In order to get ‘FIT’ you need to find the right FIT

 

110% FIT is definitely HOT!!  The workouts are intense, monitored and allow the client to work at his/her own pace.  Libby Westphal, Owner and Personal Trainer, definitely knows how to push you to the next level of fitness.  Well…why wouldn’t she know how to motivate??  She practices exactly what she preaches.

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We participated in their Scorched 60 and 75 MAX bootcamp classes. The Scorched 60 class is designed to burn 600-1,000 in a bootcamp-style class that incorporates drills designed to enhance agility, speed, power, strength, and quickness.  The 75 MAX bootcamp class is an intense station workout done in intervals which includes spin bikes, rowing machines, boxing techniques, TRX, rope, box jumps, etc…

The culture motivated you to do more.  The clients were familiar with each other and had no problem shouting verbal cues to get their workout partners to the next level.  This workout environment is great for persons who prefer a structured program and a group environment geared to help you burn those extra calories and build firm muscles.

110% FIT pushes you to areas of fitness you could not imagine.  With that said,  emphasis is placed on technique and client safety.  Every exercise was focused on specific muscle groups and was free of unwanted back soreness that is often present with bad technique/ faulty instructor cues.

So what type of personality would 100% FIT??

  1. Anyone who wants guided exercise instruction

  2. Anyone who enjoys group classes with great energy, laughter and camaraderie

  3. Anyone who needs motivation.  Motivation to reach physical peaks unimaginable

  4. Anyone who is at the beginner, intermediate and advanced levels of fitness

  5. Anyone who wants to avoid yearly contracts

  6. Anyone who needs monitored exercise

  7. Anyone looking to achieve GREATNESS

In an effort to enhance their knowledge on movement, 110% FIT and Missing Link Physical Therapy will be collaborating to introduce a class for persons who are interested on learning the ‘Basic Movements Required for Exercise’.

Call now and schedule a free session at 110% FIT if the details outlined above are the right fit for you.

110 FIT, LLC.
700 Fieldstone Drive #122
Leesburg, VA 20176

110%FIT

info@110FIT.com
http://www.110FIT.com
757-563-3330

If you are a gym or fitness facility and looking for medical consultation with regards to injury/injury prevention please contact Missing Link Physical Therapy at: andre@missinglinkpt.com, 703-858-5070

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In order to get ‘FIT’ you need to find the right FIT

 

Today I have the pleasure to introduce to my readers Next Phase Fitness.  I had the opportunity to participate in their Elevate 60 class which was taught by Doug Frantzen, co-owner and trainer.  The goal of Elevate 60 is to optimize loss of calories and build muscle for those of various fitness backgrounds.   A wide range of training routines and trainers are available to assure that your specific fitness goals are met. 

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The environment of the gym was warm and welcoming, not only by the staff but also by those who were taking part in the class.  The positive environment made me want to push harder during the class.

The heart rate monitored class motivated me to push to the next level and proved to be quite competitive for me.  I was making sure I was on par with Mr. Frantzen 🙂 (Dougs dad!).

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Heart Rate Monitor Screen

Next Phase Fitness is truly focused on the client.  They want to know who you are, what you do and what your goal is as far as exercise is concerned.  This new facility has the potential to grow and provide excellent service to all who participate in their classes.

So, let’s get to the reason why I am writing these blogs of gyms in the Loudoun area.  We are looking to FIT you with the RGHT fitness facility so that you can get ‘FIT.’

Next Phase Fitness is great for:

  1. Persons with an intermediate to advanced fitness background

  2. Persons who love group workouts and the camaraderie of those around them

  3. Persons who are interested in attending a fitness facility that does not have contracts

  4. Persons who hold a clean environment near and dear to their heart (like me)

  5. Persons who want to be pushed to the next level of fitness

  6. Persons that want to be in an workout environment where the instructors and owners are looking out for your well being. 

In an effort to enhance their knowledge on movement, Next Phase Fitness and Missing Link Physical Therapy will be collaborating to introduce a class for persons who are interested on learning the ‘Basic Movements Required for Exercise’.

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Left: Andre Heletsi (Owner Missing Link Physical Therapy) Right: Doug Frantzen (Co-Owner Next Phase Fitness)

Please provide comments about your experience at Next Phase Fitness. I am sure our readers would love to hear about it so they can make the right FIT in order to get ‘FIT’. 

If you have questions about Next Phase Fitness please contact them at: 

Next Phase Fitness, LLC 

21020 Sycolin Rd Suite 115

Ashburn, VA 20147

CustomerService@nextphasefit.com

703-858-4410

If you have questions for Missing Link Physical Therapy please contact us at: andre@missinglinkpt.com

In order to get ‘FIT’ you need to find the right FIT

Trouble finding a gym that fits you, your personality, your needs, your time, your location?  The list goes on and on.  

