Physical Therapy Associates of New York, LLC

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Archives for the ‘Blog’ Category

10-11-2011: “Advanced Evaluation of the Shoulder for the Overhead Athlete” by Michael Zazzali

By • Oct 11th, 2011 • Category: Blog

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As part of the NYU Hospital for Joint Disease’s Network Education Lecture series, our own Michael Zazzali will be lecturing the evaluation component of the “Shoulder Injuries in the Overhead Athlete- SLAP Tear Repair and Treatment” presentation. The program is as follows:

SLAP Tear Repair – Andrew Rokito, MD
Advanced Evaluation – Michael Zazzali, PT, DSc.PT, OCS
Rehabilitation and Microinstability – Tim Tyler, PT

When:
Tuesday, October 11th*, 2011
5:30pm – 7:30pm
Where: NYU Hospital for Joint Diseases- Loeb Auditorium
301 East 17th Street, New York, NY 10003

This lecture is for network members only.



Fovia Software- A Stunning Look Inside the Human Body

By • Mar 22nd, 2010 • Category: Blog

Using a Mac and Fovia software, Richard Breiman has developed a technique for rendering 2D images taken from CT scans to a more comprehensive 3D view of the body.  One look at his work and anyone would agree this is taking imaging of the human body to the next level. This advance has allowed medical professionals to provide more accurate diagnoses, plan intricate surgeries, and teach anatomy with superb fidelity.

Interview with Richard Breiman on the Apple website.

Click here to view some amazing movies of the human body created by Fovia software.



Inflatable Lumbar Pillow

By • Mar 19th, 2010 • Category: Blog, Helpful Products


I often recommend that patients use a lumbar pillow whenever sitting for prolonged periods. The inflatable McKenzie Airback is portable enough to bring to the theater, performances, and long train trips without being too conspicuous. There is also a self inflating version found below.

Original McKenzie Airback Lumbar Roll
The Original McKenzie Self-Inflating Airback



A poor fitting bra may contribute to neck pain

By • Mar 18th, 2010 • Category: Blog

Did you know?

  • 80% of women wear the wrong size bra
  • only 10-15% of the support should come from the shoulder straps.  If your straps are cutting into your shoulder you need another bra.
  • weight gain/loss may necessitate changing your bra

I’m obviously not an authority on this but a female physical therapist pointed out that when treating female patients, especially those with a larger chest, always make sure they have been fitted with a proper bra.  This can provide a profound amount of relief by decreasing neck/shoulder strain and improving one’s posture.  It may not be a complete solution, but it may reduce one of the contributing factors.

In researching this I found the process can be surprisingly complicated.  Below I have provided some information on finding the perfect  fit, but when in doubt one should see a professional who can find the right size and manufacturer for your body type.

 

Some websites of interest:

Three recommended bra fitters in NYC:

Bra Smyth
2177 Broadway
(corner of 77th St.)
NY, NY 10024
212.721.5111

The Town Shop
2273 Broadway (between 81st/82nd Sts.)
New York, NY 10024
Phone: (212) 787–2762
Email: townshop2@aol.com

Intimacy on Madison
Corner of 90th and Madison
1252 Madison Ave.
New York, New York 10128 USA
Phone (212) 860-8366
Store Hours
Monday – Saturday 10AM – 7PM
Sunday 12PM – 6PM



Haiti and Physical Therapy

By • Feb 23rd, 2010 • Category: Blog, What's New

Whirlwind Wheelchair

According to the NYTimes there are approximately 2,000-8,000 earthquake related amputees in Haiti.  Time magazine estimates that number may reach up to 150,000 by the end of the year due to infection and complicated fractures.  Although some state that number is exaggerated, there is no doubt of the massive need of wheelchairs, prostheses, and physical therapy for the large number of debilitating injuries suffered in the Haitian earthquake.

Our practice is committed to supporting long term projects which will try to address these needs both in the short and long terms.  The requirement is that they incorporate appropriate technology, local involvement/employment, and education. Below are a few organizations which are working specifically to meet the need of rehabilitative services in Haiti. Please feel free to forward us any additional organizations that you know of working in this area.

