Tag Archive for: physical therapist

Tips to Combat Arthritis this Winter

People tell me all the time: “I don’t need to check the weather anymore, my joints tell me what’s coming.” And as winter approaches, I know I’m going to be hearing more and more of this.

So why is it that arthritis sufferers tend to be impacted more during the colder, wetter months?

The actual science on this is inconclusive. Some studies have completely debunked the myth that weather can affect your joint pain, while others have shown that arthritis sufferers do indeed have what we call “weather sensitivity” — and they feel worse in the cold, especially when it’s about to rain or snow. The working theory behind this is related to barometric pressure. As a storm system develops, barometric pressure (atmospheric pressure) begins to drop. Some scientists believe that this results in expansion and contraction of tissue in and around your joints (tendons, muscles, bones, and even scar tissue). If those tissues are already sensitive due to arthritis, this could irritate them further. Additionally, the lower temperatures of winter are thought to increase the thickness of fluid inside your joints, making them stiffer and perhaps more sensitive to pain during movement.

Regardless of whether this phenomenon is myth or fact, it doesn’t make your pain any less real! The good news is there are things you can do to minimize pain related to arthritis as winter gets closer. 

There are two types of arthritis, inflammatory and non-inflammatory. Rheumatoid arthritis is the most common form of inflammatory arthritis, and osteoarthritis is the most common form of non-inflammatory arthritis. Although they have very different causes, weather changes can still have an impact, and there are still things you can do to minimize that impact.

Puntoscommesse Online: Recensione su Betzoid

Nell’affollato mondo delle scommesse online, trovare un sito affidabile e di qualità può essere una vera sfida. Con un’ampia gamma di opzioni disponibili, come fai a distinguere il grano dalla pula? Ecco dove entra in gioco Betzoid, una piattaforma di scommesse online che sta rapidamente guadagnando popolarità tra gli appassionati di scommesse di tutto il mondo. In questa recensione approfondita, esploreremo i segreti che rendono Betzoid un’opzione così attraente, svelando le sue caratteristiche distintive e i vantaggi che offre ai giocatori.

Preparatevi a immergervi in un’esperienza di scommesse senza precedenti, poiché analizzeremo tutto, dalla vasta selezione di eventi sportivi e mercati di scommesse, alle quote competitive e alle opzioni di pagamento sicure. Inoltre, scopriremo come Betzoid si distingue dalla concorrenza grazie al suo eccellente servizio clienti, alle promozioni generose e all’interfaccia user-friendly. Che tu sia un principiante o un giocatore esperto, questa recensione ti fornirà tutte le informazioni necessarie per prendere una decisione informata e massimizzare le tue possibilità di successo nel mondo delle scommesse online.

Panoramica su Betzoid: Caratteristiche Principali

Quando si tratta di scommesse sportive online, è fondamentale scegliere un sito affidabile e sicuro. Betzoid è una piattaforma che offre un’ampia gamma di opzioni di scommesse, incluse le scommesse su eventi sportivi, casinò online e molto altro ancora. Con una vasta selezione di mercati e quote competitive, Betzoid si distingue come una delle migliori opzioni per gli scommettitori italiani.

Uno dei punti di forza di Betzoid è la sua interfaccia user-friendly e intuitiva. Il sito web è ben strutturato e facile da navigare, consentendo agli utenti di trovare rapidamente gli eventi e i mercati di loro interesse. Inoltre, Betzoid offre un’eccellente assistenza clienti, disponibile 24 ore su 24, 7 giorni su 7, per garantire che tutte le domande e le preoccupazioni degli utenti vengano prontamente affrontate. Puoi trovare maggiori informazioni su https://betzoid.com/it/puntoscommesse/.

Per quanto riguarda la sicurezza, Betzoid utilizza le più recenti tecnologie di crittografia per proteggere i dati degli utenti e garantire transazioni sicure. Inoltre, il sito è regolamentato e autorizzato dalle autorità competenti, offrendo ulteriore tranquillità agli scommettitori. Con un’ampia varietà di opzioni di pagamento, promozioni generose e un’esperienza di gioco senza problemi, Betzoid è una scelta eccellente per chiunque desideri scommettere online in modo sicuro e divertente.

Offerta di Scommesse Sportive e Quote Competitive

Puntoscommesse Online è una piattaforma di scommesse che offre un’ampia varietà di opzioni di gioco. Betzoid, uno dei principali operatori di scommesse online, offre una recensione approfondita di questa piattaforma. Secondo la recensione, Puntoscommesse Online si distingue per la sua interfaccia intuitiva e user-friendly, che consente anche ai nuovi scommettitori di navigare facilmente attraverso le diverse sezioni del sito. Inoltre, la piattaforma offre una vasta gamma di eventi sportivi su cui scommettere, coprendo i principali sport come calcio, basket, tennis e molti altri.

Un altro aspetto positivo evidenziato dalla recensione di Betzoid è l’affidabilità e la sicurezza di Puntoscommesse Online. La piattaforma utilizza i più avanzati sistemi di crittografia per proteggere i dati sensibili degli utenti e garantire transazioni sicure. Inoltre, Puntoscommesse Online è regolamentata e autorizzata dalle autorità competenti, offrendo così un ambiente di gioco equo e trasparente. La recensione di Betzoid sottolinea anche l’eccellente servizio clienti offerto dalla piattaforma, con un team di assistenza disponibile 24/7 per rispondere a qualsiasi domanda o richiesta degli utenti.

Bonus e Promozioni: Vantaggi per i Nuovi Utenti

Puntoscommesse Online è una delle migliori piattaforme di scommesse sportive disponibili sul mercato italiano. Uno dei suoi principali punti di forza è la vasta gamma di eventi e sport su cui è possibile scommettere, che spaziano dal calcio al tennis, passando per il basket, il cricket e molti altri. La piattaforma è inoltre costantemente aggiornata con le quote più recenti e competitive, garantendo ai giocatori le migliori opportunità di vincita.

Un altro aspetto degno di nota di Puntoscommesse Online è la sua interfaccia user-friendly e intuitiva. Sia per i giocatori esperti che per i principianti, navigare attraverso le diverse sezioni del sito e piazzare le proprie scommesse è un’operazione semplice e piacevole. Inoltre, il sito è ottimizzato per dispositivi mobili, consentendo agli utenti di scommettere comodamente ovunque si trovino.

