exercise step by step. Your physical therapist here will set it up for you, designed with your plan of care in mind. If you need or want to add exercises all you have to do is call our office and have them added to your program. Read the following article on how it works and how it can be a benefit to you on your road to full recovery.

TheraFLIX.com is a complete exercise prescription software available for the healthcare provider in the orthopaedic and sports setting. It offers full accessibility to the practitioner and free accessibility to the patient. The site can be viewed from any internet connection. TheraFLIX includes still images, full text descriptions, and complete video demonstrations with verbal cueing of all 1000 exercises in its library, featuring built in protocols or the ability to create custom protocols.

TheraFLIX.com was developed to increase patient compliance by keeping them informed and educated between clinical visits. For patients, it is quite difficult to remember the details of each exercise prescribed. This website allows the patient to revisit the exercises and clarify what should be done outside of the practitioner's office. The content for the website was developed by a physical therapist. However, the site can be utilized by a variety of practitioners including but not limited to Physicians, Chiropractors, Physical Therapists, and Physiatrists.

Features of TheraFLIX.com
1. FAST AND SIMPLE
Unlike other systems that require custom exercise program creation for individual patients, TheraFLIX has built in protocols for common orthopaedic conditions and allows you to create your own. This can allow for fast and effective delivery of a home exercise program. This is a system of exercises organized to help the clinician be efficient, not something to eat up more time.

2. PATIENT ACCESS IS EASY
They are issued their home program in the clinic that includes instructions for home access to the website. The patient is directed to your website and then clicks on the exercise video link, which takes them to TheraFLIX.com. At that point they enter your company password, log in, and view video demonstrations of their program.
3. CONSISTENCY BETWEEN PHYSICAL THERAPISTS AND STAFF
If I asked every therapist that works for you: How do you treat an ACL Reconstruction, Hamstring strain, Lumbar strain, or frozen shoulder? Would they give me the same answer? Or would they be different? Don’t you think they should be generally the same? The doctors that refer your patients think they should be.

4. EXERCISE PROGRAMS AND PROTOCOLS

This is the simplest tool and most complete exercise library on the market. Every exercise includes full video with verbal cueing, photo, and text description of each exercise. Proven protocols are provided for everything from an ankle sprain to rotator cuff repair. You can also create your own protocols. We will create any exercise that is currently not available, just ask us.

5. EFFICIENT SYSTEM
TheraFLIX is available completely online. No need to download any software or purchase multiple products for different computers. One system, multiple users, free patient access, from any internet connection.

PLEASE CALL OUR OFFICE 949.709.8770 IF YOU HAVE ANY QUESTIONS OR IF YOU WOULD LIKE TO HAVE AN EXERCISE PROGRAM SET UP FOR YOU.
YOU CAN ALSO VISIT THERAFLIX TO GET MORE INFORMATION ON HOW IT ALL WORKS.

HAPPY EXERCISING =)

TEEN HEALTH: SPORTS AND EXERCISE SAFETY

2011-08-03T13:43:00.000-07:00

Kim came across a great website.... TeensHealth.org. They have some really useful resources and articles. If you have teens you should check it out. Here is an excerpt of an article we came across and really like it is about sports and exercise safety.

For the whole article go to: http://kidshealth.org/teen/safety/safebasics/sport_safety.html#

Staying Off the Court (or out of the game) When You're Hurt

If you've been injured and you try to come back too soon, you run the great risk of reinjuring yourself — maybe even more seriously than before. Don't let anyone — including yourself, your parents, your friends, or even your coach — pressure you into playing before your body is fully healed. Your doctor, coach, or trainer will give you specific advice on when you should return to your sport or activity.
Taking time to heal is particularly important if you've had a concussion. Lots of athletes try to come back too quickly after getting a concussion — because they can't see an injury, they think they're OK to play. But jumping back into the game too soon puts a player at greater risk for another concussion — and that can lead to a dangerous brain injury. So always get clearance from your doctor to play again if you've had a concussion.

Many athletes use pain relievers to avoid pain. If you feel persistent pain, don't use pain relievers to mask it, though. Taking large amounts of pain relievers — or, worse yet, taking pain relievers for a long time in order to play — can be dangerous. Pain is the body's way of signaling it's not happy with what you're doing. If you have a lot of pain, seek treatment so you can resolve what's causing it.

Be sure to seek medical treatment whenever you experience:

•moderate to severe pain

•pain that interferes with daily activity or sleep

•swelling of the injured area

•an inability to perform normal activities

The same advice goes for a cold or flu virus — don't play if you're sick. You won't be able to concentrate if your head is stuffed up and your nose is running faster than you are, and your lack of concentration can put you at risk for injury. It's better to wait until you feel better, so you can have a safe season.

At Focus we highly recommend that if your child (or you) has a sports injury that you take them to see their doctor or bring them in here, to make sure they are ok to play and are not in any danger of hurting themselves further. Also for rehabilitation of the injury so they can get back on the field safely and might even go back stronger than before.

Please call our office if you have any questions. 949.709.8770

SUCCESS STORY: CHRONIC NECK PAIN

2011-07-29T11:12:00.000-07:00

We love success stories and this is a good one!

" I have had neck "issues" since grade school. Unfortunately my neck/shoulder pain and stiffness had become chronic after taking up a new exercise routine and starting back to school. I had been to another physical therapy clinic and was not getting any kind of relief, in fact the therapy sometimes made my pain and muscle spasms worse.

Once arriving at FOCUS PHYSICAL THERAPY, I received much more targeted care, and Harold really listened to my concerns and explained my situation so that I could understand both the problem and the therapy. The atmosphere at FOCUS is motivating, encouraging and even fun! Thanks to Harold and team, I have the tools to keep myself pain free and taking much less medication. I had a life changing experience with FOCUS and am extremely grateful.

Carol D.

Bike Right, Bike Fit

2011-04-07T09:48:00.000-07:00

Whether you are a serious bicyclist or a recreational rider, when it comes to bicycling, you and your bike should fit well together. A proper bike fit minimizes discomfort, increases efficiency, and helps prevent pain or injury. At Focus Physical Therapy we can evaluate the way your body is positioned on the bike to make sure that your biking style fits, your functional goals, whether they are for comfort and endurance, or for speed and performance.

For the estimated 85 million weekend bicycle enthusiasts and competitive riders in the United States, the risk of a bicycle related injury may increase with an ill fitting bicycle. The first thing we ask any patient complaining of bicycling related pain is to bring the bicycle in to check for a proper fit. In most instances, a poor bike fit is at the root of their problem. The most common bike fit errors include saddle heights that are either too high or too low, handlebar reach that is either too long or too short , and misalignments of the pedal and shoe.

At Focus Physical Therapy we want you to know that equally important to the way you and your bike fit together is your own physical fitness. Good flexibility of the hamstrings, quadriceps, and gluteal muscles is crucial because they generate the majority of pedaling force and experience a high frequency arc of motion. Proper stretching, balance, and strengthening exercises will help with coordination of bicycling related skills, such as pedaling and maneuvering the bicycle. Also consider your level of endurance as you determine the distances you would like to ride.

COMMON BICYCLING PAINS: Anterior (Front) Knee Pain, Neck Pain, Lower Back Pain, Hamstring Tendonitis, Hand Numbness or Pain, Foot Numbness or Pain and Ilio-Tibial Band Tendonitis.

Please call our office and we can set up a free bike fit assessment time. 949.709.8770

POSTURE TIPS FOR CYCLISTS

CHANGE HAND POSITION ON THE HANDLEBARS FREQUENTLY

KEEP CONTROLLED BUT RELAXED GRIP ON THE HANDLEBARS.

BACK STRENGHT IS IMPORTANT , ESPECIALLY FOR ROAD BIKE RIDES.

WEAR A RIGID SOLED SHOE TO AVOID FOOT PAIN AND INCREASE YOUR MECHANICAL EFFICIENCY.

WHEN PEDALING, YOUR KNEE SHOULD BE SLIGHTLY BENT AT THE BOTTOM OF THE PEDAL STROKE. AVOID ROCKING YOUR HIPS WHILE PEDALING.

Here's the Rub: ASTYM has chronically injured patients running their way to recovery.

2011-03-21T11:59:00.000-07:00

Two summers ago my alarm shrilled viciously early, calling me out for a long run before the day's heat intensified. I groggily swung my feet off the bed but when my right heel hit the ground, I shrieked in pain and crumpled backward, tears of rage and self-pity springing to my eyes. It was two months before my first marathon in Portland, Oregon, and it appeared that a persistent case of plantar fasciitis (a painful inflammation of the tissue running along the sole of the foot) would spoil my plans.

Discouraged, I scheduled yet another visit to the physical therapy clinic for urgent treatment.

"The fastest way to lose a runner as a patient is to tell them they can't run," says Chris Cooper MSPT, a physical therapist with Therapeutic Associates Incorporated (TAI) in Bend, Oregon. "To offer them a therapy where I tell them to run is a big deal."

Augmented soft-tissue manipulation (or ASTYM, with the "Y" added for easier pronunciation: ey-stim) is a therapy that initiates reconstruction and regeneration of dysfunctional tissue. In simple terms, the treatment creates new healthy, functional tissue from chronically injured tissue.

Old Injury, New Solution

I had taken my aching right heel through the usual round of ice, heat, ultrasound, iontophoresis (a course of treatment in which steroidal anti-inflammatory medication is applied locally and delivered to the injured area via electricity) and massage. When I limped back to the TAI office in the Athletic Club of Bend, Laura Cooper, MSPT, looked at me with consideration.

"I'd like you to try a new therapy that I've had good results with," Laura said. "But you have to really participate in your recovery, OK?" She said I would have to actively stretch, and I would have to (have to!) run as part of my rehabilitation.

