Executive Park Physical Therapy & Wellness is a comprehensive rehabilitation facility serving Lower Westchester and The Bronx. We offer physical therapy, chiropractic, acupuncture and group fitness services.
Operating as usual
Transformational physical therapy serving Mid to Lower Westchester. Call today to schedule an appointment 914-509-4640, or click link to request an appointment.
Pain can be debilitating! Receive a FREE 20 minute consultation from an experienced physical therapist.
Get a FREE second opinion from an experienced physical therapist!
This will be a great ad lib discussion highlighting the strategies best suited to improve adherence.
Fall is a busy time of commemoration, and so I would be sorely remiss if I didn’t acknowledge to huge influences of my self-indentity:
1) I am Puerto Rican. Between Sept 15 and October 15 is National Hispanic Heritage Month. So big shout out to all my fellow Latinos!
2) I am a physical therapist. October is National Physical Therapy Month. So a resounding shout out to my fellow physios!
In many ways, evidence-based rehabilitationists practice similarly, irrespective of their terminal degree.
However, many are led to believe that Chiros only do “adjustments” and PTs just do “therapeutic exercise and massage.”
I can’t tell you how many wonderful chiros I’ve come across throughout the course of my career that I’ve been able to learn from, collaborate with and appreciate from afar.
I think that as neuroscience and non-reductionist models continue to emerge as the prevailing constructs in MSK managment, more and more PTs and Chiros will practice indistinctly of one another.
You ever had a patient who interpreted “poking the bear” as “if some is good, more is better?”
I did! 🤚🏾🤚🏾🤚🏾
It’s crazy how when @physiogram re-posted @justmovetherapy ‘s Twitter comment on their page the response was met with pervasive discord. This was in large part because of her satirical use of colloquialisms, yet when @moveu says “fix yo sh*t” the gram goes wild. What am I seeing here? Is this just as egregiously apparent to me as it is to all of you? I smell many “isms” with this one!
Small changes can have monumental effects!
It’s nice to see the excitement on my patients’ faces when they see how they could track their activity levels.
Plus I’m a big fan of the non-specific effects that exercise has on pain. Really is a win win!
Do you share the same views as your work colleagues or do you butt heads on certain topics?
I enjoy scholarly banter!😜😁
Join us this evening at 4pm EST!
Dr. Dowling is on a mission to re-define the narrative around sustainability. While earning her doctorate in clinical psychology, Dr. Dowling mastered the nuances of individual healing as a catalyst for global action. She is currently a Sustainable Self coach and organizational strategist based in Los Angeles, CA. In addition to running a small business, she is a mother, author, and athlete.
The only constant is change...
and when it comes to healthcare, this idiom falls right in line.
20 years ago I entered a very different profession than what it is today - a profession where we treated the image, the diagnosis or some ever-elusive movement aberration. Frankly, it was much easier than what it is today.
With the BPS model emerging and my desire to evolve with the times, I’m finding it challenging to administer care that expands beyond the “bio” all while preserving my own sense of sanity.
I am not a mental health care provider. The unfortunate truth is that many align mental health care as with that of a stigma, and so as a result, many people go untreated.
What I do know is that many MSK conditions are rooted with psychosocial elements in addition to pathoanatomy. I get the we have to be lifelong learners and adapt with the demands of one’s profession, but are we adequately equipped to delve into these arenas?
I don’t know about the rest of you, but this model has left me questioning my own sanity at times. It's exhausting!
Despite the efficacy some clinicians think their interventions may have, there are several mechanisms at play that influence patient outcome that have little to nothing to do with the actual treatment itself. As a consequence, some clinicians come to faulty conclusions about the treatments they espouse.
Post hoc ergo propter hoc, natural history, appeal to motive, regression to the mean, recency bias and several others are often surreptitiously at play when we treat.
My gripe is when clinicians sell narratives that are unsubstantiated and embed a construct in the minds of patients that create dependency. Another grumble is when a clinician spends 45 of 60 minutes providing low return treatments, and then swear it was the intervention that caused a positive outcome.
