Monday, March 30, 2020

Telehealth for Patients






In the Rehabilitation World, the Coronavirus or Covid-19 has created a situation where many clinic owners have opted to close their clinics for outpatient Physical Therapy.  One of the results of this is the "Gold Rush" toward telehealth. Telehealth is a way for a client to have a 1:1 virtual treatment between a Physical Therapist and a client.  The first question or concern that comes up, is that it is not hands on, can a virtual appointment really help?  My experience lies in directly treating clients with a hands on approach, whether it be soft tissue work, joint mobilization, or trigger point dry needling to name a few. The hands on work goal is to decrease the nervous system output or simply calm things down, so we can build them back up. The nervous system can be calmed down through exercise.
As a PT, I have provided telehealth visits, and have had good success designing, and in real time taking a client through an exercise program. Recently one client started her telehealth session with 5/10 back pain and by the end had a "trace" of back pain.  

Due to the rapid changes of the pandemic, many insurers are now covering telehealth.

If you are in Colorado, I am presently offering free telehealth visits. Call 720-352-0678 for more information, or email to mkohmpt@neuromuscularstrategies.com


If you are outside of Colorado Google Physical Therapy Telehealth near me.

Sincerely,
Mike Kohm PT

Tuesday, March 24, 2020

The Sickness-Wellness-Fitness Continuum

This whole current epidemic with covid19 can be a scary thing, but how can you/us help to prevent sickness-death if we were to catch a virus that could possibly kill us?
The Sickness-Wellness-Fitness Continuum.
From the numbers I have seen thus far, the vast majority of deaths that have occurred are in those who had some type of chronic disease, which once catching covid19, pushed their immune system to not be able to handle fighting off the virus.

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“Medicine has no effective treatment for chronic disease: It is symptomatic only. The doctor gives you a drug to bring your cholesterol down, a different drug to raise your bone density. You might need bariatric surgery if you have morbid obesity. If you have paved-over coronary arteries, they can do bypass surgery. If you become glucose intolerant, the doctor can put you on insulin. But all of these are not fixes. They are masking the problem. If you have persistent malignant hypertension, you should take an antihypertensive if you cannot get your blood pressure down otherwise. But how would you get it down otherwise?”
@crossfit holds a uniquely elegant solution to the greatest problem facing the world today. It is not global warming or climate change. It is not the worst two choices imaginable for president. It is chronic disease. The CrossFit stimulus—which is constantly varied high-intensity functional movement coupled with meat and vegetables, nuts and seeds, some fruit, little starch and no sugar—can give you a pass on chronic disease. It is elegant in the mathematical sense of being marked by simplicity and efficacy. It is so simple.”
Mitigate the risk of sickness-death by doing everything in your power to decrease chronic disease and keep your ticker to the right side of the fitness continuum. 👍🏻💪🏻

Wednesday, March 18, 2020

Why Should I Take CBD?


How CBD Functions in Your Body
When we take CBD, it interacts with a regulatory system within our bodies called the “Endocannabinoid System”. This system is pivotal in regulating all sorts of processes that affect our day-to-day experience from boosting the immune system, regulating everything from mood to blood pressure to even how we experience pain or hunger! While we can’t always control the variables that cause us stress in our bodies, we can use CBD daily to make the most of our endocannabinoid system. Give this amazing regulatory body the best chance to succeed!


“So... What does it feel like?”
We get asked this all the time. Simply put, CBD feels different to everyone because everyone is unique. The day-to-day needs of each person’s body are unique. This is one reason why you’ll see one person swearing by CBD to help them sleep while another is praising it as an anti-inflammatory. Because their individual endocannabinoid systems are working to help them with their own unique issues, they’ll each “feel” CBD in their own way!


Using CBD Daily
In our many years of working with CBD and our customers, we’ve seen a pattern emerge. While folks often come to us with a specific need in the beginning that they want CBD to address, many find themselves eventually taking it each day and become very used to the routine. When the product runs out and that daily routine is no longer happening, people tell us they really get an idea for how CBD was helping them. It might seem subtle at first, but the continual effect of CBD in our lives can really make a difference!


Find the Method that’s Right for You!
We make a wide variety of products to keep up with the wide variety of people that use them. Do you prefer the tried and true method of a dropper-full of CBD oil? Our Full Spectrum Daily line of oils should fit you perfectly. Do you like to take your CBD on the go in your vitamin caddy? Check out both of our lines of softgels! Maybe you would prefer to add CBD to your beverage of choice instead of taking it straight? We formulated our Water-Soluble Rapid Delivery 150 just for you. No matter the person, we can find the CBD product that’s right for you!


Post courtesy of Ambary Gardens

Sunday, March 15, 2020

Anxiety and fear during the Coronavirus or a Hockey player trying to be a Buddhist!