Laura had heard of ASTYM from a fellow therapist. She convinced her husband Chris to join her in an ASTYM training course, and the couple immediately started using it in their practice. "We started seeing immediate results among patients," says Chris. "I haven't stopped using other treatment modalities, but for treating certain injuries ASTYM blows them all out of the water."

Tools of the Trade

Therapists trained in ASTYM use a series of ergonomically designed plastic instruments. The therapist rubs these tools over the injury site, the surrounding muscle's origin and insertion, and, finally, the ligaments above and below the injury. The therapist's skilled hands use the tools to identify soft tissue adhesions (bumps along an otherwise smooth length of muscle or ligament), and impart a trauma that initiates breakdown of the damaged tissue.

This microtrauma stimulates a local healing response where the body resorbs the old fibrosis or scar tissue. Combined with stretching, exercise and functional activity (like running) the therapy restructures both the existing and new collagen (connective tissue) in the injured area. "Basically, scar tissue looks like steel wool," says Chris. "Old injuries are just a mass of disorganized tissue. Healthy tissue will lie down in tidy parallel lines. The idea with ASTYM is that you're micro-traumatizing inappropriate tissue to set up a natural healing response to recreate smooth, healthy tissue."

So, you're essentially re-injuring an injury to make it better? I was doubtful about this new therapy-even more so when Laura cheerfully told me, "It's intense!"

Active Recovery Required

"Intense" is absolutely accurate. First, Laura rubbed my lower leg-from the toes to just above the knee-with heavy cream. That was the good part. Then she picked up a plastic tool resembling a heavy handle-less spatula and ran it solidly down my outer shin. As she rubbed firmly I could hear and feel the adhesions crunching under the spatula. It was painful. Okay, it was very painful.

The typical ASTYM process calls for two treatments a week for six to 12 sessions. I was absolutely rigorous about both following the stretching protocol and only running on trails and an elliptical trainer during the treatment. After three weeks my heel felt considerably better.

"We must do a solid job of educating the patient about the ASTYM process," says Laura. If the patient doesn't do her part with stretching and strengthening, then it doesn't work. "The new tissue the body lays down is only going to be as strong as the forces put on it," explains Chris, "which is where the stretching and running come in."

Both therapists point out that ASTYM therapy is based on proven scientific research and outcomes. Healthcare company Performance Dynamics researched and developed ASTYM. The company was founded in 1996 and grew out of a collaboration that included Dr. Thomas L. Sevier, MD, as the leading researcher and developer, and Ball Memorial Hospital in Muncie, Indiana. "We have found ASTYM to be unbelievably effective in clearing up scar tissue and treating chronic tendinitis," says Sevier, a former college basketball player whose patellar tendinitis frustrated him enough to begin developing ASTYM 13 years ago.

He says that Performance Dynamics' research reports a 90 percent positive outcome with its athlete test group. "It's gratifying," says Dr. Sevier, "because we get people back to their sport pretty much without recurrence." Gratifying was exactly my experience with the ASTYM treatment. My heel slowly continued to improve, I ran the Portland Marathon and I am still running today-with no heel pain.

Curing the Skeptic

Kami Semick, winner of the 2005 Trail Runner Trophy Series ultra division, is an ASTYM graduate. "I was definitely a doubter," she recalls, "but now I'd absolutely recommend ASTYM as a part of rehabilitation." Last summer, Semick ran two 100-kilometer races within a five-week period. Her Achilles tendon started to flare up, so she turned to the typical therapy of ice, rest, ultrasound and massage. "I got a little relief, but the problem always crept back in," says the ultrarunner.

For months, Semick went through the frustrating and expensive racing and therapy cycle. After winning the Bend Marathon in October, she heard about ASTYM and hesitantly went in for treatment. Within a month of ASTYM protocol combined with rigorous stretching, wearing a night splint and adjusting her orthotics, Semick's injury had healed.

Is ASTYM right for you?

ASTYM developer Performance Dynamics indicates that soft-tissue treatment can be particularly effective on post-surgical scarring and fibrosis, hip pain or trochanteric bursitis, plantar fasciitis, Achilles tendinitis, shin splits, patellar tendinitis, hamstring strains, iliotibial band syndrome and most other forms of chronic tendinopathies.

All of our physical therapists at FOCUS PHYSICAL THERAPY are certified ASTYM providers out of only a handful in Southern Orange County. You can go to our website http://www.focuspt.net/ or visit http://www.astym.com/ to find out more about this treatment.

Katrina Hays is a Bend, Oregon-based writer. She has written for SAIL and Scuba Diving magazines and is a regular contributor to Bend Living magazine.

New Year, New Deductibles, Insurance Updates

2011-01-07T10:50:00.000-08:00

Hi Everyone,

Welcome to 2011! We hope everyone enjoyed a Healthy and Happy Holiday Season!

Here at FOCUS PHYSICAL THERAPY the new year means insurance benefits and deductibles start all over again if you are part of a calendar year plan or have Medicare. We know that new deductibles are not fun, but a necessary part of insurance benefits. As a courtesy to our patients we are calling and verifying insurance benefits on all new and current patients.

When you come in for your next visit, you will probably be asked to sign a new Financial Agreement for 2011. Our Financial Agreements/ Insurance Verification forms will explain to you what your insurance company says that your Out Patient Physical Therapy Benefits are. This will include your deductible (if you have any) how much of that has been met. How much of your Out of Pocket is met. Your Co-Pay or Co-Insurance if those apply. If you need pre-authorization or a referral (prescription from your doctor). How many physical therapy visits you are limited to, if those are combined with other services, how many you have used so far for the year and if they will allow you to have more visits if medically necessary. We will also find out if there are any other limitations to your physical therapy benefits. THESE ARE AN ESTIMATE FROM YOU INSURANCE COMPANY AND NOT GUARANTEED.

WE STRONGLY RECOMMEND THAT YOU ALSO CALL YOUR INSURANCE COMPANY TO GET YOUR UPDATED OUT PATIENT PHYSICAL THERAPY BENEFITS. The phone number is on the back of your insurance card.

Our policy for deductibles is that if you have a deductible over $500 for the year that you pay $100 a visit (with credit card on file) until that deductible is met. Lesser deductibles can be paid at time of service or you can put your credit card on file and we can bill you after the Explanation of Benefits come back from your insurance company. Co-Pay and Co- Insurances amounts are due at the time of service.

Other 2011 insurance updates; Medicare has changed it's deductible to $162 and it's therapy cap to 1870 (this starts after the deductible is met), the extension process is still in effect. We will no longer be offering the pre-paid package discount to our maintenance rates or any other special rates, only to our regular cash rates. You will need to sign a letter if your insurance carrier is Aetna regarding visit limit and medical review.

If you have ANY questions about your insurance benefits, PLEASE ask us and we will get the answer for you =) We are dedicated to relieving your pain and helping you regain function and restoring your optimal physical performance. We will do everything we can to work with your insurance company!

PLEASE CALL US IF YOU HAVE ANY QUESTIONS. 949.709.8770

Happy Holidays from Kim and her Family!

2010-12-22T11:25:00.000-08:00

Happy Holidays! Just some super cute pics for Christmas!

Meet Kims BEAUTIFUL FAMILY!!
Jeff, Chase 2 (almost 3) and Lily 1

To find out more about Kim you can go to www.focuspt.net and read all about her! =)

If you are in pain or not feeling quite yourself and want to feel better in 2011 give us a call and see what Kim, Harold or Julian can do for you! We would love to see you healthy and feeling great in 2011! Have a very Merry Christmas and a Happy New Year!

Be Blessed

Tara =)

Merry Christmas from The Manriques

2010-12-08T11:23:00.000-08:00

Harold, Ambra , Sopie and Sadie Manrique

Hi Everyone! Merry Christmas! I thought for these few weeks before Christmas I would share with you some of our staff's family Christmas photos. (because they are sooo cute!!) This is Harold's family, his wife Ambra, and their two kids Sophie and Sadie!

"My interest is in sports and helping others, and making a difference in people's lives. I have a high level of compassion for each of my patients regardless of their life circumstances. I also enjoy the rehab side of sports... " to read more about Harold go to http://www.focuspt.net/

The beautiful pictures were take by Nancy Thompson
http://www.nancytphotography.com/

Sophie 2 1/2 years

Sadie and Sophie

Sadie (5 months)

We hope you are all healthy and happy and enjoying the Holidays! If you are in any pain or have any questions about how Physical Therapy can help you ... please give us a call 949.709.8770!

10 Halloween Tricks or Treats.

2010-10-28T10:37:00.000-07:00

I found this article on active.com and thought this was a great all around way to treat Halloween! Read on and tell me what you think? Enjoy the cute picture of Chase and Lily (Kim's Babies) as Bam Bam and Pebbles for this Halloween!

THE ROUTINE: EXERCISE BALL WORKOUT!

2010-10-22T08:18:00.000-07:00

This is a great exercise ball workout that I found in Real Simple Magazine (Nov 2010) I even tried it myself =) If you don't have a ball you can get one here ($30 mention the blog and you get $5 off) or at Sports Stores, Target, Walmart etc..

The Routine:
Go ahead—have an (inflatable) ball. When it comes to fitness equipment, there’s little that works your whole body better. To stay on the ball—literally—you’re forced to engage all your muscles, which builds strength and improves stability. This head-to-toe toning routine was designed by Ashley Conrad, a personal trainer and the owner of Clutch BodyShop, in Los Angeles. Do it three times through, three times a week.

Move 1: TRICEPS DIP
Sit on a workout bench (or a stable chair) with your hands placed on the edge, fingers pointing forward. Rest your calves and ankles on top of a firm ball. Straighten your arms to lift your hips off the bench. Bend your arms to lower your body, then straighten them to the starting position. Repeat 15 times.

