Posted on 2/17/2021

Is your child’s e-learning set-up ergonomically correct? Poor ergonomics can lead to poor posture, resulting in neck pain, low back pain, tightness of muscles and weakening of other muscles. It can also cause headaches, tendonitis in the hands/wrists and carpal tunnel syndrome.

With COVID-19 presenting new ways in which schools are conducting class, it is important to maintain proper sitting posture to prevent muscle straining and improve attention. Age does not discriminate against poor ergonomics, especially if long periods of time are spent sitting in front of a computer. Our physical and occupational therapists offer five simple tips that can help you ensure that your child is maintaining the proper sitting posture during e-learning.

Tip 1: Ensure that your child’s feet are planted firmly on the ground. If their feet do not reach the ground, use a text book, plastic container or cardboard box for them to rest their feet on.

Tip 2: Adjust the height of the chair to ensure that there is a 90 degree bend at the knees and hips while sitting. Changing the depth of the seat can alter the angle at the hips. Consider using a pillow or rolled towel to keep the hips bent.

Tip 3: Elbows should rest gently at the side with forearms reaching just forward to the computer, allowing your child’s back to remain against the backing of the chair. If the elbows and shoulders are elevated, try lowering the height of the desk or increasing the height of the chair.

Tip 4: Elevate the screen of the computer so that your child is looking straight forward. Place your device on textbooks, laundry baskets or couch cushions. When it comes time to type, lower the device back to the desk or table. Remember, there should be a 90 degree bend in the elbows to allow the arms to rest close to thigh height while typing.

Tip 5: Kids are wired to play and move! Have your child get up and move around when given breaks during class. Encouraging these movement breaks will improve your child’s attention, regulation and body awareness to help maintain good posture during learning.

If you have questions or concerns about your child’s posture or development, please contact our Kids pediatric therapy centers today to request an appointment.

By: Courtney Engel, M.S., OTR/L, and Meredith Krifka, P.T., DPT, c/NDT. Courtney is an occupational therapist and Meredith is a physical therapist with RUSH Kids Pediatric Therapy in Fullerton, Illinois.

RUSH is part of the Select Medical Outpatient Division family of brands. 

Posted on 1/22/2021

While sports might continue to look a little differently this year due to the COVID-19 pandemic, the safety for our athletes remains a top priority. Our athletic trainers and physical therapists provide crucial education for the protection of our athletes while they are participating in their long-awaited sports seasons, as well as provide comprehensive therapy to aid in the recovery of any injuries sustained.

One of the most prominent, but often less understood, sports injuries is the concussion. There are many myths and misconceptions about concussions, but they can occur from any impact to the head, neck or body. A concussion starts with a physical impact and can be a direct hit to the head or an indirect hit, such as the rebound of the head/neck in a football tackle. The obvious hits are the easiest to recognize; however, the less obvious hits are harder to catch and may lead to missed symptoms.

While not all hits lead to a concussion, it is important that we are on the lookout concussion symptoms. Parents, coaches and teammates should be educated on common symptoms in order to prevent the athlete from playing through injury. Symptoms can include:

• Headache
• Dizziness
• Fatigue
• Feeling foggy
• Difficulty thinking
• Imbalance
• Sensitivity to light or sound
• Blurred or double vision

The presentation of these symptoms may start showing immediately or be delayed up to 24 hours.

It is also important that a thorough assessment be performed to rule out that an injury has not occurred before returning to play. Playing through a possible concussion or missing concussion symptoms overall is a safety concern and could delay return to sport. Always think, “When in doubt, sit them out.” This assures the athlete rests initially for 24-48 hours to allow the body and brain to rest and heal.

During this resting period, to the athlete should avoid mental and visual strain as well as excessive activity. This includes anything that increases your symptoms, such as watching television, playing video games and being on the computer and/or phone.

Most concussions will resolve themselves within 7-10 days, but approximately 15-20% of patients present with lasting symptoms – most notably headaches – which may be the result of delayed healing. Initially, resting the brain helps decrease prolonged symptoms and extended healing times. After the initial resting phase, best practice is to begin an active recovery. Physical therapy intervention can set athletes up with an appropriate exertion program that is safe for the brain.

