ONE PT

09/04/2024

I wanted to share a personal experience with you that I believe could be of interest.

Recently, I took a walk around the Boardman Loop, and to my surprise, my left knee felt completely fine—no pain, no swelling, nothing at all. Let me give you a bit of background: when I was a teenager, I tore the meniscus in my left knee after an awkward landing while windsurfing. I never had surgery, but X-rays a few years ago revealed significant wear, particularly on the inside of my knee. It’s likely that there isn’t much left of that torn meniscus. Earlier this summer, I would experience pain during any walk of even moderate distance, followed by swelling afterward. This was particularly concerning because one of my long-held dreams is to complete the Tour du Mont Blanc, a multi-day trek through the French Alps. Until recently, that dream seemed out of reach.

As some of you may know, I purchased a SoftWave machine a couple of months ago to expand the services I offer. The official name for the therapy it provides is Extracorporeal Shockwave Therapy (ESWT). This technology, developed and manufactured in Germany and Austria, has been shown in numerous studies to reduce pain, decrease inflammation, and promote tissue healing. Naturally, as soon as I got the machine, I tried it on my knee. After just the first treatment, I was able to walk the entire Boardman Loop without any pain or swelling. Last week, I did a second treatment when I noticed a bit of discomfort returning, and I’m continually amazed by the results. A simple 10-minute treatment with this machine has made a world of difference for me, and I’m seeing exceptional results in my patients as well.

Of course, no treatment works for everyone, but the vast majority of my patients who have tried this therapy have seen significant improvements.

08/24/2024

I am very pleased to announce a new addition to our treatment offerings: SoftWave Therapy. This advanced technology was developed in Germany and has been available internationally for nearly two decades, though it is still relatively new in the United States. In fact, I am currently the only physical therapist in northern Michigan offering this service with this specific device. After using SoftWave for a few months, I’ve been truly impressed with the results.

For those of you interested in learning more, I’ve included some detailed information below. If you have any questions, please don’t hesitate to reach out. I’m more than happy to provide answers and further information.

SoftWave therapy, also known as extracorporeal shockwave therapy (ESWT), is a non-invasive treatment that uses acoustic waves to promote healing and pain relief. When applied to the musculoskeletal tissue, the physiological processes at the cellular level include several key mechanisms:

1. Mechanotransduction
Process: SoftWave therapy generates high-energy acoustic waves that propagate through the tissues. These waves create mechanical stress and deformation at the cellular level, which triggers cellular responses.
Cellular Impact: Mechanotransduction leads to the activation of ion channels and integrins, which are proteins that sense mechanical stress. This activation results in the release of growth factors and other signaling molecules that initiate healing processes.

2. Increased Blood Flow
Process: The mechanical stimulation from SoftWave therapy causes a temporary increase in blood flow to the treated area. This enhanced circulation helps deliver oxygen, nutrients, and immune cells to the various musculoskeletal tissues, which are essential for tissue repair.
Cellular Impact: Improved blood flow also aids in the removal of metabolic waste products and reduces inflammation, facilitating a more favorable environment for healing.

3. Stimulation of Cellular Repair Mechanisms
Process: The acoustic waves promote the activation of cells involved in tissue repair, such as fibroblasts, which are responsible for collagen production, and osteoblasts, which are involved in bone regeneration.
Cellular Impact: These activated cells increase the synthesis of extracellular matrix components, such as collagen, which strengthens and repairs damaged tissues which helps repair ligaments, tendons, and cartilage.

4. Pain Modulation
Process: SoftWave therapy can modulate pain by affecting nerve cells and reducing pain receptor sensitivity. The mechanical stress and the subsequent cellular responses can lead to a reduction in substance P, a neurotransmitter involved in pain perception.
Cellular Impact: Lower levels of substance P reduce the sensation of pain, providing relief to the patient. Additionally, the therapy may induce the release of endorphins, natural painkillers produced by the body.

5. Reduction of Inflammation
Process: The acoustic waves can influence inflammatory processes by modulating the release of cytokines, proteins that regulate inflammation.
Cellular Impact: A reduction in pro-inflammatory cytokines and an increase in anti-inflammatory cytokines can decrease swelling and pain, promoting faster recovery.

6. Angiogenesis
Process: The mechanical stimulation from SoftWave therapy can induce the formation of new blood vessels (angiogenesis) in the treated area.
Cellular Impact: Angiogenesis improves the supply of oxygen and nutrients to the muscle and joint tissues, supporting tissue regeneration and repair.

7. Activation of Stem Cells
Process: SoftWave therapy may stimulate the activation and migration of stem cells to the injured area. Stem cells have the potential to differentiate into various types of cells needed for tissue repair.
Cellular Impact: The presence of stem cells enhances the regeneration of damaged tissues, contributing to the healing of ligaments, tendons, and cartilage.

In summary, SoftWave therapy promotes a complex cascade of cellular responses that lead to tissue repair, pain reduction, and improved function. This combination of effects makes it a valuable tool in treating musculoskeletal conditions.

04/14/2024

Subject: Exciting News: Introducing Our Body-Swing Connection Program for Golfers!

Here at OnePT, we're always striving to find innovative ways to enhance the well-being and performance of our patients. With that in mind, I'm thrilled to announce the upcoming launch of our “Body-Swing Connection Program” for Golfers!

