“Here’s proof why managing a scoliosis curve during a child’s growth spurt is so important”
It’s overdue to share with you a scoliosis success story that I would love to take all of the credit for, but this one really goes to my patient and her family.
This sweet 12year old girl came to the Joy of Therapy in April 2019 with some back pain, an ever increasing scoliosis curve, and discomfort wearing a back brace. Plus, little did we both know, but she was about to hit a growth spurt over the summer.
Fast forward 5 months, and nearly 20 treatments later, she has decreased her scoliotic curve by 50%!
She went from wearing a rigid brace and no therapy with a 48 degree curve in the thoracic spine and 43 degree curve in the lumbar spine, to a 22 degree curve in the thoracic spine and 20 degree curve in the lumbar spine while wearing a dynamic brace and therapy.
Plus she grew 2 inches during that same time!
How did she do it?
Through the combined effort of:
Specific Scoliosis Exercises custom designed for her curve type by Joy Smith,PT
An amazing dynamic WCR brace from the Align Clinic which she wears consistently 20+ hours a day designed by Walter Ramos,L/O,CPO Align clinic
Supportive and loving family
Great medical care by Dr. Ryan Price at Tallahassee Orthopedic Clinic TOC
The key to all of this success hinges on the fact that she wanted to make this change and stuck with the program.
She attends therapy regularly, wears her brace as prescribed and her dad has even made the Schroth bars for her to use at home.
So what does this mean for you if you have scoliosis? No matter how big or small your curve is, if you are a child, teenager or adult or whether or not you have a brace or don’t want to wear a brace- a comprehensive program that addresses ALL of your needs is here for you.
Contact me today to find out how to start feeling stronger, straighter and feel better all over today! #scoliosis #schrothmethod #physicaltherapy #cureais #posture #curvygirls
It is a “structural kyphosis that typically develops during adolescence, causing the kyphotic spine to become rigid, and sometimes progresses into adulthood.” — Scoliosis Research Society.
It is not poor posture or a lazy posture. This is a condition that includes physiological changes to the structure of the thoracic spine, therefore causing an increased rounding of the trunk.
The Schroth Method can help those diagnosed with Scheuermann’s by elongating and de-rotating the spine. Schroth exercises are customized for your unique spinal deformation. The method teaches you how to:
Correct spinal rotation and increase lung capacity with a rotational breathing technique.
Help restore normal spinal position with pelvic corrections, breathing technique, and stabilizing isometric contractions.
Improve your posture during routine daily living, not just during therapy.
Scheuermann’s disease begins before puberty. It is not known what triggers the abnormal growth, but there are theories that the bone may have been injured at some point, or that the area was weak before puberty. Heredity is thought to play a role, but the connection is not straightforward.
The condition is connected to skeletal growth, and the curvature does not usually increase after growth is completed. It is estimated that 1 to 8 percent of people develop the condition.
If you or anyone you know has this condition, please go to your doctor and ask for a referral to physical therapy. Then call and schedule your appointment today with Joy Smith,PT the ONLY physical therapy specialist in the Florida Panhandle to treat Schuermann’s disease according to the Schroth Method.
#posture #physicaltherapy #schrothmethod # back pain
Could it be the warm summer months, lots of sunshine, less stress and more sleep that causes seemingly ‘more growth’ in the summer for adolescents? Perhaps. But whatever the reason may be, your pre-teen or teen is making big gains in his/her body.
And summer is a great time for annual doctor check-ups and sports physicals. Plus keep an eye on their spines when they don a swimsuit. Do you notice a hump in their ribs when they bend over or does one of their shoulder blades look like it is ‘winging out’? If so, definitely follow up with your pediatrician for a scoliosis screening. It is always best to catch the curve while it is small so that the best care can be given. But whatever you do , don’t ‘wait and see’ if the curve in their spine will straighten out on its own. There are several conservative treatment options available to your adolescent to monitor, halt and/or reverse the scoliotic curve: no matter how small or big!
Inquire below for more information about conservative scoliosis treatment options :
Cherries! Or more specifically, Tart Cherry Juice.
All it takes is simply 2 tablespoons of tart cherry juice FROM concentrate, preferably before bedtime ( I’ll explain the ‘why’ for that in another post) and you will see and feel the difference this delicious fruit can make in your body.