Whirlwind Wheelchairs

Whirlwind Wheelchairs is raising money to supply Haiti with 350 affordable wheelchairs made of bicycle parts that any welding shop can build/service.  I have been following this group for over a decade and have all admiration for their work.  Ralf Hotchkiss, the director, is wheelchair bound himself and came up with an open source wheelchair design which is sturdy, easily serviceable, and more appropriate for the terrain in developing countries. From their website:

“Today, Whirlwind designs are tested to achieve double the international wheelchair standard for durability. And, because the grit of village roads will eventually wear out any chair, Whirlwind chairs use only locally available parts like bicycle wheels and the standard bearings used in the ubiquitous Honda motorcycles. All parts are available virtually everywhere at an affordable cost and can be installed with basic tools.

$40 will buy two all terrain wheels.
$220 will buy a complete RoughRider wheelchair with a 10-year lifespan.”

Whirlwind Wheelchair Haiti Donation Site

World Confederation for Physical Therapy (WCPT)

The World Confederation of Physical Therapy is aggregating job posts for physical therapy positions in Haiti. So far the organizations include Health Volunteers Overseas, CBM, and Handicap International. PTs may want to check this site for future updates.

World Confederation for Physical Therapy- Haiti Site

This is an excerpt from a ground report from CBM (Feb 2010):

The hospital is full of patients who need post operative treatment. The hospital needed to create space inside and many patients are now in tents outside on the parking and driveway waiting to be discharged. But where can they go? Many have lost their house and they can only go back to a heap of rubble. Before discharge they need wheelchairs, crutches and other walking aids, of which we do not have enough. There are hardly physiotherapists in the country, so they need to be recruited from outside. Handicap International and CBM are doing that. The first physiotherapist for CBM will arrive on Sunday and soon more will follow.

We have seen situations where patients have been discharged without proper walking appliances and instructions for weight bearing, essential for good bone healing. We also see infected stumps, and stumps that need to undergo surgery again at a higher level. We can only do so much. It is a desperate situation for many of these patients. But the few that did get some attention appreciate it if you spend some time with them, exercise with them, and make them actually stand up and walk with crutches or a walking frame. A glimmer of hope and a smile to say “see you tomorrow”.

American Physical Therapy Association APTA Haiti website

CBM Donation Site

Health Volunteers Overseas(HVO) has encouraged donations to a local Haitian hospital called Hôpital Albert Schweitzer and Interaction

Handicap International  Haiti web page



Resistance Cords

By • Feb 20th, 2010 • Category: Blog, Helpful Products

For those interested in creating a home gym or taking exercises on the road, exercise cords are a good, lightweight alternative to dumbbells.  These kits often come with an anchor which allows you to attach it in a doorway for lateral or overhead exercises.

I have included 2 links for price comparison.

resistance bands

Stackable Resistance Bands Cords Tubings

Resistance Bands Set



Kahtoola MICROspikes Pocket Traction System

By • Feb 13th, 2010 • Category: Blog, Helpful Products

One of my greatest fears for patients who have acute lower extremity injuries is the risk of them slipping on an icy sidewalk. One wrong slip can send an otherwise healthy rehab backwards. Hopefully the worst is over for this winter, but these may be a helpful product to have on hand to prevent such injuries in the first place.

Kahtoola MICROspikes Pocket Traction System



Aquabells- weights for exercising while traveling

By • Dec 19th, 2009 • Category: Blog, Helpful Products

For those who travel often and find it difficult to maintain a consistent exercise program, these might be the perfect solution.  They pack lightly but can give a legitimate workout when filled with water.

Aquabells at Skymall



Management tools for the patient

By • Dec 13th, 2009 • Category: Blog, What's New

Trainer

We hope you find these useful:

  • Email Reminders- sign up to be reminded 1 business day before your appointment .
  • Wait List Request- Can’t get on the schedule for a desired time?  Let us know and we’ll do our best to find you that appointment.
  • Request a copy of your schedule.
  • SMS text message or leave a voicemail at (347) 637-8269.  This will get to us wherever we are.

Let us know if there is anything else we can do to improve the way we deliver health care.



Ivar Pack- Good ergonomics for a backpack

By • Nov 15th, 2009 • Category: Blog, Helpful Products, What's New

ivar_shelf_designivar comparison

Chronic neck and shoulder pain is often exacerbated by people carrying too much on their backs, especially for those in metropolitan areas that need to carry their belongings throughout the day or students that are lugging around heavy text books.

The Ivar pack attempts to evenly distribute the weight of the pack, bringing items closer to your body (to decrease the torque load) and stacking the weight vertically.  The larger packs have a waist strap which takes the stress off the shoulders and distributes the weight through the pelvis, which is even better.  Although the best strategy to relieve pain is to lighten the load, the Ivar may be a good solution for those unable change their ways.

Ivar, The Backpack Reinvented