The Blog of Head to Toe Physical Therapy
An insight into our world of Physical Therapy
Topsham and Lewiston, Maine
With the warmer months rapidly approaching, those of us with at least one active bone in our bodies, sit at our desks waiting for the 5 o’clock inner alarm to ding, day dreaming of where the next outdoor adventure will take us. For some, it’s a tennis racket, round of golf, quality time in the garden or maybe a game of kickball. For many, springtime means the beginning of race season in New England. We run for personal goals, a commitment to wellness, or a stress relieving activity. No matter what the reason, in order to be successful at running we must be prepared!

Not only do we need to be mentally and physically ready, but we must also have the proper equipment (aka sneakers!) One of our employees recently signed up for her first 5k. Without any help from our PTs, she bought new spiffy sneakers to train for the occasion. Unfortunately, an uneducated shoe purchase led to pain and discomfort in her training efforts. Thankfully, she was able to trade the cool looking kicks for a pair that provides her with more stability (and still actually looks cute!), greatly reducing the pain she was feeling in her shins.

This may seem obvious, but just a reminder: we are all different! This includes the way we walk and run. Some people have feet that pronate while others supinate (flat feet vs. high arches). This greatly influences the type of sneaker that will be right for you.
So what do we recommend? Consult a professional- your physical therapist or an associate at a running shoe store. Either one of these professionals can watch you walk to determine your individual needs. Do you need a shoe with a lot of support? Do you need a lighter, more flexible shoe? Believe us; just a little bit of shoe education can be the difference between injury and success in whatever your running routine may be.
Are you or do you think you may be one of the many Americans who suffer from Carpal Tunnel Syndrome? This is a painful, yet preventable and treatable condition when diagnosed. Take a moment to read the article below to see if you too could be suffering from CTS.
Carpal Tunnel Syndrome is a common condition of the wrist and hand that can affect the use of the whole arm. It is caused by pressure on the nerve at the base of the palm (median nerve). Because of the physical demands of using the wrist and arm, carpal tunnel syndrome is common and affects nearly 1 in 20 Americans. Fortunately for most people who develop CTS, physical therapy can prove to be a huge help in relieving pain and numbness, restoring use of the hand wrist and arm without the need for surgery.
The carpal tunnel is a narrow channel on the palm side of your wrist. The tunnel protects the median nerve and the tendons that bend your fingers. Pain is caused by crowding or pressure of this nerve leading to carpal tunnel syndrome. CTS is most prevalent in jobs that require a lot of movement of the fingers including any machinery type jobs with machinery that tends to vibrate. Although key-board work is often associated with CTS, it is more frequent in assembly type jobs.
Carpal Tunnel Syndrome will often be diagnosed in combination with your physical therapist and primary care doctor. Once evaluated by your physical therapist, a plan of care will be developed. This can include:
Of course, every individual is diagnosed and treated based on their individual symptoms and needs. At Head to Toe PT we pride ourselves on treating the individual, not just the injury, which means evaluating the whole body and lifestyle to determine what exactly could be causing your carpal tunnel flair-ups. If you are experiencing any of the symptoms described above, they can be treated by your PT. It is best to do so sooner rather than later to avoid painful surgery. Please contact Head to Toe PT or your primary care doctor to see how we can help you back to your pain free life!
*The majority of the above information is provided by the American Physical Therapy Association’s Move Forward web site. Please visit www.moveforwardpt.com for more information.
Do you ever wonder how the way you walk affects your overall physical fitness? Believe it or not the right shoe and a little coaching on your stride could make all the difference in the world. I bet you would be suprise to see how the way you walk effects so many joint and muscle functions within your body. Please check out this article below from our friends at active.com and see how your stride could be improved!
If you are having problems with your walking posture, or something just doesn't feel quite right, give Head to Toe PT a call to see how we can help!
By Coach Al Lyman, CSCS, FMS, HKC • For Active.com
Many people think gait analysis is all about—and only about—someone watching you walk or run and evaluating your feet and your shoes. How many of you have done the following? A clerk in your local running store watches you jog, and suggests a pair of shoes that are more stable, or more neutral, or more cushioned, or are the type that "forces" you to land mid-foot. Voila! Your biomechanical problems are solved. This is what most people know and have come to accept as gait analysis.
Let’s examine the most common misconceptions about gait analysis, and create a real picture of what it is, what it isn’t, and how it can be helpful to you as an athlete. True gait analysis is not a generic exercise, but is a scientifically-based and technically-precise process. It is highly individualized, and reveals a lot about how you will hold up to training and, ultimately, perform.
What Is a Gait Analysis?
When we conduct a gait analysis, your feet are only one small piece of your biomechanical puzzle. What happens to your feet is merely part of a holistic, whole body, integrated movement pattern. Running, like most other whole-body activities (such as swimming or many field sports), is essentially a unique way of moving.When an athlete is analyzed statically, dynamically, and then running on the treadmill during a gait analysis, it serves to provide a unique, personal movement "map." That "map" reveals the programming of everything happening within your body—from kinesthetic awareness and habit, to individual levels of mobility, stability, flexibility, and functional strength. The analysis of all these different elements taken together is what creates a complete picture of a person’s gait. In essence, it is far more than just gait analysis. It is true "movement" analysis.
