Physical Therapy News

Postural Restoration Treatment Works

Posted on: December 18th, 2017 by Jeremy Wehking

We all know slouching doesn’t look very flattering but most of us find ourselves hoovered over our computers for hours at a time not knowing the damage we are causing. We’ve heard how important it is to have good posture a couple times before but do we really know why?  

Good posture entails distributing the force of gravity through our body so no one structure is over stressed. Good posture helps with the proper positioning of the spine and as a result leads to the proper functioning of internal organs.

Jeremy Wehking PT, FAAOMPT, OCS, PRC is a physical therapist in Miami FL who is certified by the Postural Restoration Institute who recognizes these imbalances with system disuse which develops because of dominant overuse caused by bad posture.  

This dominant overuse of one side of the body can develop from other systems unilateral overuse and cause harm to one’s body as a result. Jeremy uses PRI’s (Postural Restoration Institute) training to explore and explain the science of postural adaptations, asymmetrical patterns and the influence of polyarticular chains of muscles. Through his certification with PRI he uses innovative treatments that address the primary contributions of postural kinematic movement dysfunction.

The main goal of Posture Restoration is to help correct skeletal issues and heal back pain once and for all. Jeremy best describes this treatment as correcting the alignment and muscular imbalances in a very specific and personalized way.  The ideal patient for Postural Restoration treatment is anyone from the high level athlete to people who are completely inactive. Especially those who have severe back pain, a loss of flexibility or mobility. The Postural Restoration approach has proven an effective treatment plan for those who haven’t had success completely eliminating back pain in the past.  If you are taking painkillers or considering surgery we highly recommended to try Postural Restoration treatment first. You could be one of thousands of patients who have successfully healed their back pain for good with Postural Restoration treatment. Call us today to schedule an appointment (305)433-1172. 

Knee Pain

Posted on: August 3rd, 2016 by Jeremy Wehking

Knee Pain, A Few Things to Ask

I wanted to talk about patellofemoral syndrome. This is one of the common issues I see in the clinic.  It’s an issue that can cause pain along the front of your knee, often surrounding or underneath your knee cap.  There are lots of things that can cause pain in the knee; this is just one of the more common issues I run into.  Your knee cap is getting pulled just a little too far to the outside part of your leg, which causes increased stress around your knee cap. image of knee

The nice thing is that this is often times very treatable.  So let me tell you what you want your healthcare provider to be looking at, or at least considering.  These are usually things that will get overlooked.

First Thing To Ask About

First thing: pelvic alignment.  If your pelvis is tipped and rotated, even a little bit, your hip muscles won’t be able to fire as efficiently as you want them to.  This means you can be strengthening the snot out of your glut muscles, and still have an issue with knee pain.  L-AIC-picThe majority of these issues will have a pelvic component.  So you want your provider to start out with exercises that not only get your pelvis in a good position, but that will keep it that way.  Then it’s ok to work on glute and hip strength.

Second Thing To Ask About

The second thing to look for is how your femur (or thigh bone) and tibia (shin bone) are rotated.  There can be a few combinations here, but if you get that pelvis in a good position, the femur rotation will often be on a good path.  Your femur can be rotated slightly inwards or outward facing.  Same goes for your tibia, it can be rotated slightly in or out.  If this rotation is left unchecked it can continue to contribute to excess strain on and around your knee cap.

Third Thing To Ask About

Last thing to look at is the mechanics of the foot, specifically the mobility of the subtalar joint.  subtalar joint  This joint can be overlooked and if it is stiff will keep the foot locked up, and if the foot is locked up…you guessed it, increased strain on the knee.

This post is a little on the technical side, but if you have any questions about what can be done for your knee pain, shoot me an email at jeremy@advancedpts.com or give me a call at 720-357-4079.

You Don’t Know Sit

Posted on: July 14th, 2016 by Jeremy Wehking

I mean you don’t know how to sit.

In this video I talk about two quick and easy things you can do to sit in a better position to help avoid low back pain.  Nowadays we do a huge amount of sitting, whether it’s at work, at home, in the car.  We tend to sit a lot.  More than we were designed to sit.

Posture Can Contribute to Low Back Pain

This unfortunately can often cause some discomfort and tightness, in the spine.  I wouldn’t expect this to fix all back problems, and I would recommend you get checked out by your physician or physical therapist if you’re having a back issue, but these can be some nice habits to get into.

If you sat five minutes out of your day, you could sit on your head and it probably wouldn’t matter.  But the combination of sitting at work, on the commute to work, and when you get home to watch Netflix, can really add up to a lot of sitting.