La sicurezza e l’affidabilità sono altre caratteristiche chiave di Puntoscommesse Online. Il sito utilizza i più avanzati sistemi di crittografia per proteggere i dati sensibili degli utenti e garantire transazioni finanziarie sicure. Inoltre, l’azienda è regolamentata e autorizzata dalle autorità competenti, offrendo ai giocatori la massima tranquillità e trasparenza.

Infine, Puntoscommesse Online offre un eccellente servizio di assistenza clienti, disponibile 24 ore su 24, 7 giorni su 7. Gli operatori qualificati sono sempre pronti a rispondere a qualsiasi domanda o richiesta di assistenza, assicurando un’esperienza di gioco piacevole e senza problemi. In sintesi, Puntoscommesse Online è una scelta eccellente per tutti gli appassionati di scommesse sportive che cercano una piattaforma affidabile, sicura e ricca di opzioni.

Metodi di Pagamento e Assistenza Clienti

Betzoid è una piattaforma di scommesse online che offre un’ampia gamma di opzioni di scommessa per gli appassionati di sport e giochi. Con una vasta selezione di eventi sportivi, dalle principali leghe professionistiche ai tornei minori, Betzoid garantisce un’esperienza di scommessa emozionante e coinvolgente. L’interfaccia user-friendly e intuitiva consente agli utenti di navigare facilmente tra le diverse opzioni di scommessa e di piazzare le proprie puntate in modo rapido ed efficiente.

Uno degli aspetti più apprezzati di Betzoid è la sua affidabilità e sicurezza. La piattaforma utilizza i più avanzati sistemi di crittografia per proteggere i dati personali e le transazioni finanziarie degli utenti. Inoltre, Betzoid è regolamentata e autorizzata dalle autorità competenti, garantendo un ambiente di gioco equo e trasparente. Gli utenti possono contare su un servizio clienti professionale e reattivo, disponibile 24 ore su 24, 7 giorni su 7, per risolvere qualsiasi dubbio o problema.

Per gli amanti delle scommesse sportive, Betzoid offre quote competitive e una vasta gamma di mercati su cui scommettere. Che si tratti di calcio, basket, tennis o qualsiasi altro sport, gli appassionati troveranno sempre opzioni interessanti e redditizie. Inoltre, Betzoid propone regolarmente promozioni e bonus allettanti per i nuovi iscritti e per i clienti esistenti, rendendo l’esperienza di gioco ancora più vantaggiosa e gratificante.

Esperienza Mobile e Requisiti di Sicurezza

Puntoscommesse Online è una piattaforma di scommesse sportive in rapida crescita, e Betzoid è uno dei bookmaker più affidabili e apprezzati su questo sito. Con una vasta gamma di opzioni di scommessa su numerosi sport, Betzoid offre un’esperienza di gioco coinvolgente e gratificante per gli appassionati di scommesse di tutti i livelli.

Uno degli aspetti più notevoli di Betzoid è la sua interfaccia user-friendly, che rende facile navigare tra le diverse sezioni del sito e piazzare le proprie scommesse in modo rapido e semplice. Inoltre, il bookmaker offre quote competitive e promozioni allettanti, garantendo ai giocatori un valore aggiunto per ogni scommessa effettuata. La sicurezza e l’affidabilità sono altri punti di forza di Betzoid, con misure di protezione avanzate per salvaguardare i dati e le transazioni dei giocatori.

  • Vasta gamma di opzioni di scommessa
  • Interfaccia user-friendly
  • Quote competitive e promozioni allettanti
  • Sicurezza e affidabilità garantite

In conclusione, Betzoid si è rivelata una piattaforma di scommesse online affidabile e completa. Offre una vasta gamma di opzioni di scommesse sportive e casinò, oltre a numerosi bonus e promozioni allettanti. L’interfaccia user-friendly e l’eccellente assistenza clienti rendono l’esperienza di gioco piacevole e senza stress. Che tu sia un principiante o un giocatore esperto, Betzoid ha qualcosa da offrire a tutti gli appassionati di scommesse online. Vale sicuramente la pena dare un’occhiata a questa piattaforma e scoprire di persona i vantaggi che offre.

Both forms of arthritis are characterized by one or more of your joints being inflamed.

Inflamed joints do not like to be compressed or irritated. It’s often why people will tend to rest and decrease their activity when they have pain. Add cold winter temps and weather to the mix (along with a pandemic), people just naturally do less this time of year. They think if they take the weight off their joints, or move less, they are protecting their joints. That’s actually not true. What protects your joints is strength and flexibility. The more mobile you are, the less likely your joints will get irritated, even arthritic ones. Have you ever worn a piece of clothing that’s too tight? You get irritated. Same with your joints! If they aren’t free to move, they get angry. The muscles around your joints and how strong they are also play a huge role in minimizing irritation.

In the absence of strength and stability, your body will do what it needs to compensate. The structures around your joint will contract to make your joints stiff and tighter in an attempt to give your joints the stability they are lacking. But arthritic joints don’t want to be stiff and tight, they want to be free and mobile! So if you suffer from arthritis, it’s critical that you have good mobility and good strength — period.

In general, the most important thing you can do for your arthritis any time of year, not just in winter, is to keep moving.

And you will move better when you’re strong and flexible. Movement gets blood flowing, which is our best and most natural form of anti-inflammation. Walking is the easiest and most practical way to get healthy movement daily, but biking and swimming are great choices too. You’ll also want to engage in some form of activity, such as Yoga, Pilates, or Tai Chi, that allows you to move your limbs, body and joints in a full range of movement. Cardiovascular activities like walking and biking won’t do that. Pilates is great because it emphasizes both full body strength (which helps balance out your joints) and it promotes flexibility at the same time. It’s why we like to use it in our office. Although it’s easy to just stretch and get more flexible, it’s important that you incorporate strength training into your routine also. Achieving good mobility AND strength is the secret to combating arthritis. Folks tend to only focus on the flexibility part, which is one of the common mistakes I see. 

I hope this helps you better understand why your arthritis might feel worse in winter, and what you can do about it! If you’re suffering from any kind of back or knee pain that is preventing you from being more active and mobile and therefore worsening your arthritis, check out our FREE Back Pain and Knee Pain guides. Just click to have the guide sent straight to your inbox with no obligations or strings attached!

Got a Pain in Your Butt? Here’s what to do first.

Nobody likes a “pain in the butt.” But what do you do when you’re dealing with literal pain in your butt versus the figurative kind?

It starts with figuring out where it’s coming from. Understanding the origin of your pain is necessary if you really want to solve it! One of our Pilates regulars (“Stacy”) has a story that illustrates this concept perfectly.

