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The Blog @ IT&W

What Is A Gluten Free Diet Anyway?

3/24/2017

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Over the past few years, there has been an increase in the awareness of gluten and a change in the way people are eating to become gluten free. But what is gluten?

​Gluten is a protein found in wheat, and related grains, such as barley and rye, however, it can also be found hidden in sauces and condiments, etc. For a person with Celiac disease, gluten causes severe problems, thus they must maintain a strict, gluten free diet. Even without Celiac disease, many people have a (known or unknown) gluten sensitivity; therefore consuming gluten in various amounts can have negative health effects, including inflammation in the body. A gluten free diet may provide a decrease in gastrointestinal discomfort, systemic disorders, and allergies, including IBS and rheumatoid arthritis, because it may be eliminating an inflammatory trigger for the body.

What should a gluten free diet consist of?
Ideally, a gluten free diet should consist of foods which are naturally gluten free. This includes fresh fruits and vegetables, meat, fish, eggs, nuts, beans, and rice.  While this diet isn't right for everyone, you may try eliminating gluten (wheat, barley, rye) for at least a month if you feel you may benefit from a dietary change to see if you feel a difference in your body.

Need help and more information?
Contact Innovative Therapy & Wellness to schedule your appointment with our  nutritional therapist, Andrea Calderon Odewald, PA-C, NTP, so she may help you  to explore these issues and much more. You can find out more by clicking the Nutritional Therapy tab located under services.
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Functional Movement Assessments: The FMS, SFMA, & YBT

3/8/2017

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You may have already heard of the FMS, or Functional Movement Assessment, since many physical therapists, chiropractors, and athletic trainers are now incorporating the test into their practice and client sessions.  So, what is it, exactly, and what is the difference between the FMS, SFMA, and YBT?  This article will give a short explanation of the three and who might benefit from each one.

The FMS is a screen for movement asymmetries designed for a pain free individual.  This screen examines seven functional movement patterns and compares the quality of movement to not only a standard of performance, but also a comparison of performance left and right.  If asymmetries are detected, the examiner will provide a brief explanation and a few exercises and stretches to help balance out the dysfunction.  If pain is detected, the patient can still perform the test and receive guidance, but it would be best to then follow with the SFMA examination.

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Do You Snap, Crackle, and Pop?

2/28/2017

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Have you ever reached for something off the top shelf of your kitchen cabinet and heard or felt a subtle crackling sound in your shoulder? Or maybe been at the gym about to mount a pull-up bar only to feel a crunch or grind around your shoulder blade when making contact with the bar? Or what about in your hip?

If so, you’re not alone.  As physical therapists, we deal these “snap, crackle, and pop” moments daily when treating our patients.  


The most likely explanation for such events is a term called "crepitation".  This is defined as audible vibrations indicating an underlying fracture, the presence of gas within tissues, or the grinding of arthritic bone surfaces and tendon movement. Based on an initial examination, a skilled physical therapist  can rule out fracture or gas in the tissues quite simply.  Once this is accomplished, the grinding of arthritic bone surfaces and tendon movement is usually the cause. This refers the compression of bones due to tendon and muscle tightness.

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Kinesio Taping: More Than Just A Colorful Design

2/22/2017

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First developed in 1973 by Chiropractic Dr. Kenzo Kase, Kinesio tape is a specially designed elastic tape. The original brand of Kinesio tape is made of 100% cotton, (no latex), with a wave pattern woven into the cloth to mimic fingerprints while the original concept was to assist the practitioner in the carryover of a treatment. In other words, it works to continually manipulate soft tissues, activate or inhibit muscles to ensure proper muscle firing patterns and alignment of a joint, treat swelling/lymphedema, and decrease both acute and chronic pain after the clinical appointment.

Proper application will not cause any skin irritation and should provide immediate relief to some degree. It can be used for a multitude of conditions such as:  frozen shoulder, shoulder impingement/rotator cuff pathologies, thoracic outlet syndrome, low back pain, sacroiliac dysfunction and pain, patellar (knee cap) dysfunction, hamstring strains, achilles tendonosis, plantar fascitis, TMJ, headaches, whiplash, cervical and lumbar radiculopathy, ACL/MCL injuries, and chronic lymphedema, just to name a few.  

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February is American Heart Month!

2/15/2017

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The American Heart Association has declared February Heart Month in order to raise awareness about heart disease. Heart disease is the leading cause of death in the United States. Often, it can be prevented with lifestyle changes. Here are some ways that you can improve your heart health:

1. Make an appointment to have your numbers checked: Your heart rate, blood pressure, and cholesterol numbers can give you and your doctor an indication of your overall heart health. If you and your doctor decide that medication is required to manage your high blood pressure or cholesterol, make sure to take it regularly as prescribed. With improvements in diet and increased exercise, you may be able to decrease the use of some medications.
2. Make small changes in your diet. Decreasing sugar, and using spices instead of salt can have a big impact in the long run. Increasing your fruits and vegetables will also improve your heart health.