 

 

(wow, that is some great smile)

The first tip is easy: Get up.  So if you have an option for a standing desk…great.  I like the ones you can easily switch from sitting in a chair, not a stool, to a standing position.  And in most cases I wouldn’t want people to spend all day standing either.  But the option to switch back and forth is ideal.  If you’re not one of the lucky ones and don’t have a standing desk (you might want to ask yourself what you did to piss off your boss so bad that they don’t want to get you a standing desk) it will be ok.  You can still get up and take a lap around your desk every 20 minutes.  It will seem strange at first, and may be difficult to get into the habit in the beginning.  I recommend setting an alarm on your phone to remind you to get up.

The second tip is almost as easy, and involves a pillow.  You can use a pillow from home, or if you prefer a more professional look you can get some online.  I recommend that the pillow is relatively thin and not too big and bulky.  The one I like is about $20.  Start out with the pillow just below your shoulder blades.  This way your back is supported.   Feel free to move the pillow up or down a little, but it shouldn’t be right behind your low back in the majority of cases.painful-sitting-350x241

Figuring out ways to decrease the strain on your neck and back when at work can make a really big difference, and sometimes something simple can help.  If you have any questions shoot me an email at jeremy@advancedpts.com or give me a call at 720-357-4079.

TMJ Presentation for Dental Study Group

Posted on: February 11th, 2016 by Jeremy Wehking

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I have to admit I was a little nervous.  I was presenting to a group of really great occlusally minded dentists.  This was for the International Partnership for the Study of Occlusion (IPSO) study group.  These people are awesome, they really know their stuff.  I was excited to talk to them about my approach to TMD (temporomandibular disorder) patients, and how physical therapy can help.  They were really welcoming and I enjoyed presenting.

It can be difficult treating complex patients, especially when there is a need for good communication between professions.  It’s common for patients with craniofacial pain and TMJ issues to need help from multiple professions, and this can be helped with good communication.  These patients have usually been through the ringer and have looked high and low for help.  That’s why they are some of the most rewarding patients to work with.

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I have found it extremely helpful to pull from multiple schools of thought when it comes to helping out on the physical therapy side of things.  It is really amazing how much one part of the body can, and often times does, influence another part of the body.  That’s why I was really honored to be presenting to this great group of dentists.  They treat folks like this on a regular basis and I was pleased to be presenting to them.

What if you really could live with much less back pain?

Posted on: December 2nd, 2015 by Jeremy Wehking

Are you tired of the pain in your back?  Have you been trying to ignore your pain and hoping it goes away?  Have you just become accustomed to always having back pain, and decided that it is something you just have to deal with?

older woman

So many of my patients who started out just like you are now pain free and back to their old life.  I love it when a patient comes in and tells me something along the lines of:  “you know my wife noticed I’m walking better, and I don’t complain about my back anymore”, or “my husband just told me I’m back to my old self.”

I don’t think we realize what a strain (no pun intended) chronic back pain can put on not only ourselves but those around us.  Often times we think of only the physical strain, but not the emotional impact it can have on our lives.  What would it be like to be able to get back to playing with the grandkids, or going to Pilates class without that nagging pain, or avoid that next injection or injections all together?

Most people think they have no choice but to suffer with back pain.  Which can lead down a bad path, not only are you having to deal with pain in your back, but it can and often times does become worse, or more frequent, or lasts longer.

I had a patient who had been suffering with pain for the last 20 yrs.  Here is what she had to say about her treatment:

“I’ve been to dozens of health care providers including 5 other Physical Therapists. I feel so extremely fortunate and grateful that a pain specialist sent me to Jeremy. After all these years he is the first one to successfully treat me. My pain has been cut in half and it’s only been a short time. I can move much better and more easily and have so much less pain, I can enjoy my life again! Jeremy has listened carefully and created a path for healing specific to my problems. The exercises he has given me me to do are very subtle and easy to do, the results have been nothing less than remarkable, and my prognosis is good. Jeremy is always positive, upbeat and happy and that along with his gentle and kind manner make it a great experience. Thank you Jeremy!”

This is a great example of why I started the practice.  I want to help people just like you, give you another option besides injections, pills, or surgery.  That’s why I created the discovery visit.  The discovery visit is in your best interest, it is absolutely free, no risk, it allows us to have a conversation.  We can discover what is going wrong with your back, you can discover more about physical therapy and you get a chance to make a better, more educated, more informed decision about your health.

Here’s what I want you to do next.  Call 720-357-4079 or shoot me an email at jeremy@advancedpts.com today to inquire about your free discovery visit.  Let’s get you back to your old self again.