The following are excerpts from the insightful book, ‘Taming Pain: Lessons from the Trenches” by Cheryl Wardlaw.Get the book here
“Research shows that cherries reduce inflammatory chemicals by as much as 25% (after only 28 days of eating them) without having a negative effect on blood sugar or insulin levels. Even better, these gains are sustained for over a month after you stop eating cherries (although why would you stop eating cherries?!) Cherries are packed with antioxidants and anti-inflammatory substances, including anthocyanin, quercetin and melatonin, and assist the body in producing glutathione (the main anti-inflammatory for the brain.)”
Anyone who has gout will most likely tell you that they already know the benefits of drinking tart cherry juice as it helps to decrease gout symptoms. That is because the anthocyanin in cherries reduces blood urate levels by 15% in as little as 3 days. Turns out that “cherries have the HIGHEST levels of anthocyanin of any food (blueberries don’t have any) and specifically block COX I and II (inflammatory chemicals., just like arthritis medication. Anthocyanins are more effective than vitamin C or E and AS EFFECTIVE as Naproxen, Ibuprofen or Aspirin WITH NO BAD EFFECT ON YOUR STOMACH! Note: for kidney health you should not take over 5000 NSAIDs and 1000 acetaminophen tablets in your lifetime!”
To sum it up here’s what anthocyanin does for you:
“Lowers urate (uric acid) levels in the blood stream to control gout
Acts an anti-inflammatory on par with NSAIDs
Suppresses production of pro-inflammatory cytokines
Suppresses growth factors
Protects cell membranes”
In my next blog, I will talk about more AMAZING things that cherries can do for your health.
Cherry season is nearly here, so plan on indulging in them!
And in the meantime, go buy some Tart Cherry Juice FROM CONCENTRATE, pour 2 tablespoons into a cup and cheers!
(Caution: cherry juice is a natural blood thinner. If you take prescription blood thinners, then please talk to your doctor about your medications if they need to be adjusted)
In February, I posted a story about my sister, and her journey with scoliosis. (If you haven’t had a chance to read it, then click here to catch up before you read about her progress) Melissa’s story
Melissa went to her annual check-up this past month and got some encouraging news! Last April, prior to beginning her Schroth therapy in the Fall, She went to her annual physical exam and was saddened to learn that she had ‘shrunk’ nearly 2 inches! She had been 5’8″ since she hit maturity as an adolescent, and when she learned she had lost nearly 2 inches in height: it was not good news (especially since that meant she would now be the same height as her older and shorter sister!)
But all kidding aside, she knew that this change in height really meat that her scoliosis may be getting worse.
Fast forward 6 months and she began the Schroth physical therapy at the Paley Institute in West Palm Beach, FL alongside with her youngest daughter, who also has scoliosis.
They both went to many treatment sessions and enjoyed it so much that they had Schroth wall bars built and installed in their home for them to use on a daily basis. They also have the placement pads and do the exercises as recommended by their physical therapist.
This past month Melissa went again to her annual physical exam and her doctor measured her height. Guess what? She is now back to her usual 5’8″!She was so excited that she immediately called to tell me her good news. She attributes the positive change to doing the prescribed specific scoliosis exercises (PSSE) and learning her curve.
And as if that wasn’t enough good news: there’s more! Her daughter, went in for a DIERS scan and it found that her curve decreased 7 degrees! The DIERS Formetric 4D is a light-optical scanning method which projects a line grid on the back of the patient which is recorded by an imaging unit.
So what’s the ‘take away’ message here? Schroth Therapy works for improving posture and decreasing scoliotic curves! But it only works if you put the effort into it.Both Melissa and her daughter are motivated for change !
If this story speaks to you or someone that you know who may need to hear this, then please contact me to find out how I can help improve your scoliotic posture.
“Nothing motivates you like movement. If you need motivation, get moving.” –Christy Wright
Do you have hip pain or pain in your thigh that just won’t go away?
(Now if you do have hip degeneration and have been told you need a hip replacement, then you probably have more going on than this article pertains to)
Ever thought that there may not be anything wrong at all with your hip? It may in fact be ‘referred pain.’
What is referred pain? It is pain in an area of your body that can often be some distance away from the actual stressed tissue.
One good example is sometimes hip pain can be diagnosed as hip bursitis: inflammation of the bursa (fluid-filled sac near a joint) at the part of the hip called the greater trochanter. When this bursa becomes irritated or inflamed, it causes pain in the hip. Yes, hip pain truly can be coming from your hip, but when you have tried to get rid of it with traditional therapies or injections and it still is there, then the source may be coming from somewhere else…and it may be nerve root referred pain.
Check out this map of the dermatomes of the body that depicts where nerve roots refer to:
The following excerpt is from ‘Taming Pain: Lessons from the Trenches.”- Second Edition 2013 by Cheryl F. Wardlaw, PT MMSc, CFMT :
“A nerve root is the part of the nerve that comes off of the spinal cord and goes out the hole between two vertebrae.