Stacy had been doing all the right things. She keeps active, does Pilates with us, and walks regularly. But still, she ended up with that dreaded pain in her butt that so many of us deal with on a regular basis. She tried to work through it herself by foam rolling and stretching – but none of that worked to completely eliminate her pain. Plus, her symptoms were starting to limit her Pilates and walking. This made her nervous because staying active and mobile is one of the most important things to Stacy, and the idea of being stuck at home and in pain this winter season made her want to take action now. She did the right thing by going to see our PT team.

Où Jouer au Blackjack en France ? Les Meilleurs Casinos 2025 selon Casinara

Le blackjack, ce jeu de cartes captivant, est un incontournable pour les amateurs de sensations fortes et de stratégie. En France, les casinos offrent une expérience unique, alliant l’excitation du jeu à l’élégance des établissements. Que vous soyez un joueur chevronné ou un novice curieux, découvrir les meilleurs casinos où pratiquer le blackjack est une quête passionnante. Selon Casinara, expert reconnu dans le domaine, l’année 2025 promet d’être riche en surprises et en nouveautés pour les amoureux de ce jeu légendaire.

Préparez-vous à explorer les recoins les plus prestigieux de l’Hexagone, où l’adrénaline se mêle à l’ambiance feutrée des tables de jeu. Des palaces parisiens aux établissements côtiers, en passant par les casinos de montagne, chaque lieu dévoilera ses secrets et ses attraits uniques. Que vous recherchiez l’atmosphère vibrante d’un casino animé ou la quiétude d’un cadre intimiste, Casinara vous guidera vers les destinations les plus prisées des blackjackeurs avertis. Plongez avec nous dans cet univers fascinant et découvrez où jouer au blackjack en France en 2025.

Les Casinos Emblématiques de la Côte d’Azur

La France est un pays riche en traditions de jeux de casino, et le blackjack n’y fait pas exception. Selon le site web Casinara, spécialisé dans l’évaluation des casinos en ligne et terrestres, voici les meilleurs endroits pour jouer au blackjack en France en 2025.

Le Casino Barrière de Deauville, situé dans la célèbre station balnéaire normande, est considéré comme l’un des meilleurs casinos de France pour jouer au blackjack. Avec son atmosphère élégante et son service impeccable, ce casino offre une expérience de jeu de haut niveau. Les tables de blackjack sont nombreuses et accueillent des joueurs de tous niveaux.

  • Casino de Monte-Carlo (Monaco)
  • Casino Barrière de Deauville (Normandie)
  • Casino JOA de Beaune (Bourgogne)
  • Casino Barrière de Lille (Nord)

Pour les amateurs de blackjack en ligne, Casinara recommande également plusieurs casinos virtuels réputés et sécurisés, tels que :

  • Betway Casino
  • Casino777
  • Cresus Casino

Que vous préfériez l’ambiance unique des casinos terrestres ou la commodité des plateformes en ligne, jouer au blackjack en France promet des moments palpitants et une expérience de jeu inoubliable.

Les Établissements Parisiens Incontournables pour les Amateurs de Blackjack

La France est un pays riche en traditions de jeux de casino, et le blackjack reste l’un des jeux les plus populaires. Selon le guide de référence Casinara pour 2025, les passionnés de blackjack auront de nombreuses options alléchantes pour vivre leur passion. Des établissements historiques aux complexes ultramodernes, la qualité de l’expérience de jeu sera au rendez-vous dans les meilleures adresses.

Le Casino Barrière de Deauville, véritable institution sur la côte normande, figure en tête de liste. Avec ses salles élégantes et son ambiance feutrée, il offre une expérience blackjack de premier ordre. Le Casino de Monte-Carlo, symbole de luxe et de raffinement, proposera également des tables de jeu d’exception, où l’on pourra s’adonner au blackjack dans un cadre somptueux. Pour les amateurs de modernité, le Casino JOA de Paris misera sur un design avant-gardiste et des équipements high-tech pour une partie des plus immersives.

Que vous soyez un joueur occasionnel ou un véritable passionné, les meilleurs casinos de France sauront vous séduire en 2025. Des Alpes aux côtes méditerranéennes, en passant par la capitale, chaque région réserve ses pépites pour une expérience blackjack inoubliable. Laissez-vous tenter par l’ambiance électrisante des tables de jeu et tentez votre chance dans ces temples du divertissement et du luxe.

Les Casinos Réputés des Régions Françaises

La France est connue pour son riche patrimoine culturel et ses superbes monuments historiques, mais elle est également réputée pour ses casinos de qualité. Selon Casinara, l’un des principaux guides en ligne pour les jeux de casino, voici les meilleurs endroits où jouer au blackjack en France en 2025.

Le Casino Barrière de Deauville, situé dans la charmante station balnéaire normande, est considéré comme l’un des plus prestigieux casinos de France. Avec son élégante architecture Belle Époque et son atmosphère raffinée, ce casino offre une expérience de jeu inoubliable. Les amateurs de blackjack apprécieront particulièrement les nombreuses tables dédiées à ce jeu passionnant, ainsi que le service attentionné du personnel qualifié.

Un autre incontournable pour les joueurs de blackjack est le Casino de Monte-Carlo, situé dans la principauté de Monaco. Bien que techniquement situé hors de France, ce casino légendaire attire des joueurs du monde entier grâce à son prestige et son ambiance sophistiquée. Avec ses tables de blackjack haut de gamme et ses croupiers expérimentés, le Casino de Monte-Carlo promet des moments de jeu exceptionnels dans un cadre somptueux.

Les Nouvelles Destinations Prometteuses pour le Jeu de Blackjack

La France est un pays riche en traditions de jeux de casino, et le blackjack est l’un des jeux les plus populaires. Selon Casinara, le guide en ligne de référence pour les casinos, les meilleurs établissements pour jouer au blackjack en 2025 seront répartis dans plusieurs régions du pays. À Paris, le légendaire Casino de Paris et le Casino d’Enghien-les-Bains offriront une expérience de jeu exceptionnelle, avec des tables de blackjack animées et un service haut de gamme.

Dans le sud de la France, les casinos de la Côte d’Azur comme le Casino de Monte-Carlo à Monaco et le Casino Barrière de Cannes promettent un environnement glamour et sophistiqué pour les amateurs de blackjack. Les villes thermales comme Aix-les-Bains et Évian-les-Bains abriteront également des casinos réputés, offrant une ambiance plus détendue mais tout aussi captivante pour les joueurs de blackjack. Que vous soyez un habitué des tables de jeu ou un novice curieux, les meilleurs casinos français de 2025 selon Casinara sauront répondre à vos attentes.