Move 2: LOWER AB CRUNCH
Lie on the floor with arms beside you and calves on the ball. (A) Lift your backside up without arching your back (keep your abdominals tight for support). (B) With hips still raised, bend your knees and roll the ball toward you with your feet until they’re flat on top of the ball. Slowly return to the starting position. Repeat 15 times.

Move 3: PLANK
Assume the top of a push-up position but rest your forearms on the ball. Keep your abs strong and your neck in line with your spine. Hold the pose for 45 seconds.

Move 4: CRUNCH
(A) Lie on the ball with your middle back resting on top, arms straight, and palms on your upper thighs. (B) Curl your upper body forward, one vertebra at a time, keeping your hands on your thighs. Lower to the starting position. Repeat 15 times.

Move 5: SHOULDER CURL AND PRESS
Hold the ball out in front of you with your feet hip-distance apart. (A) With arms straight, bring the ball down to your thighs. (B) Bend your elbows and curl the ball up to eye level. (C) Press the ball up at a 45-degree angle until your arms are fully extended. Return to the starting position. Repeat 15 times.

Move 6: SIDE SQUAT
(A) Hold the ball above your head with your arms straight and feet hip-distance apart. (B) Keep your back flat and abs tight as you bend your knees and twist your torso to lower the ball toward your left foot. Return to the center with the ball overhead, then twist to the right side. Repeat 15 times.

IF YOU HAVE ANY PAIN WITH ANY OF THESE EXERCISES... STOP!!! AND CALL OUR OFFICE OR YOUR DOCTOR BEFORE YOU CONTINUE. We are here to help you feel and be your best. If you would like a more advanced workout give us a call.

And go check out our NEW WEBSITE! http://www.focuspt.net/ we will be posting more exercises there on the PATIENTS PAGE.

NEW WEBSITE!!

2010-10-15T11:22:00.000-07:00

HI EVERYONE...

WE RECENTLY RE-DESIGNED OUR WEBSITE! WE WOULD LOVE FOR YOU TO GO AND TAKE A LOOK AROUND. YOU CAN DO MANY THINGS... SCHEDULE APPOINTMENTS, PRINT FORMS, FIND OUT MORE ABOUT OUR THERAPISTS OR INSURANCE INFORMATION. AND KEEP CHECKING BACK, NEW THINGS ARE BEING ADDED ALL THE TIME, LIKE A PATIENTS PAGE WITH EXERCISES AND LINKS TO HELPFUL WEBSITES.

SO GO SEE... http://www.focuspt.netAND LET US KNOW WHAT YOU THINK!

Success Story: A Mans Man Point of View of Physical Therapy

2010-10-15T10:54:00.000-07:00

Hi... Read this Success Story of a Man's Man!

"When I first started I was very apprehensive towards physical therapy. I'm a Man's Man so PT is out of the question, I'd rather just go to the gym on my own. after going to the 1st appointment I felt so much relief and movement in my shoulder over the next 8 weeks. I steadily saw improvement and strength in my arm. I was advised of several different exercises and cool down routines I could perform at home.

It has been more than 3 months since my last visit and from time to time I get sore, but using the methods taught to me at Focus PT, I am able to heal myself! I definitely recommend Harold as a physical therapist, great personality, good sense of humor and very knowledgeable about his craft. All of the staff at Focus are great, ready and eager to help you." Jonathan R.

We love to hear success stories and how we were able to help someone get back to feeling like themselves! If you have a success story, please share! If you are in pain, please give us a call and see what we can do for you.... even if you are a Man's Man, we would love to help.

949.709.8770

Success Stories!! Nada, Barbara and Linda

2010-10-01T10:21:00.000-07:00

I have 3 new Success Stories today. From 3 sweet ladies that worked hard at Physical Therapy to get back to doing the things they love.

" I used a crutch when I first started, it was difficult to put my left foot down with worrying that my new hip would not support it. Now I am actually walking 2-3 miles around the lake and have resumed all normal activities. I started 3 weeks after surgery and it is now 10 weeks. I leave for France for two weeks and I truly feel prepared. I feel blessed to have found Focus PT from my first appointment I was treated very well and encouraged to heal. the upbeat feeling encouraged me to smile and work hard. I never missed an appointment and always improved with each appointment. Julian and Trevor truly filled the bill. " Nada

"I was in extreme pain when I first started physical therapy. After working with Julian on the neuropathy in my legs, I feel the pain level is so much better now. I feel that ASTYM really helped a lot. I couldn't stay in bed at night due to the pain before ASTYM was tried on me... now I stay in bed all night. That's a HUGE improvement for me. I still have neuropathy but it much worse before the physical therapy treatments I received from Julian. I would recommend anyone who has neuropathy to try the ASTYM treatment." Barbara

"I was not able to perform many simple household and personal tasks due to shoulder pain. The range of motion in my right arm was rapidly deteriorating. Pain in my shoulder and arm was causing sleeplessness. After physical therapy the pain at night is gone and my range of motion is nearly back to normal. I continue to improve with my home exercises. Harold listens to my concerns and asks insightful questions. He clearly understands the therapy needed to restore my range of motion and eliminate pain." Linda

If you have pain or similar stories we would love to have you give us a call and set up a time to see how we can help you like we were able to help these three ladies. 949.709.8770

On a office note... we are updating our new website NOW... Can't wait to share it with you. Be looking for it next week!

WALKING WORKOUT (PART FOUR) WE ARE ALMOST DONE!

2010-09-10T11:36:00.000-07:00

HIGH-KNEE CROSS
This exercise targets: Quads, Calves, Hips, Butt and Abs

Ok you have survived the first 3 exercises, now to add on one more! And I am sure this one is somewhat familiar to you. Add it to the end of your 30 minute Walking Workout.

While walking, tighten abs and lift bent left knee as high as you can directly in front of you, coming up on right toes. At the same time bend right elbow 90 degrees, bringing it across body toward left knee. (Swing left elbow back to counterbalance.)
Hold for 1 cound then lower left foot to step forward. Repeat with the right leg.
Let's do 25 of these per leg and on each side.

Once again if you have ANY PAIN... STOP! And call your doctor or physical therapist, and let them know what is going on so they can help you!

WALKING WORKOUT (PART THREE) FEELING THE BURN YET?

2010-09-09T10:08:00.001-07:00

POWER LUNGE WITH LEG LIFT
This one targets: Quads, hamstrings, butt, hips, arms and abs.

Now I like this one, it is less intimidating and you get maximum benefit. Add this one on to the two from before (skater stride and sumo squat and lift)!

While walking, lunge forward with left leg, both knees bent 90 degrees (beginners, 45 degrees).
With hands in fists and elbows bent at 90 degrees, bring right fist toward nose, left behind you.
Shift weight onto left leg, straightening it, lower arms and lift right leg out and back on diagonal as high as you can.
Bring right leg forward into a lunge; repeat on that side.
Do 25 reps per leg, alternating sides.

If this causes ANY PAIN, STOP! And call your doctor or physical therapist. If you are having any pain at all give us a call and set up a time for us to check you out, so you can be on your way to a healthier, happier you!

WALKING WORKOUT (PART TWO)

2010-09-08T11:30:00.000-07:00

SUMO SQUAT AND LIFT
This one targets you quads, inner and outer thighs, butt, hips, back, shoulders and biceps!
Now I know this one will be hard to do in public...but think Phoebe on Friends... running! And the payoff of how you will look and feel!

While walking, turn so that your right side is facing "forward" (up hill), fists near hips
Lift right foot, flexed, to take a large side step to right.
Lower into a wide squat as you lift both hands up in a wide V.
Rising upon right leg, lower arms as you lift leg to side foot flexed.
Step left foot next to right.
Add it to yesterdays exercise, do 12 reps, repeat with left side facing front!

Check back tomorrow for PART THREE to Walking Workout: A Firmer Butt! And remember if this causes ANY PAIN, STOP and check with your doctor or physical therapist. Call us and set up an appointment for us to help you with your own personalized walking plan.

WALKING WORKOUT (PART ONE)! FIRMER BUTT... YES PLEASE!

2010-09-07T11:19:00.000-07:00

SURPRISE!! Your average walk is NOT a workout for your derriere. Walking on level terrain does not require you to fully contract the gluteal muscles, so it doesn't do much for toning them. That is because you are working mostly your quads and hamstrings. Use thes lower-body toning moves during your regular walking workout to sculpt and lift your butt and thighs and burn more calories on your walk!

Walking pro Tina Vindum, says to walk for 5 minutes doing each of these effective shapers. And if your route has hills BONUS! But she suggests doing the moves everytime the path has an incline or set of stairs for maximum benefit!

Skater Stride (shown above): While walking, take a large step diagonally forward to the right with right foot, toes pointing forward (not to the right) Sink into a lunge bending both knees 90 degrees, as you bring left elbow toward right knee and swing right arm straight back. (beginners please do a dip rather than a lunge). Press off left big toe to bring left leg forward, brushing it past right leg, then swinging it forward out to the left diagonal (think like speed skater) to plant left foot toes forward. Do 25 steps to each side alternating legs.

Ok go try this one and check back tomorrow for the next one... Sumo Squat and Lift!

If this cause ANY PAIN, stop the exercise and check with your doctor or physical therapist. And give us a call if you would like us to set up your own personalized exercise/walking program.

Success Stories: My First Marathon!!

2010-08-20T10:40:00.000-07:00

Dear Julian,

Just wanted to say thanks! When I first came in I thought I was going to have to stop my training for a while, which would have set me back. But with your your help I was able to continue my training schedule, while decreasing the pain, AMAZING!

I have been to many PT places before and they are NOT all equal.

