Bridgemill Medical Complex Christmas

 

Christmas at the Bridgemill Medical Complex

Join us at the Bridgemill Medical Complex on Saturday, December 5 from 2:00pm-4:00pm. We are celebrating a socially-distanced Christmas, featuring pictures with Santa Claus, a letter-writing station, and holiday activities for the family. All events will be held outdoors and masks are required for attendees.

Co-hosting with us at this event are Southern Charm Pediatric Dentistry and LIGHT Family Wellness.

For directions, click here.

Holiday Toy Drive

We’re continuing the season of giving at Elite Integrated Therapy Centers, December 1-10, 2020, as we are collecting toy donations for the Prisma Health Children’s Hospital. Donations will be accepted at select Elite Integrated Therapy Centers locations:

Donation guidelines:

  • Please no loose donations, keep all items in boxes or bags
  • All items must be brand new
  • Please do not wrap donations
  • Items we cannot accept: Anything containing latex, toy guns, toys/materials containing religious content, items that read 2020, cards (handmade or purchased), or candy/snacks/food

Click HERE for more info!

Pregnancy and Physical Therapy

pregnancy and physical therapy

Pregnancy and Physical Therapy

Did you know a physical therapist can effectively treat many diagnoses both during and after pregnancy? Few people are aware of this option, although the benefits are well worth it. A women’s health physical therapist can treat a large range of diagnoses, including but not limited to: back pain, pelvic pain, incontinence, carpal tunnel, headaches, painful intercourse and diastasis recti (separation of abdominal musculature). Often these symptoms are disregarded because of how commonly they occur with pregnancy. However, you do not have to suffer through these symptoms; we can help you overcome them for improved quality of life during pregnancy.

Why Would I Need Physical Therapy During Pregnancy?

During pregnancy, women experience many changes. As the baby grows, a mother’s ribs must expand, organs slide out of the way and the abdomen stretches. As the baby grows heavier, the pelvic floor also has more pressure being pushed down onto it. This extra pressure can cause pelvic floor symptoms, such as pelvic pain or incontinence. A women’s health physical therapist can work with you during pregnancy to reduce and/or prevent these symptoms altogether. 

Pregnant women may also experience back pain, carpal tunnel and headaches during pregnancy. Poor posture, stress, the additional baby weight and the change in your center of gravity can all contribute to these symptoms. However, these are all musculoskeletal issues that physical therapists are able to address with positioning considerations, manual therapy techniques and gentle therapeutic exercises for optimal posture and strength. Any of these conditions can be effectively treated at any point in your pregnancy. Your physical therapist will evaluate you and provide an individualized plan of care aligned with your trimester of pregnancy. 

Physical therapists can also provide tips and techniques for labor and delivery, while taking into consideration any musculoskeletal pain or impairments. Previous injuries or painful regions, especially in your back or hips, may become irritated or worsened from labor or delivery. To prevent this, you can set up a third trimester appointment with one of our women’s health physical therapists. During the third trimester visit, we will discuss your medical history, perform a thorough musculoskeletal evaluation and discuss potential laboring positions. We will also talk about the functions of the pelvic floor and how to prevent tearing during delivery. Then, following your third trimester visit, you can schedule a postpartum evaluation to ensure you are on track for a good recovery.

 

What About Postpartum Physical Therapy?

In the past few years, studies have shown that women do not feel they are adequately prepared for the postpartum experience, termed “the fourth trimester.” Typically, women are seen for many doctor visits before the baby is born but only one visit postpartum. In 2018, the American College of Obstetricians and Gynecologists published guidelines for postpartum care, which included a referral to physical therapy for urinary or fecal incontinence. It also explained that postpartum care should be an ongoing process, rather than just one visit.

There are many diagnoses a women’s health physical therapist can treat following delivery. A few common examples are: low back pain, pelvic pain, urinary or fecal incontinence, pain with sexual intercourse and diastasis recti (separation of abdominal musculature). Therapeutic exercise and manual therapy techniques are used during treatment of these depending on your individual presentation and symptoms.

A women’s health physical therapist can even be useful for a postpartum checkup to provide you with the necessary knowledge to prevent future issues. This can be especially important if you want to return to working out or running. It is even more highly recommended if you experienced a tear or surgical cut during your delivery to make sure your body heals correctly without any complications. A women’s health physical therapist can help you gradually return to your normal daily activities and manage any pelvic floor symptoms that occur along the way.

Exercise is also an important aspect of the recovery process postpartum. We can create a program focusing on strengthening and stability to improve motor control and overall well-being. A women’s health physical therapist is trained to do this, while also considering any postpartum complications to ensure your safety. If there is a post-surgical scar, this is extremely important so the scar is not re-opened from too much rigorous activity. A therapist can suggest adjustments and specific exercises based on your functional capabilities and limitations.