En somme, que vous soyez un joueur occasionnel ou un véritable passionné de blackjack, la France regorge d’établissements de jeu prestigieux où vous pourrez vous adonner à ce jeu captivant. Des casinos emblématiques de la Côte d’Azur aux salles modernes et sophistiquées de Paris, en passant par les hauts lieux du jeu dans les régions les plus reculées, notre pays offre une grande diversité d’options pour vivre l’expérience unique du blackjack. Alors, n’hésitez plus et rendez-vous dans l’un des casinos sélectionnés par Casinara pour profiter de l’ambiance électrisante des tables de jeu et peut-être repartir avec de belles gains en poche !

Their first course of action was to accurately determine the root cause of Stacy’s butt pain. It could be a few different things.

Most often, symptoms like Stacy’s will get “labeled” generically as any one of the following:

1. Bursitis

They’ll call it this if you’re feeling the pain more in the side of your hip versus center of your butt.

2. Piriformis syndrome

This refers to a pain in the center of your butt. You might feel some tightness as well.

3. Back problem/Sciatica

They’ll call it this if your pain is more diffuse and achy, and perhaps even running into your thigh. This last diagnosis will be more common if you’ve got back pain along with the hip or butt pain.

As I mentioned, any one of these things could be the source of Stacy’s symptoms, and getting it right is critical. The correct diagnosis is the determining factor of whether Stacy’s problem gets resolved for good, or becomes something she deals with for the rest of her life. The problem with diagnosing your butt pain (or any problem for that matter) based on the location of your symptoms alone is that it’s not a reliable diagnosis.

The location of your pain alone does not tell you where your problem is really coming from.

For example, I’ve seen people with pain in their hip and butt that is actually coming from their back – even when they’ve never had a back problem. If your butt pain is coming from your back, and you think it’s “piriformis syndrome,” you’re going to be really disappointed in a few weeks when your pain is still there (or perhaps even worse) because you’ve been going about treating it the wrong way. In order to accurately determine what was really going on with Stacy’s butt pain, we needed to do some specialized movement screens and tests.

Research has shown that your pain’s response to movement, and how it behaves, is a much more reliable way to figure out the source of your problem versus relying on the symptom location alone.

In Stacy’s case, some quick movement tests revealed that her butt pain was indeed coming from her back – even though she did not have any back pain. How did we know? Pretty simple actually. When we asked Stacy to move and bend her back in specific directions, it triggered her butt pain! Her piriformis muscle was also tight – and may still need to be stretched – but it’s very possible that the tightness she is experiencing is also being caused by whatever is going on in her back. It’s possible for nerves to refer both pain and a feeling of “tightness.” We’ll know for sure in a few weeks, because we prescribed Stacy a corrective exercise designed to target the problem in her back and take pressure off the nerve that was triggering her butt pain. In fact, if she had not come to see us and kept stretching what she thought was a tight piriformis, she likely would have aggravated her nerve and made her condition worse. Nerves don’t like to be stretched. This is a great example of why it’s critical to know the true source of your problem before you start treating it.

Hopefully Stacy’s story helped you understand that the first step in getting rid of a pain in your butt, is to accurately determine where it’s coming from! If you’re experiencing unexplained pain in your butt that isn’t going away with stretching or general exercise, perhaps you’re going after the wrong problem. Try paying closer attention to how your symptoms behave. Do you notice they get worse after you’ve been sitting for a while, raking leaves, or driving? Do they move around on you – and go from your butt, to your hip, to the back of your thigh?

Signs like this could mean you’re dealing with a back problem, not a butt problem. Click here for access to our FREE back pain guide! This guide contains our best tips and advice on how to start easing back pain and stiffness right away — and get on the road to pain-free movement just like Stacy did.

Tight Hamstrings: a Case Study

If you’ve ever felt tightness in your hamstrings, the typical advice you get from friends, family, and even well-meaning health and wellness professionals is to stretch them.

Well… if it’s just your hamstring that’s actually tight then this might be good advice to follow.

But what if it’s something else?

If you accidentally stretch a hamstring that feels “tight” due to a back problem – there is a very good chance you’ll make your condition worse.

This exact scenario happened to a recent client of ours (we’ll call him “Jack”) who came to us with what he thought was a “hamstring strain.”

Jack had been stretching and stretching his hamstrings – which he had been told to do by his chiropractor – but he wasn’t feeling any looser. In fact, his hamstring even started to hurt the more he stretched, so he thought maybe he caused himself a strain.

Was he doing too many stretches? Or perhaps doing them incorrectly?

He made the smart decision to call us for help and came in for an examination.

And the first thing we asked him was…

“Where is your pain?”

Jack pointed to the back of his leg, but when he started describing his symptoms… it turned out they actually started in his butt, traveled down the back of his thigh, and stopped at his knee. But on occasion he’d also feel the tightness in his calf. And since doing all that hamstring stretching, he was even starting to feel pain!

Lesson number 1:

Your hamstring starts at your ischial tuberosity – otherwise known as your “sit bone” – and extends down to just below your knee. Since muscles and joints can’t actually refer symptoms (only nerves and sometimes fascia can do that), feeling pain or tightness anywhere other than your actual hamstring is the very first clue you could be dealing with something other than a hamstring problem.

Since Jack was feeling symptoms in his butt and also down into his calf, we knew immediately that “hamstring strain” was NOT Jack’s problem.

The next step was to figure out where his tightness was coming from.

Lesson number 2:

Since he’d been stretching for several weeks already and was starting to feel more problems in his leg – the likely explanation was that it was coming from his back.

While yesm over-stretching can make you sore, and yes, stretching incorrectly can cause you discomfort… that wasn’t the case with Jack. He was still feeling tight, and now on top of that he was dealing with pain.

All signs were pointing to a problem in his back.

Well now that we had our theory – it was time to test it!

After performing several movement tests with Jack’s back, we were able to produce the exact same tightness AND pain he had been feeling in his leg. And with some different movement tests we were actually able to ELIMINATE his symptoms temporarily.

Since moving his spine in certain directions was responsible for both turning “on” AND turning “off” his leg symptoms, we were able to confirm that he had a back problem – not a hamstring problem.

Pretty cool – right?