Thanks for all the exercises and stretches you have taught me ... they have helped so much. Also thanks for taking care of all the other issues I acquired along the way. Needless to say I could not have completed my FIRST MARATHON without your help! Thanks so much!!! Ellen

If you are in training in any sport and would like a program designed for you to prevent injury or to increase your strength and endurance, give our office a call! If you are in pain or have a injury give us a call and we will get you back to whatever it is you love to do! 949.709.8770 or check us out at http://www.focuspt.net/ and like us on FaceBook www.facebook.com/focuspt.

We look forward to meeting you!

Returning to Golf Following Surgery

2010-07-22T22:25:00.000-07:00

RETURNING TO GOLF FOLLOWING KNEE ARTHROPLASTY

Golf is a popular sport, especially among older adults. However, this age period also represents a time when osteoarthritis (OA) can impede mobility and function even during participation in low impact activities such as golf. In many cases, patients who have severe OA will undergo total knee arthroplasty (TKA) with the intent of returning to recreational activities independent and pain free. Despite this goal, very little data exists on whether persons return to golf following arthroplasty. The Mayo Clinic, of Minnesota, were interested in finding out whether TKA afforded patients the ability to be more active, specifically with regard to walking the golf course.

The researchers sent out surveys to 151 golfers who underwent TKA between 1995 and 2000. The survey included 33 questions specific to the patients' golf performance, enjoyment of golf, frequency of participation, timing of return to play, pain, use of a cart and other golf-related issues. A 62% return rate was achieved on the survey.

57% of respondents reported being able to return to golf within 6 months after surgery. 81% reported golfing as frequently as , or more frequently than, before surgery. A significant number of participants (83%) reported no pain while golfing after surgery compared with those reporting no pain before surgery (13%). However, even with what appears to be favorable surgical outcome regarding pain reduction and return to activity, a surprisingly low percentage (14%) walked the course following surgery compared with before surgery (28%).

The researchers believe that walking the golf course would be a more valid functional measure as opposed to patients only describing pain relief as an outcome from surgery. Walking the golf course can have a positive effect on overall health. Following surgery, 86% of patients used a golf cart instead of walking. The researchers emphasized that this represented a 50% decrease in the number who reported walking the golf course prior to surgery.

The study findings led the researchers to emphasize that physical therapists can play a greater role in promoting the benefits of patients staying active following TKA by informing patients that activities such as golf afford a reasonable amount of exercise benefit if one walks the course.

NEW BABY!!! Harold and Ambra Welcome Sadie!

2010-07-16T09:41:00.000-07:00

We would like to welcome Sadie Ella Manrique to our Focus Family! She was born June 29th, 2010 and weighed 8lbs6oz, to Harold and Ambra Manrique. They are all doing fine and Sophie is enjoying being a big sister. The beautiful pictures were taken by Nancy Thompson. http://www.nancytphotography.com/

Success Stories!

2010-07-16T07:48:00.000-07:00

I think one of my favorite things about working here is getting to see patients get back to their normal lives after being in pain or unable to do the simplest of things. I wanted to share a couple of quick Success Stories that just made me smile, knowing that coming to FOCUS PHYSICAL THERAPY and our amazing Physical Therapists had helped them improve their quality of life. Read on and enjoy the story...

Sheri said... "Since starting physical therapy I can now blow dry my hair, lift objects off the table, and clap my hands. I have more mobility, able to open and close doors and hold my daughters hands. " (Really what is more important than that!)

Elaine said... " On April 10th I came in for my first therapy with the aide of a walker... Today May 30th, I can walk on my own and feel quite comfortable and pain free. I especially liked the idea of one therapist for all my treatment sessions. He (Harold) was very encouraging and a huge part of my progress!

Laurie said... " When I first came to Focus I had pain in my knee that was limiting my normal activities. Julian pinpointed the problem and treated me immediately. The exercises and ultrasounds put me back on track within a month. Julian and his staff have a very positive approach and each visit was hard work but worthwhile and beneficial. My knee feels so much better! I am able to do all the things I enjoy again! Thank you so much for your excellent care!

I could go on, but we will stop here. We love our patients and enjoy seeing them get back to their lives. If you are in pain, please give us a call or email us at info@focuspt.net and we can get more information to you about how we can help! You can also explore our website at http://www.focuspt.net/ to find out more about us and physical therapy.

WHAT DOES SHOES HAVE TO DO WITH YOUR SPINE PAIN?... EVERYTHING!

2010-06-24T10:59:00.000-07:00

WHAT DO YOUR SHOES HAVE TO DO WITH YOUR SPINE PAIN? EVERYTHING!

Shoes support your entire body as the only contact between you and the ground. Alignment, support, ride quality....Hey, this is beginning to sound like a tire commercial. Well, shoes are like tires because they provide for your comfort (ride quality), your stability (support), and your posture (alignment). Good shoes can put you on the road to spine health!

COMFORT... Suppose you had to walk around barefooted on a concrete florro for a few hours. That would not feel very comfortable because notheing is cushioning you against the jarring of the hard surface. With every step like a jack-hammer, the impact travels all the way to your spine. Pound.. pound.. pound... over time, these shock waves will cause pain in the pressure - sensitive structures of your spine like the discs, joints, and ligaments.

You must buffer your back against the hard reality of the ground. Most high heeled shoes, cowboy boots and sandals (including flip flops) fail to give a cushy step in your stride. You need the cushion to ease the hurt caused by the hard ground. The tire manufacturers figured that out when they switched from hard rubber to inflatable tires. Before you hit the road, it's time for you to upgrade to better ride quality with well cushioned shoes.

STABILITY... Your shoes also need to be very support. If your foot is wobbling, slipping, and sloshing around, all the extra movement travels right up the leg to your spine, which is hanging on for dear life just to maintain balance. Some women seem to enjoy teetering on their toes in the spiked high heels. Walking should not be a balancing act that places your body at risk for injury.

Flip Flop wearers especially endure an unstable shoe. Flip-flop, Flip-flop... That is what the heel is doing, just flopping around. A good shoe always controls the heel with a strap or a cup. By stabilizing the heel, your shoes should provide a solid foundation for the entire limb and spine. Without good footing, your back will blow out from all that stressful shaking and leave you stuck at home.

POSTURE... When was the last time you checked your alignment? That's right YOUR alignment.. YOUR posture! Start by checking your feet. Foot position affects the position of your ankles, knees, hips and spine.

High heeled shoes unnaturally place the heels above the toes. Even the slightest adjustment to the foot can throw off your body's entire alignment. The spine is very vulnerable because it has especially designed curves that distribute your weight. High heels alter these curves. Eventually, this poor posture places too much uneven wear on the discs, the joints, and the ligaments of the back.

Wear out your back parts and you will have pain. All the parts in you (or your car) have to lineup properly or the whole system breaks dwon, leaving you on the side of the road.

A shoe has everything to do with how your back feels. By providing comfort, stability, and proper posture, your shoes are the foundation for you. It is fine to wear bad footwear (like high heels and flip-flops) OCCASIONALLY; just don't make it a habit, because unhealthy habits will lead to chronic pain. So next time you choose shoes to wear, think about choosing to feel better.

See below how high heels can affect not only your back, but your knees, ankles, feet and toes.

If you have any questions or are worried about your alignment or have chronic back and neck pain... please call our office and we can get you back on the road to feeling better!

3 GREAT WAYS TO WORK YOUR CORE!!

2010-06-18T10:49:00.000-07:00

3 GREAT WAYS TO WORK YOUR CORE!!

'Core' has been the big buzzword for the past few years, and there's a reason for it. The thin, flat sheets of muscle that surround your trunk are both cosmetic and athletic. They are used in every move you make, whether walking, running, snowboarding or surfing.

Strong core muscles help prevent lower back pain; allow you to make powerful athletic moves, help pull in your gut, and create good posture. They are also a major factor in balance; the stronger your core, the less likely you are to slip and fall. It's easy to see why everyone is paying so much attention to these muscles.

These trunk muscles surround the torso in layers. The deepest layer of the abs is the transverse abdominal muscle, which acts like a wide belt to support the internal organs and help the breathing process. The top layer of the abdominals is the rectus abdominus muscle, which, when built up, gives the "six-pack-abs" look. But the stomach area is only one part of the core. Doing only ab work will leave the rest of your trunk weak and subject to injury. A true core workout also includes the sides of the trunk and the back. Whether you're an athlete or a couch potato, working your core will make your life better. Here are four great ways to work your core without having to go to a gym. The only equipment you need is a pair of dumbbells and a balance ball.

Exercise #1
Hold the pair of dumbbells on your shoulders, thumbs down on the highest part of your shoulder. Sit up straight and tall, don't allow your lower back to curve in. Slowly twist as far as you can to one side, then the other, turning at the waist. Move your entire torso as a solid block, don't bend at the chest.
This works the side trunk muscles, mostly the obliques. Do 10 reps for each side.

Exercise #2
Lay on the floor, with your calves on top of the balance ball and back of the thighs against it. Reach towards your toes, lifting your torso. Keep your neck and head in line with your torso, don't bend them up.

This is a hard core crunch; it works the abs. Do as many reps as you can.

Exercise #3
Get on your hands and knees, then walk your hands forward so that you're in a push up position and your thighs are at a 45 degree angle--but still on your knees. Keeping one arm straight, lift the other arm up and back so your fingers point to the ceiling. Bring that arm back down and lift the other arm.
This works all your core muscles. Do 10 reps for each arm.

CHECK WITH YOUR DOCTOR OR PHYSICAL THERAPIST FIRST, BEFORE STARTING ANY NEW EXERCISE! IF YOU HAVE ANY QUESTIONS OR WOULD LIKE A CORE WORKOUT DESIGNED JUST FOR YOU, CALL OUR OFFICE 949.709.8770

Success Story: Chris

2010-06-11T09:50:00.001-07:00

We have had the pleasure of working with Chris on and off for a few years now. He recently just finished treatment here for his neck and shoulder. We asked him to write about his experience here at Focus and with physical therapy in general. Here is what he had to say...