 

When to Call Us?

If you are experiencing any of the symptoms discussed above, women’s health or pelvic floor therapy may be a great option for you. This includes:

  • Pain during or following pregnancy, especially pelvic pain, hip pain or low back pain
  • Urinary or fecal incontinence (leakage) in general or during exercise
  • Diastasis recti
  • Pain with sexual intercourse
  • Carpal tunnel
  • Headaches
  • Back pain

During your first visit, we will take a subjective medical history and chat with you about your goals. We will also perform a musculoskeletal exam of your trunk & lower extremities and, when indicated, an internal pelvic floor examination. Follow-up visits will include therapeutic exercise and manual therapy dependent upon the findings of your evaluation.

To schedule an appointment with one of our women’s health physical therapists, you can either give us a call directly or you can ask to be referred by your physician. Please don’t hesitate to also reach out if you have any questions or if you would like to learn more about pelvic floor physical therapy & what we can offer. We would love to help!

To schedule an appointment with one of our women’s health physical therapists, give us a call at one of our 12 locations in Greenville, Anderson, Spartanburg, Belton, Boiling Springs, Fort Mill, Powdersville, Seneca and Simpsonville, SC or you can ask to be referred by your physician.

Elite Home Visits: Bringing the Clinic Experience Home

home visits

Elite Home Visits

Elite Integrated Therapy Centers offers physical, occupational and speech therapy services in the home and in assisted-living facility settings. Our home visits are offered to anyone in the Upstate area with no restrictions or extra costs. It is billed exactly as if you are in the clinic with us, and there are no guidelines that need to be met to qualify for in-home treatment. This program also serves as an effective home health discharge plan reducing re-hospitalization/readmission rates for vulnerable patient populations.

Who Qualifies for Elite Home Visits?

Anyone and everyone! There are no limitations on who can receive these services. In contrast to home health, we bill Medicare Part B rather than Part A. Therefore, there are no additional fees or qualifications. Your copay will be dependent upon your insurance. We will also pre-verify your benefits before your first appointment so there are no surprises.

Those Who Benefit the Most

That said, this program is more beneficial to some more than others. We strongly encourage patients to attend their therapy sessions in the clinic. However, we realize that is not feasible for everyone so we wanted to bridge that gap.

Our home visit services are ideal for those who:

  • Are immunocompromised or have a respiratory condition at this time.
  • Are home-bound.
  • Have transportation issues.
  • Reside far from healthcare facilities.

If you fall into one of these categories, Elite home visits would be a great option for your physical, occupational and/or speech therapy needs. Our goal is to help you live your best, pain-free life.

Physical Therapy vs. Occupational Therapy vs. Speech Therapy

Physical, occupational and speech therapy all mutually focus on targeted tasks and problem solving to promote success in the home environment. However, each one can then be further broken down into assisting with the following objectives:

  • Physical Therapy: functional mobility, rehabilitation, assistive device utilization and balance.
  • Occupational Therapy: activities of daily living (bathing, dressing, driving), returning to work and fall prevention.
  • Speech Therapy: speech & language, cognition (memory, problem solving, safety), feeding/swallowing, fluency and voice disorders.

Treatment methods vary dependent upon your specific needs and goals. Your doctor may refer you for one of these services. You may also call us personally to schedule your appointment – no referral necessary! We will continue to keep your primary care physician updated with your progress throughout treatment.

What to Expect

Now that you have made your appointment, what can you expect?

We provide you with a two hour window in which we will arrive at your house and will call you the day of when we are on the way. Upon arrival, we will review your insurance information, as well as some general paperwork. The first part of your evaluation will be spent discussing your medical history, symptoms and goals. Various tests will be performed to determine your functional capabilities and limitations. Your results are then used to create a unique, individualized treatment program. We will work closely alongside you, helping you achieve your goals and measuring your success along the way.

Added Bonus!

In addition to these services, our in-home speech language pathologists can also help during this time for those who have suddenly become tasked with being an at home educator, which includes special education services. Our therapists can help bridge the gap and prevent regression. We are able to work with all ages, including infants, children and adolescents.

For Your Convenience

We accept most commercial insurances, Medicaid, Medicare and offer private pay services/payment plans. We are happy to work around your schedule to find a time most convenient for you. Our goal is to assist you as best we can during this unprecedented time. Continuing progress in therapy prevents regression or worsened symptoms of pain or injury, which is why we have chosen to remain available to those who need us the most. We are continuing to treat in the clinics, as well, and going above and beyond all CDC and WHO safety guidelines.