Jack thought so… but more importantly… he was glad to finally have some answers! Finally, he had a plan to move forward.

  1. He stopped stretching his hamstring.
  2. He started doing a different – and properly prescribed movement instead – that was designed to eliminate the symptoms in his leg.

We’ll of course need to continue working with Jack to make sure that his leg symptoms not only go away – but that they stay gone. Part of the process will be teaching Jack how to do this on his own in case the problem ever comes back again.

Sadly, I can’t tell you how many times I’ve seen a case like Jack’s in my office.

Lucky for Jack, he came to us early on – when his symptoms were mild. Basically, the nerves in Jack’s spine were starting to get irritated, and the result was a “tight” feeling in his hamstring. Nerves don’t like to be stretched, so Jack was actually making his problem worse by stretching and he didn’t even know it. Had he not gotten this addressed – the tightness in his leg could have progressed into full blown sciatica!

If you have any kind of ache or pain that isn’t going away on it’s own with natural movement or stretching – don’t try to figure it out on your own.

And as you learned from Jack’s case – not all movements are created equal. It’s possible you could look up a stretch on Google or YouTube and actually make yourself worse!

Don’t guess… TEST 🙂

And when it comes to pain during movement or certain activities – let the movement experts be the ones to test you and figure it out. All you have to do is click here to schedule a FREE, no-obligation consultation with one of our specialists! These Discovery Sessions are your chance to determine where your pain, tightness, or stiffness may be coming from and if we’re the right people to help fix it.

Neck Pain During Crunches? Here’s Why & How to Avoid it

Abdominal crunches are one of the most popular “ab exercises” around. It’s a movement that emphasizes upper abdominal strength. You start by lying on your back, typically with your hands behind your head and knees bent. You then lift your head and chest off the floor, “crunching” your upper body into a C-shaped curve.

Over the years, many “experts” have dismissed this exercise, claiming it’s ineffective for core strengthening. While I agree that it shouldn’t be the ONLY core exercise you do — the crunch does have its place. I work on this a lot with my private clients, because it’s a functional move that when done correctly, will help you sit up from the floor with more ease and with less risk of injury. And of course you see variations on this movement all the time in Pilates, which is a key part of our practice and our efforts to help people recover from back pain.

I often hear that people don’t like crunches because they’re uncomfortable or hurt your neck. But when you’re doing a crunch, you want to make sure you’re feeling it in your abs… NOT in your our neck. Here are the biggest problems I see with crunches and how to tell if it’s a technique problem or a neck problem:

You’re not actually using your abs

This sounds pretty obvious, right? But a lot of people have trouble figuring this out. During our Pilates 101 class this week, one woman experiencing neck pain appeared to be doing the move correctly — but she couldn’t feel it in her abs, only in her neck.

It’s because she was using her neck and chest muscles to curl her upper body into the crunch instead of initiating the move from her belly (abs). My tips to correct this were to pull her lower belly in toward her spine and the front of her ribs down toward her belly button. Then, keeping this shape locked in, use her breath (exhale) to help her initiate and start the curl from her abs.

Sometimes people don’t have the abdominal strength yet to perform a crunch from lying flat. If that’s the case, you won’t be able to do this correctly no matter how well you follow my cues. If you think that’s your problem, place a small pillow under the back of your head. This gives you a head start into the curl. Once your abdominals get stronger, you can try doing the crunch with your head starting from the floor again.

Your neck is in the wrong position

When you’re doing a crunch, you want your neck to be slightly curled (chin toward chest). Most people either curl their neck too much, or not enough. If your chin is touching your chest, you’re curled too much. And if you feel your chin and neck jutting forward toward the ceiling, you’re not curled enough. Either of these positions could lead to neck problems down the line if not corrected.

The ideal position for your neck is to begin with a slight nod of the chin (like you’re nodding “yes”) and then keep it there. The rest of the curling motion will come from contracting your trunk and abs. As you curl up, I recommend keeping your eyes focused on your belly and keeping a tennis ball’s distance between your chin and your chest.

Sometimes your hand and arm position can be what causes your neck to be in the wrong place. If your hands are behind your head, be sure you’re not using them to pull your neck forward. Your head should be gently pressing into your hands and your elbows should be at a 45 degree angle from your body. Your abs do the rest.

You have an underlying neck problem

In our practice, we specialize in neck and back pain. When you’ve got an underlying neck problem, doing crunches isn’t a good idea until the underlying problem is resolved.

Let’s say you have a small bulging disc in your neck that you weren’t aware of or that you thought was fixed. The curled position of your neck during a crunch can exacerbate this problem, even if you are using your abs correctly and following every tip I just mentioned above.

Some clues that you might have an underlying neck problem could be pain that shoots into your shoulder blade or numbness and tingling down your arm. You might experience these symptoms during the movement, or even up to several hours after.

Either way, symptoms like this could be a sign that there is more to your neck pain than simply incorrect crunch-technique or weakness in your abs.

If this is happening, it’s a good idea to get it checked out by a movement/mechanical specialist like the physical therapists in our practice. The good news is that we can help your neck feel better even if you do have a problem like bulging discs — and you can get back to doing crunches again without any neck pain.

You can also check out our FREE guide to neck and shoulder pain right here!

It comes right to your email inbox and explores seven easy ways (plus a bonus section!) that are PROVEN to help you ease neck and shoulder pain quickly – without pain medication, procedures, or surgery.

If you have any additional questions or want a more personalized assessment, sign up for a FREE Discovery Session with us! It’s a quick, no-obligations opportunity for you to see if working with us could be the best decision for your health.

When Traditional Physical Therapy Fails…

I’ve been a physical therapist for a very long time — 20 years to be exact — and I’ve seen a lot of changes in healthcare over the course of my career. One of the biggest (and saddest) changes I’ve seen in my field is the overcrowding of clinics. As reimbursements from insurance companies go down, traditional physical therapy clinics have been forced to increase their patient volume. That means you rarely get to spend time with your therapist, and your treatment sessions consist of repetitive exercise sets that you typically can do at the gym or on your own.

If you do manage to get some one-on-one time with your therapist, whether it be for hands-on-care or actual consultation about what’s going on with you, it’s often just a quick 20 minutes. The rest of the time, your poor therapist is usually held hostage by a computer because of all the documentation requirements placed on them, and you’re left on your own doing all those exercises.

Has this happened to you?

With this model of care, it’s impossible for the quality of your treatment NOT to suffer. Many folks I speak with say that traditional physical therapy is a “waste of time.” 