Each nerve root has some fibers mixed in from the nerve root above and below, so it’s not EXACT. Each nerve root, when stressed, can cause pain in a predictable path. It will cause weakness in predictable muscles. Let’s take the L4 nerve root for example. Let’s say you have pain on the side of your hip and in the front of your thigh. The muscles that pick up your big toe (L4) and straighten your knee (L3& L4) are weak. I would sure need to look at what could be irritating the L4 nerve root!
Could it just be hip bursitis? Doubtful. Hip bursitis doesn’t make your big toe weak. Could it be 5 things: hip bursitis, a pulled muscle in your thigh, some knee arthritis, a bunion on your big toe and low magnesium? Well, it could be, but I would still have to rule out the L4.
Things that stress a nerve root:
If we decide that a nerve root is squawking, and we know which nerve root, the question still remains, what is irritating the nerve root? So here goes:
The Facet joint: the joints in your spine are called facet joints
The Nerve Root: comes out of the hole in front of the facet joints. Changes at the facet joint can decrease the size of the space and put pressure on the nerve. Inflammation will be the result.
The Disc: The spacer between the vertebrae is the disc. If the disc shrinks down (degeneration) the bones will get closer together. The size of the opening will decrease and the nerve will be compressed and will inflame. If the disc bulges back, the same thing happens.
The Spinal Canal: The space that the spinal cord runs through is called the canal. Across time, bone can build up inside the canal and make less room for the nerve root. This condition is known as spinal stenosis. The nerve will be compressed and will inflame.
Now that we know where it is, ( Let’s stick with L4 as our suspect), what might be causing it ( let’s choose a locked facet) and that the nerve root is inflamed, our job is as simple as a game of CLUE : Colonel Mustard, in the library, with the candlestick! Referred pain patterns help me figure out where I should be working!
If your therapist or doctor are only treating your symptoms, and not searching very actively for where the pain is coming from, then you will be hurting a very long time.”
See how maybe your hip pain isn’t really coming from the hip itself, but rather may be coming from your back? Contact me today to see how I can help solve your pain puzzle and get rid of the nerve culprit!
Between work, family commitments, and running errands, it’s understandable why weekend warriors cram all their physical activity on Saturday and Sunday. And bonus if the weather is beautiful (as it was here in Tallahassee this weekend).
Unfortunately, this pattern of 5 days of inactivity, and being active on the weekend often leads to injury.
The most common types of injuries seen in weekend warriors are:
Muscle strains such as hamstring strains
Ligament sprains, most commonly in the ankle
Tendonitis, especially in the Achilles
Low back pain
To decrease your chances of injury, there are some things you can do. The biggest step you can take is to avoid going from no activity to full out competition. Try to maintain a basic level of fitness through general aerobic activity, strengthening, and stretching throughout the week. If you know what type of sport you’ll be participating in, adding in some sport-specific conditioning is a good idea.
In addition to maintaining a basic level of fitness, here are a few other tips specifically for the weekend warrior:
Build your activity level slowly If you’ve taken a layoff over the winter, build up slowly to your first 5k, or the spring softball season.
Give yourself time for a proper warm up A dynamic warm up is best, including some jogging or other aerobic activity to get your heart rate up, along with some high knees, braiding, butt kicks, or toy soldiers will get your body ready for activity.
Stretch when you’re done Research has shown that static stretching before activity probably doesn’t have much benefit, but stretching after has been shown to reduce soreness and help recovery.
Make sure your technique and equipment are up to par Poor equipment can put you at higher risk for injury. If your technique is off, especially in sports like golf or tennis, you can be at higher risk for injury. A visit with your physical therapist or coach can help correct issues.
Don’t push through pain Some soreness after an increase in activity is normal, but if it doesn’t go away, gets worse, or is severe, get it checked out.
If you’re having pain, suffered an injury, want help designing a training program to get you ready to compete, or just want a physical to make sure you’re ready for activity, a visit with a physical therapist is a good idea.
So go ahead and give me a call today to get back to feeling healthy and pain free and then you can live your life to the fullest!
I love Panic! At the Disco’s song, ‘High Hopes’, as I have dubbed it my ‘theme song’ these past several months while I plugged along creating my physical therapy clinic:
“I had to have high high hopes for a living. Didn’t know how but I always had a feeling.” (Check out their video if you want to get that song in your head all.day.long. ) Panic! At the Disco- High Hopes
Many years of building a community of clients and contemplating just how to do this thing called a business, finally culminated into a fabulous celebration last night. The open house to my brand new PT clinic, Joy of Therapy, was a smashing success!