Our centers offer a variety of opportunities to work with therapists specializing in concussion rehabilitation who help to establish the underlying cause of prolonged symptoms. Each comprehensive examination focuses on the most common factors that may lead to delayed healing, including physiologic recovery (Is your brain healed enough to tolerate activity) and visual and vestibular involvement (Are your eyes or inner ears playing a role in your symptoms? Is the neck involved?).

Our evaluation and treatments are backed by evidence that will help patients recover more quickly in order to safely return to symptom-free participation in their respective sports.

By: Megan Brainerd, P.T., DPT, COMT. Megan is a physical therapist with Select Physical Therapy in Summerville, SC.

Select Physical Therapy and RUSH are part of the Select Medical Outpatient Division family of brands. 

Posted on 1/20/2021

Does your child suffer from bowel and bladder issues? If so, did you know that pediatric physical therapists can help to treat conditions including constipation, urinary incontinence, daytime and nighttime wetting, holding bowel movements and refusing to have a bowel movement?

As a pediatric physical therapist, I believe in a family approach to care and assess muscle strength and muscle imbalances in the body, specifically the pelvic floor. I address body awareness and coordination of muscles so that children can urinate and have a full bowel movement effectively and efficiently. To do this, I use exercise, proper breathing techniques for fun and relaxation, books, videos, play and biofeedback (a way that kids can get “in tune” to their pelvic floor by watching their muscles in a mirror or using a machine) to help children understand their body and take control.

Let’s talk a little bit about where this journey typically starts for a family – potty training. There is so much information on potty training methods, yet there is a relatively small amount of quality research to support or disprove most of the methods. The most successful method will be the one that both you and your child agree on. It is important that you both feel motivated and confident throughout the process.

No matter what method you choose:

• Be consistent.
• Never scold or humiliate.
• Never prohibit from toileting.
• Make sure you know where toilets are when you are outside of the home.
• Reward attempts and successes.
• Incentives do not need to be store bought; spending time together is special enough.
• Make it fun!

Awareness of bladder sensation and control begins in the first and second year of life. Voluntary voiding control begins at two to three years of age. An adult pattern of urinary control should be developed by four or five years of age. It’s not about starting at a certain age, it’s about starting when your child is ready.

According to the American Academy of Pediatrics (2006), your child should show the following signs when they are ready to potty train:

• Is dry at least two hours at a time during the day or is dry after naps
• Bowel movements become regular and predictable
• Facial expressions, posture or words reveal that your child is about to urinate or have a bowel movement
• Can follow simple instructions
• Can walk to and from the bathroom and help undress
• Seems uncomfortable with soiled diapers and wants to be changed
• Asks to use the toilet or potty chair
• Asks to wear “grown-up” underwear
• Can sit on a potty, maintaining the physical position and attention, for a short time
• Is able to communicate bodily sensations such as hunger or thirst
• Demonstrates interest in watching and imitating others’ bathroom-related actions
• Communicates the need to go before it happens

Typically, we see children urinate six-to-eight times per day and have five-to-seven bowel movements per week.

I, too, have been on the potty training adventure with my son Devin. It is not always an easy road, and having a professional to talk with is helpful. Devin was potty trained before I was trained in dysfunctional voiding, but it would have been useful to know about massaging the belly to promote a bowel movement, deep breathing for relaxation of the pelvic floor muscles, and the plethora of kids’ books about potty training.

If you have questions or concerns, please contact your local pediatric therapy center to schedule a complimentary 15-minute consultation to assess the needs of your family’s potty training adventure.

By: Dawn Meller, MPT. Dawn is a pediatric physical therapist and pelvic floor specialist with RUSH Kids Pediatric Therapy in North Aurora, Illinois.

RUSH Kids and RUSH Physical Therapy are part of the Select Medical family of brands. 

Posted on 1/6/2021

Basketball is arguably one of the most popular sports in America, especially among children and young adults. From March Madness to the NBA finals, people love watching and playing basketball. The love for the game does not take away the risk that it carries for injury, though. Whether played recreationally or in an organized league, there are injuries that arise, and some are more common than others.