Take Care,

Jeremy Wehking PT, FAAOMPT, OCS, PRC

Fellow-American Academy of Orthopaedic Manual Physical Therapists

Board Certified Orthopaedic Clinical Specialist

Postural Restoration Certified

Hip and Back Pain Class

Posted on: October 31st, 2015 by Jeremy Wehking

Hip and Back Pain Class

I had a great time this past weekend in Greeley, CO.  I know what you might be thinking, what’s happening in Greeley? The Postural Restoration Institute put on a Myokinematic Restoration class, and they asked if I could help out with some lab assisting.  I had a great time helping such a wonderful group.  The class was one of the largest I’ve been to, and it was a ton of fun getting to answer questions and assist.  The lead teacher was Jennifer Poulin, and she did a great job introducing the class to the material.  She not only explained the science behind it, but made it clinically relevant.Greeley - Myokin 1-web
      One of the nice things about this material is just how powerful it can be for patients with hip and back pain.  I’ve seen it work really well and work quickly to address muscle imbalances in the body and get people moving without pain.  I’ll be looking forward to my next continuing education class and the chance to geek out once again.

Are you living with, or worried about someone suffering with back pain?

Posted on: October 18th, 2015 by Jeremy Wehking

Are you frustrated by your back pain?  Is your back pain stopping you from working out, walking in the park with friends or family?  Stopping you from doing the things you used to look forward too?  Not sure what’s causing your back pain?

I started my clinic to help people with just this sort of problem.  The majority of people I help come in with complaints of back pain.  But they have usually been suffering for longer than just a day or two.  Most of the people who come in to see me have been in pain for weeks, months, and even years!

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I’m guessing you’re not too surprised to hear that.  Back pain alone usually won’t get people in the door, but when it starts to negatively influence your life, or starts to get worse, is when people start to get concerned.

The next problem they face is what to do about it.  There are so many options out there, maybe you’ve tried some already and haven’t had any success?  This is what I hear from my patients on a daily basis…”I’ve already tried chiropractic, acupuncture, and pain medicine and nothing seems to be helping.”  Maybe you’ve tried physical therapy and that didn’t help either.

I’m here to tell you that you’ve got options.  The problem many people like yourself run into is that when you go to see someone for help with your back pain, that practitioner will do pretty much the same thing for every patient that walks in the door, without listening to you and looking at your specific problem.

That is where I’ve found success for my patients.  I am able to pull from multiple schools of thought to get you the results you want…and avoid injections, pain pills and surgery!

Here’s what a former patient had to say:  “My experience with Jeremy was great.  I will be happy to send anyone to him.  Jeremy was helpful in all aspects alleviating my fears of my back issues.  I am back to my old self.  (NO Surgery)” –J.J.

Many of my patients have seen other practitioners without getting the results they want.  I’ve been fortunate enough to work with some amazing people and help them where they thought there was no help to be had.

I know getting started can be a daunting idea, that’s why I’m offering a free discovery visit, so that we can give you an idea about what is going on with your back and start the process of healing.  The discovery visit is absolutely free, only takes 30 minutes of your time, and best of all allows you to make better decisions about your health.

Here’s what I want you to do next.  Give me a call, because it is in your best interest to come for this free discovery visit.  It will allow us to have a conversation, we can discover what is going wrong with your back, you can discover more about physical therapy and you get a chance to make a better, more educated, more informed discision about your health.

Call 720-357-4079 today or send me an email jeremy@advancedpts.com to schedule your free discovery visit!

Take Care,

Jeremy

Physical Therapy and TMJ Problems – A Unique Approach

Posted on: September 16th, 2015 by Jeremy Wehking

A Unique Approach to TMJ Problems using Physical Therapy

I had the chance to present to the Spine Special Interest Group (SSIG) this past week about physical therapy and TMJ problems.  The SSIG is a group of physical therapists that specialize in the spine and are looking for ways to share ideas and improve their practice.  I was honored to be in their company.  I had the chance to speak about how physical therapy can help patients suffering from temporomandibular dysfunction, commonly referred to as TMD or TMJ (temporomandibular joint).

Physical Therapy can help with TMJ Problems

I like to use a full body approach and then zero in on the problem areas as needed.  Very often a patient can get relief once the cervical spine and thorax are in a good position and functioning properly.  Sometimes the patient still needs some direct work to the joint.  At times a patient may need both a knowledgeable dentist in addition to a physical therapist to attack the problem from all angles.