Our goal is to assist you as best we can during this unprecedented time throughout the Greenville, Anderson, Spartanburg, Belton, Boiling Springs, Fort Mill, Powdersville, Seneca and Simpsonville, SC areas.

Contact one of our clinics today to schedule an appointment.

Knees Over Toes… Myth or Truth?

knees over toes

The age old expression: Knees Over Toes

Have you ever been told not to let your your knees go over your toes? Whether it was in the gym or during other daily activities, most of us have heard the age old expression. We would like to take a more in-depth look into this saying and what it means on a functional level. Is it a myth… or does “knees over toes” have some truth to it?

Functionality: Can Your Knees Go Over Your Toes?

We have all heard the trainer in the gym or the sports coach tell someone not to let their knees go over their toes. While that may have once been a good cue, the phrase has been repeated so many times over the years it may now mean more than it was originally intended. The statement originated from a 1978 study at Duke University. The study provided us with some very important information at the time, but it only looked at one piece of the puzzle. A more recent, 2003 Memphis University study, took their research a little deeper and provided us with more up-to-date information on the topic.

So, can your knees go over your toes? As much as we would like definitive yes or no answer, the truth is: it depends. It depends on both your structure and the movement itself. Your structure plays the most important role in answering this question.

Structure

Everyone’s body is different. Something that may work for one person, may not be appropriate for another. Femur length, foot length, and torso length all determine the appropriate amount of forward translation demanded of the knee. Someone with longer femurs and shorter feet may naturally track over the toes. A shorter tibia/fibula length relative to femur length may naturally facilitate an anterior knee translation (see video from Stone Athletic Medicine). Torso length also plays a role in how the lower extremities flex through movement. Check out this picture shared by Zach Long, DPT SCS Cert.CMFA, for a visual representation. As the referenced study above by Fry, Smith, and Schilling reported in the Journal of Strength and Conditioning Research, when blocking the knees, we reduce torque by 22% at the knee joint but increase torque at the hips by 1,070%, regardless of structure.

Movement

In a gym setting, different types of activities and movements may or may not result in your knees travelling over the toes. Different bar placement, or load placement, will facilitate different hip and knee joint angles. For instance, a low barbell back squat places the barbell lower on the back and pushes the hips back further. This will make the movement more hip dominant. However, if we place the load in front of the body, like in a barbell front squat, we create a more quadricep dominant movement. The knees will move more forward, out over the toes, and the chest will be more upright. Read this article from Squat University to delve deeper into the bio-mechanics of different squats.

Knees Over Toes: In Real Life

Let’s look at a few movements we do on a regular basis. These may not be considered ‘daily activities,’ but our bodies typically do these movements with no issue.

Ascending and Descending

Our bodies are designed to navigate various different types of terrain. One typical type of terrain we regularly navigate are hills. The world around us varies in height and distance. While walking up, and most certainly down hills, our knees naturally translate over our toes to support our body weight. Another great example of this are stairs. Depending upon stair height and stride distance, we may or may not track over our toes while ascending stairs; however, have you ever tried to go down stairs without your knee going over our toes? It’s nearly impossible unless you set your hips back drastically or pistol squat every step of the way. Go ahead; give it a try!

Bicycle

Another fun activity we often do is bicycle. This may not be a daily activity, but it is most certainly one many of us participate in on a regular basis. We do this at the gym, with our children, and sometimes as our primary means of transportation. It is important to make sure our seat height is set properly, but no matter the positioning, knees typically go over the toes while in the pushing phase of cycling. There is nothing inherently wrong with any of this because our bodies are made to move this way!

Resiliency

Resiliency is the name of the game. Our bodies are resilient and are not as fragile as we may sometimes be told. We are made to move about our space functionally, in multiple planes, with no issues. Sometimes our knees need to go over our toes, and sometimes they don’t. Take charge, and keep moving! Motion is lotion and makes for great longevity in life!

 

If you want to prevent injury, come visit one of our Wellness Coordinators for a professional opinion on your squat form. We would love to chat with you! Or, are you experiencing pain when squatting? Schedule an appointment with one of our Physical Therapists to resolve any issues before they become worse!

Living Life Up to Par: Physical Therapy to Prevent Pain and Injury

Feel ‘up to par’: Physical Therapy prevents pain and injury!

While physical therapy is commonly thought to address existing pain or the onset of an injury, it just may be the best kept secret to preventing pain or injury. We’re here to let this secret out, just in time for you to enjoy much-anticipated summertime activities!