Outside of head injuries, the most common basketball injuries typically involve the lower body. Some of the most common ones include:

1. Ankle sprains – Nearly half of all basketball-related injuries involve the ankle and foot. From “rolling” an ankle, to landing awkwardly, to getting stepped on, playing basketball leaves athletes open to injury. Treatment for ankle injuries, specifically ankle sprains, involve ICE - ice, compression, elevation - and physical therapy, dependent on the seriousness. 
   
   Most injuries can be treated without a trip to the doctor’s office; however, if there is pain directly on top of the outside bone and you are unable to walk a couple steps, a trip to urgent care could be necessary. Typically, with the right exercise plan, an athlete can be back to their sport in two-to-six weeks.
2. Thigh bruises – Getting a knee to the thigh can be one of the worst pains for a basketball player. Because of this, more and more athletes are beginning to wear compression garments with thigh padding. If hit hard enough in the thigh by an opposing player, the muscle can tighten up and bruise. 
   
   Typically, these injuries can be played through; however, some deep tissue massage by a licensed professional is often needed to help loosen up the muscle. Outside of massage, ICE is recommended.
3. Knee injuries: ACL/Meniscus/Patella tendon – Knee injuries are very common in basketball. The three most common knee injuries include the anterior cruciate ligament (ACL), Meniscus and patella tendon. If you watch or play basketball, you have likely heard of these injuries. 
   
   An ACL tear is probably the most talked about. The ACL is one of the bands of ligaments that connect the thigh bone to the shin bone at the knee. If an ACL is torn, it generally requires surgery and months of physical therapy to return to play. 
   
   The meniscus is the little brother of the ACL. Every knee has two, and oftentimes they are injured along with the ACL. The meniscus is the cushioning of the knee joint. Without them, the thigh bone would sit directly on top of the lower leg bones, which would get uncomfortable quickly. Treatment for meniscus injuries can vary from ICE, to surgery and physical therapy, to just physical therapy. 
   
   Lastly, patella tendonitis, typically known as jumper’s knee, is the most common knee injury. It is a result of inflammation of the patella tendon which connects your kneecap to your shin bone.  Jumper’s knee can usually be healed with a personalized exercise plan from a physical therapist.
4. Jammed fingers – Jammed fingers are exceptionally common in basketball. They normally occur when the tip of the finger hits the ball “head on” without bending. This motion can lead to swelling in the finger and immediate pain. 
   
   Although uncomfortable, this injury isn’t usually serious. Jammed fingers typically heal without medical interventions or trips to the emergency room. Buddy taping (taping the finger to the finger next to it) and ice can you heal in as little as a week. However, if pain or swelling persists, a trip to your doctor or a consultant with a physical therapist may be necessary.
5. Concussion – Concussions make up about 15% of all sport-related injuries, not just basketball. Most of these injuries are typically managed either by an athletic trainer alone, an athletic train and physical therapy or by an athletic trainer in combination with a doctor or other health care professional. A concussion is brain injury that occurs after an impact to the head, neck or body. In basketball, a few examples of when concussions occur is when an athlete hits their head on the hard gym floor or when there is a head-to-head, head-to-elbow, head-to-shoulder, etc., collision. After a concussion is diagnosed, the athlete is unable to return to play for a minimum of five days. Some concussion recoveries can go slowly, with symptoms lingering. When this occurs, concussion and vestibular rehabilitation by a licensed physical therapist is a great option.

Nearly all of these injuries can be resolved with the help of a licensed physical therapist. If you suspect that you have one of these injuries, please contact a center near you to request an appointment today. With a guided treatment and exercise plan provided by a licensed physical therapist, you can be back on the court in no time.

References:

• https://www.muellersportsmed.com/blog/post/five-common-basketball-injuries
• https://www.excelsiorortho.com/blog/2016/03/21/the-5-most-common-basketball-injuries-and-how-to-prevent-them
• https://www.stopsportsinjuries.org/STOP/STOP/Prevent_Injuries/Basketball_Injury_Prevention.aspx
• Erica N. Fletcher, Lara B. McKenzie, and R. Dawn Comstock (2014) Epidemiologic Comparison of Injured High School Basketball Athletes Reporting to Emergency Departments and the Athletic Training Setting. Journal of Athletic Training: May/Jun 2014, Vol. 49, No. 3, pp. 381-388.

