DPT

We’ve Moved! Encore Rehabilitation of Pike Road has a new location!

 

Pike Road Clinic Jan 2018

Encore Rehabilitation-Pike Road has moved to our new location! Come by and visit us at 9427 Vaughn Road, Suite A, Pike Road, Alabama! Our phone number is 334-523-8999. Referrals may be faxed to 334-544-0819. Most insurances are accepted.

Pike Road clinic 3 Revised Jan 2018

You’ll love our Clinic Director, Lauren Luke, DPT! Lauren received her Doctorate of Physical Therapy from the University of Mississippi Medical Center. She looks forward to providing the community of Pike Road with quality Physical Therapy care.

Pike Road clinic Lauren Luke Director Jan 2018

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Rachael Jones, DPT – Encore Rehabilitation Regional Director

Rachel Jones PT

Rachael Jones is passionate about her patients! “The best thing about being a Physical Therapist is my patients! As a Physical Therapist, I spend one-on-one time with each patient over a period of weeks and often months. I not only educate, facilitate, and assist in their healing, but I also get to know patients on a personal level. I meet their families and hear their struggles. I am honored to watch their success. I am privileged to experience the joy when they walk again, return to sports, return to work, gain their independence and when they are finally pain-free. I am thankful for my role as physical therapist and consider it a great honor.”

A native of Guin, Alabama, Rachael is the Regional Director of the Encore Rehabilitation Clinics in Fayette, Vernon, Hamilton, and Winfield. She received her Bachelor of Science degree in Exercise Science from The University of Mississippi and her Doctorate of Physical Therapy from The University of Tennessee Health Science Center in Memphis. Rachael also holds a certification in Dry Needling.  She has been a clinician for seven years and has practiced with Encore Rehabilitation for five years.

Thank you, Rachael, for all that you do for your patients and Encore Rehabilitation!

 

 

“The Link Between Nutrition and Pain Is too Strong to Ignore” via APTA.

By Joe Tatta, PT, DPT, via APTA

Here’s a situation I bet you see all too often in your practice: a patient or client comes to you to overcome pain and increase mobility, and you see almost immediately that working on the mechanics of motion won’t be enough—they could really benefit from some lifestyle changes as well. Frequently, one of those changes involves thinking more carefully about the food they’re putting into their bodies.

Despite Hippocrates’ oft-quoted “Let food be thy medicine,” most physicians receive only a few hours of instruction about nutrition and coaching to help patients change their eating habits. Yet studies like this one from the National Institutes of Health show nutritional education becomes an incredibly useful tool to improve overall health outcomes for patients and specifically reduce inflammation.

As PTs, we are presented with a real opportunity here. Research shows that PTs can play an active role in lifestyle-related interventions such as nutrition. Providing information on nutrition will put you ahead of the curve with your peers while improving your patients’ results.

Early in my practice, I saw how obesity often contributed to my patients’ pain. Once I began providing information on some simple diet and lifestyle strategies with my patients, many lost weight, felt better, and dramatically reduced their pain. Nutrition became the missing link to help my patients manage and relieve pain.

Over time, I’ve found that nutritional screening and informational strategies can make a difference in 5 conditions associated with pain that we often see in our practices:

  1. Inflammation. Copious inflammatory foods, including vegetable oils, populate the Western diet. Most observational and interventional studies show a traditional Mediterranean diet, rich in healthy fatty acids, fruits, vegetables and fiber, provides anti-inflammatory benefits. Among specific conditions, studies show a Mediterranean diet rich in polyunsaturated fatty acids and antioxidants provide anti-inflammatory effects that benefit individuals with rheumatoid arthritis. Epidemiologic and clinical evidence likewise shows an optimal diet can reduce inflammation that, among other things, contributes to metabolic syndrome.
  2. Obesity. As we all know, a vicious cycle ensues as obesity contributes to numerous chronic pain conditions, and the pain in turn can lead to sedentary behavior that increases obesity. Studies prove what I’ve seen countless times in my own practice: weight loss must become a crucial aspect of overall pain rehabilitation.
  3. Osteoarthritis (OA). Studies have shown a relationship between pain and food intake among overweight and obese patients with OA. Fortunately, obesity is the most modifiable risk factor for knee OA. Of course, pain management is crucial to reducing OA symptoms. But even that may have a nutrition connection: one systematic review found scientific evidence to support some specific nutritional interventions–including omega 3 fatty acids–to relieve symptoms among patients with OA. Studies also show various nutrient deficiencies, including vitamins C and D as well as selenium, contribute to OA.
  4. Autoimmune disease. NIH estimates that 23.5 million Americans have an autoimmune disease (compare that with cancer, which affects 13 million Americans). Over 80 autoimmune disorders exist, including Crohn’s disease, rheumatoid arthritis, multiple sclerosis, and type 1 diabetes. Of course, genetic predisposition, environmental factors (including infections), and gut dysbiosis play major roles in autoimmune disease development. But increasingly, researchers believe adverse dietary changes over the past 50 years–including gluten intolerances, altered gut bacteria, and vitamin D deficiencies–also contribute to that increased rate of autoimmune diseases. Chief among those changes is our prevalent high-sugar, high-salt, processed-food heavy diet that paves the pathway for autoimmune diseases. Nutrient-poor diets only exacerbate that problem: evidence shows vitamin D, vitamin A, selenium, zinc, omega-3 fatty acids, probiotics, and flavanol deficiencies contribute to autoimmune diseases.
  5. Prediabetes and type 2 diabetes. Type 2 diabetes affects 29.1 million Americans (that’s over 9% of the population) and paves the way for serious complications such as heart disease, blindness, kidney failure, and lower-extremity amputations. Diabetic neuropathic pain, a common diabetes complication and the most common form of neuropathic pain, affects over 90% of people with diabetes. Studies show increased musculoskeletal pain in patients with type 2 diabetes adversely impacts body mass index, quality of life, physical function, and physical activity abilities. The link between diabetes and nutrition is a fundamental one that should never be set aside.