As someone who has delved into meditation, and someone who has equally "fallen off the pillow". I find myself in this time returning to meditation. Often, I joke that I am a hockey player trying to be a Buddhist, am by no means any kind of expert.




I have a "beginner's mind"after several years of meditating and my mind jumps from thought to thought as I focus on the breath. The present news is at times overwhelming and changing on an hourly basis. These are truly uncharted waters for our planet. My mind wants to go to that to the anxiety and fear and I feel it attempting to drive my emotions. The amazing aspect about meditation or contemplative prayer is at times you can step back and witness the thoughts and separate from the thoughts and their attempts to drive emotion. The next aspect as this observation is going on is an amazing quietness inside that may last for two-three breath cycles. At times it expands and then contracts and then the thoughts resume.

A question might be is sitting for 30 minutes worth a sense of quietness for a few seconds? I can resoundingly Yes! Sometimes if I am really lucky it is 8-10 breaths for a few times during the sit. The sense of quietness feels like a reboot and the volume on the anxiety drops. At a meditation retreat last weekend the presenter asked us to share, how mediation helps us. As the title implies, the hockey player aspect of my mind, wants to grind and get in the corner an muck it up. Meditation at least that Saturday, provided a witness to the reaction of my mind, and I humbly can say I felt that I was sitting in my own sitcom! The witness aspect allowed a sense of humor regarding reactions that occur! felt like I was in my own Seinfeld episode.

A friend introduced me to a Zen meditator Paul Reps who wrote the book Zen Flesh Zen Bones. Paul Reps was simply known as Reps and he spent summers at the meditation center where I lived. Reps has two favorite sayings that I like "Slow Motion Cures Commotion" and "You Are Your Own Fortune Cookie" Lately I have been thinking of Reps in this challenging time and am trying to slow down and witness the thoughts of my mind, to create a bit of separation. Hopefully by returning to sitting, this is creating the foundation for sense of quiet, even if it is transitory in nature. If nothing else try sitting in a chair for 10 minutes and simply observe your breath. watch the inhale and the exhale, if the mind jumps around return to the breath. In the beginning its not all rose petals falling from the sky, but with a little practice, you will derive great benefit! If you are interested in Zen this is the link to Zen Flesh Zen Bones.

https://amzn.to/2UcvZiw


Another great book, I found to be insightful and funny as well as scientific is "Why Buddhism is True" by Robert Wright


https://amzn.to/2WhemRw

Tuesday, March 10, 2020

If You Have any of These 5 Symptoms, You May Need Physical Therapy.

Physical therapy is a highly beneficial form of treatment that can address many of the most common sources of pain. However, there are many people who don’t realize that the pain they are experiencing is something that can be easily addressed with physical therapy.
If you are experiencing any of the five common symptoms listed here, then it may be time to consult with a physical therapist as far as the best ways to address your pain and discomfort.

1.Back pain.

Back pain is one of the biggest causes of pain among American adults, and there are far too many who struggle with back pain who are not doing anything about it. The reason for the increase in back pain can be blamed on all sorts of different environmental factors, from rising obesity rates to a dependence on computer-based office work that leaves adults in uncomfortable chairs for hours on end, day after day. Physical therapy can help to address the cause of your back pain, and help to alleviate tension in the back, thereby actually reducing the experience of pain.

2.Neck pain.

Neck pain can develop for a series of reasons, including following an injury or car accident, but also as a result of poor posture—and that includes your posture while you are asleep, as well as awake. Neck pain can be difficult to cope with and treat, and attempting to treat neck pain on your own isn’t always safe. An experienced physical therapist can identify the cause of your neck pain and create a treatment program that will alleviate your experience of pain.

3.Headaches.

Regular, recurring headaches are another complaint that can be addressed with physical therapy. In many situations, chronic headaches are a sign of tension in the neck and back, and therefore working with a physical therapist through targeted stretching and massage can in many cases actually reducing the occurrence and severity of these headaches.

4.Joint pain.

Joint pain can develop as a result of arthritis, or as a lasting effect of an injury. The best way to deal with joint pain is to seek support through physical therapy. Your joints are something that you can’t really work around, and in more cases than not, attempting to rely on another part of your body to reduce pain in your joints will only lead you to experience multiple areas of pain.

5.Difficulty with Movement.

There is a long list of reasons as to why someone may be unable to move as effectively or efficiently as they could in the past. In many cases, stroke victims will find themselves unable to take regular steps and walk as they once were able to do, and even after the pain subsides, the difficulty moving may remain.
Likewise, those who struggle with an athletic related injury are often prone to having limited range of motion—and this is especially true following surgical repair of muscle tissue and tendons. Physical therapy can help you to retrain your body for traditional movement.
These are just five of the most common symptoms that can be addressed with physical therapy, but the list goes on and on. Whether you are experiencing pain following a car accident or a sports injury, or have realized that the pain in your back or neck has become more constant than you first expected it to be, it may be time to consult with a physical therapist as to the best way to deal with your pain.