By: Wyneisha Mason, MAT, ATC. ‘Neisha is an athletic trainer with RUSH Physical Therapy in Chicago, Illinois.

RUSH is part of the Select Medical Outpatient Division family of brands. 

Posted on 12/15/2020

Recently while watching a NFL football game, I came across a commercial with former professional football player John Elway. Mr. Elway was talking about a hand issue he was having called Dupuytren’s contracture, and he explained that there is now a non-surgical treatment option for this condition.

As a certified hand therapist for almost 17 years now, I am very familiar with Dupuytren’s contracture. However, to see this hand issue brought to life via a TV commercial definitely caught my attention as it isn’t often discussed. In the commercial, Mr. Elway talks about having difficulty with common, everyday tasks and shows a picture of the contraction in the palm of his hand.

So, you may ask, “What is this condition?”

Imagine having a finger, or fingers, bent into the palm and being unable to open the hand up fully. This would affect your ability to lay your hand flat on a tabletop, place your hand into a glove or shake hands. In the case of Mr. Elway, he could not grip or throw a football correctly, an activity that he had done for 16 years as a football player. It even affected his golf game.

There is no known cause of how Dupuytren’s develops. It has been thought of as a condition that people who have origins in northern European countries can contract. It is often called “The Viking’s Disease.” It is most commonly found in men of 50-60 years of age, but women can also be impacted. It affects three percent of the U.S. population.

Dupuytren's symptoms can take a long time to develop. Mr. Elway mentions in the commercial that he was diagnosed 15 year ago. Signs of Dupuytren’s includes:

• A hard lump in your palm
• Inability to place your hand flat on a surface such as a tabletop or counter
• Scar-like bands that form in the palm
• Fingers bent into the palm with the inability to open/extend your finger fully
• Hand pain (although this is less common)

Our hands contain a tough, fibrous layer of tissue called palmar fascia which gives us a protective layer between our skin and tendons. It also gives our palms firmness. In Dupuytren’s, the fascia can thicken and contract. The most common, visible sign of Dupuytren’s are the hard lumps and bands which are known as nodules and cords. The combination of nodules, cords and the contracting palmar fascia can make your fingers bend in toward your palm.

I often see patients with Dupuytren’s contracture after they have had some sort of procedure or surgery done to their hand. Many have come to me after they have been diagnosed and treated by a hand surgeon. There are two popular techniques to manage Dupuytren’s contracture, as there is no cure:

• Surgery, where a hand surgeon opens up the skin and removes all the excess tissue. 
• An injection to the fibrous cords, which will break them down.

Typically after either surgery or the injection, therapy by a certified hand therapist is indicated. There are many ways that a certified hand therapist can help patients with Dupuytren’s contracture.

Therapy after surgery or injection would first consist of an extension orthosis, commonly known as a splint. An orthosis is custom-made for each patient using a piece of thermoplastic material and Velcro strapping. This would help the finger or fingers stay straight. A patient can wear this full-time or just at night, depending on what their surgeon indicates.

Range of motion exercises are given to help regain full mobility of the hand and fingers. A patient’s wound would be addressed if they have had surgery to watch for infection and manage scar tissue. Lastly, a patient’s strength would be addressed. The end goal for our patients is that they will have functional capability of their hands and are able to perform all the activities of daily living that they choose to do in their lives.

Please contact your local outpatient center to schedule an appointment with a certified hand therapist to discuss the various options for Dupuytren’s contracture and determine if therapy may be beneficial for you.

By: Kelly Lee O’Connor, M.S., OTR/L, CHT. Kelly is an occupational therapist/certified hand therapist for NovaCare Rehabilitation in Horsham, PA. Images supplied by Linda Lamaute, M.S., OTR/L, CHT.

NovaCare and RUSH Physical Therapy are part of the Select Medical Outpatient Division family of brands

Posted on 12/1/2020

In today’s “new normal,” day-to-day life, personal health and wellness is at the forefront of all of our minds. We are protecting ourselves, cleaning more often and trying our best to live fit and healthy lives. One of the most important factors in determining our long-term health and wellness is the food that we put into our body. Especially during this time of year, when sweets and rich foods are easily in reach, it’s more important than ever to make sure our diet is full of nourishing foods to fuel our immune system and fight off illness.