Gait analysis uncovers precisely how your body is moving. Every activity, even standing still, represents a unique movement pattern. That pattern is bred from your habits and lifestyle, as well as your body’s mobility, stability, flexibility and strength. Every action you take—running stride, pedal stroke, swim stroke, etc.—represents that unique movement pattern. If your movements include compensations (and they likely do), gait analysis can pinpoint the areas in the body where these losses of efficiency originate.
Athletes get into trouble when major compensation, which often leads to true dysfunction, continues for extended periods of time.
How Compensations Affect Your Gait
Compensations in the body lead to imbalance around the joints. The larger prime movers (hamstrings, glutes, quads, etc.) become less active, and end up contributing less than their fair share of the work in moving us around. The smaller/tiny stabilizing muscles are forced to step in (compensate) and do the work of the larger, more powerful prime movers. The stabilizers are taxed day in and day out, mile after mile. Over time they end up, in a word, fried. Shredded. The wear and tear on the stabilizers greatly compromises recovery and your ability to train consistently. In short, this scenario is an injury waiting to happen. We see it over and over again.
Discovering the inefficiencies and compensations unique to you is the power of what true gait analysis can reveal. Once uncovered, these inefficient and costly "energy leaks" that rob you of power and free speed can be addressed. This cannot be overstated: Improper, unbalanced movement limits your ultimate potential and puts you at an exponentially-increased risk of injury.
In short, gait analysis is about you, and your personal and unique way of moving. Unless the underlying causes of your dysfunctional movement patterns are addressed, your patterns won’t change, and, thus, the risk of injury won’t improve. Gait analysis is about looking at your entire body as a holistic organism—a single amazing unit. It goes far beyond an untrained eye watching you jog in a pair of sneakers.
Can you remember the last time you were watching the local or national news and there was NOT a mention of the troubling state of the economy? We certainly can’t. Unemployment is up, small town America is suffering and many Mom and Pop businesses are being forced to close their doors due to big box competitors. With such a big problem, it seems overwhelming to determine where to begin to try and solve it.
There are many ways to make an impact to our Nations economy, beginning at the local level. Buy local. Shop at the Mom and Pop businesses, visit your local farmers market and try to be conscious of where the items you are purchasing were made. If you can, why not buy something that was created in the state you live in? The money you spend will support local families and businesses allowing them to survive all while sustaining your local economy.
How does this fit into Physical Therapy you may be wondering? Just as there are Mom and Pop stores with big box store competitors, the same goes for physical therapy clinics. At Head to Toe Physical Therapy, we are a locally owned and operated outpatient physical therapy clinic. We are not affiliated with any medical providers and choose to support other area local businesses when good or services are needed. We try and do a small part to lend a hand in hopefully changing the economical environment surrounding us.
At a more grass-roots level, the result will begin to create itself through minimal changes in one’s lifestyle. Stop at your local coffee shop in the morning instead of a large corporately owned chain. Visit your local hardware store instead of one of its larger competitors. Ultimately these choices will not have a huge impact on your personal bottom line, but will have a great impact on the local business you choose to support and their overall survival.
If nothing more, we hope that this blog post will provoke a little thought in your purchasing habits. Though it seems like a huge mountain to climb, we can make a difference, one transaction at a time.
“Be the change that you want to see in the world” –Mahatma Gandhi
Recently, the lower level build out within the Topsham clinic location has been completed! There are 3 professional office suites available for lease individually or as an entire unit.The space was created with the opportunity for health profession networking within the physical therapy clinic and throughout the office suites. This is the perfect opportunity to expand a practice for a massage therapist, chiropractor, aesthetician, occupational therapist or any type of health related profession. The space offers handicap accessability, storage, and ample paved parking places very close to the entrance. Please contact Jill at 725-4400 if you or someone you know would be interested in learning more or to view the space in person.
Shared entry/ waiting area
View of one room from within
Room from doorway
Possible set up for a massage therapist
The space is brand new, and looks even better in person. If you or anyone you know may be interested, call Jill to make an appointment to see the beautiful possibility awaiting you! 725-4400.
The below freezing temperatures lead us to believe that winter has finally arrived here in Maine! Usually you are one of two types of people throughout the winter months in the North East. You either love it or hate it. Not very often do you find someone who is somewhere in the middle of that spectrum. You love it or hate it, plain and simple.
For many of us who "love it" and enjoy skiing, showshoeing, snowmobiling, sledding or any other "s" verb you can think of to describe snow activities, the sight of the first snowfall is invigorating! Of course, along with the beauty of perfect snowflakes falling from the sky, comes risk of suffering from many different types of winter related injuries.