We also have to remember that the shinier, more complex and esoteric the treatment is, the more robust the placebo effect, and the longer clinicians can charm their patients so that their condition improves irrespective of said treatment.
A number of studies have been able to replicate the effects of swearword mediated hypoalgesia with regards to increasing pain tolerance and threshold.
Interestingly enough, males who catastrophize the meaning of their pain in one study did not respond as well to swearing. Also, those that curse regularly may have an attenuated swearword mediated hypoalgesic response.
Swearword mediated hypoalgesia appears to occur cross-culturally.
@ Executive Park Physical Therapy & Sports Rehab
A patient asked me, “how long will I have to exercise with therapy is over?”
I responded “how long will you have to brush your teeth?”
She said “as long as I’m alive because that would be disgusting.”
My response, “Exactly, the rest of you body is as just important as your oral hygiene.”
My intent was not to be facetious, but to provide context to what exercise is. I get that not everyone likes to “exercise” which is why finding an activity that a patient enjoys is important.
But with 80% of Americans being less active than they should, I think providing this context for our patients is important.
The recommended weekly activity level for adults is 75-150 minutes with more intense activity reflecting the lower end (i.e. weight training or running) and less intense activity reflecting the larger number (I.e. walking, gardening). Children need 60 minutes per day. @ Executive Park Physical Therapy & Sports Rehab
Thanks for having my back!
I thought this video was cool!
Sometimes what you may see in something or someone isn't apparent to others.
Trust your instincts (and due diligence) because often times it will materialize into something worthwhile.
You see...context is everything! 😜
#tbt When the world returns to some level of normalcy, I will resume these Patient Appreciation dinner parties. They were fun!
Have you read my book, Courage To Continue? Use link on my profile.
We all know that the dose makes the poison, and when it comes to stress the concept applies.
How are you managing your shreds?
I’m in my head this morning.🧐
My experience was an unfortunate one. We lack diversity in higher learning academia, yet my first-time grievance wasn’t dealt with in an earnest manner. Instead, I felt gaslighted. Would things have materialized differently if...???
How often does a school have the privilege of having on staff a dual board certified, board exam item writer, successful business owner, whose noble intention was to implement modern evidence to the curriculum in an institution that claims to be evidence-based, who by the way happens to be a POC?
So when you all hear BLM and the apparent transgressions that befall POC, please recognize that these scenarios, like the one I describe, happen all time and never get noticed.
Gm and happy Monday. Have a great day! #smile
The idea that pain can be reduced to information that travels from the tissue to the brain is an antiquated construct that dates back to Descartes’ theory of pain.
Some may think that this discussion is futile and a matter of scholarly banter, but it’s not. The reductionist biomedical approach has had substantive implications on the healthcare system, has created a financial burden, and most importantly, has negatively impacted the quality of life for some 20% of the world population.
Despite the emerging evidence to elucidate that the issue is more than just the tissue, the modus operandi in pain management remains heavy with injections, pain meds and surgery.
Pain science is not an approach to manage those with chronic pain. It’s simply a phrase to describe that with the best available evidence we should approach pain in a much more comprehensive way.
Rehabilitationists, what are your thoughts?
Great post by @thoresenfitness I’d have to argue that while he is right, those 6 items aren’t sexy.
The western world has glorified quick fixes and has made the natural approaches that are readily available mundane.
How do we change the narrative for the masses?
Soft skills are different from hard skills, which are directly relevant to your job/profession. Hard skills are often more quantifiable, and easier to learn than soft skills. A hard skill for a carpenter, for example, might be the ability to operate a power saw or use framing squares.
Soft skills focus on who people are, as opposed to what they are trained in. They serve to represent your approach to life and work. Simply put, soft skills are interpersonal skills hardwired to an individual’s personality, and they characterize how you interact with other people in the workplace. Essentially, soft skills are the people skills, personality skills, and communication abilities your workforce needs for the long-term success of your organization.
When you hear it...you just gotta bust out them moves! 😜
Thanks @hip.hop.point.of.view for this one! 🙌🏽
Another one! By @thestrengthpts
Do not treat a scan - treat the man.