What’s cool is that I just returned from a dental course about this same topic, and I’ve seen caring people on both sides who are passionate about helping their patients.

The picture to the left shows an example of some of the goofy exercises that can help with a TMD problem.  I use this one to help with breathing and realigning the thorax.  It’s also just kind of funny to see a group of people blow up balloons all at once.

Physical Therapy and Dentistry: A Likely Combination?

Posted on: August 25th, 2015 by Jeremy Wehking

Physical Therapy and Dentistry:  A Likely Combination?

Now it was my turn to tag along with my wife to one of her continuing education classes.  I had the good fortune of attending TMD (Temporomandibular Dysfunction) this weekend at Spear Education in Scottsdale, AZ.  The class was taught by two amazing dentists Dr. Herb Blumenthal and Dr. John Droter along with one incredible physical therapist me and Kathy Kathy Johnson.  I had to get a picture with all of them.  Here’s one of me and Kathy.  These three are doing great things bringing the two professions together and my wife and I couldn’t be happier about it. Me and Dawn(Here’s a picture of me and my bad ass dentist wife).

We do a fair amount of co-treating each other’s patients when it is necessary and find that combining the two worlds can get some results that would not have been possible otherwise.  This class confirms what we have been seeing in the clinic.

Patients that often benefit from both dental and physical therapy integration can present with some of the following symptoms, headache, broken or cracked teeth, jaw pain, daytime clenching, uneven shoulders, and neck pain.  We find that most people that are clenching during the day are often compensating for a neck problem.

It can be difficult to integrate with another professional at times; it involves a lot of communication, understanding and trust.  Luckily for our patients, my wife and I have some very exciting pillow talk!  Who better to communicate with and trust than your spouse?  We talk about teeth, jaws, and muscles all the time (to the benefit of our patients).

That’s why I really appreciate what Spear Education and Kathy Johnson have done to help bridge the gap between physical therapy and dentistry.  There are dentists and physical therapists out there looking for each other in order to help their patients.  For all those practitioners, keep looking there are people on each side of the equation who want to help.  For all of you with jaw pain, call my wife, she’s the best dentist I know.

This is a population of people who we both are very passionate about and enjoy helping.  The sad thing is that there are many people out there who haven’t found the right kind of help yet, but classes like this one are very encouraging because the word is getting out on how to treat these folks, and there are lots of very talented people looking to help.  group selfie

High Co-Pays? High Deductible Plan? Health Savings Account? – No Problem

Posted on: July 9th, 2015 by Jeremy Wehking

High Co-pays? High Deductible Plan? Health Savings Account?

No problem.

Insurance Picture

No insurance is needed at Advanced Physical Therapy Specialists.  Advanced Physical Therapy Specialists provides physical therapy on a fee-for-service basis.

By remaining separate from the insurance process, we don’t have to limit your treatment time or compromise the quality of your treatment. We provide you with the best, most effective, and most efficient physical therapy possible. Non-medical insurance personnel never dictate your treatment at Advanced Physical Therapy Specialists.

Most of our patients have insurance but still choose to come to Advanced Physical Therapy Specialists because of the superior outcome.  All of the visits are one hour and will be spent one on one with a physical therapist.  You will not be handed off to an assistant or aide.  The majority of time spent with the physical therapist will be spent on manual therapy, which has been shown to produce a superior result when compared to exercise alone.  Your time is valuable so we do not have you performing exercises in the clinic that could be done at home.

You do not have to wait for weeks to be seen.  Call today to schedule your Complimentary Phone Consultation at (305) 433-1172.  We will be able to start your treatment on the same day as your initial visit to help eliminate your pain as quickly as possible.

Why Should I go to Advanced Physical Therapy Specialists and pay out of pocket when I can go to another physical therapy clinic and use my insurance?

At many insurance based clinics you will be double or triple booked and handed off to an assistant or aide which leads to failed courses of treatment and longer treatment times.  At Advanced Physical Therapy Specialists you will see the same physical therapist for at least one hour.  Most of the time spent will be on Manual Therapy.  We will not have you doing exercises in the clinic that could be done at home.  At Advanced Physical Therapy Specialists you do not have to wait weeks to begin your treatment.  With this approach we feel confident that we can help you to feel better in less that half the number of visits that a traditional insurance based clinic would want.  Most patients feel the out of pocket expense is more than worth it because of the time saved due to fewer clinic visits and the value of feeling better sooner.

Please call us at (305) 433-1172 if you have any questions regarding what is the best option for you.  You are the top priority at Advanced Physical Therapy Specialists and we will do what is best for you.  We want to get you functional and pain free as soon as possible.