Top Questions Asked By Patients:
What exactly is physical therapy/what does a physical therapist do?
- A physical therapist is an individual who is educated in the field of human anatomy & physiology, biomechanics, and pathology. This specialized knowledge allows physical therapy to be a powerful tool that can positively influence human function and minimize pain. A physical therapist can utilize multiple approaches and techniques to address dysfunction...exercise prescription, manual therapy (soft tissue mobilization, joint mobilization, stretching), balance and stability training, gait analysis, lifting/postural mechanics, to name a few.
Are you licensed? What are your qualifications?
- Yes. I am a licensed PT in the state of Indiana by the Indiana Professional Licensing Agency. My license number is 05009314A. I have been licensed since June of 2007. I received my Doctorate in Physical Therapy (DPT) from the University of Indianapolis. I am also a Certified Strength & Conditioning Specialist (CSCS) through the National Strength and Conditioning Association (NSCA). I have had this certification since April of 2006. I also have additional education and certifications in the Functional Movement Systems - The Selective Functional Movement Assessment (SFMA), the Functional Movement Screen (FMS) and the Y Balance Test. I am also certified in Dry needling through KinetaCore (2016) and Blood Flow Restriction Training through BStrong (2018).
Are you a good physical therapist?
- Yes, I'm awesome! Seriously though, I do strive to hear my patients out to know where they are coming from and what they want to accomplish. I continue to look at the latest research, as well as use my clinical experience to guide my treatments and exercise prescriptions. There are many fantastic PTs and other rehab and fitness professional out there, and I am constantly learning from many of them. Along the way, I continue to grow and my patients reap the benefits of that growth.
When Can I ... (Run, lift weights, get back to exercise/sport)?
- My answer is always the same. How do you move? Do you have pain? If the answers are that you move dysfunctionally and with pain, you will never hear me say, "Sure, go right ahead." But why not? After all, the things you want to get back to are all good for you and healthy activities, right?
- Foundation. That is why. Never build on shaky ground. Establish a solid foundation, and build from that. Never attempt to build fitness where there is pain or dysfunction. Trying to do "good things" before your body is ready really means the things you are regarding as good are actually bad.
What is Blood Flow Restriction (BFR) training?
Basically, it is a rehab intervention and performance-enhancing tool that taps into the body’s natural systems of stress and recovery – utilizing the same concepts as that of traditional exercise alone. The major distinction is an individual is recruiting muscles in a state of limited blood circulation.
In the case of exercise under restricted blood flow conditions, a strong but not complete, hypoxia results in muscle fatigue signaling. This limited circulation of oxygen, which is the driving force that causes muscular fatigue, happens more quickly than if oxygen were to be readily available.
What makes BFR safe?
- First, the intent of blood flow restriction is to restrict (not fully occlude) the movement of blood into and out of working muscles. As long as blood is still moving (stasis, or pooling of blood) is a risk factor for blood clots...if you are not stopping blood, the risk of blood clot is virtually non-existent.
- Second, a person should use a device that has elastic properties. Meaning, it should “give” in some way to allow muscle pump, size changes, limb movements and functional demands.
- Third, the size of the device should be an intermediate width:
- Too narrow risks nerve entrapment and creates “rope-like” restriction.
- Too wide disallows movement, can block muscle activation and is more restrictive at lower pressures
- Lastly, you should be able to control the amount of restriction placed on a limb: typically this is done pneumatically...meaning, not just an arbitrary amount of force based on perception of tightness.
Does BFR replace traditional strength training?
- Absolutely not. BUT, it can serve as an amazing supplement for a number of applications including, but not limited to:
- Rehab - From an injury to allow you to continue training and build strength without the stress on the injured tissues
- Deload - Focus on maintenance during non-growth phase of training - emphasis on not losing ground
- Variety - The greatest feat of the human body is its ability to be adaptable. When exposed to different stimulus, demands, forces, positions, activities, etx. How does your body respond? BFR allows an opportunity to expose the human body to different stresses & enhance training effect without increasing load/force
- Recover - From things like joint/tissue overuse or even as simple as travel stiffness/inactivity
- Modify - Alter a training session or even a type of exercise that is currently too difficult or impactful. Maybe you are new to it and need to learn the movement patterns better, but the work is too light to make any secondary gain from your time and efforts. BFR is an opportunity to work without overuse
- Finish - End a training session with fatiguing muscles in a group (isolated work)