While a healthy, balanced and colorful diet is extremely important, there are a few key vitamins and minerals that help build our immunity more than others. They all act on different parts of our body’s reaction to illness, allowing the body to fight longer and harder against these intruders. These particular vitamins, and some of their function in the immune system, include:

• Vitamin C – Protects your cells against free radicals, and absorb/store iron
• Vitamin B6 – Makes antibodies to fight disease
• Vitamin E  – Defends your cells against free radicals

Luckily for us, these vitamins are found in many of the foods that we eat on a daily basis. Some common foods that contain these nutrients include:

• Vitamin C – Oranges, strawberries, bell peppers, spinach, broccoli, and kale.
• Vitamin B6 – Tuna, salmon, chicken, chickpeas, bananas
• Vitamin E – Vegetable oil, peanuts, sunflower seeds, almonds, spinach, broccoli

The above is by no means an all-inclusive, but definitely a good starting point to begin making changes to help strengthen your immune system. Although these vitamins can easily be found in the health and wellness aisle at your local grocery store or pharmacy, it is not the best way for our body to absorb and take in these nutrients. Including foods that contain high amounts of each of these vitamins into our diet is a much easier, and healthier, way to get our body’s fill.

Another important aspect of strengthening our immune systems that comes in handy during the current times is daily physical activity. This could include walking, running, hiking, yoga and strength training. Any time you are getting your heart rate up and blood pumping, you are stimulating your body to build stronger muscles, flushing out the lungs and heart as well as boosting your immune system. Exercise helps recruit specific cells that find pathogens and wipes them out, as well as increases the amount of these cells that flow through the body on a regular basis.

If you have questions, a nagging injury that is limiting your ability to perform daily tasks or are unsure about the right path to take for your personal wellness journey, please reach out to your health care provider to discuss the best plan for you.

By: Erica R. Konopka, P.T., DPT. Erica is a physical therapist and multi-site center manager for Select Physical Therapy in North Carolina. 

RUSH Physical Therapy is part of the Select Medical Outpatient Division family of brands.

Posted on 11/10/2020

Did you know that exercise is one of the most under-utilized tools for managing many aspects of your health? It is well known that exercise can help with weight loss by boosting your metabolism and burning calories, but there are so many more benefits, especially as we age.

Individuals naturally lose bone density and muscle mass as they age. Studies show that after the age of 50, bone breakdown occurs more than bone strength. Women particularly see an acceleration in bone loss around menopause, which puts them at a higher risk for osteoporosis. While there are supplements to help with this, regular weight-bearing exercise reduces the risk for osteoporosis.

At age 30, we naturally begin to lose muscle mass; physically inactive individuals can lose between three-to-five percent muscle mass each decade after 30. These factors lead to an increase in frailty, which in turn increases the likelihood of falls and fractures. The good news is that you can offset these problematic changes by sticking to a regular exercise program.
Here are some other great and important benefits of regular exercise:

• Exercise helps to reduce the risk of chronic disease. According to The National Institute of Health, lack of regular exercise is the primary cause of chronic disease in the United States. Getting into a fitness routine can increase insulin sensitivity, which in decreases blood sugar, blood pressure, fat levels in blood and cholesterol. It also improves cardiovascular health.
• Do you have a high stress job? Do you easily allow anxiety to interfere with life? Regular exercise can help with that. Exercise triggers your brain to release endorphins in your body which are mood enhancers and natural pain killers. They create a feeling of well-being. Along with being a mood enhancer, exercise also helps to increase energy levels. Exercise has been shown to begin to help elevate moods in as little as 10 minutes into the activity.
• Improving brain health and memory. Exercise increases your heart rate, blood flow and oxygen to your brain. According to a study by the Proceedings of the National Academy of Sciences of the United States of America, regular aerobic exercise increases the size of the hippocampus, the part of your brain that is involved in verbal memory and learning. Exercise also stimulates the release of growth factors chemicals in the brain that affect brain cell health, the growth of new blood vessels in the brain and even the survival of brain cells. Reduce your risk factors by beginning an exercise program today.

