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Greenhaus Physical Therapy Fitness & Wellness Center
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Scoliosis

Scoliosis is one of the most common back injuries, affecting over seven million people in the U.S. alone. This medical condition impacts children, teenagers, and adults worldwide. If left untreated, it can affect your quality of life and cause major discomfort. Scoliosis treatment is complex and may involve bracing, physical therapy, medications, and even surgery.

What Is Scoliosis?

People with scoliosis have a deviation of the spine. This disorder affects your posture and overall trunk alignment. Most patients are diagnosed during their adolescence. Statistics indicate that up to three percent of the population suffers from scoliosis. Women are more likely than men to develop this condition.

If you have scoliosis, you spine may resemble an "S" or a "C." These abnormalities can be seen on an X-ray. There are several types of scoliosis, and each requires a different approach. Adolescent idiopathic scoliosis is the most common form of the disease. You may also develop early onset scoliosis, neuromuscular scoliosis, or congenital scoliosis.

Symptoms and Risk Factors

This health condition can limit your flexibility and range of motion. Most patients have a prominent shoulder blade, muscle imbalances on one side of the spine, or uneven arm lengths. In rare cases, scoliosis may cause slow nerve action and reduced lung capacity.

If someone in your family has scoliosis, your risk of developing this condition increases. Statistics show that more than 30 percent of children with scoliosis have a parent or sibling who also has the condition. Many times, this disorder is associated with spinal muscular atrophy, spina bifida, genetic conditions, and neuromuscular problems.

Treatment Options for Scoliosis

Without proper treatment, scoliosis can get worse and cause heart problems, breathing difficulties, back pain, and bad posture. Treatment options depend on the severity of your condition. In general, children with scoliosis must wear a brace until their spine is fully grown. Adults can benefit from physical therapy.

An experienced Physical Therapist can fix muscular imbalances and faulty movement patterns, recommend special exercise, and prevent the progress of scoliosis. He may also use the Schroth method on children to correct spinal deviations and prevent complications.

If you have been diagnosed with this condition, we can help. Contact us today to find out more! Visit www.greenhauspt.com for more information.
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April Showers Bring May Flowers. So now is the time for gardening. Here are some quick tips to enjoy gardening while avoiding injuries:


1. Warm Up Beforehand and Afterwards – How about a brisk 10 min walk?


2. Maintain The Proper Form – Use a low bench or a padded to help cushion the potential impact to your knees and back. Change your body position often. Don't allow yourself to be hunched over for long periods of time.

3. Use Gloves - Gardening tasks are great for preventing carpal tunnel syndrome from taking places, but unless you are willing to wear gloves, you are risking a more severe form of injury than the typical sprained knee.

4. Practice Moderation - Gardening is supposed to be a stress release, not an excuse to push your body to its absolute breaking point. There is absolutely nothing wrong with taking as many breaks as needed.

Last but not the least, eat the food you grow! It’s one of the best ways to enjoy the food.
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At Greenhaus PT we are here to help you re-gain your normal functions back and to get you fit and stay fit!!
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Before Physical Therapy I was a pain in the neck.
- Pinched Nerve
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Pre and Post Surgery Rehabilitation

Getting ready for surgery? Or maybe you're recovering from a procedure? Either way, you can speed up healing through physiotherapy. At (clinic name), we treat patients before and after a variety of procedures, such as arthroscopic surgery, head and neck surgery, hernia surgery, and orthopedic surgery. Our team will use the best possible exercises and types of massage to improve recovery.

The Role of Pre Operative Physical Therapy

Our pre operative rehabilitation program is designed to prepare patients for undergoing surgery. We use the latest techniques to improve healing time and reduce pain. Pre-surgical rehabilitation involves conditioning the body through exercise. This step is just as important as rehabilitation after surgery. For instance, studies indicate that the knee's functional ability post surgery depends on its functional ability before the procedure.