Whether you're a seasoned golfer or just starting out, you know that the efficiency of your swing is crucial to your performance on the course. Our comprehensive program is designed to evaluate your body's ability to produce an efficient swing through a detailed physical screening process.

Using a detailed physical screen based on the golf swing movement, we'll identify specific areas where you can improve your mobility, strength, and overall performance. From there, we'll develop a tailored plan, if indicated, that includes focused exercises, hands-on therapies, and home exercises to help you reach your full potential on the course.

Our goal with this program is not only to enhance your golf game but also to prevent injuries and improve your overall quality of life. Whether you're looking to shave strokes off your handicap or simply enjoy the game more, we're here to support you every step of the way.

In the upcoming weeks, I'll be in touch to share the details of a free workshop I'll be hosting. This workshop will offer insights into the Body-Swing Connection Program, providing you with more information. Stay tuned for updates!

Warm regards,

Dr. Roger Karsten

PS: I still do free consultations for anyone you know with a joint or muscle problem!

04/12/2024

Just wanted to share this latest 5 star Google review with you.

My Dr. referred me to Roger Karsten at OnePT and I am so glad she did. For 6 years my activities had been extremely limited due to what I thought was bursitis. I had other treatments but the outcome was always only temporary. Upon being examined at OnePT Roger said, "I can fix what is going on in your hip and it is not bursitis," and he did! I recently took a trip to Spain and got in and out of small cars, rode buses, walked up and down stairs to metros, and then walked 5-6 miles a day touring the center of Madrid and other large cities pain-free. All this is a true testimony of Roger's knowledge, skill, and professionalism. I am deeply grateful that at age 70, he gave me a new lease on life, the ability to keep moving, and staying active!
In addition, he has a fantastic therapist who helps design your exercise program through an App designed specifically for you with instructions and videos showing the correct way of doing them. Highly recommend OnePT!

04/02/2024

In this post, we delve into the indispensable role of strength training in the recovery process, emphasizing the significance of personalized exercise programs tailored to each patient’s unique needs. Why Strength Training Matters in Physical Therapy: Strength training forms the cornerstone of phy...

03/19/2024

In the realm of physical therapy, innovative techniques continually emerge, offering patients new avenues towards healing and recovery. One such technique gaining popularity is dry needling. At OnePT Physical Therapy, we’re excited to offer this safe and effective therapy to our clients, helping t...

03/14/2024

https://www.canterbury.ac.uk/news/static-isometric-exercise-such-as-wall-sits-best-for-lowering-blood-pressure

Researchers at Canterbury Christ Church University found Static isometric exercises, such as wall sits and planks, are best for lowering blood pressure.

02/18/2024

I developed this simple image as an overview of the journey to a pain free life from my perspective. Let me know what you think...Thanks, Roger

01/26/2024

Avoid Snow Shoveling Injury

Avoiding snow shoveling injuries is important, especially during the winter months when the risk of such injuries is high. Snow shoveling can be physically demanding and can lead to muscle strains, back injuries, and even more serious health issues like heart attacks. Here are some tips to help prevent snow shoveling injuries:

Warm-Up: Before you start shoveling, do a quick warm-up to get your muscles ready. This could include light stretching or a brisk walk around your house.

Choose the Right Shovel: Use a shovel that is ergonomically designed to reduce bending and straining. A shovel with a curved handle or an adjustable handle length can help. Also, consider a lightweight shovel to reduce the load.

Use Proper Technique: Bend your knees and lift with your leg muscles, not your back. Keep your back straight and avoid any twisting motions. Try to push the snow rather than lifting it when possible.

Take Breaks: Shoveling snow is a strenuous activity, so take frequent breaks. This helps prevent overexertion, which can lead to injury.

Stay Hydrated: Even though it’s cold, you can still get dehydrated. Drink water before, during, and after shoveling.

Dress Appropriately: Wear layers of clothing so that you can adjust your body temperature. Also, wear proper footwear with good traction to avoid slips and falls.

Pace Yourself: Work at a pace that is comfortable for you. Remember, it’s not a race. If the snow is deep, remove a few inches at a time rather than attempting to shovel the full depth in one scoop.

Use a Pushing Motion: Whenever possible, use a pushing motion instead of a lifting motion to move the snow to the side.

Be Cautious with Ice: Be aware of ice under the snow. Use salt or sand to melt the ice and provide better traction.

Listen to Your Body: Pay attention to what your body is telling you. If you feel pain, stop immediately. If you experience symptoms like chest pain, shortness of breath, or sudden dizziness, seek medical attention immediately.

Consider Alternatives: If you have existing health issues or are at high risk for heart disease, consider hiring someone to shovel your driveway or use a snow blower.

By following these tips, you can reduce your risk of injury while shoveling snow. Remember, safety should always come first.

01/15/2024

The overall goal of physical therapy is to promote healing and pain relief while improving long-term mobility, function and health. Check our latest blog to learn more.

https://1l.ink/X5X2J8B

01/08/2024

Got ankle pain? Our physical therapists will help you get back on your feet with a customized exercise plan, balance training, and more!

https://1l.ink/D5PQVZM