Well I am here to help you!

Like so many of you I have had the same problem over the years.  Signing up in the new fad gym and only attending a handful of times.  I have compiled a list of excuses stating why I cannot remain with one gym; and I finally figured out that the major issue was finding a gym that motivates me, addresses my needs and fits my personality.  Like a pair of jeans from Banana Republic or Zara the fit is going to be different based on your size and particular taste, these are the same challenges encountered with finding the gym that meets your needs.

Here are some personalities I have unfolded with most gyms:

  1. Culture
  2. Skilled and qualified personnel
  3. Goal focused guidance
  4. Commitment to clients
  5. Excellence in service
  6. Client Centered

In my quest to help you find the best fit in order to get ‘FIT’, I have decided to visit and work out at many of the gyms in Loudoun County.   By doing this I can share with you my opinion on the personalities of these gyms.  This list of gyms is not limited to the Life Times and the Golds gyms; the small boutique gyms will also be highlighted in my reviews.

Your job as a reader is to tell me about your gym’s personality and refer me to your gym.

Many may ask why do I think that I am qualified to share my opinion on gyms.  Well, I am a Physical Therapist who has seen patients who attend gyms that don’t fit their personality and/or meet their needs.  Consequently, the outcome is either injury or not achieving a specific fitness goal.

Let the games begin!!  You will have my first review in a week.  The goal of this blog is:  FIND THE RIGHT FIT IN ORDER GET FIT!!

You can contact me with questions or concerns at: andre@missinglinkpt.com

 

 

Why do I have a pain in my butt??!!

What do we treat the most at Missing Link Physical Therapy??!!!The pain in the butt!!! No, I don’t mean the client, but literally a pain in the butt sometimes referred to as sciatica or piriformis syndrome. Often individuals have difficulty standing, sitting, walking, running or going up stairs. This pain can be very debilitating and decrease function and quality of life. This blog is aimed to address ways to decrease pain and the necessary treatment required in order to regain your mobility and function.

Frequently when a sudden ache in the butt or leg occurs people always wonder, why? Individuals often don’t experience back pain and have not done anything differently to cause this pain. Well, the body is a great machine and was built to be resilient. Very often by the time you experience a particular pain the movement dysfunction has been present for years. It is like eating the wrong foods and years later you have hypertension and heart disease. In the majority of cases we can contribute the cause of the pain to a nerve irritation in the low back or peripheral muscles. For instance, with mild to moderate degrees of nerve irritation to the low back you can get this abnormal tightness and guarding of the hamstring, gluteal (butt) muscles, calf muscles and even heel pain or cramping of the bottom of the foot.

In order to start recovering from this state you need to remove the irritation to the spine. If the condition is acute this can be done by pharmacological means (please refer to your physician for the appropriate drug of choice). From a Physical Therapy disposition this can be done by avoiding certain postures; such as slouched positions, any activity that may place stretch on the hamstring (want to avoid stretching of the hamstring as it will cause stress on the nerve if there is nerve tension), reading in the bed with legs extended…Basically you want to avoid any position that will place stress on the nerve. Imagine a long string that is attached to your spine and extends all the way to your foot, every time you slouch or stretch the hamstring you irritate the nerve. The stretch may feel good initially but you will find that you may suffer a rebound effect of pain later in the day, with even more tightness in the particular muscle. Figure A shows an individual reaching into a box with a rounded back posture; this will increase tension in the back and also the nerve. Figure B shows an individual stretching the hamstring with a rounded back posture, at this time the nerve may be on maximal tension and irritation may be at its greatest. In Figure C the individual to the left is placing increased stress to the back and nerve, the individual to the right is exhibiting good technique with lifting by hinging from the waist and bending the knees.

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FigureA

hamstring stretch

Figure B

lifting

Figure C

After decreasing the nerve irritation it is now time to improve the muscle tension. This can be done by getting a deep tissue massage, foam rolling or trigger point dry needling (my recommended treatment of choice). You want to improve the muscle length of the gluteal muscles and back muscles. Figure D, E, F, H represent foam roll massages; these massages should be performed as tolerated, slowly kneading out the trigger points in the respective muscles. Figures G and I represent stretches that can be performed for approximately 45-60 seconds. Please refrain from doing exercises if pain is elicited.

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Figure D. Foam roll gluteals

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Figure E. Foam roll TFL

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Figure F. Foam roll low back. Be sure to keep back neutral or slightly flexed in order to avoid excessive stress on the low back.

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Figure G. Piriformis stertch

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Figure H. Foam roll quadrates lumborum (side of back).

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Figure I. Quadratus lumborum stretch (stretch to side of back)

Last step is to stabilize the spine by avoiding an anterior or posterior pelvic tilt. I recommend stabilization of the lumbar spine with the back in neutral.

