165 Lilly Rd NE, Suite B, Olympia • 360.455-8014

Chiropractor

How PRECISE should my rehabilitation exercise program be?

If I go to a physical therapist, chiropractor, massage therapist or physician, and he or she hands me a sheet of exercises will I get better?  Will corrective exercises from a personal trainer do the trick?  Or does my health care provider need to provide very specific exercises for my problem to help me improve? 

It matters HOW you exercise, WHICH muscles you strengthen and stretch, and IN WHAT ORDER! The evidence is coming out more and more that muscles actually unplug when you have an injury and pain.  How does that information get to you?  Training is available to physical therapists that provide us this information.  We, in turn, provide that to you in the right order and amount to progress you from your injury to wellness. 

Here is an example:   If you have neck pain and headaches it can be from an actual injury to the neck muscles but it can ALSO be due to shoulder blade muscle problems.  If you go look in the mirror now you can see the way your shoulder blade and shoulder hangs from your neck.  If you shoulder looks like a ski slope, chances are the muscles which hold your shoulder blades up are too long and stretched (such as the serratus anterior, trapezius and levator scapulae) and the muscles which pull it down are too tight (such as the latissimus dorsi and pectoralis muscles).    (Here is one article which emphasizes the importance of this idea:  “A Specific Exercise Program and Modification of Postural Alignment for Treatment of Cervicogenic Headache”  A Case Report”  JOSPT 2005, authors:  McDonnell, Sahrmann and Van Dillon). 

Our  three physical therapists at Comstock Physical Therapy have all attended many courses on precise and corrective exercise programs to help you feel better.  Give us a call today at 455-8014. 

(Here is one article which emphasizes the importance of this idea:  “A Specific Exercise Program and Modification of Postural Alignment for Treatment of Cervicogenic Headache”  A Case Report”  JOSPT 2005, authors:  McDonnell, Sahrmann and Van Dillon). 

Depressed shoulder blades

Depressed shoulder blades

Do physical therapists get along with chiropractors?

There are myths out there about physical therapists and physical therapy.  One of them is “physical therapists do not get along with chiropractors.”

Here is a link that highlights the myth:  http://physicaltherapy.about.com/od/typesofphysicaltherapy/a/Physical-Therapy-Mythbusters.htm

The truth is…in my experience chiropractors and physical therapists get along great and even refer to one another for the best interests of  the patient.   Physical therapists are really great at specific exercises that are customized to fix your precise problem,  and chiropractors can manipulate your specific joint to get the pain down quickly.

Together, you feel better quickly and have long term results if you continue your specific exercise program.

Patients get the best of both worlds when there is teamwork between the professions.  Add into the mix a great massage therapist and you’ve got a powerful mix that get people better.

Scientific research… Making Heads or Tails of It

An Olympia, Washington chiropractor, Kelly Golob, has a nice blog about scientific health research. In his blog, he reviews many different health articles and provides a nice summary at the end to help the lay person understand the bottom line.

Often people that don't have a scientific background feel uneasy trying to understand research and apply it to themselves. Kelly does a nice job of intrepreting the information for you. Way to go Kelly!

At Comstock PT, We’re Team Players

Have you ever been treated by a physical therapist, chiropractor and massage therapist at the same time for lower or upper back pain, or neck pain?

Did they:

A) work together as a team and respect one another?

Or

B) did you feel as if you were betraying one health professional if you also saw a different one?

If it was “B” you probably felt like you were stuck in the middle between your different care providers.  You are not sure if their treatments are working together or at cross purposes.

Welcome to a fresh approach, an approach where the client is the center and the providers work together for your benefit.  If you are receiving chiropractic and massage therapy, we will work with your other care to providers to coordinate care and make sure treatments work together.

We work with a number of local chiropractors to assist you in receiving an exercise program which will support your other treatments.  We cross refer back and forth.  We also do this with massage therapists.

In short, if you add PT rehabilitation with your chiropractic and massage, your adjustments may be smoother and easier.  PT will help you hold and progress the gains you make in chiropractic and massage therapy.