I truly enjoyed every minute of it and am so very grateful for the many clients, friends and family that took time out of their day to come and support my “dream come true!” (We were all having such a good time, that we forgot to take pics of everyone that came to the open house. Oops! But check out the good ones below.)
The food was DELICIOUS (thank you to Brandy L., Sarah H. , Tasty Pastry, Publix and Josey V. ) , the decor GORGEOUS ( thank you to the talented, Karyn Tarmey), set- up and serve went SMOOTHLY (thank you to my mom and dad, Brandy and Kylie L.) and hey, I looked pretty good too! (thanks to my stylists, Jillian Visconti (hair stylist) and Marianne Brooks with Cabi). It takes a village to pull this off, and my heart is filled with gratitude for all of you.
The clinic is truly reflective of ‘me’ and how I believe that physical therapy should and needs to be delivered: efficient, thoughtful, caring, valuable to you, your time and your money and most of all, joyful.
So if you haven’t already come in for your evaluation, then what are you waiting for ?! I am here and ready to serve your PT needs whenever they may arise for you. Here I come Tallahassee!
Recent research has found that “the brains of mice who slept on their side removed waste the most efficiently. Brain waste can often contain beta-amyloid proteins, which make up the plaque commonly found in Alzheimer’s patients. By clearing away these proteins , researchers believe that the brain protects itself from developing certain neurological diseases.”
Melissa’s story probably began like most of yours. She was a healthy child who stayed active in extracurricular activities and enjoyed just being a kid. Then, during adolescence in middle school, she was given a surprising diagnosis: she had scoliosis. How she dealt with it as she grew into adulthood and finally found answers, strength and relief through the use of Schroth physical therapy is truly inspiring.(Spoiler alert: she’s my sister)
I am a 42 year old, health-conscious woman married to a loving husband with two amazing daughters, whom I enjoy homeschooling. I have a good life and try to live every moment to its fullest. But what most people may be surprised to hear is that for 20 years I have lived with daily, achy and often sharp pain in my back due to scoliosis that was diagnosed when I was a teenager. I exercise daily, which can include Pilates, walking and strength training. Thankfully, I have been able to avoid taking prescription pain pills. But some days are really hard to get through due to pain.
I have silently struggled with my pain and diagnosis as best I could, and it hit me hard a couple of years ago, when my youngest daughter was also diagnosed with scoliosis. It was then that I had had enough and wanted real solutions since I didn’t want her story to be like mine.
When I was diagnosed with scoliosis during a middle school health screening, I had no pain or symptoms. No one in my family had scoliosis, so no one was looking for it. It was recommended to my parents that I see a chiropractor to help. He adjusted me, and my clearest memory of that experience was leaving there crying in tears due to the pain of the adjustment. It hurt so bad!(FYI: I now know that no one with scoliosis should be manipulated since the vertebral bodies of the spine grow irregular). I was told by my doctor to ‘wait and see’ how the curve would progress.
I went on to high school and college with no pain or limitations, and yet unbeknownst to me, my curve was only getting worse. By the age of 22, I was working in hotel management, and my job required me to be on my feet all day long. I loved that job, but oh the pain in my back had set in, and it hurt! So off I went with my parents for x-rays at Miami Children’s Hosptial and to see the best doctor at the time for scoliosis. He said that I now had an ‘S’ curve that was 40 degrees and surgery was not recommended, unless I wanted it for cosmetic reasons. Once again I was told to ‘wait and see’ and hope that my rib cage wouldn’t puncture a lung! I did try traditional physical therapy with minimal relief.
When I was in my 30’s, after I had given birth to my beautiful daughters, I went in again for x-rays since the pain was only getting worse. This time the curve had progressed to 48 degrees and now borderline for surgery. Guess what? I was told to ‘wait and see’.
So when my youngest daughter got the diagnosis of scoliosis, I wasn’t going to ‘wait and see’ anymore. As a toddler, I intuitively knew that something wasn’t quite right with the way she walked. I took her to a pediatric orthopedic doctor, a podiatrist and countless visits to the pediatrician to try and figure out what was going on with her legs and feet. No one suspected scoliosis, not even me.