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Plantar Fasciitis: Foot pain that can be helped with PT

2/2/2017

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We wanted to share this recent article published in the Journal of Orthopaedic & Sports Physical Therapy about plantar fasciitis, a common cause of foot and heel pain.  At Innovative Therapy & Wellness, we combine manual and exercise based physical therapy treatments in order to address your problems and improve symptoms quickly.  This article explains the importance of this approach:
"One out of 10 people in the United States experience persistent pain along the bottom of the foot, a condition known as plantar fasciitis. In this country alone, outpatient clinics receive more than 1 million visits a year from people seeking help for this type of foot pain. In 2014, the Orthopaedic Section of the American Physical Therapy Association published updated clinical practice guidelines on the best treatments for patients with plantar fasciitis. The guidelines present evidence that strongly suggests a combination of manual therapy and rehabilitative exercises to help patients with this foot condition. In a more recent study published in the February 2017 issue of JOSPT, researchers reviewed the records of people with plantar fasciitis who were sent to physical therapy to determine whether this treatment lessened their pain.

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5 Things your PT wants you to know about low back pain

1/18/2017

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There are many causes of lower back pain, a condition that millions of Americans suffer with. Although the structures directly involved in contributing to your symptoms may vary, there are some common things that you should know:

1) Walk- Studies have shown that walking helps to relieve back pain, due to the increase in circulation throughout the body, as well as the low impact nature of the activity. It doesn't have to be a fast walk, but some movement is better than none.

2) Find a movement preference- With most lower back pain, there is a movement preference, meaning that your back feels better with one position or movement compared to another. For example, if bending forward increases lower back pain, extend backward; sometimes it's the other way around.

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Changes in Eating Habits

1/10/2017

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Many people are trying to stick to a New Years Resolution, often involving some sort of change in eating habits. Here is some information regarding some of the most popular diets trending right now.

1) Mediterranean Diet- A heart healthy diet that encourages foods like fish, fruits, vegetables, beans, whole grains, nuts, and olive oil. It is limited in meats, cheeses, and sweets. Since many of the foods are high in omega-3 fatty acids and monounsaturated fats, about 35% of the calories can come from fat, which is consistent with other heart-healthy diets. These oils as fats have a protective effect on the heart. This is more of a healthy way of life than a diet, and can have the effects of decreased cholesterol, preventing heart disease, and preventing type 2 diabetes. It may also prevent cognitive decline.

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New Year, New Workout...?

1/6/2017

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There are many different options for workouts to try. So what are some of the options if you're interested in trying a new workout routine in a new place?

1) A gym- this is general, but often joining a gym offers a wide range of fitness classes, fitness equipment, and options. This is great if you know how to work out and want a variety of options. For example, they have free weights and machines for strengthening, so you can pick how you would like to work out. They offer various cardiovascular equipment including: bikes, treadmills, elliptical trainers, and step machines. Many gyms offer group classes, where an instructor will guide you through a specific exercise routine, it may be: weights, yoga, pilates, or zumba. Some offer personal training services as well.

2) A boutique gym- Innovative Therapy & Wellness would fall into this category. We offer one-on-one personal training and pilates instruction. This is great if you need someone to guide you through a work out, watch your form, and make sure you won't hurt yourself. You will be closely monitored throughout your routine.

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Physical Therapy as an effective, non-pharmaceutical option for chronic pain management

11/25/2016

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There have been increased reports recently about the overuse and over-prescription of opioids for pain relief, and even deaths from overdoses.

According to the National Institutes of Health (NIH), 25 million Americans suffer from chronic pain, persisting for 3 months or more. On March 16, 2016 the CDC issued new guidelines for prescribing opioids for chronic pain. The US Center for Disease Control (CDC) states “there are better, safer ways of treating chronic pain than the use of opioids”. They also state in their recommendations "The contextual evidence review found that many nonpharmacologic therapies, including physical therapy, weight loss for knee osteoarthritis, psychological therapies such as [cognitive behavioral therapy, or CBT], and certain interventional procedures can ameliorate chronic pain." These new guidelines were created as a response to a growing incidence of opioid overdose and an increase in them being prescribed. The American Physical Therapy Association (APTA) is in support of the new guidelines, contributing that often PT services are underutilized as a treatment for pain. Although these guidelines are meant for physicians prescribing opioids as a first treatment for pain, they are still useful to be aware of. They highlight the importance and effectiveness of non-opioid options, including physical therapy. More information can be found at www.cdc.gov and www.apta.org.

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What Our Clients Are Saying

Dr. Tracy Hernandez and staff at Innovative Therapy & Wellness are the most talented and professional physical therapy group. Dealing with chronic pain for nearly 10 years, I had yet to receive the proper diagnosis and care until I arrived at Innovative. I am now able to use my arm, I'm walking and feel overall significantly less pain.

Dr. Hernandez is the most knowledgeable, patient, and genuinely caring physical therapist and her staff is a reflection of that too. They use the multiple techniques for treatment, and go above and beyond in their care.

I am so fortunate to be treated by the talented staff at Innovative Therapy.

Alexis P., Chesapeake, VA

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2224 Virginia Beach Blvd Suite 106, ​Virginia Beach, VA 23454
  • Home
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