Improving your strength and now can result in better outcomes after surgery. Our programs can help shorten the length of your hospital stay and reduce the need for post-operative rehabilitation. We focus on several areas, including your strength, balance, flexibility, joint stability, cardiovascular fitness, and range of motion. Most pre-operative rehabilitation programs last four to six weeks depending on you needs.

Physical Therapy for Post Surgery Rehabilitation

After surgery, our team will show you how to get on and off a chair, use assistive devices, and improve your mobility. We will teach you pain management strategies and create an exercise plan for faster recovery. Post-operative physical therapy can be a crucial par of returning back to your normal activity.

A skilled therapist can help reduce the side effects of surgery, such as pain and inflammation. We are happy to assist patients before and after ligament repair, arthroscopy, decompressions, tendon transfers, total joints replacements, and ACL repairs. Our programs can decrease the risk of complications and help you achieve full range of motion. Contact us today to find out more!
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Joint and Hip Replacement Rehab

Recovering from hip replacement surgery can take months. Most patients find the pain overwhelming. After the procedure, they must follow a set of rules to prevent dislocation. The sooner you start physiotherapy, the better. Your therapist will recommend a series of exercises to help you regain strength and mobility. You will learn how to climb the stairs, get in and out of bed, and take a shower after joint replacement, how to reduce pain, and what exercises to avoid.

What to Expect after Hip Replacement Surgery

Your new hip prosthesis resembles a ball and socket joint where the pelvis meets the femur. These components are made of plastic, metal, or ceramics and polyethylene. Even though surgery doesn't involve cutting muscles, your range of motion will be limited. With proper care, you should be able to walk normally within three weeks.

A physical therapist can show you how to use a cane or walkers during the first week. He will also prescribe you upper limb exercises to maintain your fitness. Patients will learn about muscular relaxation, extension of the feet and toes, and static contractions of the quadriceps. These simple measures help reduce edema and improve cardiac function post surgery.

Physiotherapy Rehabilitation after Joint or Hip Replacement

During the first post operative week, we teach patients progressive weight bearing exercises, resistance exercises, and active/passive mobilizations that boost range of motion. Our training plan improves the fixation of the prosthesis and helps preserve bone tissue. It also improves recovery time and eases pain.

Adequate physiotherapy treatment is a major part of the successful outcome following hip surgery. Our mission is to help you restore normal movement patterns and optimal mobility. Your rehabilitation plan will include a mix of home and gym based exercises, manual therapy, and advice on self-management techniques. Our team will assess your muscle and joint strength, explain the correct post operative exercises, and teach you the best strategies for a successful recovery.
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Workplace Wellness

Working at a computer work station all day can take a toll on the body. Repetitive activities and lack of mobility can contribute to aches, pains, and eventual injuries.
Sitting at a desk while using the keyboard for hours on a day to day basis can result in poor circulation to joints and muscles, it can also create an imbalance in strength and flexibility of certain muscles, and muscle strain. These issues can be easily remedied by taking frequent short breaks, or "micro breaks," throughout your day.

• Get out of your chair several times a day and move around—even for 30 seconds
• Roll your shoulders backwards
• Turn your head side to side
• Stretch out your forearms and your legs

Additionally, specific guidelines for your work station can help maximize your comfort and safety.

Your chair should have the following:

• Wheels (5 for better mobility)
• The ability to twist freely on its base
• Adjustable height
• Adjustable arm rests that will allow you to sit close to your desk
• Lumbar support
• Seat base that adjusts to a comfortable angle and allows you to sit up straight

The position of the keyboard is critical:

• The keyboard should be at a height that allows you to have your forearms slightly below a horizontal line—or your elbows at slightly more than a 90 degree angle.
• You should be able to slide your knees under the keyboard tray or desk.
• Avoid reaching for the keyboard by extending your arms or raising your shoulders.
• Try to avoid having the keyboard on top of your desk. That is too high for almost everyone—unless you can raise your seat. The elbow angle is the best test of keyboard position.