By the time she was 5, she was in special shoes with a lift and running was sometimes awkward. My sister, who is a physical therapist, looked at her and noticed that one hip was higher than the other and tried manual therapy which helped a little. She looked again months later ( since she doesn’t live near us) and noticed the same thing and a slight curve in her back. She recommended I go to an orthopedic doctor for evaluation. There she was diagnosed with mild scoliosis of 10 degrees, and you can imagine what words I heard next: ‘wait and see.’
This time, I wasn’t going to tolerate that phrase and immediately called my sister for her professional opinion. This was a defining moment in our conversation: she told me there was help with the Schroth Method. It is a unique 3-dimensional treatment approach that helps to elongate, de-rotate and strengthen the scoliotic spine. It aims to halt or even reverse the progression of the spinal curve. What a relief to hear those new words!
By this time, my sister had researched the Schroth Method and was training to be a certified physical therapist with this specialty. I too researched this myself and discovered that it is an intense certification and to only go to those who have this training and understanding of the scoliotic spine . She was able to connect me with the Paley Institute where I met Dr. Feldman. For the first time in my life I was not told to‘wait and see!’ He agreed that the Schroth Method works and referred me to Lisa Ritze, PT, a certified Schroth-Barcelona physical therapist. She and other trained PT’s in this method have been working with both myself and my daughter since October 2018. We are very compliant with keeping up with the exercises and therapy.
It’s so important to always go to therapy for tune-ups since scoliosis tricks you into thinking that your spine is straight when it is so not! Plus you need to continue through puberty since growth spurts bring on big changes in the spine.
Over these past several months, physical therapy with the Schroth Method has changed mine and my daughter’s lives dramatically. I now have better tools to manage my back pain, and I am so glad that my daughter’s spine won’t have the opportunity to get to where my spine did. My daughter performs her daily exercises at home now and she knows the tools to help her back when she has pain or needs lengthening. It has also given her new and improved strength that she uses on the swim team! She said to me the other day, “this therapy makes me stronger, gives me space in between my ribs and makes my back feel so good!”
My x-rays last year showed an upper curve of 53 degrees and a lower curve of 51 degrees. I still do not want surgery and my new, well-informed doctor, is confident that I won’t need surgery either. I know that at my age I won’t be able to make big changes in the curve, but I can stop the progression and avoid early arthritis by doing the Schroth Method exercises .
I am so grateful for the conservative treatment of scoliosis through the Schroth Method! I would have given anything to know about this method back in the 1990’s, but I know now and will never look back. I am also thankful for the time, advice, dedication, passion, love and God-given talent that my sister has as a physical therapist.
Oh, and did I mention that her name is Joy Smith, PT?! Yep, she’s the one you need to go and see right now if you have scoliosis! I wish she lived closer so I could come to her new clinic as often as I wanted to do this therapy with her.
I am here to tell you with full confidence that this method works and to not waste another day in pain!
More importantly, don’t let your child with scoliosis become a ‘wait and see’ adult in pain.
Run, don’t walk, to get your Schroth physical therapy evaluation today to see how it can make a difference in your life! –Melissa
The aim of this study was to evaluate the efficacy of manual therapy based on neurodynamic techniques in conservative treatment of carpal tunnel syndrome.
Randomized controlled trial.
Several medical outpatient clinics in the south of Poland.
The study included 103 patients with mild and moderate carpal tunnel syndrome (mean age = 53.95, SD = 9.5) years, who were randomly assigned to a neurodynamic techniques group (experimental group, n = 58) or a group without treatment (control group, n = 45).
Neurodynamic techniques were used in the experimental group. Treatment was conducted twice weekly (20 sessions). Control group did not receive treatment.
Nerve conduction study, pain, symptom severity and functional status of Boston Carpal Tunnel Questionnaire, and strength of cylindrical and pincer grips were assessed at baseline and immediately after treatment (nerve conduction study one month after treatment).
Baseline assessment revealed no group differences in any assessed parameters (P > 0.05). There were significant differences between groups after treatment, including nerve conduction (e.g. sensory conduction velocity: experimental group: 38.3 m/s, SD = 11.1 vs control group: 25.9 m/s, SD = 7.72, P < 0.01). Significant changes also occurred in pain (experimental group: 1.38, SD = 1.01 vs control group: 5.46, SD = 1.05, P < 0.01), symptom severity (experimental group: 1.08, SD = 0.46 vs control group: 2.87, SD = 0.68, P < 0.01), and functional status (experimental group: 1.96, SD = 0.64 vs control group: 2.87, SD = 1.12, P < 0.01). There were no group differences in strength ( P > 0.05).
The use of neurodynamic techniques in conservative treatment for mild to moderate forms of carpal tunnel syndrome has significant therapeutic benefits.