You don’t need to exercise for hours at a time to see results in your general well-being. By setting aside 30 to 45 minutes most days of the week for moderate physical activity (brisk walking, swimming, strength training), you can reap the rewards of enhanced health and wellness.

Now that you are aware of all of the great benefits from regular exercise, why not jump in? You don’t have to be a seasoned athlete to exercise. If you are nervous about beginning a program, a physical therapist is a great resource to help design a safe and effective program for you. Physical therapists are movement specialists who are more than qualified to set up an appropriate program to fit your needs.

In most states, you can choose to see a physical therapist without a referral from a physician. If you do need a referral, most primary care doctors will gladly provide you with a prescription for physical therapy so that you can begin your journey to a better, healthier you.

Make time for your wellness before you are forced to make time for your illness. Your physical therapist can help.

By: Colony A. Hopkins, P.T., DPT, COMT, AIB - VR/CON. Colony is a physical therapist with NovaCare Rehabilitation in Uniontown, Pennsylvania.

RUSH and NovaCare are part of the Select Medical Outpatient Division family of brands. 

Posted on 10/12/2020

For the management of some types of pain, prescription opioids can certainly help. However, there is not enough evidence to support prolonged opioid use for chronic pain. We sat down with Katie McBee, P.T., DPT, OCS, M.S., CEAS II, PYT-C, regional director of our WorkStrategies Program, to ask her a few questions regarding opioid use, chronic pain and the benefits of physical therapy as a safe alternative to prescription medication. 

1. In your opinion, what are the main reasons for the opioid epidemic in the United States?

There is no simple explanation as to what caused the opioid epidemic in the United States. Opiates are not a new drug and have been abused at other time periods in American history, but not nearly to the extent that is happening now. For example, with health care access issues due to COVID-19, opioid prescription rates are on the rise with death rates up 30% since the pandemic’s onset.

Initial research on opiate medications said they were effective and safe and addiction was rare when used for short-term pain.¹ The development of FDA approved OxyContin in 1995 had labeling that stated iatrogenic addiction was “very rare,” and a widespread marketing campaign to physicians started to build medical providers’ confidence in prescribing these medications to decrease pain-related suffering.² Add to that the 2001 standards implemented by the Joint Commission on Accreditation of Healthcare Organizations for organizations to improve their care of patients with pain medication and this is probably what catalyzed the beginning of our current opioid epidemic.  

With medical providers focused on pain as a vital sign, pain quickly became the enemy and had to be eradicated to show successful management for many conditions with an increased focus on post-operative pain management. As drugs became more widely available, aggressively advertised and culturally acceptable, a three-fold increase in prescription rates for these medications ensued. With the increase in opioid prescription rates, death rates from side effects also increased by three-fold to more 16,000 in 2011. 

2. What is the difference between chronic pain versus pain suffered as a result of an injury? 

Pain is a mechanism designed to protect us from harm. Pain is not the enemy. A common misconception about pain is that it is not a simple cause/effect relationship. The amount of injury does not equal the amount of pain we experience. Pain is a complex process based on many areas of the nervous system and the brain communicating together to let us know what we need to prioritize and protect. The more threatening the brain perceives something, the more we potentially feel pain. 

Acute pain or pain suffered immediately after an injury or surgery to the body’s tissues is a protection mechanism from the brain to remind you to protect the area so that no further harm is done. As the tissue heals and time passes, there is less threat of injury so the brain stops signaling, the pain eases and you slowly get back to normal activities. 

In chronic pain, the tissues are not signaling danger to the brain as much as they are in acute pain. When the brain perceives threat for extended periods, it starts to change the nervous system to become a pain-producing machine. It creates new nerve junctions to make things hurt that wouldn’t normally hurt, like light touch on the skin. It can decrease the amount of pressure needed to create a pain signal. It creates more chemicals along the nervous system so it can create greater pain experiences with fewer stimuli. Research is still trying to figure out why some individuals have pain that goes away as the tissues heal and others have pain that persists despite the fact that the tissue has healed.