"My neck was tight and uncomfortable most likely due to a prior gymnastics injury, also in Vietnam had a high G impact after getting shot down by the DMV. Julian has treated me in the past, and is a master at his trade. He is able to accurately access and zero into the area of concern and properly treat with AMAZING results. He has always resolved any issues I had, and I feel GREAT!

Julian and his staff have helped me maintain an excellent quality of life and take care of any muscle skeletal issues. Also a nice guy and entire staff."

Thanks Chris for the great reveiw... if you have any neck or shoulder issues or know someone who could benefit from physical therapy, please call our office.

PREVENTING ACL INJURIES IN THE FEMALE ATHLETE

2010-06-08T12:09:00.000-07:00

PHYSICAL THERAPISTS SAY APPROPRIATE EXERCISE CAN HELP PREVENT ACL INJURIES IN FEMALE ATHLETES
The American Physical Therapy Association (APTA) is urging female athletes — particularly soccer players — to consider a new warm-up program to help lower their growing risk of anterior cruciate ligament (ACL) injuries. Concurring with a new study published in the American Journal of Sports Medicine, APTA says specialized stretching, strengthening, agility and jumping exercises could lower the overall ACL injury rate among female athletes.

The study evaluated outcomes of NCAA Division 1 female soccer players who performed the Prevent Injury, Enhance Performance (PEP) program, designed by physical therapists at Santa Monica (CA) Orthopedic and Sports Medicine Group. Those who performed the PEP program had an overall ACL injury rate 41 percent lower than a group of female athletes who did their regular warm-up. This was one of the largest studies conducted in the NCAA with 1,435 athletes participating.

The PEP program, one example of the many physical therapy-based programs that have demonstrated an equal ability to reduce ACL injuries among female athletes, consists of sport-specific agility exercises and addresses potential deficits in the strength and neuromuscular coordination of the stabilizing muscles around the knee joint. Physical therapist and APTA spokesperson Holly Silvers, MPT, who helped develop PEP, says, "The program was created to address the deficits that are seen in female athletes, particularly weakness in the lateral hip muscles, gluteal, and core muscles." These deficits can contribute to ACL injuries, notes Silvers.
According to physical therapist and APTA spokesperson Mark Paterno, PT, MS, MBA, SCS, ATC, coordinator of orthopedic and sports physical therapy at Cincinnati Children's Hospital Medical Center, recent research published in the British Journal of Sports Medicine found that ACL tears occur four times more frequently in females than in males involved in the same amount of sports participation. He says the difference in neuromuscular control, or the way our muscles contract and react, is one of four primary factors contributing to why women are more susceptible to knee injuries than men. Other discrepancies are anatomical (men and women are structurally differently), hormonal (women's hormonal makeup affects the integrity of the ligament, making it more lax), and bio-mechanical (the positions our knees get in during athletic activities).

Sample exercises athletes can perform to avoid ACL injuries can be found in the post below.

"Women perform athletic tasks in a more upright position, putting added stress on parts of the knee such as the ACL, resulting in less controlled rotation of the joint," said Paterno. "While men use their hamstring muscles more often, women rely more on their quadriceps, which puts the knee at constant risk. To combat these natural tendencies, physical therapists may develop a treatment program to improve strength, flexibility, and coordination, as well as to counteract incorrect existing patterns of movement that may be damaging to joints," he added.
Silvers notes that physical therapist-designed programs can teach athletes how to avoid abnormal movement patterns and lessen stress on the knee, which may include exercises to strengthen hamstring and core muscles.

"Whether patients are athletes or not, physical therapist expertise includes not only rehabilitation and restoration of normal levels of function, but also education regarding how to prevent further injury," says Silvers.

Contact our office if you have any questions about how we can help you prevent ACL injuries.

EXERCISES TO HELP PREVENT ACL INJURIES

2010-06-08T11:31:00.000-07:00

Physical therapists recommend that female athletes perform a series of exercises to improve strength, flexibility, and coordination, as well as to counteract incorrect existing patterns of movement that may be damaging to their joints. These movement patterns may put them at greater risk

for injuring their Anterior Cruciate Ligaments (ACL).

These exercises demonstrate a sample of an injury prevention program and are not intended as a substitute for a treatment program designed by a physical therapist or other health care professional.

1) SINGLE LEG BALANCE
Stand on one leg with your knee slightly bent and attempt to maintain your balance for 15 to 30 seconds. Keep your hip, knee, and foot aligned with hip over knee over foot. Do 1-3 sets of 8-12 Repetitions on each foot. As this task becomes easy, make it more challenging by increasing the time you stand on your foot and by standing on a soft surface, such as a pillow or foam pad.

2) HEEL TOUCHES
Stand on one foot on a solid and sturdy box or a step with the other foot off the edge. With your hands on your hips, bend your stance leg and lower your body down until your opposite heel, on the hanging leg, touches the ground and then push back up. Keep your hips level and your hip, knee and foot aligned while you execute this exercise. Do 2-3 sets of 8-12 repetitions on each foot. If you feel pain in the front of your knee, select a lower step height or discontinue this exercise.

2
3) WALL SQUATS
Lean up against a wall with your back against it and your feet 12-24 inches away from the wall. Bend your knees and slide down the wall until your knees are directly over your ankles. If your knees are positioned over your toes, you have squatted too far. Hold this position for 10 to 30 seconds and push back up to standing. Do 1 set of 5-10 repetitions. To increase the challenge of this exercise, increase the time you hold the squat position and/or add a resistance band around the top of your knees. If you experience pain in the front of your knee, try decreasing the depth of your squat or discontinue this exercise.

4) SINGLE LEG BRIDGE
Lay on your back with one knee bent slightly and one leg straight. Using the bent leg as your support leg, elevate your trunk and hips, bringing your shoulders, hips and leg in a straight line. Hold this position for 10-30 seconds. Do 1-3 sets of 10-12 repetitions.

3
5) LUNGE STEP
Stand with your feet together and step forward with one leg, bending your knee to 90 degrees after your foot hits the ground. Make sure the front knee remains over the ankle and does not go past step foot. Continue moving your body forward by bringing your back (stationary) leg forward, then together with your step leg. Alternate legs with each step.
Do 2-3 sets of 10-15 repetitions.

6) BROAD JUMP:
Stand with your feet shoulder width apart and jump forward, landing on both feet. Focus on taking small, controlled jumps and landing with equal weight distribution on each leg. Concentrate on soft, quiet landings and maintaining your lower extremities in good alignment, with your hips over your knees, and knees over your feet. Make sure your knees do not come together when you land from this jump. Over time, this exercise can be progressed by increasing the length of the jump. This exercise should be monitored either by a partner or with a mirror.

PLEASE CALL OUR OFFICE FOR MORE INFORMATION ON PREVENTING ACL INJURIES.

SUCCESS STORY: KRISTINA

2010-05-27T11:39:00.000-07:00

Here is a success story from one of our newer patients:

"Starting my first physical therapy appointment, I was a little hesitant on the process but the pain was almost immediately gone. Now by my second visit I feel, 100% better and am pain free and tension free! If I feel this great after only a couple of visit - I can't wait to see how I feel after a full month. I am so lucky to have found Julian and Trevor and am forever indebeted to them! Thanks!

If you have a success story of how physical therapy has helped you, we would be excited to hear it. Post below or call into our office. And if you think you would be interested in hearing more about how physical therapy might improve your quality or life

THE KEY TO GOOD RUNNING IS GOOD FORM... PART TWO LOWER BODY

2010-05-21T12:03:00.000-07:00

Good Running Form Part Two: Analyze Your Lower-Body

Peter Coe and David Martin, Ph.D. Runner's World

A good running style does not guarantee great running performances, but poor running style certainly sabotages them.
To analyze and improve your running style, assess the major moving parts of the body as they relate to running as fast and as smoothly as possible.

The Feet:
Run straight.
When you run in a straight line, your successive foot placements should be parallel to each other (or very nearly so). This will reduce the rotation or twisting of the ankles and knees and will help prevent shortening of your stride due to turning out of the foot.
Because the hip, knee, and ankle joints all must bear the severe stresses and impact of running, you should always try to concentrate on preventing any twisting or sideways motion and keep the feet and legs moving directly forward.

The Ankle:
Increase flexibility.
Improved ankle flexibility has a major payoff in stride length. African runners seem to have the best ankle flexibility, perhaps because they grew up running barefoot as children. Their style shows the knee of the supporting leg well in front of the ankle, which gives the foot a greater range of motion throughout the pushoff phase of running.
The longer the heel is left in contact with the ground while the knee moves forward, the greater the pre-stretch of the calf muscles. This increases both power and stride length, as a pre-stretched muscle generates greater contractile force.

The Knee:
Use appropriate knee lift.
Sprinting requires high knee lift; marathon running does not. Distance runners should avoid dramatic knee lift, because energy that should be directed to forward movement is wasted on up-and-down motion. Find a comfortable and appropriate degree of knee lift.

The Pelvis:
Stretch and strengthen the major muscle groups.
The pelvis accommodates large muscles, which generate the powerful forward thrust of the pushoff foot as well as the thrust of the forward-striding leg. The muscles that stabilize the hip against too much rotation must be especially strong to prevent injury.
Lack of hip-joint mobility limits stride length and often results in a forward lean of the torso. By increasing your hip flexibility, you can run with a more vertical and energy-efficient style.

IF YOU WOULD LIKE MORE INFORMATION REGARDING PHYSICAL THERAPY AND GOOD RUNNING FORM. PLEASE CALL OUR OFFICE.

