SCIATICA? 0r BACK PAIN. Health & Fitness. Study: Physical Therapy is Effective for Low Back Pain. Don t let pain stop you. Call us today!

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Health & Fitness The Newsletter About Your Health And Caring For Your Body BACK PAIN SCIATICA? 0r Study: Physical Therapy is Effective for Low Back Pain Many patients with low back pain should consider physical therapy as a first line of treatment for their condition, according to the American Physical Therapy Association (APTA). An article published in the Journal of the American Academy of Orthopaedic Surgeons recommends that in most cases of symptomatic lumbar degenerative disc disease, a common cause of low back pain (LBP), the most effective treatment is physical therapy combined with antiinflammatory medications and concludes that physical therapy and nonsteroidal antiinflammatory drugs are the cornerstones of non-surgical treatment. Symptomatic lumbar degenerative disc disease develops when a disc weakens (often due to repetitive strain), is injured, or deteriorates from aging. As a result, the disc is unable to hold the vertebrae as it should and the lack of stability can cause back pain. Approximately 75 to 85 percent of adults will be affected by low back pain during their lifetimes. Physical therapist intervention includes strengthening of core muscle groups, including the abdominal wall, which can have positive effects in patients with this condition. Exercise and manual therapy including spinal manipulation, have been shown to alleviate pain in many patients. In addition, patient education to remain active and use appropriate body mechanics is beneficial. Physical therapists are trained to identify which of these treatment strategies will be most effective for an individual patient, which further improves the effectiveness of care. In addition to building the core muscle groups, hands-on therapy to mobilize the spine has been shown to be particularly effective. Physical therapists can help patients develop a safe and effective exercise program that is tailored to their specific needs and goals. Surgery should be the last option, but too often patients think of surgery as a cure all and are eager to embark on it. Receiving care from a licensed physical therapist can further improve the odds that a patient can maintain their quality of life and avoid surgery. IN THIS ISSUE: BACK PAIN OR SCIATICA? STUDY PHYSICAL THERAPY IS AFFECTIVE FOR LOW BACK PAIN THE CHALLENGE OF TREATING BACK PAIN PATIENT RESULTS Loudoun Sports Therapy Center achieves great results! Don t let pain stop you. Call us today! NEWS Programs at Loudoun Sports Therapy Center EXERCISE ESSENTIALS Activities to keep you moving. FIND US ON FACEBOOK

THE CHALLENGE OF TREATING BACK PAIN Back pain is the second most common diagnosis seen by physicians in their offices. 85% of the US population will suffer an episode of back pain sometime in their life. Why is this? A lot has to do with the design of our body. It is the price we pay for walking upright on two legs. In humans, the force of gravity pulls directly down through the vertical spine vertically compressing it together over the years. In other mammals such as horses, apes, and cows, the spine is horizontal and the pull of gravity does not compress the spine together. Most back pain falls under the category of mechanical back pain. The spine has to move in intricate ways to make the whole movements of bending, extending, and twisting. Therefore, the mechanics of the spine are important in order for all the vertebrae (the bones) to be able to move. Mechanical back pain means that the joints, muscles, and ligaments of the spine are not moving correctly at the right time. This can cause increased strain on certain parts of your back, especially the very lower back, L-4,L-5, and S-1. Why do the mechanics of the spine change and start to cause pain? This is due to a variety of reasons including small traumas from lifting heavier objects, bending and twisting, repetitive strain, accidents, weakness from prolonged sitting, and changes in your core strength. Most of our daily activities today involve sitting which causes our abdominal and back muscles to become weakened. This in turn does not provide the necessary support to the spine and causes strain. The strain causes inflammation which leads to pain. The pain can be localized to the back area or even radiate into the buttocks or backs of the legs. Millions of people a year rely on over the counter medication and back braces to get through their day. The unfortunate reality is that 75% of people with back problems will have a reoccurrence of that back pain. This is because the cause of the problem, the mechanical movement, is not addressed by treating with drugs or a hot pack. More and more people are realizing the full benefits of manual physical therapy to address the cause of their back pain and learn what they can do to have lasting relief. CALL US TODAY! phone: (703) 450-4300 fax: (703)450-5113

