knee replacement surgery

Surgery versus PT: What You Need to Know

“I have to get surgery for my torn meniscus. I’m going to be out of commission for a while.”

“My back problems have gotten so bad that my doctor says I need surgery to repair the herniated disk.”

“The MRI doesn’t look so good. Hopefully surgery will be a quick fix.”

Sound familiar? Most of us know someone who has been told that they needed surgery for a knee or back issue – or have received that disheartening news ourselves. A herniated disk is one of the most prevalent back problems in adults, and is often treated with lumbar discectomy as the first option. The goal of this surgery is to remove the herniated portion of the disc from the patient’s back, releasing pressure on surrounding nerves and muscles. The goal is for the patient to be able to live without pain post-surgery, but this process usually involves lots of medication and prolonged periods of rest. Another common injury that frequently leads to surgery is a meniscus tear. Your meniscus stabilizes and cushions the knee joint. A tear would be viewed easily on an MRI, which can cause many doctors to immediately prescribe surgery. Following that type of surgery, you would probably spend about two weeks with your leg completely immobilized. Then you would be introduced to a rehabilitation plan that included physical therapy – not to recover from the original injury to your knee, but to recover from the surgery that supposedly fixed it.

Surgery, in the right circumstances, can be extremely beneficial. But unfortunately, it is over-prescribed and often unnecessary, especially for individuals with back and knee pain. Seeing a herniated disc or torn meniscus on the MRI screen may trigger an automatic prescription of surgery and medication- but these “quick fixes” may not be your safest or most helpful options. In fact, MRIs can produce false positives and lead to invasive surgeries for specific injuries that didn’t even exist in the first place. MRIs are a useful tool, but their readings should always be taken with a grain of salt. When given the opportunity, your body will do its best to heal itself. Why not try careful, guided exercise and strength-building before you submit to incisions and long, medicated recoveries?

This is where physical therapy comes in. Consider working with a specialist physical therapist to address your specific injury or pain- someone who doesn’t just prescribe exercise and passive modalities, but genuinely wants to help you recover in a natural and low-risk manner. A specialist physical therapist will carefully listen to your history, analyze your symptoms, come up with a customized plan of action, and problem-solve WITH you versus trying to solve the problem FOR you. One of the primary goals of our practice is to use guided, natural movement to help your body recover to full strength and health based on your own individual needs. Pilates-based rehabilitation is also a uniquely tailored approach to recovery that can make a huge difference. Most knee, back, and other injuries occur because the surrounding muscles are too weak to support those joints and systems properly. You may think that your regular exercise and stretching is enough, but working specific muscle groups can leave others underdeveloped and makes your body unbalanced as a whole. Pilates is a full body workout that starts from your core and balances you both mentally and physically! It won’t create further damage to any injuries because it’s so low impact, and working with a professional will allow you to customize your session to your own individual needs.

Do you live in the Seacoast area and want to learn more about why surgery shouldn’t be your first – let alone ONLY – option for recovery? Click here to get in touch, ask questions, and schedule an appointment. If you’re struggling with back pain, you can even download our FREE report on five easy ways to get rid of back pain WITHOUT surgery! And don’t forget to browse our selection of Pilates classes located right here in Portsmouth.

How Olympian Karen Chen Uses Pilates to Overcome Back Pain

18 year old Karen Chen is already a figure skating sensation – she is one of only three female figure skaters representing the United States at the 2018 Olympic Games in South Korea and recently released a book about her journey to becoming the US National Figure Skating Champion in 2017. However, Karen has had to deal with several injuries and ongoing back problems in her road to international athletic success.