The study by Barreto et al. (2019) performed 123 MRIs on people with self reported unilateral shoulder pain.
MRIs findings were compared between symptomatic & asymptomatic shoulders.
Abnormal MRI findings were highly prevalent in both shoulders. Only the frequencies of full thickness tears in the supraspinatus tendon & glenohumeral osteoarthritis were higher (approximately 10%) in the symptomatic shoulder according to the surgeon’s findings.
Once more it becomes clear that we should stop calling these findings "abnormalities", as they are age related changes.
MRI results should be always interpreted with clinical findings to determine the cause.
We should never also forget that there is no special test for the shoulder joint is able to isolate a single structure. Therefore we cannot tell with certainty which structure in the joint like is the source of nociception.
3 reasons for this post!
#1 It’s good to stroke the ego every once in a while. After all, what we do is really hard considering what we’re up against (I.e. Constantly deconstructing false narratives created by healthcare authorities).
#2 I’m not confident that the modus operandi in our current rehab arena reflects contemporary literature. But it’s slowly happening.
#3 Jimmy Butler...he’s a
bad mothaf—- Miami in 6!
Pain is not fun...I definitely get it, but
I think it’s important to appropriately frame pain for what it is. It’s information. It tells us that there is a threat or potential threat.
I understand that many peoples’ nervous systems go haywire (for a variety of reasons) leading to chronic pain, but even chronic pain is information.
What we do with this information is critical to achieving resolution. But we would never want someone to indefinitely not have pain. Otherwise, we’d chop our fingers off, burn our hands, break bones, etc and not do a thing about it.
In short, pain, like hunger, is information - information that keeps us alive.
Despite a healthcare provider’s noblest effort to help patients...
not everyone will respond to a practitioner in a positive manner. I had to learn the hard way when I first started.
It was tough for me to lose a patient to follow-up. I would internalize it, ruminate at night about it, dwell on what I could’ve done differently.
My advice: just do the best you can. 8/10 people will like you. 1/10 will love you and become part of the extended office family. But there’s always the 1/10 that despite your best efforts, you won’t be compatible with. The problem may not be you. There are a host of reasons where the problem may lie.
It may hurt at first, but don’t perseverate too long. Get up and dust yourself off. You have 9 other patients that need your attention.
I was prompted to write this after seeing a lot of BS on social media.
For most exercise-related objectives (performance, fat loss, general fitness), I would impress upon you to learn about periodization concepts.
If you learn about that and stick with structural exercise as your mainstays, you’ll be ahead of the game.
A little tongue and cheek action going on here, but...
the truth of the matter is that my thoughts about passive modalities are continually evolving.
While they may not be working in the mechanistic manner that they are purported to, the rhetorical question I pose is:
Can passive modalities, when time is appropriated, bolster the effects of active-based treatments?
It's probably hard to measure, but I would posit that if a patient feels like they're receiving more value, will that affect adherence?
Does it provide opportunity to connect with a patient as you have your patient’s undivided attention with passive modalities unlike with exwrcise? Opportunity for education? Opportunity to listen?
I know I have been hackneying the hell out if this subject but feel it's paramount for the continued growth of our profession.
Prioritize resistance training for weight loss over cardio!
The primary goal in weight loss via exercise is to preserve muscle mass while being at a calorie deficit.
If weight loss is not happening after several weeks, then re-evaluate your diet because you're most likely not at a deficit.
That's when adding some cardio to your program is beneficial.
Jogging is great for weight loss when combined with resistance training.
|Monday||8am - 8pm|
|Tuesday||8am - 8pm|
|Wednesday||8am - 8pm|
|Thursday||8am - 8pm|
|Friday||8am - 8pm|
Community Acupuncture and more- Affordable Community Oriented Health Care
Life Spring Acupuncture Clinic provides professional acupuncture treatments along with Herbal medicine and Eastern nutrition consultation.
Acupuncture, cold laser therapy, chiropractic care, gentle manipulation, massage, rehabilitation, physical therapy.