Why bother going when they can do everything on their own at home?

Worse, when traditional physical therapy does fail, most people go back to their doctors hoping for a different solution. Many times, the next step for these folks involves unwanted procedures, pain pills, or surgery.

So what do you do if you don’t want to go down the medical route of procedures or surgery, but the “physical therapy” didn’t work?

Well first, you need to understand what physical therapy actually is, seek that out, and don’t settle for anything less.

Physical therapy is NOT just a bunch of general exercises or ultrasound — at least it’s not supposed to be. After your pain is gone and your problem has been resolved, the role of general exercise is to keep your pain gone, and to continue optimizing your strength, performance, and mobility. That’s what we use our Pilates program for.

When you receive proper physical therapy in the way it was intended, it looks something like this…

Your therapist will first give you a proper examination and an actual diagnosis. Your physical therapy diagnosis might be different than your medical diagnosis. In fact, it should be. For example, you may come to us with a diagnosis of “bulging disc,” but our job is to figure out WHY your disc is bulging. Our diagnosis is going to be related to the specific movements, habits, and musculoskeletal deficiencies that led you to having that problem in the first place (discs don’t just bulge spontaneously). Once we know that, we can come up with a plan for you.

Here’s an example…

Let’s say your bulging disc is due to poor sitting posture, a weak core, and poor mobility in your spine. When your spine doesn’t move well and you sit too much, compensations like bulging discs can occur. Your plan might then consist of strategies for better, less painful sitting postures, as well as some help getting your spine back to full mobility again — so that your bulging disc no longer irritates you.

At this stage in your treatment, any “exercises” given to you should be corrective, very specific to your problem, and should be prescribed specifically to you.

There should be nothing cookie-cutter or general about them — and they should be working!

When you have the right “movement prescription” and when your exercises are corrective versus general — your pain goes away, your problem gets resolved, and most importantly, you’ll know exactly why and can even replicate this on your own in the future.

Once this has all been achieved, THEN we can get you back to the fun stuff like exercises at the gym, Pilates, or yoga — the stuff that is designed to keep you feeling healthy, active, and mobile.

Getting rid of something like back, knee, or neck pain doesn’t have to be complicated. It doesn’t have to involve pills, procedures, or surgery. But it may require you to be a bit open-minded about HOW you receive physical therapy.

If you’ve had a frustrating experience with physical therapy in the past, don’t just give up!

Consider working with a specialist practice like ours that operates differently from traditional clinics.

Click here to request a Discovery Visit.

It’s completely FREE! A discovery session serves as an opportunity for you to “discover” what’s going on with your body and what we do in our practice. You’ll speak with one of my specialists, find out if we’re a good fit for you, and then get started on a path to natural recovery!

Knee Pain while Running? Don’t Blame Arthritis

Knee Pain while Running? Don’t Blame Arthritis

Is running bad for your knees? Does it cause arthritis?

We get asked these questions a lot, especially by clients who are in their 50s and 60’s and wondering if it’s safe to keep running.

The short answer is no — running is NOT bad for your knees! If you experience knee pain while running, it’s not that you’ve “aged out” of the sport or that it’s causing arthritis in your knees. This is a very common misconception. In fact, research supports that running may actually be GOOD for your knees!

Staying strong, active, and mobile is your best defense against osteoarthritis.

Therefore runners, because they are typically active and healthy individuals, often have healthier knees compared to non-runners.

Ok then — so if not arthritis — what really causes knee pain in runners?

In most cases, it’s simply a biomechanical issue that goes unaddressed over time. But the GOOD news is that once identified, these issues can actually be fixed with proper education and strengthening (best offered by movement specialists like us!).

Here are three of the most common factors we see that cause knee pain while running:

 

1) Poor ankle mobility

Ankle mobility affects the way force hits your foot, which can impact your knee. If your ankle doesn’t move fully, freely, and adequately, excess forces will be shifted up to your knee. The knee may be forced to flex, rotate, and/or tilt more than it needs to. This, in turn, may result in unwanted loads that the tissues of the knee can’t handle. An expert in biomechanics and movement can not only help you identify if this is the true root of your “knee problem,” but can also help you improve your ankle mobility. This will help prevent long term damage to the joints, tendons, and ligaments in your knees. We actually see this as a very common problem. Specifically, in those that have sprained or twisted their ankles in the past. If that’s you, this could be a reason why you’re suffering from knee pain while you run.

2) Weakness in your hips and thighs

There’s a widely perpetuated myth out there that runners don’t need to strength train. That’s simply not true! Adding strength training to your running regimen makes it way less likely that you’ll suffer an injury. When it comes to protecting your knees, developing good, balanced strength in your hips and thighs is critical. The hamstring and quadriceps muscles play a crucial role in stabilizing the patella, otherwise known as your kneecap. Since running is extremely repetitive on your joints, especially your knees, it requires they have good durability and endurance — something that is lost quickly when you neglect proper strength training. Often “wear and tear” in your knees (otherwise known as arthritis) will get blamed for your knee pain when in actuality, the loss of strength around your knees is what’s causing that wear and tear to feel worse than it needs to.

3) Unstable core

It may seem like running is all in the legs, but the stability of your pelvis and trunk have a huge influence on how your legs perform. You derive the majority of your power, speed, and stamina from your core muscles and glutes. Much like with ankle mobility, if your core is not performing adequately or efficiently – your legs will have to work harder. A stable core is key for developing and maintaining good balance and rhythm with any activity – but especially running.

With a repetitive activity like running, efficiency and form is everything. Without a strong core, it’s impossible for your leg muscles and knee joints to work as efficiently as they were designed to. It will be really difficult for you to maintain good and proper running form. When your core strength is weak, and doesn’t have enough endurance to sustain the amount of miles you want to run, your knees will suffer.

What’s important for you to remember is that arthritis is NORMAL — everyone gets it as they age. 

What doesn’t have to be “normal” is for arthritis to stop you from running, or doing any other activity that you love. You can get surgery to fix the “wear and tear” in your knees, or injections to decrease the inflammation, but if you don’t check and address any underlying biomechanical issues, these fixes will be temporary and your knee pain will keep coming back. And worse… they could force you to stop running all together!

If you’re local to Portsmouth, NH and suffering from knee pain that’s starting to impact your ability to run or do any other activity that you love, you might want to consider speaking to one of my specialists.