The position of your computer monitor is important:

• The monitor should be directly in front of you.
• The top of the monitor should be at your eye level, and at a distance where you can see it clearly without squinting, or leaning forward or backward.
• If you need glasses for reading, you may need to have a special pair for use at your computer to avoid tipping your head backward to see through bi-focals or other types of reading glasses.

How can a physical therapist help?
Many physical therapists are experts at modifying work stations to increase efficiency and prevent or relieve pain. Additionally, if you are experiencing pain that isn't relieved by modifications to your work station, you should see a physical therapist who can help develop a treatment plan to relieve your pain and improve your mobility.

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Starting healthy habits early can help stave off many age-related health conditions. In addition to 9 things physical therapist want you to know about healthy aging, here are some decade-based tips from physical therapists.

2 Tips for 20s:
1. Be active 30 minutes per day to make it a habit for life. Regular exercise in the present is a great way to keep serious health issues such as heart disease and diabetes out of your future.
2. Did you realize bones begin losing density in your mid-20s? Then put down your smartphone and get up and move! Dance. Jump rope. Run. Weight-bearing exercises are key to avoiding osteoporosis later in life.

3 Tips for 30s:
1. Feeling pressed for time? Chances are you’re being asked to do more at work and at home. But this isn't the time to cut corners with your health. Make sure you continue to eat well, get adequate sleep, and exercise regularly.
2. Saving for retirement? Adopt the same attitude about your long-term health. Just like a financial planner can make sure you're putting enough money in the bank, a physical therapist can evaluate your current weaknesses and outline a plan to make them future strengths.
3. Testing your physical limits? Many people in their 30s challenge themselves with road races, bike rides, and obstacle courses. These activities are an excellent way to stay motivated and active. But be sensible, too. Ease into new routines and allow your body time to adjust to stresses that could lead to injury.

4 Tips for 40s:
1. Stand up for your health! Some inactivity researchers believe that prolonged sitting is so detrimental to your health that exercise doesn’t offset its negative effects. So get up from sitting at least once an hour, and more if you can.
2. It's time to diversify. Does your exercise routine include aerobic exercise, strength training, and flexibility activities? If not, have a physical therapist evaluate you and make recommendations for safely addressing areas you’re neglecting.
3. Women who experience bladder leakage after childbirth should know that urinary incontinence is common but not normal. It's treatable, too. Find a physical therapist who specializes in women';s health.
4. Don't start acting "over the hill." Sure, aches and pains may increase in your 40s. But that doesn';t mean you have to live with them. Act your age by doing something about it. Physical therapists can often treat your pain without the need for surgery or long-term use of prescription medication. What are you waiting for?

5 Tips for 50s:
1. See the world, and exercise, too. Traveling for work or pleasure shouldn’t derail your healthy habits. Physical therapists can suggest exercises you can do on the go, anywhere.
2. Bone up on your bone health. Menopause contributes to increased loss of bone density, making bones more brittle and prone to breaking. The older you get, the more important it becomes to get the recommended amount of calcium and vitamin D, and perform weight-bearing or resistance exercises 30-60 minutes at least 3 times per week.
3. Imitate a flamingo. If you can’t stand on one leg for 5-10 seconds, that’s a sign your balance needs immediate improvement. Don’t let a fall be your wakeup call.
4. Be active every day. The older you get, the more important it becomes to be vigilant about your health. Each week, you want 2.5 hours of moderate-intensity aerobic physical activity, 1.25 hours of vigorous-intensity activity, or an equivalent combination of the two. The best way to do that is to strive for activity every day.
5. Get a second opinion. People in their 50s often experience the first major signs of aging. If you've tried to manage your health on your own thus far, now is the time to get off of the Internet and in front of a physical therapist, who can provide an expert assessment of your health that will be key to your ability to maintain your independence.