THE KEY TO GOOD RUNNING IS GOOD FORM... PART ONE UPPER BODY

2010-05-21T11:54:00.000-07:00

THE KEY TO GOOD RUNNING IS GOOD FORM

Peter Coe and David Martin, Ph.D. Runner's World

By working to improve your form, you can adapt to stress and avoid injury. At the same time, you will become more efficient and have a better chance of achieving your goals.

The Shoulders and Upper Arms
Keep them relaxed. Though the shoulders and upper arms primarily provide balance at relatively slow speeds, they can assist the leg muscles more as you run faster and climb hills. Proper movement of the arms and shoulders prevents your trunk from rotating too much from side to side, which wastes energy.
Let your arms swing loosely. Don't hunch forward, and don't pull your shoulders back and thrust your chest out. The place for shoulders is directly above the hips. Unnecessarily tensed muscles always decrease your efficiency.

The Lower Arms
Match the armswing to your running speed. Vary your arm action with your speed, becoming much more vigorous as you run faster. Keep your elbows close to your body to minimize the tendency for the hands and lower arms to swing across the chest.
At most speeds, your elbows should remain flexed at about 90 degrees through the full range of the armswing. When you sprint at the end of a race, however, let your elbows unlock beyond 90 degrees on the backswing and close to perhaps 30 degrees on the forward swing. This will give you power and fluidity.

The Hands
Keep them loose but not limp. Even in the final moments of a race, your wrists should be fairly loose, your fingers should be slightly bent, and your thumbs should not be sticking up like spikes.
The Head
Keep it poised above the shoulders and hips. Except when you are making a desperate dip at a finish-line tape, your head should be poised well above your shoulders.
The head is a very heavy piece of anatomy. If you don't hold it properly, you are likely to develop problems. When your head tilts too far back, it places unnecessary strain on the neck muscles. If it rests too far forward, it can restrict the airways and make breathing difficult.

Run into Health Feet

2010-04-23T12:02:00.000-07:00

Each day millions of Americans run for fun, sport, and fitness. While
running is a great form of physical activity, it can be hard on the lower extremities, especially
the feet. During April’s Foot Health Awareness Month, the American Physical Therapy
Association (APTA) is educating runners about the importance of proper foot health and a
physical therapist’s role in preventing and treating foot injuries that may result from running.
The impact forces during running can be 2-3 times one’s bodyweight, making the feet
particularly vulnerable to injury. Healthy feet are a runner’s best friend and understanding a
running injury is a key to effective treatment. As experts in restoring and improving motion in
people's lives, physical therapists can provide an examination of a runner’s feet and an
analysis of individual running mechanics to determine the cause of pain. Tests also may
include an analysis of, strength, range of motion, sensation, and circulation.
Once a cause is determined, a physical therapist will design an individualized course of
treatment to address the cause of the problem. This treatment plan may include exercises for
flexibility, stability, balance, strength, and joint range of motion.

Often, improper footwear can contribute to the problem. In these cases, a physical therapist
may recommend specific types of shoes based on the individual needs of a runner. For
example, runners with stiff feet and high arches may need more cushion in their shoes, while
those with very flexible feet and low arches usually need a stiffer shoe with more support and
control. For individuals with more complex problems, physical therapists may prescribe
custom or over-the-counter orthotics.

Physical therapists also play an important role in helping runners prevent injuries. APTA
suggests the following tips for all runners:
 Start slowly and build up slowly - both distance and speed.
 Address pain and discomfort as soon as it appears - with ice, rest, or by
modifying your training program. Ignoring symptoms is a sure way to develop
a chronic problem.
 Choose your running surface carefully. Hard surfaces, uneven terrain, and
too many hills can lead to problems. Again, build up to them slowly if these
surfaces are part of your goal.
 Consider other types of endurance exercises to give your feet a rest and to
provide a better balance to your fitness routine.
 Keep an eye on skin issues such as redness or blisters.
 Seek evaluation and treatment from a physical therapist to get back on the
right track. Your feet will thank you!
Physical therapists are experts in restoring and improving motion in people's lives. In many
cases, they can treat pain without surgery and reduce the need for long term use of
medications and their side effects. For more information on how physical therapists help
runners keep their feet healthy and avoid serious problems please call our office at 949.709.8770. HAPPY FEET… HAPPY RUNNING!

A Strain in the Neck

2010-03-26T11:00:00.000-07:00

Amy Markham was once an endurance athlete, running marathons and cycling long distances. Then, at the the age of 37, she took a new job as director of admissions for a small college. her new sport was hunching over her keyboard. At first the pain barely registered, but the tensionin her neck and shoulders eventually became so severe that it was sometimes impossible to turn her head, shrug on clothes or even type. While her pain was extreme, the circumstances that led to it are not uncommon.

As many as 63 percent of all office workers will suffer from neck pain sometime this year, with women at particular risk, according to a recent comprehensive review of neck pain studies. Poor posture is partly to blame; the ever-increasing dependence on computers doesn't help either. Happily, some relatively simple exercises can help! A study published in The Journal of Applied Physiology found that these 5 moves dramatically reduced neck pain and increased neck strenght in female office workers. For the best results, complete at least 3 sessions a week ( A session consists on 3 sets of 3 of the moves listed here; for each set, repeat the exercise 10 to 12 times.) by Gretchen Miller for Oprah Magazine.

If you have consistent neck pain attributed to your workstation call our office and we can come set up an ergonoically workstation for you and your office. We will also set you up with the exercises mentioned above. And if needed treat the problem in our office.

MEDICARE ACTION ALERT!!

2010-03-08T11:42:00.001-08:00

MEDICARE ALERT:
ALEXANDRIA, VA—The American Physical Therapy Association (APTA) joined with more than forty patient advocacy groups and health care organizations to thank Congress for temporarily reinstating the therapy cap exceptions process and urge for a long-term solution to ensure that Medicare beneficiaries can continue receiving necessary rehabilitative services.

The Temporary Extension Act of 2010 (HR4691), which was passed by the US House of Representatives the last week of February and the Senate March 2nd, was signed into law March 3, 2010 by President Obama and reinstates the exceptions process that allows for services above the $1860 financial cap based on diagnosis, clinician evaluation, and judgment until March 31, 2010. In the first 60 days of 2010, thousands of patients exceeded the $1860 financial cap on outpatient rehabilitative services, forcing them to delay, reduce, or discontinue needed therapy because the exceptions process had expired December 31, 2009.

“We’re grateful for this short-term reprieve of the therapy cap,” said APTA President R. Scott Ward, PT, PhD. “However, our advocacy efforts continue for a long-term solution to this arbitrary limit on services that so negatively affects seniors and people with disabilities, many of whom have chronic conditions or co-morbidities.” Imposed by the Balanced Budget Act of 1997, the therapy caps end Medicare’s coverage of outpatient physical therapy, occupational therapy, and speech language pathology services (hospital outpatient departments are exempt) billed under Medicare Part B once a beneficiary has received $1860 of services in a calendar year. The cap exemptions process was implemented in 2006.

If you have any questions on how this affects you, or would like to know what you can do, please call our office on the latest information.

ANTHEM BLUE CROSS PAYMENT CHANGES

2009-11-30T10:05:00.000-08:00

On November 2, 2009, Anthem Blue Cross announced that they will be making some changes to their physical therapy services reimbursement/payment policy.
Effective February 1, 2010 they plan to reduce the rate that they reimburse/pay
physical therapists by 25% of the current contracted rate of reimbursement/payment. This will prove to be financially detrimental to physical therapists, their practices and patients. Possibly forcing practices out of the Blue Cross Network causing higher out of network fees for patients who seek the best for their rehabilitation care.

At Focus/Hands On Physical Therapy we are committed to providing our patients with the best care possible. This includes working with our patients insurance providers, we are currently contracted with Blue Cross and work closely with them making sure the patients receive ALL of their physical therapy benefits. This new policy will cause us to rethink our own insurance/payment policies.

There are several organizations, CPTA, APTA, PTPN and OTAC that are meeting with Anthem Blue Cross advocating fair and appropriate payment for physical therapy
services and addressing these issues. Please take the time to write Anthem Blue Cross a letter telling them that you oppose this change to your insurance benefits for which you pay a more than fair amount for in insurance premiums.

Call us for a sample letter you can add your name to and send. You can also write your own letter stating your own opinions on this situation.
The contact person is: Sharron Fuqua, (sharron.fuqua@wellpoint.com)
Anthem Blue Cross
Ancillary & Specialty Networks
21555 Oxnard Street, 8-B
Woodland Hills, CA 91367

We value our patients and desire only the best for you.
Please contact me if you have any questions.

Thank you in advance for taking the time to address this issue.

Backpack Awareness

2009-10-01T14:04:00.000-07:00

Aching back and shoulders, weakened muscles, tingling arms, stooped posture. Does your child have those symptoms after wearing a heavy school backpack? Carrying too much weight in a pack or wearing it the wrong way can lead to pain and strain.

Recent studies have begun to examine how school backpacks effect children and adolescents. A review of the research published within the past 5 years reveals that incorrect backpack use leads not only to back pain in youths, but also impedes proper physiological growth and functions. The adolescent spine continues growing in periodic spurts until the age of 18, making the proper use of backpacks vital. More than 7,000 emergency room visits in 2008 were related to backpacks and book bags. Half of those injuries occurred in children 5 to 14 years old. Students on average carry 22% of their body weight, exceeding the recommended 15%. And 34% of students carry more than 30% of their body weight at least once during the week.

Injury occurs when a child tries to adapt to the heavy loads and uses faulty postures such as arching the back, bending forward, or leaning to one side. These postural adaptations can cause improper spinal alignment which hampers functioning of the disks that provide shock absorption. A backpack load that is too heavy also causes muscles and soft tissues to work harder leading to strain or fatigue. This leaves the neck, shoulders and back more vulnerable to injury.