Individuals can be at risk of developing chronic or persistent pain for a number of reasons, including unhelpful coping strategies, stress, chronic illness and poor sleep habits. It appears the more emotional or physical stress going on at the time of the injury and/or during the healing process, the more at risk you can be of developing a persistent pain issue. A holistic approach to address some of these drivers of persistent pain is showing promise in being able to reduce the pain and get people with chronic pain back into their normal lives again.

3. Why is physical therapy important and what are some of the benefits to patients? 

Physical therapy is an ideal treatment for many types of acute and chronic pain and should be a part of any single or multidisciplinary treatment plan for pain. The goal of physical therapy is to increase function and keep people in their meaningful life activities while they are healing. Physical therapists are trained to address many of the drivers of chronic pain and can perform testing and screening to see if your pain system is sensitized and adjust treatment to desensitize the pain system as well as address the functional limitations many people often experience when they are in pain.  

Physical therapists have many tools they can use to decrease pain and desensitize the pain system. These tools include education on pain to discover what could be driving pain issues. Once the pain drivers are discovered, a physical therapist will develop a holistic plan to address these drivers, including increased activity, sleep hygiene, stress management skills and pacing techniques. 

The best thing about physical therapy for pain is that the outcomes for some of the techniques are better than many medications and procedures available; plus, there are no negative side effects. If you or someone you know has an issue with pain, please request an appointment today to begin physical therapy treatment. 
References

1. Porter J, Jick H.  Addiction rare in patients treated with narcotics. N Engl J Med. 1980;302:123.
2. Van Zee A. The promotion and marketing of OxyContin: commercial triumph, public health tragedy. Am J Public Health. 20:99 (2):221-227.

Posted on 9/24/2020

Mechanicsburg, Pennsylvania, and Chicago, September 24, 2020 — Select Medical Corporation, a wholly-owned subsidiary of Select Medical Holdings Corporation (NYSE: SEM), today announced a joint venture agreement with Rush University System for Health (RUSH) to manage operations of a critical illness recovery hospital, inpatient rehabilitation hospital and 63 physical therapy centers throughout the greater Chicago and Northwest Indiana region. Select Medical will serve as both the majority owner and managing partner across the three post-acute care lines. Subject to the approval of the IL Health Facilities and Service Review Board, the agreement also includes the construction of a new state-of-the-art 84-bed hospital at Rush University Medical Center on Chicago’s West Side, with 30 beds dedicated to critical illness recovery and 54 beds for inpatient rehabilitation. Anticipated completion of the new facility, which will be named Rush Specialty Hospital, is 2022. In the interim, Select Medical will manage the existing Rush Rehabilitation unit located in the Johnston R. Bowman Health Center on the Medical Center campus.

“This partnership brings together a top academic health system and the leading post-acute care provider to serve the growing needs of the Chicago metro area and Northwest Indiana,” said David S. Chernow, president and chief executive officer of Select Medical.“ RUSH and Select Medical share a strong commitment to clinical excellence guided by innovative, research based care, quality and safety. Together we will deliver world-class care and outcomes to patients with critical illness or catastrophic injury that puts them on a recovery path back to community and home.” Under the agreement, the combined outpatient rehabilitation centers contributed to the joint venture include 62 NovaCare Rehabilitation, Select Physical Therapy and Michiana Orthopaedic & Sports Physical Therapy locations from Select Medical, as well as the Rush Rehabilitation center. All 63 outpatient centers will be rebranded as RUSH Physical Therapy.

“In a post-COVID-19 world, post-acute services will be even more important, and as a national standard-bearer of quality and safety, RUSH was looking for a strategic partner that would complement the excellent care our patients and their families have come to expect,” said Dr. Ranga Krishnan, chief executive officer of Rush University System for Health. “Providing this broad offering of services will help us further the RUSH mission, and this partnership with Select Medical enables us to make significant advances that will benefit patients in important ways.”