First and foremost; winter driving. As a physical therapy clinic, we are not going to teach nor give you pointers on how to drive in the snow, but we will say this: SLOW DOWN!!! If you have somewhere that is imperative you get to during a storm, please give yourself enough time to get where you are going and travel at a moderate pace. We see a number of patients at Head to Toe who have suffered injuries from automobile accidents, and we would love to see that number decrease. Nobody likes getting into an accident that could possibly have been prevented.
Once you have gotten where you are going, try to be aware of your surroundings. One in three adults age 65 and older suffers from a fall each year, with this statistic greatly increasing throughout the winter months. If it has recently snowed or rained with falling temperatures, there is a good chance the ground is going to be slick. Walk lightly, take baby steps and use assistance whenever possible. Who cares if you "look silly", take charge of your risk of falling and don't become a statistic.
Another danger in the winter months is hypothermia. Often people associate hypothermia with winter sports, or even have visions of people climbing Mt. Everest, but it can occur a lot easier than you may think. According to The Center for Disease Control: Hypothermia most commonly occurs at very cold environmental temperatures, but can occur at even cool temperatures (above 40 degrees) if a person becomes chilled from rain, sweat or submersion in cold water. Hypothermia warning signs include shivering/ exhaustion, confusion/ fumbling hands, memory loss/ slurred speech or drowsiness. If you think you or someone you are with could be suffering from hypothermia, immediately take a temperature reading. If it is below 95 degrees seek medical attention at once! If symptoms are not extreme, get into a warm room and begin to warm the body with an electric blanket if possible. Remove any wet clothing and continue to stay warm and dry until internal body temperature increases to normal. Of course it is always advisable to seek medical attention even if you do not feel your symptoms were severe, its better to be safe than sorry.
Along with the colder weather comes achy joints and pains not often felt in the summer months. Though we cannot change the weather, we can give you ways to cope with how it affects you. One major pain-saver in physical therapy use is aquatic therapy. Our pool is kept at 85 degrees, the warm temperature aids in moving stiff sore joints and to be honest, the warm pool just plain feels good in the winter months! If aquatic therapy is not your thing, we have many other land-based routines that will help ease the pain felt throughout winter months.
Though winter is often an enjoyable time, it is more enjoyable if you use caution and are aware of winter injury risk factors. We hope everyone has a fun winter, and always remember Head to Toe PT is here for you if you need us!!
A very dear friend of mine recently developed a cyst like growth on her leg. Initially she dealt with it as most of us would, by conducting personal research on what it could possibly be and praying it would just go away! She did not have health insurance and was avoiding a visit to the doctor like the plague. After about a week, it had only worsened. She bit the bullet and went to see a doctor and was diagnosed with cellulitis. Because she was in severe pain and only had the option of waiting until the antibiotics did their magic to help her condition, the doctor prescribed her with pain medication. As someone who did not frequent the doctors’ office, pain medication is not something she has or would usually take, but in this case the pain was unbearable.
In hindsight, she wishes she had never taken the pain medication. It made her paranoid, have crazy dreams both while sleeping and awake, become temporarily depressed all while living in a fog while the meds were in her system. She took the pain medication over a 2 day period and felt it took a solid three days of not taking the medication before she somewhat felt like herself again.
For her condition, physical therapy was not an option to aide in her healing process. But for many others who take pain medication on a consistent basis to deal with chronic low back pain, neck pain, headaches or whatever the ailment may be, physical therapy is a treatment alternative.
According to the American Physical Therapy Association, physical therapists teach patients self-management skills and how to deal with pain in day-to-day life. They show people how to build up strength and improve range of motion, and how to make sensible decisions on how to avoid pain flare-ups. They teach the skills necessary to eliminate the pain and its triggers all together, rather than providing a mask for the pain (such as pain medication).
“Bodies are meant to move. Healthy joints and muscles need to go through their complete range of motion to prevent stiffness and soreness we often experience when being inactive,” says Patrice M. Winter, PT, MS, FAAOMPT. It’s a simple concept, but totally makes sense. For more information on how physical therapy can help your chronic pain, give us a call to see how we can help.
The next time you find yourself reaching for pain medication to alleviate your chronic low-back pain, take a moment to ask yourself: “Do I want to ease the pain through medication? Or take control of the problem through physical therapy?”
With the holiday season in full swing, the excitement of family gatherings and togetherness can often be overshadowed by physical pain and mental stress. While this period is often referred to as “the most wonderful time of the year”, you may not agree as you are baking that last apple pie at one o’clock in the morning. “The added demands of the holidays can stress the body, thus increasing your risk of injuries,” says APTA spokesperson and physical therapist E. Anne Reicherter, PT, DPT, PhD. “Using proper body mechanics can help prevent muscle and joint discomfort this holiday season.”

Here are a few simple tips to help make life easier during the holiday season.
A full list of tips on ways to prevent holiday-induced neck, shoulder and back injuries, including some photos demonstrating proper lifting and carrying techniques can be found in the “consumer tips” section of APTA’s consumer website, www.moveforwardpt.com. With hope, by taking a moment to follow these few helpful tips you will not fall victim to holiday pain and stress!
*Information within this article was provided from the American Physical Therapy Association and should be considered as educational, not medical advice.