A heavy load may also cause stress or compression to the shoulders and arms. Make sure that both shoulder strap are always worn. Wearing a pack slung over one shoulder can cause a child to lean to one side, curving the spine and causing pain or discomfort. If the nerves are compressed, the child may experience tingling or numbness in the arms.

When worn correctly and not overloaded, a backpack is supported by some of the strongest muscles in the body: the back and abdominal muscles. These muscle groups work together to stabilize the trunk and hold the body in proper postural alignment.

For more information or to have your child's backpack properly fitted call our office. If they are already experience pain, bring them in and let us get them feeling better and using and wearing their backpack correctly.

The Back Pack Stretch

2009-09-22T11:27:00.000-07:00

Here are some stretches that can help strengthen or prevent backpack related injuries along with using a back friendly backpack! Do these twice a day for 2 minutes (4 minutes total daily). Remember to breath from your diaphragm (do not hold your breath). Concentrate on the area being stretched. Hold each stretch for the time suggested. Warm up prior to stretching. Slowly apply the stretching techniques. Do them daily!

Meet Julian Manrique, MPT, OCS

2009-06-12T13:51:00.001-07:00

Julian Manrique, MPT, OCS, received his Bachelor of Science and Masters in Physical Therapy from Loma Linda University. He went on to become a Board Certified Orthopedic Clinical Specialist in 2002. He is the owner of Hands On Physical Therapy and Focus Physical Therapy which he co-founded in 2002. In 2008 he became a certified ASTYM provider and is always learning about the latest research based treatments. He specializes in orthopedic manual therapy, sports injuries and conditioning, injury prevention, and neck and back pain/dysfunction. Julian loves helping people achieve their highest level of function possible, whether it is re-learning to walk or returning to their favorite sport or activity. He is focused on making sure that each patient is treated one on one and with the utmost care. Julian is married with a son and a daughter. He enjoys spending time with his family, training and participating in triathalons, surfing, mountain biking and gardening. Pretty much anything outdoors. He is just one of our staff of excellent physical therapists. We will profile the others in future posts. Please call our office if you would like to learn more about Julian or Hands On Physical Therapy/ Focus Physical Therapy and what we have to offer.

MEDICARE ACTION ALERT!!

2009-05-11T08:03:00.000-07:00

***ACTION ALERT***

Medicare Direct Access Legislation Re-Introduced

On April 30th, Senators Blanche Lincoln (D-AR), Lindsay Graham (R-SC), and Alen Specter (D-PA introduced Senate companion legislation (S.950) The Medicare Patient Access to Physical Therapists Act. The American Physical Therapy Association (APTA) strongly supports this legislation as it would allow Medicare beneficiaries to directly access physical therapists for outpatient services as authorized by state law. Congressmen Earl Pomeroy (D-ND) re-introduced the House version, HR 1829, on March 31, 2009. Currently, HR 1829 has 61 sponsors. APTA NEEDS YOU TO CONTACT YOUR SENATOR OR REPRESENTATIVE TODAY TO SUSTAIN MOMENTUM ON THIS ISSUE!!

The Medicare Patient Access to Physical Therapist Act (HR1829/S950) recognizes the ability of licensed physical therapists to evaluate and treat beneficiaries requiring outpatient physical therapy services under Part B of the Medicare program without a physician referral or certification of the plan of care, if direct access is authorized by state law in the state in which the therapist practices. Requiring a referral is unnecessary and limits timely access to medically necessary physical therapists' services. APTA believes improving access to care for beneficiaries is critical as Congress looks to reform the Medicare program.

KEY POINTS TO MAKE

Access: The major objective of this access is to improve access to physical therapists under Medicare, Currently, patients are required to see a physician prior to the initiation of physical therapy treatment, causing delay and at times denial of needed rehabilitation care provided by physical therapists.

State Rights: This legislation eliminates a Medicare regulation that exceeds the state standard regarding access to physical therapists. State licensure laws govern health care professionals and Medicare should not limit access to safe, qualified providers with more burdensome requirements than state law.

Cost Effectiveness: This legislation has the potential to decrease costs by eliminating unnecessary physician visits for the sole purpose of obtaining a referral, provide more timely access to care and reduce the number of visits or duration of care needed to treat an individual.

Choice: Currently, Medicare beneficiaries are limited in their ability to choose physical therapy as a treatment option. This leads to limited choices in health care ant the potential for greater costs.

Safety: this legislation would not jeopardize patient safety. In the 48 states with direct access to PT evaluation and the 44 with direct access to PT evaluation and treatment, there has been no increase in claims to liability carriers or state boards regulating physical therapy when the referral mandate was eliminated.

WHAT CAN YOU DO?

CONTACT YOUR SENATOR OR REPRESENTATIVE TO REQUEST HIS/HER SUPPORT THROUGH CO-SPONSORSHIP OF THE MEDICARE PATIENT ACCESS TO PHYSICAL THERAPIST ACT (HR1829/S 950) OR TO THANK HIM/HER FOR THEIR SUPPORT IF THEY ARE CURRENTLY A COSPONSOR!

CALL: 202.224.3121 ASK TO SPEAK WITH THE HEALTH CARE LEGISLATIVE ASSISTANT AND ASK YOUR REPRESENTATIVE TO CO-SPONSOR HR1829/S950

EMAIL/WRITE : GO TO WWW.APTA.ORG/ADVOCACY TO SEND AN EMAIL TO YOUR REPRESENTATIVE. THERE YOUR CAN ALSO VISIT THEIR WEBSITES DIRECTLY AND WRITE AN EMAIL TO HIM/HER TO ENCOURAGE THEIR CO-SPONSORSHIP.

TO SEE IF YOUR REPRESENTATIVE IS ALREADY A CO-SPONSOR OF HR1829 VISIT http://thomas.loc.gov/ and type in bill number HR 1829 under "Search Bill Summary and Status." For other questions or more information, contact Government Affairs at 1.800.999.2782 extension 8533

Thanks for getting the message through to Congress!

ASTYM Success Story

2009-04-24T14:08:00.000-07:00

I have been a patient of Focus Physical Therapy and Julian's for approximately 4 years. At the recommendation of my doctor I initially started therapy to help with some hip pain I was having. After it was determined that I would need surgery, Julian was extremely helpful in getting me as strong as I could be in my core to prepare me for post surgical recovery. After surgery all of the exercise programs and treatments have lead me to be in the best shape I have been in since before having my kids. One treatment in particular is the ASTYM. I was treated in my lower abdomen and hip. It gave me back so much range of motion that had gone away due to scar tissue buildup from the surgery. I was also diagnosed with Tennis Elbow and my doctor said if therapy didn't work then he would use a cortisone injection to ease my pain. I began working with Julian where he again used ASTYM, I am happy to say the treatment worked and I have been pain free ever since. I am thrilled that I didn't need to get that injection after all. The ASTYM treatment truly works! Everyday is a better day physically for me. I do believe that living a pain free and active life is a direct result from the care I received from Focus Physical Therapy.

HEARING DATE CHANGED FOR AB721

2009-04-24T11:23:00.000-07:00

Please see the following update regarding AB 721 and RESPOND ASAP...THANKS!

Hearing Date Changed for AB 721—Let’s Flood the Legislature with your Support Letters Today!
AB 721, Consumer Direct Access to Physical Therapist Services, will be heard in the Assembly Business & Professions Committee on Tuesday, April 28, 2009 at 9:00 a.m., State Capitol Building, Room 447. Super-Shuttle service will be provided at the Sacramento International Airport-Terminal A.
Please notify Tameka Island (tisland@ccapta.org) if you are planning to attend! Please help us with a final push for AB 721 right now.
1. We need you and everyone you know (therapist, patients, staff, students) to please make phone calls to the following members of the Assembly Business & Professions Committee: Assembly Member Ira Ruskin (916) 319-2021; Assembly Member Curren Price (916) 319-2051; Assembly Member Connie Conway (916) 319-2034; Assembly Member Cameron Smyth (916) 319-2038; Assembly Member Mike Eng (916) 319-2049 and Assembly Member John Perez (916) 319-2046. It may sound intimidating, but it’s really very simple. All you need to do is call and say, "Hello, my name is _______. I'm a physical therapist (patient, student) from ________, CA, and I want to urge the Assemblymember to support AB 721." Your phone call can impact the deciding vote on AB 721!
2. We need letters of support faxed to the members of Assembly Business & Professions Committee. The fax numbers are: Assembly Member Ira Ruskin (916) 319-2121; Assembly Member Curren price (916) 319-2151; Assembly Member Connie Conway (916) 319-2134; Assembly Member Cameron Smyth (916) 319-2138; Assembly Member Mike Eng (916) 319-2149 and Assembly Member John Perez (916) 319-2146. Follow this link to view CPTA’s letter of support and use this as a guide for writing your own letter.
We hope to see you there!
Thank you in advance for your time and support! Please don’t hesitate to contact Tameka Island (tisland@ccapta.org) or (916) 929-2782 ext. 108 if you have any questions.
To view and track the bill, visit http://www.leginfo.ca.gov/, click “bill information” and write in AB 721. To determine if you are a constituent of a member of the Business & Professions Committee, visit http://www.leginfo.ca.gov/yourleg.html and write in your zip code. For more resources and information visit the Consumer Direct Access Resources page on the CPTA Website. (From the Home page, click on the “Consumer Direct Access Resources” page from the left-hand navigation bar). Follow this link for a list of the Assembly Business & Professions Committee members and their contact information.

HAPPY ADMINISTRATIVE PROFESSIONALS DAY

2009-04-22T15:25:00.000-07:00

.........OR AS WE USE TO CALL IT SECRETARY'S DAY!