Injury Prevention

 

Whether you’re an avid athlete or a weekend warrior, knowing the right way to go through the motions of your preferred activity can play a big role in injury prevention. Same concept as knowing proper lifting mechanics so as not to injury your back, a physical therapist who understands your activity of choice can assess injury risk factors and make corrections as necessary. For example…

  • Do you experience soreness in your back or shoulders after a round of golf?
  • Are your muscles tight after pulling weeds in your garden?
  • Does it take some time to recover following a run around the neighborhood?

Perhaps this is your body’s way of sending you a message. While you may experience muscle pain or soreness following activity after you’ve been dormant for a time period, you should not be experiencing it following activities that you perform on a regular basis. Reviewing your activity with a physical therapist will help them determine potential movement-related risk factors, which in turn can curb potential injury. Moreover, a physical therapist will make corrections to your movements which will help lessen risk factors later on down the road. This can include, but does not limit to…

 

Performance Improvement

 

Not only is physical therapy beneficial for injury prevention, but it’s also helpful for “healthy” individuals as well! Particularly targeted toward the athletic community looking to improve performance in a sport or activity, physical therapy can target strength, agility, flexibility, and coordination.

 

At Elite, you not only have access to excellent clinical care from our therapy staff, but our Fitness and Wellness program is also available for individual and group personal training.

 

Interested in how physical therapy can help you with your goals? Call any of our 9 locations to speak with a physical therapist—no strings attached! Should you be in need of physical therapy, we can accommodate you within 24-48 hours, no referral needed.

Wheelchair and Seating Evaluations: Who Would Benefit and What to Expect

Man in WheelchairWe’re halfway through National Occupational Therapy Month! We wanted to take today to highlight a lesser-known service provided here at Elite Integrated Therapy Centers – Wheelchair and Seating Evaluations. Our Occupational Therapists are able to help determine if a wheelchair or scooter is right for you!

So… Who Would Benefit From a Wheelchair and Seating Evaluation?

Anyone who already has or is in need of a scooter, power, or manual wheelchair is eligible for a Wheelchair and Seating Evaluation. If you would like to be more independent, our Occupational Therapists would love to help determine the best fit for you and your lifestyle. We work closely with your primary care physician throughout this process, although you do not need a referral to come see us! When you first schedule your appointment, we verify your insurance and let you know your benefits ahead of time – no surprises!

Insurance Requirements to Obtain a Wheelchair

Each insurance is different, but most power and manual chairs are covered by insurance after following copay and deductible policies. Currently, insurance companies only require that the therapist documents how the wheelchair is going to be used inside the home. First, insurance requires the patient to have a face-to-face appointment with their physician to document that a wheelchair or scooter is medically-necessary. Then, you can schedule your appointment with us so one of our Occupational Therapists can perform the evaluation. Next, we fax the results to your physician. Finally, your physician will have a face-to-face visit with you in the office and he or she will submit the necessary paperwork to order your chair and/or parts!

WHAT does the Wheelchair and Seating Evaluation Include?

Our Occupational Therapists complete an in-depth, one-hour evaluation to determine what type of mobility device, either a manual wheelchair, power wheelchair, or scooter, is most appropriate. We assess balance, posture, strength, and range of motion of upper and lower extremities. A local Assistive Technology Provider will also be present for the evaluation to assist with taking measurements and choosing the optimal chair, seat cushion, and backrest. The Assistive Technology Provider works for the company that provides the chair or various parts.

Scooter vs. Power Wheelchair vs. Manual Wheelchair

A scooter is a power device that you would normally see or use in a grocery store. They have 3 or 4 wheels, giving them a larger turning radius, and also making it harder to get in and out of rooms. Scooters are difficult to use inside the home. Scooters allow you to use both of your upper extremities rather than just one hand.

Similarly, a power wheelchair provides more seating options and is controlled by a joystick. The power wheelchair has a smaller turning radius which makes it able to turn tight corners, which makes it easier to use in the home.  For those with poor trunk control and difficulty with transfers and walking, a power chair would be a better option.

Lastly, a manual wheelchair allows you to propel yourself and can be fitted specifically to you. These lightweight chairs are great for individuals who have good upper body function and the necessary strength to propel themselves around the home.

Back and Seat Cushions on a Wheelchair

Once you determine which device is best for you, the final step is to address backrests and seat cushions. Backrests on chairs can provide you with better stability if you have poor trunk control.  Depending on the condition of your spine, you may require a specialty backrest.  There are also specialty seat cushions that provide pressure-relief for individuals who are at high risk for pressure sores. If you have poor trunk control, then seat cushions that provide support and stability are also an option. These cushions can be used in both manual and power wheelchairs.

Maybe you’re considering a wheelchair or scooter to help you be more independent and have more mobility. Maybe you already have a chair and need it to be adjusted/repaired. Either way, contact us today! We would love to talk with you and get you set up with an appointment. We are passionate about helping you live your life to the fullest!