Working with patients suffering these and other conditions, I’m often impressed how optimal nutrition becomes the needle-mover to alleviate pain and help people heal. So how can a PT incorporate these considerations into practice? Here are a few simple tactics you can use right now:

  1. Ask nutrition-related questions during your initial consultation. Simple things like “do you take a multivitamin” or “about how many vegetable servings do you eat a week” can help lead to gradual dietary tweaks that yield impressive results.
  2. Have your patients keep a 24-hour food diary. Beyond establishing adherence and accountability, asking patients to write down everything they eat for 24 hours provides insight to their daily eating habits. Once you have that insight, you can help them gradually improve those habits.
  3. Offer some simple information. Rather than impose a major dietary overhaul, ask patients to do things that don’t seem so overwhelming; for example, to increase their water intake, or eliminate processed foods and sugar.
  4. Create simple, attainable goals. Begin by allowing your patients to experience success in some way. You might ask a patient to lose 5 pounds over 3 weeks, or provide information about incorporating more omega-3 fats into their diet combined with their exercise program. These goals are doable, and they can provide your patient with the confidence to take on more challenging targets.
  5. Offer your patients other ways to access information on better nutrition. Providing your patients with collateral sources of information—a helpful blog post, or an engaging book on nutrition—helps to reinforce the idea that the benefits of what they’re doing are well-established, and that they’re not alone in their journey toward healthier living. During a subsequent visit, ask patients if they got anything out of what you shared. The more reliable, readable information they receive, the better the chances that they’ll begin to become genuinely interested in the topic themselves, and for the long run. Over time, I’ve even had a few patients recommend books and blogs to me. Refer patients to nutrition and dietary professionals when their needs exceed the professional scope and your personal scope of practice.

If you’ve incorporated nutritional screening and information into your practice, what did you find was the most challenging aspect? Did you see results when patients made those changes? Share your thoughts below.

Joe Tatta, PT, DPT, is a board-certified nutrition specialist and functional medicine practitioner who specializes in treating lifestyle-related musculoskeletal, metabolic, and autoimmune health issues. He is the creator of the Healing Pain Online Summit and The Healing Pain Podcast, and is the author of Heal Your Pain Now: A revolutionary program to reset your brain and body for a pain-free life by Da Capo Press. Learn more by visiting www.drjoetatta.com/apta.

2015 Encore Symposium

We would like to thank everyone who registered and participated in the Symposium this year. With 215 participants and multiple CEUs earned, it was truly a great success! We would like to give a huge thank you to all of the guest speakers, sponsors (pictured below), Tony Kennon, the City of Orange Beach, and the Wharf employees for making the symposium simply outstanding. A special thank you to Paul Henderson, Bo Shirey, Jason and Bridgette Henderson, Jordan King, Darlene Morris, Katy Chauvin, John Hurt, Trina Garmon, and Dewayne Fortenberry who directed and organized the symposium. We are so thankful for all of our awesome ATCs, PTs, OTs, directors, and staff members who make our company the best!

We enjoy helping people get back in the game as quickly as possible. That’s why we do everything we can to keep our staff prepared to serve patients, schools, and athletes. “We love to see you Move.”
Encore Symposium 11Encore Symposium CEUs Encore Symposium 8 Dr. Emblom and sons Encore Symposium
Encore Symposium 6 Encore Symposium 4 Encore Symposium 3

Encore Symposium Bo Shirey Jordan King Encore Symposium Encore Symposium Bo Shirey Elisabeth Bernier Encore Symposium 12 Encore Symposium 10 Encore Symposium 9 Encore Symposium 7 Encore Symposium 2 Bo Shirey Encore Symposium Barry Dale Encore Symposium

– Sponsors –

Theraband

Theraband

Matrix

Matrix

Quest Orthotics and prosthetics

Quest Orthotics and Prosthetics

Ossur American

Ossur American

Electro Medical

Electro Medical

Alert Services

Alert Services

PT Tip of the week: Osteoarthritis

 

Jack Dockery, PT, DPT – Encore Clinic at Tillman’s Corner.

“As a physical therapist, I commonly encounter patients that have been diagnosed with osteoarthritis of the knee joint and want to know what they can do to avoid or postpone a total joint replacement. Obesity is a modifiable risk factor that has a direct correlation with the development of knee joint osteoarthritis, being that the knee is a weight bearing joint. A quick and easy means to determine a personal weight problem is the Body Mass Index (BMI). An individual can calculate his/her BMI by dividing their mass in kilograms by their height in meters squared. If this number is greater than 30.0 than that person will fall into the obese category and have a higher risk of developing knee osteoarthritis. Exercise is also important in avoiding or postponing a total joint replacement by strengthening the muscles around the joint and normalizing muscle imbalances. Low impact exercises such as aquatics, cycling, walking, and stretching are ideal for an arthritic joint by dissipating less joint force than higher level exercises such as running and jumping. Lastly, when running or jogging an individual should be doing so in appropriate footwear. Most individuals would benefit from a foot orthotic placing the foot in anatomical position and avoid placing other joints in the lower leg at a mechanical disadvantage. A person should change their shoes with an increase in lower leg or back pain and/or breakdown of the midsole.”