Monday, February 24, 2020

Say Goodbye to Your Stress-Related Headaches

If stress-related headaches are happening so frequently that they are impacting your daily life, it’s time to start thinking about physical therapy for relief. Stress-related headaches, also called tension headaches, are the most common type of headache that impacts people. While they are not as serious as migraines, tension headaches are a sign that something in your body is “off.” A physical therapist can work with you to determine the cause and eliminate stress-related headaches for good.

Causes of Stress-Related Headaches

One of the main causes of stress-related headaches is right there in the name: stress. The headache generally happens when the muscles in the neck or scalp become tense and contract. Depression and anxiety are similar emotions to stress that can also lead to headaches. In addition, there may be a physical cause behind your stress-related headaches. An accident or injury to the neck or back can contribute to headaches. Poor posture and arthritis are two other potential causes.

Diagnosing Your Headaches with a Physical Therapist

Before your physical therapy treatments begin, your therapist will work with you to diagnose your headaches. You’ll need to discuss your medical history with the therapist. If you sustained an injury to your neck, back or jaw years ago, it could still be contributing to headaches to this day. The location where you experience pain, such as in the face, back of the neck or forehead, can also help to diagnose the source.
Your physical therapist will likely run you through some tests as part of the diagnosis phase. For example, your posture will be checked as you engage in several activities. The strength of your muscles and the range of motion in your neck and shoulders will be tested. Your therapist might do some manual therapy to see how mobile your neck joints are. Once the cause of your stress-related headaches is determined, a customized course of physical therapy can be prescribed to treat them.

Physical Therapy for Stress-Related Headaches

The treatment of your stress-related headaches will depend in part on the diagnosis. For example, one course of treatment that would work for correcting your posture and strengthening the neck muscles might not be appropriate if your headaches are the result of a past injury. In general, you can expect stretching and strength training to be part of your treatment. Other options that your physical therapist might employ can include:
  • Soft tissue mobilization
  • Hot and cold compressions
  • Body mobilization
  • Cervical traction
  • McKenzie therapies
Aside from your physical therapy sessions at the clinic, your therapist will also recommend exercises, stretches and lifestyle changes that you can make at home, which will all contribute to eliminating your headaches.

Benefits of Physical Therapy for Headaches

The ultimate goal of your physical therapy regimen will be to eliminate your stress-related headaches. However, in addition to relief, you will gain additional benefits that will likely improve your overall quality of life:
  • Improved Strength: Your therapist will teach you exercises to strengthen your neck and upper back, which will lead to improved posture. With better posture, you will be able to stand and sit longer without experiencing discomfort.
  • Reduced Neck Tension: You will have better range of motion in your neck and reduced tension, thanks to manual physical therapy techniques applied to the muscles there.
  • Better Posture: Bad posture is really one of the leading causes of stress-related headaches. If you don’t enjoy good posture throughout the day, it is likely to lead to more generalized aches and pains, as well as the muscle tension that contributes to stress-related headaches.

Wednesday, February 19, 2020

Review of Rocktapes FMT BLADES & BLADES ADVANCED IASTM COURSES

As a PT, I have been performing Instrument Assisted Soft Tissue Mobilization (IASTM) with a tool for a few years now. Rocktape offered the course in denver a couple of weekends ago and I jumped in. The course instructor Stuart Wilson PT was excellent. The science behind the course was refreshing and dispelled what I call medical myths that persist today in the rehabilitation world. One of the first slides he put up was that as therapists we are not changing fascial length! Fascia takes 2,000 pounds per square inch to stretch! That is something to think about when someone tells you they are "stretching your fascia". The course focuses upon making changes through the nervous system input. The IASTM tools that Rock Tape provides are excellent and offer a wide variety of applications. The tools can be utilized to target sensory receptors in the skin, fascia and muscles. As a practitioner is using the tools to work on your muscles, IT Bands, etc the tool is providing a lot of feedback to the nervous system, and can help change the input back to the brain. In PT school and in anatomy in general we are taught systems, nervous, joint, muscle, digestive etc, and as a result we have a tendency to think of these systems as separate entities. The systems all interface with the nervous system and that is ultimately the brain, which is where pain is perceived. The IASTM tools appear to help down regulate an overactive system and are a great way to help an injured area reduce muscle guarding or heightened tone. The tool can also enhance fascia's ability to glide in its respective layers. The course demonstrated this through ultrasound videos. I highly recommend the course and the link for this course can be found at

https://www.rocktape.com/medical/education/fmt-blades/


Mike Kohm PT