Karen Chen skates in the Championship Ladies Short Program for the 2018 US Figure Skating Championships at the SAP Center in San Jose, Calif., on Wednesday, January 3, 2018. (Nhat V. Meyer/Bay Area News Group)

In her book, Finding the Edge, Karen explains that she started experiencing debilitating back pain as a teenager. She was competing at a very high level in figure skating and was worried that her back issues would prevent her from following her dreams of becoming an Olympian someday. She says “I was so worried about my spine and so nervous about the pain that I was tense all the time. And that tension made everything worse. I was tight and my muscles were constantly seizing, which only intensified the sharp pain radiating from my back down through to my legs” (Parade). Karen saw multiple doctors and received varying opinions and advice. Some even thought she might not be able to continue skating. But as Karen says in her book, “champions figure out a way to persist. And in order to help my back, I added more Pilates and core stability work to my off-ice training. All those core muscles help hold my vertebrae in position. If my core was strong, the vertebrae weren’t as likely to slip around and cause further problems.”

We say this all the time to our clients. Pilates strengthens your whole body, starting with your core, and actually prevents back pain! Karen Chen told Us Weekly that she practices Pilates every day. And now she’s competing on the biggest stage in sports, living her dream, because she refused to let her back pain limit her. Instead, she found a way to resolve it that did not involve surgery, pain pills, or other invasive procedures. Now Karen Chen is stronger than ever, and ready to compete in Seoul this week.

Curious about how Pilates can help you? Get in touch! You don’t have to be an Olympian to benefit from Pilates – all you need is the desire to lead a strong, pain-free life. Friend us on Facebook to stay up to date on all the latest news on our Pilates programs right here in Portsmouth, NH.

A Pilates First-timer? You’re not Alone!

Our blog post this week comes from one of our newest team members! She tried one of our Pilates classes for the very first time and decided to write about her experience…

My name is Jenna and I’ve just begun working at CJ Physical Therapy and Wellness. This is honestly my dream job… helping people enjoy their lives without pain definitely doesn’t feel like work! I was already ecstatic to be working here, but I was even happier when my new team told me that I could drop into one of our Tower Training Pilates classes. I was able to join the group as a first-timer, with no previous experience whatsoever, and I’d love to share my experience!

Let me start with how my morning went. It was a beautiful Monday and I had planned everything to the T. I was just about to leave home when I spilled my coffee all over my clothes, my outfit to change into, and my shoes! So, I had to rush to clean up and still get to the studio on time. Needless to say, by the time I arrived I was a little flustered. (Coffee had betrayed me!) But right when I walked through the door. I was greeted by the amazing Bodie, one of the sweetest pups I know. The combination of Bodie and the gentle fragrance of essential oil and overall ambience of the office is always immediately relaxing. By the time I was on my blue mat in the studio, I was so excited to get moving!

The first thing I noticed was that the exercises were incredibly simple. Our Pilates instructor, Jen, explained everything as we went along, stopping beside each of us during repetitions to help us with form – and the form is the tricky part. I immediately realized that the seemingly easy exercises were so much more than they looked. I need to work on my balance and posture. At one point Jen called me out on the tension in my shoulders, and when I focused on relieving it I noticed she was spot on! We get so used to moving and holding our bodies a certain way that the issues are almost unnoticeable to us – until it wreaks havoc on our spine, nerves, and ligaments (or until someone amazing notices for you!). Bringing awareness to my movements and muscles made for an amazing workout, and I walked out of the studio refreshed, invigorated and relaxed!

I’ve always considered myself to be pretty fit. I’ve worked in labor-intensive jobs and enjoy hiking, going to the gym, and walking my dog. I eat as well as I can and drink lots of water. With all of this, and how passionate I am about self care, it’s exciting to see that there are other things I can do. The most important thing I’ve learned, even just from this one class, is that it’s important to move your body – but it’s an entirely different thing to know your body. And frankly, I can’t wait to get to know myself more!

If you’d like to learn more about our small group Pilates training classes, conveniently located here in Portsmouth, NH, just click right here. We welcome all levels, and love introducing beginners like Jenna to the wonderful world of Pilates!

 

Dr. Carrie Jose, Physical Therapist and Pilates expert, owns CJ Physical Therapy & Pilatesin Portsmouth, NH.  To get a free copy of her guide to taking care of back pain – click here.

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