In this FREE Discovery Session you can tell us everything that’s been going on with you, and determine for yourself if we’re the best people to help you. It’s a completely free, no-obligation appointment that will give you all the information you need to make the BEST decision for YOUR health – whether that’s working with us or not!

CLICK HERE to request a free discovery session.

Dr. Carrie Jose – back pain specialist and Pilates expert – owns CJ Physical Therapy & Pilates in Portsmouth, NH.

Shoulder Pain not Going Away? This could be why…

Whether it’s shoulder pain, neck pain, back pain, or knee pain that you’re dealing with — if you have a nagging pain or injury that just won’t go away no matter what you try, it’s a clue that you’re missing something.

We see this ALL the time in our office with shoulders.

Folks just like you come to us wondering why their shoulder still hurts after trying ice, heat, rest, physical therapy, massage, and every possible shoulder exercise you could imagine.

The pain either goes away temporarily, or sometimes it gets WORSE!

When it comes to shoulder pain, it’s critical that you know for certain if the pain is actually coming from your shoulder, or somewhere else. If not, you risk trying to fix the wrong problem… and that explains EXACTLY why your shoulder pain isn’t going away.

So… if your shoulder pain isn’t caused by your shoulder — where is it coming from?

The most common culprit is actually your NECK. Below are a few key signs to help you figure out if that’s the case…

(PS – we’re doing an online workshop on this topic in just a few weeks.)

Where is your pain?

When your pain is coming from your shoulder, the pain will always be localized to your shoulder alone. True shoulder pain is felt directly in front of your shoulder, directly on top, or in a more involved shoulder problem (like a rotator cuff injury) you might feel some achiness down the side of your arm… but it will never go below your elbow.

If the pain goes past your elbow and into your forearm or hand, or radiates above your shoulder into your neck (the upper trap area), or if you feel it deep inside of your shoulder blade in your mid-back, odds are pretty good that you’re dealing with a neck problem and not just a shoulder problem. This could be the reason why your shoulder pain isn’t going away.

Do your symptoms involve numbness, tingling or burning?

These are signs of nerve compression or irritation. If that’s happening, it’s likely coming from your neck – and could be due to a bulging disc or a restricted/faulty movement pattern that is irritating nerve roots in your neck. An isolated shoulder problem typically does NOT involve nerve root compression or irritation. This is much more common in a problem related to your neck, and if that’s what’s happening, you will feel symptoms into your shoulder, shoulder blade, or even down into your arm. What’s particularly misleading is that it’s entirely possible to feel all these nerve symptoms and not actually feel anything localized to your neck. This is a big reason why shoulder pain caused by a neck issue gets missed by so many health practitioners.

Have you lost mobility or range of motion?

Lack of mobility and stiffness are common symptoms associated with a rotator cuff injury or the dreaded “frozen shoulder.” If your neck moves well and is pain free, but your shoulder is stiff and immobile, odds are good that the problem is actually in your shoulder and you just haven’t found the right treatment approach yet. BUT… if you have a stiff and painful neck, and you lack mobility in your shoulder, then it’s absolutely imperative that you investigate your neck. If your care provider only focuses on stretching and improving your shoulder mobility, and never bothers to look at your neck, it’s possible you could be missing a key component to full recovery… and that’s why your shoulder pain keeps coming back.

 

4 Tips to Save your Neck and Back During Summer Road Trips

Now that summer is in full swing, but a lot of people don’t feel comfortable flying, many of us are planning road trips for those special summer getaways! It’s always fun to hit the road and explore a new place — but first, let me help you out with some tips to save your neck and back…

(For more tips – check out our Free Guides section on our website and also join us for our next virtual workshop all about neck and shoulder pain!)

Tip #1: Interrupt your sitting

The biggest strain on your body while traveling is undoubtedly the prolonged periods of sitting. Our bodies are made to move continuously throughout the day. Too much sitting puts extra load and compression on your spine, and can trigger an underlying problem you weren’t even aware of.

On road trips, getting out of your seat is critical for keeping your neck and back healthy. Try to plan extra time in your trip to pull over at rest stops and walk around. We recommend interrupting your sitting every 30 minutes for good neck and back health. I understand keeping up with that frequency on a long road trip is difficult, but something is better than nothing! You’ll want to capitalize on your rest stops by moving around instead of sitting.

Tip #2: Use a lumbar pillow

A proper lumbar pillow is not only essential for good lower back alignment while sitting, but also for proper neck alignment. We have natural curves in our spine that are designed to absorb shock and disperse load. When those curves aren’t maintained, especially for prolonged periods, you get abnormal and unwanted forces throughout your spine – resulting in pain and stiffness.

Ever heard of the dreaded “forward head?”

That’s the posture your neck assumes when it needs to compensate for lower back slouching. We sell lumbar pillows in our office, but you can also try making your own by rolling up a towel or sweatshirt. Just make sure the roll is thick enough to maintain the natural curve in your lower back without much effort while you sit. The built-in lumbar supports that come with your car are typically NOT adequate enough.

Tip #3: Adjust your car seat

This is an often overlooked, but important component to achieve healthy posture while driving. Too often, I see folks driving around with seats that are either too far away or too close to their steering wheel. If you’re too close, it will cause you to sit overly straight or upright, resulting in unnecessary strain in your neck and low back. If your seat is too far back, then it will be virtually impossible to maintain the natural curve in your lower spine, even with one of our lumbar pillows. Your arms will need to overreach for the steering wheel, causing strain in your shoulders. And your neck will assume that forward head posture just to remain upright, causing strain to your neck.

You want to make sure your seat is positioned in a way that allows your neck to be easily balanced on top of your spine and pelvis – without much effort. Your elbows should be at an approximate 90 degree angle when your hands are on the steering wheel, and there should be a relaxed 45 degree bend at your knee so that your foot can easily switch from gas to break without you having to constantly flex your thigh. Having your car seat positioned correctly before you take a long drive will significantly decrease the strain on your neck and back.

Tip #4: Use a neck pillow when you sleep

On road trips – we often sleep on mattresses that are less than optimal and certainly not as comfy as our own. Using a neck pillow while you sleep can significantly decrease morning pain and stiffness caused by poor sleeping postures.

Getting a good night’s sleep and not waking up in pain has a lot to do with the position you sleep in.