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Figure J. The picture to the left represents an anterior pelvic tilt. The picture in the middle represents a neutral spine. The picture to the right represents a posterior pelvic tilt.

In this blog I have purposely avoided educating on abdominal stabilization as I believe that the exercise for stabilization should be monitored. The reason individuals have pain in the first place is because of a movement dysfunction, so I highly suggest getting assistance from a trained movement specialist (physical therapist, personal trainer, athletic trainer, pilates instructor, yoga instructor etc.). Pain does not just appear but is comes about due to increased stress being placed on a structure in the body over time. REPAIR THE MOVEMENT AND YOU IMPROVE THE PAIN.

Please take note that in order to have somewhat of a full recovery from this injury you must make sure that you are able to contract the deep abdominals appropriately and work on maintaining the contraction over time with your respective exercise/activity. With practice over time these muscles should contract involuntarily.

Over time if symptoms appear to be unrelenting and worsening we suggest getting further diagnostic testing to determine if there is structural damage such as a disc bulge/ herniation, degenerative changes in the spine, etc. Further medical treatment may be required in order to decrease symptoms prior to initiating an exercise program.

In our clinic we see many of these cases and have been very successful with treatment. We shall be delighted if you call us and schedule an appointment today. I am sure that you want to resolve the nagging pain in your ‘butt’.

You can Contact us at: Phone:703-858-5070, Email: office@missinglinkpt.com, website:www.missinglinkpt.com.

We are located at: 44933 George Washington Blvd Suite 165, Ashburn VA 20147

Clinical Assumptions versus Clinical Hypothesis

In today’s healthcare system it has become quite difficult to find an answer to your medical problems. This is partially due to the dwindling dollars provided to healthcare providers by third party payers. This decline in reimbursement is evident especially with regards to the provision of Physical Therapy services. Healthcare providers now create a Clinical Assumption versus a Clinical Hypothesis to solve your health care issues. I will be discussing scenarios based on Physical Therapy because that is my field of interest; however, the same thought process can be extended to other healthcare professions.

In an insurance based system, regular Physical Therapy treatment sessions are usually in thirty minute increments. In this thirty minute session the patient needs to update the therapist on his/her progress, the therapist needs to perform a set of tests and measures in order to guide the treatment and there maybe the need to perform a manual intervention followed by exercise.          Is twenty-five to thirty minutes enough time to perform all of these functions?  Just imagine you as the patient or even you as the therapist, it is an anxiety driven process. Before the therapist can complete the patient’s examination/treatment, the next patient is waiting and the therapist has to leave the first patient unattended to perform exercises with verbal instructions. What I have found to be the problem with this system is that it is all rushed and doesn’t leave enough time to understand your patient’s pain and movement dysfunction. The patient has been left alone to do their exercise??!! But the patient has a movement dysfunction!! I believe that the patient’s exercise must be monitored. I also believe that if the patient has dysfunction with his/her daily movement it will be carried over into the exercise resulting in a rebound effect with regard to any pain being experienced. Consequently, the patient’s goal has not been met.  The therapist doesn’t have enough time to figure out if the exercise is appropriate or not, assuming that if the exercise worked for patient A, with the same diagnosis that it will work for patient B. This is an assumption we cannot make as the exercise prescribed to patient B may actually exacerbate the injury. Patients should always feel as though their functional goals have been met every session. This can happen if the correct hypothesis was created. With improvement in the patient’s condition the hypothesis should continue to change.

Another example of a Clinical Assumption (true story): Patient goes to the doctor because of dizziness. The doctor asked a few questions and assessed her lungs, heart and ears. The patient was prescribed high dosed steroids diagnosing her with a vestibular neuritis. This was all of a 10 minute visit. What was the clinical hypothesis? Where is the differential diagnosis? Low and behold the diagnosis was wrong and steroids were not required. This is one of many errors made based on quick Clinical Assumptions. How much did the patients healthcare dollars pay for this?

My past and current experience reveals that in the Physical Therapy practice with an hour one-on-one session you are able to solidify a clinical hypothesis and treatment and patients, at the end of the session, feel as though their functional goals have been met. This is especially important for the more complicated treatments. For example, I have treated an ankle sprain in both the insurance based and fee for service settings; in the first setting it can take 2-4 sessions to reach meaningful outcomes and in the latter setting only 1-2 sessions. The difference is that I had more time to form an extensive clinical hypothesis to drive a meaningful treatment.

This blog is not to push everyone to go into a fee for service system but rather to push the healthcare system to increase reimbursements. With improved reimbursements we as Physical Therapist become more efficient and will reach functional outcomes sooner, in turn spending less resources and medical dollars.