6 Tips for 60s and Beyond:
1. Take the pressure off. Regular physical activity is more crucial than ever, but if aches and pains are making walking or jogging a chore, move some of your exercise to a pool, where you can work just as hard with less pounding. (Oh, and see a physical therapist about those aches and pains!)
2. Get balanced. One-third of adults over age 65 are likely to fall each year, and those falls will lead to more than 700,000 hospitalizations. Unfortunately, too many people realize they are falls-prone when they experience their first fall. Be proactive. See a physical therapist for a balance assessment and a personalized improvement program.
3. Preserve your mental health with physical activity. People who are physically active—even later in life—are less likely to develop memory problems or Alzheimer's disease.
4. Maintain your intensity! Studies show that people in their 60s, 70s, and even 80s and older can make improvements in strength and physical function, which is associated with improved health and quality of life. But that can’t happen unless your physical activity is intense enough to produce gains in muscle strength. Don't do this alone. A physical therapist can prescribe an exercise dosage adequate enough to generate results.
5. Strive for 60 minutes. Not the TV show! Set a goal to be physically active 60 minutes a day. You don't have to do it all once. Ten-minute increments count, too.
6. Team up. If you're retired, what better way to stay close to longtime colleagues than to make time to walk together? Whatever the activity, doing things as a team will keep you accountable and provide social interaction.

Courtesy APTA.
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Gardening - How To Prevent Injuries When Doing Gardening
 
While gardening can be an incredibly relaxing activity that serves to alleviate stress, there are a number of injuries that can take place while gardening that can be avoided by following these simple tips. Read on to learn more about how you can keep yourself safe from serious injury while working in your garden.
 
1. Warm Up Beforehand and Afterwards
 
Some may believe that they can begin to garden without performing the proper warm up exercises first. It is important for you to get your blood flowing before you start to garden and this simple practice will greatly decrease your risk of injury. Are you planning on doing some serious gardening work in the near future? Be sure to take a 15 minute walk around the block to limber up and prevent any sort of injury from taking place. End your gardening session with some gentle backward bending of your low back, a short walk and light stretching, similar to stretches done before starting.
 
2. Maintain The Proper Form
 
The digging and weeding can be very tough on the back, as well as the knees. That's why it is important to maintain the proper form during these tasks. A low bench or a padded kneeler can also be used to help cushion the potential impact. Don't allow yourself to be hunched over for long periods of time, take a break every few minutes to stretch. Avoid twisting your body into unnatural positions for long periods of time and use your shovel with your knees slightly bent and a forward motion. If kneeling on both knees causes discomfort in your back, try kneeling on one and keep the other foot on the ground. Use knee pads or a gardening pad when kneeling.
 
3. Use Gloves
 
While there are some will eschew the use of gardening gloves because they are not comfortable, batting gloves are also a viable option. Gardening tasks are great for preventing carpal tunnel syndrome from taking places, but unless you are willing to wear gloves, you are risking a more severe form of injury than the typical sprained knee. Gloves are a necessary part of keeping yourself protected from small organisms.
 
4. Practice Moderation
 
Gardening is supposed to be a stress release, not an excuse to push your body to its absolute breaking point. There is absolutely nothing wrong with taking as many breaks as needed. To force yourself into taking the appropriate amount of breaks, experts recommend using tools that will need to be recharged. Using the time that it takes for the tools to recharge to recharge your batteries is one of the best decisions you can make. Change positions frequently to avoid stiffness or cramping. Use good body mechanics when you pick something up or pull on something, such as a weed. Bend your knees, tighten your abdominals, and keep your back straight as you lift or pull things. Avoid twisting your spine or knees when moving things to the side; instead, move your feet or pivot on your toes to turn your full body as one unit.
 
5. Eat The Food You Grow
 
One of the best ways to safeguard your body from injuries is to eat the healthy foods in the first place. Studies show that those who consume healthy fresh food are far less likely to experience injuries than those who do not enjoy garden fresh food. While reaping what you sow is typically considered to be a threat, gardeners who do are able to provide themselves with essential vitamins and nutrients.
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