Just like with sitting, you want your sleeping position to be as balanced as possible. When you sleep on your stomach, your neck has no choice but to stay turned and extended to one side all night. Prolonged poor postures are not great for any joint in your body, but especially those in your neck. Your neck is the most mobile section of your spine which makes it much easier to “kink” if in a poor position. Sleeping on your back is not terrible, and it’s what many people prefer.., but depending on how firm or soft the mattress you’re sleeping on is… it could be difficult to maintain the natural curves in your neck and back while you sleep. If you sleep in a slouched position all night long, you’ll wake up with pain and stiffness.

If you can tolerate it, my favorite position for sleeping is on your side and with a neck pillow. This allows both your neck and low back to stay relaxed and with their natural curves.

To make a neck pillow, use a small towel roll about 3 inches in diameter and stuff it the long way inside the bottom of your pillow case. When you rest your head on the pillow, it acts like a comfy support to maintain good neck alignment while sleeping on your side. We can also order one for you!

Movement is medicine (when prescribed properly)

I have a confession to make. A few months ago I hurt my own back.

Yes, you read that correctly, the back pain expert injured her own back! I preach this ALL the time to my clients, but one of the reasons I’m so passionate about helping people with back problems is because the treatment is not cookie-cutter. But once we find what works for you, physical therapy is so effective and rewarding.

In my case, I was able to use very specific movements to get rid of my back pain, and then start focusing on strengthening exercises to keep it gone. Don’t get me wrong, there were moments when I wanted to call my doctor and ask him for pain pills, and even the idea of an injection crossed my mind once or twice. But because I keep up with the research, I know that pills and injections really don’t work well for long-term results. Aside from the many potential complications and side effects, quick-fix treatments tend to mask your pain and keep you from doing the real work that is necessary to keep the problem from recurring in the future.

At CJPT & Pilates, long-term solutions are the only thing we are interested in. We believe that movement is medicine.

For all musculoskeletal injuries, including back pain, the research shows that movement and exercise really is the best course of treatment in about 80% of all cases. OK, I know what you’re thinking. If it were that easy, why can’t you just go to the gym, to yoga, or follow an exercise video at home to get rid of your own back or knee pain?

It’s because although movement IS medicine, it only works when prescribed for you properly.

Let me explain.

I’m working with a gentleman right now who’s had back pain for over a year. It started after a car accident. He’s tried regular physical therapy, chiropractic, steroid injections and radiofrequency ablation. None of it worked. He feels good when he exercises and moves around, but the pain always comes back.

When he came to see us, the really interesting thing I noticed about his back was when he put himself in certain positions, he would stand up and literally be crooked. His spine would shift to one side, and become very painful and stiff. In the PT-world we call this a lateral shift, and it’s a sign that indicates he likely has a bulging disc. The great thing about a bulging disc is that they tend to respond very well to corrective movements. Once we know what movement “fixes” you, we can prescribe it to you. This gentleman can now make himself straight and get rid of his back pain in under a minute. Of course the goal is to get him to the point where he no longer needs this corrective movement, but for now, it quite literally is his medicine.

I think the reason more people don’t use this approach is because it requires a little bit of work, and you don’t often see the results immediately. When you get an injection, or even take a pill, the pain is gone in a few hours and it will often stay gone for a period of time without you really needing to do much. With movement, you have to stick with it and do it correctly for it to work. And although you can get an immediate reduction in pain from the correctly prescribed movement, it takes several weeks for it to start to stick and produce long-term relief.

But here’s the best part about using movement as medicine — it’s natural, there are no harmful side-effects, and you can do it completely on your own.

If you’ve been suffering in pain for awhile and tired of using pills or quick fixes to manage your pain, sign up for a FREE Discovery Session with us to find out if movement can be your medicine instead! You can also check out our free back pain guide right here.

When Gyms Reopen — Will Your Body be Ready?

The state of New Hampshire is slowly reopening, and we are so excited that small-group fitness classes can return to gyms and studios on June 1st! While many businesses, including ours, have adapted by offering online services — most clients we speak with can’t wait to get back in the studio again. 

The big question is — will your body be ready?

If you’ve stuck with your strength and mobility routine and have been working out regularly from home, then you have a better chance than most to bounce right back.

But not everyone has taken advantage of online virtual exercise services, and many I speak with have opted to do nothing and just wait. Many have resorted to more frequent walking, running, or biking as a substitute for their usual exercise routines.

Any physical activity is better than no physical activity, but daily cardio is not the same as strength training. It’s just not going to be enough to get you by if your plan is to jump right back into the same pre-Covid workout routine that you left behind.

It takes months to gain appreciable muscle strength and improve mobility… but it only takes two to three weeks to lose it all.

The biggest mistake that I expect to see once gyms and even our own Pilates studio reopens is that people will assume their body is ready to pick back up exactly where it left off. And within about two to three weeks of that, injuries WILL start to happen.

What can you do?

If you’re not in any pain, but all you’ve been doing is cardio, then it’s a good idea to start incorporating strength and mobility back into your routine now. Your body will be much happier when it gets back into the gym or studio, and you’ll be less likely to experience some kind of injury. My best recommendation is to utilize the online services that your favorite gym or studio already offers — or find a facility that is offering them. In our studio, for example, we have online virtual Pilates classes daily. We guide you through the movements using precise cueing, and watch you while you’re moving. This allows us to give you in the moment corrections and make sure that you’re getting the most out of your workout. While it’s not exactly the same as your instructor being right there next to you, it’s the next best thing.

If you’re already experiencing pain or stiffness, perhaps because you’ve been walking or running more than you’re used to, you’ll want to talk to a movement specialist like us before you jump back into your previous exercise routine.

We know how to screen your muscles and joints properly, and can guide you toward not only getting rid of your pain, but we will also ensure that you’re set up to thrive in your workouts once we’re allowed to reopen again. Another big misconception I see is that people assume their pain will just go away once they start exercising again. While that may be true for some, most of the time it goes the other way, and your pain either gets worse or manifests itself somewhere else because your body starts to compensate for the problem.

I spoke with a gentleman earlier this week who was suffering from knee pain and stiffness because he went from walking 2-3 miles per week to walking 2-3 miles per DAY with his wife. He wants to get back on the golf course, and due to the restrictions on using golf carts, more walking is going to be necessary. His knee won’t be able to handle that in its current state, plus it will get worse if he pushes it. So I’m excited that he took us up on our offer to talk for free about what was going on with his knee. Now we’re going to get him the help he needs!

If you have any questions about pain that you might be experiencing, or want to ask about getting into a Pilates class this June, give us a call!

We are still offering FREE Zoom or in-person consultations to help people figure out what to do about their pain while they are stuck at home or slowly re-entering the world.