About Rush University System for Health
Rush University System for Health (RUSH) brings together the brightest minds in medicine, research and academics. Driven by discovery, innovation and a deep responsibility for the health of our communities, RUSH is a national leader in outstanding patient care, education, research, community partnerships and empowering a new generation of health care providers. Rush University Medical Center is ranked among the top hospitals in the nation by U.S. News & World Report. The Medical Center was also ranked No. 1 in the nation by Vizient and named a Top Teaching Hospital by The Leapfrog Group. RUSH includes Rush University Medical Center, Rush University, Rush Copley Medical Center and Rush Oak Park Hospital, as well as an extensive providers network and numerous outpatient care facilities. Rush University comprises four colleges: Rush Medical College, the College of Nursing, the College of Health Sciences and the Graduate College.

About Select Medical Holdings Corporation
Select Medical is one of the largest operators of critical illness recovery hospitals, rehabilitation hospitals, outpatient rehabilitation clinics, and occupational health centers in the United States based on number of facilities. As of June 30, 2020, Select Medical operated 101 critical illness recovery hospitals in 28 states, 29 rehabilitation hospitals in 12 states, and 1,757 outpatient rehabilitation clinics in 37 states and the District of Columbia. Select Medical’s joint venture subsidiary Concentra operated 522 occupational health centers in 41 states. Concentra also provides contract services at employer worksites. At June 30, 2020, Select Medical had operations in 47 states and the District of Columbia. Information about Select Medical is available at www.selectmedical.com.

Posted on 10/7/2020

Up until a few months ago, my life as a physical therapist was pretty normal. I went to work, did my job, helped my patients and team to the best of my ability and went back home. At the time I was working in a critical illness recovery hospital with some of the sickest patients in my geographic area, people recovering from major trauma and significant illnesses. I was part of a great team, but it was heavy work. I felt myself becoming burnt out and struggling to do my best work. I have done hospital-based and outpatient work throughout my career, so I began to think that a transfer to Select Medical’s Outpatient Division might be my next move.

Fast forward a few months and interviews later and I accepted a site supervisor position at an outpatient center. About a month into my new role, COVID-19 wreaks havoc on the world. It was a daily pivot in terms of center operations and managing a team during a global crisis. I was also in a really unique position because I had spent almost 10 years working in critical illness, learning about cardiopulmonary physical therapy, infectious diseases and protective equipment. I felt confident I could lead my team effectively with the best information I had. As we started to move through the pandemic, our greater area was looking for someone to help lead a developing COVID-19 recovery program and I felt uniquely qualified.

Rush Physical Therapy's clinical team had put together a top-notch Recovery and Reconditioning Program for those compromised by a variety of acute and chronic conditions, such as after-effects of the flu and cardiovascular disease. Developed in partnership with leading physicians, including physiatrists and infectious disease specialists, the program focuses on identifying key areas of deconditioning and weakness in patients. Rush Physical Therapy's licensed physical and occupational therapist are specially trained in the program, with each clinician having access to the most up-to-date COVID-19 information, best practices and safety precautions.

Physical, occupational and speech therapy is critical in helping COVID-19 survivors get back to their lives and jobs. This virus can be extremely debilitating on its own, and even worse when combined with the effects of limited mobility during hospitalizations, prolonged mechanical ventilation or additional medical complications. As physical rehabilitation professionals, we are uniquely qualified to work with these patients to:

• Increase mobility, balance and stability
• Decrease pain, soreness and general fatigue
• Improve range of motion and breathing capability
• Address cognitive impairments, dizziness and weakness
• Ensure a safe recovery to activities of daily living  

Our clinical team believes firmly in safety first and have put out guidelines for monitoring patients to ensure we are exercising them hard enough to make progress, but not overstress their systems. We are also educating these survivors on how to monitor themselves during home exercises or simple household activities like cleaning and chores.

While this global pandemic has had a lot of challenges and negative aspects, when I really step back and look at the whole picture I am impressed with how we positioned ourselves. Every day, we are committed to putting patients first, keeping patients and clinicians safe and assisting those who have survived COVID-19 back to their highest quality of life. That’s something to be proud of, and we look forward to helping more and more heal through our Recovery and Reconditioning Program.

To learn more about our program or to schedule an appointment today, please click here.

By: Erica R. Noel, P.T., MSPT. Erica is a physical therapist with Banner Physical Therapy in Phoenix, AZ. RUSH Physical Therapy is part of the Select Medical Outpatient Division family of brands.