TODAY I DROVE AROUND AND DELIVERED ROSES TO ALL THE WONDERFUL WOMEN AND MEN WHO ASSIST THE DOCTORS IN SOOOO MANY WAYS...IT WAS NICE TO SEE SOME OF THE DOCTORS TAKING CARE OF THEIR STAFF TODAY.

WE JUST WANTED TO THANK THEM FOR BE WILLING TO HELP US WHENEVER WE CALL, WITH PRESCRIPTIONS, REPORTS, PATIENTS STATUS AND EVERYTHING ELSE THAT THEY DO! HERE AT FOCUS AND HANDS ON WE KNOW THAT THE DOCTORS COULD NOT DO IT WITHOUT YOU AND NEITHER COULD WE!

HOPEFULLY YOU GOT A ROSE AND ARE CHECKING OUT THE BLOG. AND FOR ANYONE ELSE THAT IS AN ADMINISTRATIVE ASSISTANT HAVE A GREAT DAY!

Dangers of Plastic

2009-04-20T10:18:00.000-07:00

I know that this doesn't have anything to do with Physical Therapy exactly...but we do encourage exercise and being well hydrated while doing it. This was recently sent to me and I looked into it and thought it important enough to share with all of you.

Cancer update from Johns-Hopkins:

Bottled water in your car is very dangerous!

Oncologists are linking toxins from water bottles left in the car to Breast Cancer.

"Women should not drink bottled water that has been left in a car. The heat reacts with the chemicals in the plastic of the bottle which releases Dioxin into the water. Dioxin is a toxin increasingly found in Breast Cancer tissue. so please be careful and do not drink bottled water that has been left in the car. "

They recommend using a stainless steel or glass bottle instead.

Information circulated at Walter Reed Army Medical Center also suggests; No plastic containers in microwave, No water bottles in freezer, No plastic wrap in microwave for the same reasons...A chemical called Dioxin causes Cancer, especially Breast Cancer.

Dioxins are highly poisonous to the cells of our bodies. Edward Fujimoto, Wellness program manager at Castle Hospital recently talked about heating food in the microwave using plastic containers...this especially applies to food that contain fat. The combination of fat, hight heat and plastic releases Dioxin into the food and ultimately into the cells of the body. Instead use glass, such as Corning Ware, Pyrex or ceramic containers for heating food....same results, only without the Dioxin. So remove pre packaged foods into something else to heat them up in. One of the reasons that restuarants moved away from foam containers to paper...due to the Dioxin. Also cover food with paper towels instead of Saran Wrap due to the toxins released into the food while being reheated. And while there are some unkowns to paper products it appears to be a much better choice than plastic...with glass being the best choice.

I myself am not much of an alarmist, but there is enough information out there on this to warrant me to be cautious and to rethink whats happening with the water I drink and the food I cook in the microwave. I am constantly drinking out of water bottles I have left in my hot car. I plan to be more aware of this and cautious in the future.

LEGISLATION AB721

2009-04-15T13:33:00.000-07:00

DEAR PATIENTS AND FRIENDS

WE AT FOCUS PHYSICAL THERAPY AND HANDS ON PHYSICAL THERAPY ARE ASKING THAT YOU PLEASE WRITE YOUR LEGISLATORS IN SUPPORT OF LEGISLATION AB721.

AB721 will allow physical therapists to act within their scope of practice and initiate immediate treatment to patients seeking relief from pain and injury without the need for a physician diagnosis. It will improve access to rehabilitation services for workers injured on the job, young athletes engaged in school sports and seniors. California physical therapists currently may examine, evaluate and test patients but not initiate treatment. As a result, a patient in need of physical therapy often experiences unnecessary wait times and associated costs before being referred to a licensed physical therapist who is specifically trained in the field of movement, function and health. Additionally, the legislation will reinforce patient safety through direct access by requiring physical therapists to refer patients back to a physician if it is determined that physical therapy is not appropriate for the patient. This direct access will save patients costs, time and eliminate the burden of unnecessary office visits and lead to quicker pain relief or recovery from injury.

YOU CAN HELP! Please go to http://www.ccapta.org/ and click on the "TAKE FIVE" banner on the home page and it will walk you through the easy steps to contact all your legislators by email.

Thank you for your time and support! Call me if you have any more questions.
Thanks
Tara

Forwarded Email Glitch

2009-04-15T13:14:00.000-07:00

Hi Friends

I sent out emails to invite people to check out this Blog. Some email addresses got forwarded along with other email addresses. This was not intentional and has been fixed, it only affected a few people to those few I am sorry for the inconvience. Please let me know if you have any questions regarding this issue.

Thanks
Tara

Frequently asked questions about Moxxor

2009-04-10T09:51:00.001-07:00

What is Moxxor?

After years of research Moxxor has combined the natural resources of New Zealand and formulated a powerful anti-inflammatory and antioxidant complex from Greenlip Mussels and Sauvignon Blanc Grape Seed Extract. Available as a supplement in highly refined liquid gel cap form, MOXXOR is the earth's preeminent source of Omega-3s, which have known ant-inflammatory properties and are up to 480 times for effective that other Omega-3 oils on the market and grape seed extract which have known antioxidant levels that are up to 3 times more effective than Acai and Mangosteen, and up to 50 times more effective than Goji, as measured on the ORAC scale.

MOXXOR HAS NO KNOWN SIDE EFFECTS.

What can MOXXOR be taken for? MOXXOR can help reduce the inflammation process for the following conditions: Joint Problems, Skin Disorders, Breathing Difficulties caused by Inflammation, Immune Disorders. Also Heart Disease, Cirrhosis of the Liver, Asthma, Rheumatoid Arthritis and Osteoarthritis. Depression, Dry Eye, Psoriasis, Allergies, Crohn's Disease, Ulcerative Colitis, Multiple Sclerosis, Migraine Headaches and Lupus Erythematous.

MOXXOR IS 100% NATURAL AND CANNOT HARM YOU, NOR WILL IT INTERFERE WITH ANY OTHER MEDICATIONS.

What is the recommended dosage? 2 Moxxor soft gel capsules taken daily, with or without your meal is recommended for maximum results. If you are experiencing high levels of pain, you may want to increase your dosage to 4 capsules a day. Allow 8 to 12 weeks of continual usage for best results.

WE HAVE BEEN SEEING GOOD RESULTS FROM PATIENTS TAKING MOXXOR. IF YOU HAVE A QUESTIONS OR WOULD LIKE TO FIND OUT MORE ABOUT MOXXOR AND HOW IT MIGHT HELP YOU, PLEASE GIVE OUR OFFICE A CALL! 949.709.8770.

ALSO FOR MORE INFORMATION YOU CAN GO TO http://www.moxxor.com/

What is the ASTYM SYSTEM and how does it work?

2009-03-31T09:50:00.000-07:00

The ASTYM System is a therapy approach that addresses problems such as scarring, fibrosis, and degeneration that occur in soft tissues. These problems may develop as the result of trauma, surgery or overuse. The System is effective for new injuries as well as chronic, nagging conditions. The ASTYM System uses instruments along the surface of the skin to locate these problem areas and start the body's healing process. As the body heals, exercise and activity help guide the healing which allows you to return to activities without pain and limitation. The success of the ASTYM System is documented for a wide variety of diagnoses and many times it helps patients where other treatments have failed!

Is this new?? The ASTYM System has been used in clinics by rehabilitation professionals since 1996. Thomas Sevier, M.D. guided the clinical, scientific and outcomes research used to develop the system and document its remarkable effectiveness.

Diagnosis that respond well to the ASTYM System: Patients who are experiencing pain, loss of function following surgery, injury, cumulative trauma, disorders and chronic irritation/tendinitis often benefit from ASTYM. Some of the clinical diagnoses which have responded well to this treatment are: Carpal Tunnel Syndrome, Lateral and Medial Epicondylitis, Wrist Sprains, Shin Splints, Shoulder Pain, Plantar Fascitis, Chronic Ankle Sprains, Achilles Tendinitis, Patellar Tendinitis, hamstring strains, IT Band Syndrome, Post Surgical Scarring and Fibrosis, Hip Pain/ Trochanteric Bursitis, SI and Low Back Pain, Most forms of Chronic Tendinopathies, Soft Tissue changes associated with Degenerative Arthritis.

What is different about the ASTYM System?

It demonstrates success when other approaches have failed.
It often decreases the need for surgical intervention.
It provides maximum results with a minimum number of treatments.
It has high patient compliance.
It often enables patients to stay on their job or stay in their sport.
It is supported by scientific research, substantial clinical experience and an extensive outcomes database.

At Focus Physical Therapy and Hands On Physical Therapy we are certified in using the ASTYM System and have been using it with great success. I will post some success stories along the way. If you are interested in finding out more about ASTYM or if this can help you, please call our office! You can also go to their website http://www.astym.com/ to review the studies and to get more in-depth information.

Success Story

2009-03-11T11:13:00.000-07:00

Due to my injury, I almost gave up on running my most anticipated and ultimate goal...The Boston Marathon. But thanks to the Focus Staff, especially Julian, I regained my confidence and continued on with my training at 5 weeks before the race. With the Strengthening and Stretching exercises he recommended for me, I was able to do my longest run (20 miles) as well as my tempo and speed workouts prior to the race. I finished the race with no more than the normal aches and pains and I honestly believe that I would have not done it without the professional care and guidance I received from Focus. Thanks Julian and the Focus Staff
Lilian M.

New Blog for Focus Physical Therapy

2009-03-09T14:46:00.000-07:00

Welcome to our new blog! This is to keep everyone up to date about what is going on at Focus Physical Therapy/Hands On Physical Therapy.
We will share with you the latest in Physical Therapy Treatments, Success Stories, Insurance Information, Events and other information as it relates to our patients, physicians, physical therapists and anyone else interested in Physical Therapy.