We need a healthcare system that spends enough time to format the appropriate Clinical Hypothesis versus a Clinical Assumption.  We can spend less time with the Clinical Assumption but our outcomes suffer. On the other hand, we can spend more time with the patient and form the appropriate Clinical Hypothesis and improve the overall function and quality of life of the patient.

It is unfortunate that the healthcare system has become a business and has lost the personable nature of medical care. Your insurance card (some people think it is for free services) does not buy you better healthcare but rather places the patient in a system of inefficiency where executives of insurance companies and healthcare systems get paid 6 million dollars a year, and where the patients who have been paying their premiums for years cannot pay for their cancer treatments.

Just some food for thought. Your health is important and the best treatment should be available to all.

Are you at Risk for Injury In 2015??!!

Every New Year it is customary for us to make resolutions in order to improve some aspect of our life. Today it is my desire to address the physical resolutions such as losing weight, increasing activity level, participating in a new sport, resuming a sport and/or returning to sports after injury.

In 2015 Missing Link Physical Therapy (MLPT) wants to focus on injury prevention for persons in the community as a whole; from the professional athlete to the 80 year old who likes to participate in recreational activities. As Physical Therapists we have used the techniques of range of motion, strength and sports specific exercises to predict whether individuals are ready to return to their specific sporting activities. However, research reveals that these techniques are not 100% effective and some individuals develop new injuries or have a recurrence of the old injury.  Consequently, it is essential that we perform a Musculoskeletal Physical Assessment that will continue to assess range of motion and  strengthen in addition to the  performance of a Functional Movement Screen (FMS) and Y Balance Testing (YBT).

One might ask: Why is this Physical Assessment important? Research has shown that the right to left asymmetries can lead to abnormal stressors on the body resulting in injury over time. This evaluation enables us to assess asymmetries from right to left, assess the effects of past injuries on the body, and the effects injuries have contributed with regards to motor recruitment/proprioception. Think about the effects of an ankle or knee injury on your body. Wouldn’t it be great to have a test that reveals these imbalances and predicts risk for injuries?

The FMS and YBT are tests that show risk for injury. With regard to the YBT we can predict injuries based on gender, age and the specific sport undertaken by the individual. These tests give the clients an objective result on the risk for injury based on their specific sporting activity.  THIS ASSESSMENT IS PROVIDED AT MLPT.

In the New Year we encourage you to exercise!! Visit MLPT to have your Musculoskeletal Physical Assessment and we shall be happy to guide you towards increased activity/improved performance with decreased risk of injury.

Below are articles to substantiate the testing we are providing:

If you wish to schedule your Physical Assessment please call or email us at (703) 858- 5070; office@missinglinkpt.com

Let’s Fight Childhood Cancer Together!!!!

We created Missing Link Physical Therapy as a place where dreams can be realized; it is ‘our’ utopia! One of our main goals is to give back to the community and to those in need. This year we have chosen to be affiliated with Children’s National Medical Center for Cancer and Blood Disorders.

In October 2014 I had the pleasure of visiting Children’s National and was given the Grand Tour by Doctor Anne Angilillo (Director of Leukemia and Lymphoma Program Division of Oncology Center for Cancer and Blood Disorders) and Martha McCollum (Director of Development at the Center of Cancer and Blood Disorders). The visit was quite profound as I have not had a loved one affected by this deadly disease. This visit made me realize that childhood cancer is a burden not only on the patient, but on the family as a whole. Often we live in this bubble and we don’t recognize the hardships that many people experience.  On the outside of the bubble we don’t see the financial costs of treating cancer and the emotional stress it poses to the parents, siblings and extended family. As a father of two children I cannot imagine being faced with such a situation; consequently, we don’t want to wait until a loved one is affected by this deadly disease to play a part in finding a cure and in improving the quality of life of children suffering from cancer.

At Children’s National you see where the money is spent. The facility is patient and family centered. Clinically we see significant changes in survival rates; for example, children with Acute Lymphoblastic Leukemia (most prevalent cancer treated at Children’s National) has a 95% survival rate today as compared to years ago where there was a fatal diagnosis. We must look beyond the children’s survival because they also need support for medical expenses as 75% of the children suffer long term conditions due to treatments. This progress can only continue with ongoing funding.

We at Missing Link Physical Therapy want to ensure that the progress made in research is ongoing. Please assist us in raising funds for Cancer and Blood Disorders!! We have set a goal to raise 15,000.00 by February 15th, 2015 and sincerely appreciate any donation you are able to offer, please remember that any amount helps. Let’s continue the fight against Cancer and Blood Disorders.

Thank you for your consideration and for being part of this worthwhile cause. Please use the following link to make your contribution today!

http://www.gofundme.com/MLPTforCCA