Patient Results What patients are saying... I don t have pain anymore! For the past few months I had pain that was constant even when sitting at work. It was difficult to do everything even getting dressed let alone moving around. Since starting therapy at LSTC I am now able to get dressed, sit at work, walk to and from the parking lot, and I don t have pain any more. Debby L. PT is the answer! My back had been a mess for a long time and then it started to spread to my leg. When I couldn t sit anymore without pain I decided to try therapy. Not even 4 weeks into therapy I am a whole new person and things are good again. I can get up from sitting without pain and when I walk I no longer look like I m 95. Housework and yardwork are now back in the picture and life is back to normal. PT is the Answer!!! Susan G. I can pick up my son without pain! Because of my back and leg pain I was struggling to do every day tasks at home, work and with my son. I had high levels of pain all day long. After therapy I am now able to do household chores, walk and stand during the day, and best of all I can pick up my 40 pound son all without pain!!!! Cynthia C. WE GLADLY ACCEPT: Anthem Blue Cross Blue Shield Cigna ALL OTHER INSURANCES Loudoun Sports Therapy Center Can Help You: Decrease your pain Increase your strength Increase your activity level Increase your flexibility Improve your health Get back to living Why Choose Loudoun Sports and Therapy Center... Expertly trained therapists Focused on achieving fast results We take the time to listen to you We spend time educating you on your problem and how to solve it Friendly, courteous staff On time appointments Doctor recommended Experts in neck, back and orthopedic care www.loudounsportstherapy.com

Toys For Tots Drive Benefitting Loudoun County From November 18th- December 20th We will be collecting toys for all age groups. Donate by cash / check and we will purchase a toy for you. Please make sure that all donations are NEW AND UNWRAPPED. Donate and enter our raffle for a gift card to a local restaurant. REFER-A-FRIEND You can receive a FREE gift for each friend referred to Loudoun Sports Therapy Center! Give This Coupon To A Friend or Family Member Who Can Use Our Help New Patient:: CALL US TODAY! phone: (703) 450-4300 fax: (703)450-5113 Referred by: Phone: 21251 Ridgetop Circle Suite #140 Sterling, VA 20166 The greatest compliment you can give us is to refer a friend of family member. We want to help them get the results you had with therapy at LSTC. Have them call today or visit our website for more info. www. loudounsportstherapy.com

Exercise Essentials Flexibility, strength, and stability are needed to maintain a healthy back. Share this with a friend or family member to help keep their back healthy too! QUADRUPED LATERAL TRUNK STRETCH While on your hands and knees in a crawl position, side bend your trunk and head to one side until a stretch is felt. BILATERAL BENT LEG LIFT While lying on your back with your knees bent, raise up both feet. Use your stomach muscles to keep your spine from moving. Exercises copyright of HEP2GO www.hep2go.com Free Home Rehab Exercise Program BRACE - BICYCLE While lying on your back with your knees bent, raise up both feet and straighten one out in front of you. Then return the leg back and straighten the other. Use your stomach muscles to keep your spine from moving. PIRIFORMIS STRETCH - MODIFIED While lying on your back, hold your knee with your opposite hand and draw your knee up and over towards your opposite shoulder. Always consult your physical therapist or physician before starting exercises you are unsure of doing. SHARE Please share these exercises with friends and family members to help them stay healthy and free from pain. SAVE Save these in a place where you can easily use them as needed. Watch for more exercises in our next issue. Call or come in if you feel you are not moving like you used to. We will get you the results you deserve!

21251 Ridgetop Circle Suite #140 Sterling, VA 20166 CALL US TODAY! phone: (703) 450-4300 fax: (703)450-5113 www.loudounsportstherapy.com BACK PAIN? Find out how to make it go away... www.loudounsportstherapy.com