COVID-19 safety is priority as Park Sports Physical Therapy expands In-Person hours

Brooklyn’s own Park Sports Physical Therapy is expanding its in-person hours and as always, your safety is uppermost on our minds.  Park Sports has stepped up our already-strict precautions for staff, our clinics’ physical environment, and follow strict CDC guidelines for your own health and safety during the COVID-19  pandemic.  

We have made every possible effort to create safe conditions in our medical office using  enterprise-class measures. We ask your patience and cooperation with the stronger  COVID-19 safety procedures as together we take this important step in your recovery. 

Safety for In-person Physical Therapy

Protecting the health of patients and staff is critical as the country reopens workplaces, and that is doubly true for medical clinics.

For your protection and the that of our staff we:

  • Screen all arriving patients, clinicians and team members for potential Coronavirus (COVID-19) exposure
  • Sterilize and protect all clinic surfaces with broad-spectrum long-lasting Purity Solution Electrostatic Spray
  • Require Therapists to wear masks, gloves, and other personal protective equipment (PPE). 
  • Have begun using touchless admission processes at our front desk
  • Clean all high-touch surfaces such as door knobs and bell buttons
  • Have reconfigured our clinics to comply with CDC social distancing rules
  • Set a clinic occupancy limit 
  • Increased time intervals between admission of patients (30-45 minutes)
  • Ask assistants and other non-patients to wait outside the clinic except when absolutely necessary

Safety during COVID crisis is uppermost at Park Sports Physical Therapy. Here the Williamsburg location.

Park Sports Safe Against COVID-19.  Above: Park Sports Williamsburg location

Safety during COVID crisis is uppermost at Park Sports Physical Therapy. Here the Fulton Street location.

…and at Fulton Street location

Park Sports In-person and Telehealth Physical Therapy

With the safe reopening of our locations, your choices of treatment modes at Park Sports have now expanded to include:

In Park Sports’ two decades of practice, we see that the most important factor in the success of your recovery is completion of the course of treatment developed for you. Now, despite the COVID-19 crisis, our aim is to give you more avenues to success. 

More resources:

CDC Outpatient Care Guidelines

CDC Patient Guidance

CDC COVID-19 FAQ

3 Ways to Prevent Show-stopper Runner Injuries

Worried that an injury will bring a screeching halt to the runs you enjoy and depend on? It’s the last activity gym-goers can enjoy during the COVID-19 crisis, so running is more important to you than ever.  There’s good news: you can do much to stay healthy, keep running, and even hone your fitness.

Physical therapists can analyze what you can do to prevent runners injuries

The injury prevention process starts with a screening known as biomechanical running analysis. This skilled assessment can identify injury-prone running styles, and with a bonus: it can also help you to improve your performance and to make running more enjoyable. Our therapists are specialists in running assessment and injury prevention.  

Runners, the time is right.  Luckily for us, through the COVID-19 pandemic NYC large parks have remained open, and running has become the only activity regular gym-goers could do. Through the window of our Park Slope facility right now, I can see runners taking advantage of the lush Prospect Park paths. Running has become a badly needed escape from the constant stream of distressing media coverage.  

But wait: with other activities curtailed, it also means that maladies associated with running can return: runner’s knee, plantar fasciitis, shin splints to name a few.

You can prevent injuries from running

That said, there is no need to discontinue your running. With some modification you can still enjoy your routine. Because those conditions are often associated with your running style, paying attention to the way you run may help you to resolve them.

A shortlist of common adverse running styles and the negative effects it may have on your selective body parts includes:

  • Heel striking
  • Forefoot striking
  • Side-to-side excessive motion

Heel Striking

If your heel comes first on the contact with the ground, you are a “heel-striker.” Chances are that your knee joint experiences high impact because your hip and knee are not flexing enough to absorb vertical forces. The heel-first contact is also slowing down your weight transfer, thus putting more stress on your shin and the sole of the foot. 

Heel-strikers may experience anterior knee pain, shin splints, and plantar fasciitis.  They tend to have longer strides and lower cadence. A possible simple solution is to increase the cadence. Set up a metronome on your iPhone to 160 bpm and try to keep up. A higher number of strides per minute leads to faster weight transfer, thus shifting your center of gravity more to the front of your foot.

Forefoot striking

The opposite style of running is landing on the forefoot, the ball of your foot. If your heel is not coming down completely to the ground before taking the next stride, you are placing continuous stress on Achilles and posterior tibialis tendons. Pain in the calf, discomfort behind the heel, and on the inside of the ankle may indicate that one has those conditions.  This running style comes with more flexion at the knee and higher arm swing. Changing the stride length or lowering your speed may help to alleviate the issue.

Side-to-side exessive motion

Another common adverse running style is an increased side to side motion. This style is not easily discernible by the subject and would likely require an external observer to confirm. If your leg crosses midline on the run too often it is an indication that the trunk is moving to the side more than it should. Larger than normal displacement your center gravity points out to the weakness of muscles in the pelvic area: hip abductors, back, and abdominals. 

My advice is to spend your non-running times working on your core stability and balance. There are plenty of resources on that. Among others, I like Katie Thompson’s piece in Self Motivate on building a strong core.

Three steps to a healthy running routine

Pay attention to these three adverse patterns and you’re well on your way to the healthy running routine we love and the fitness we need during this crisis.  Park Sports staff, ourselves athletes, dancers, and others at home in the active life, can fill you in. We welcome you to a consultation. And of course if needed, we are there for you with the best sports rehab in Brooklyn…visit our sports rehabilitation page.

“Don’t dream of winning, train for it!”
Mo Farah, Olympic long distance runner

 

Pulmonary Rehabilitation: Post COVID-19 Recovery

Do you know that Physical Therapy can improve respiratory health? Park Sports is introducing a pulmonary rehabilitation program. Physical therapy is not often thought of as a remedy for complications following COVID-19. Pulmonary Physical Therapy can help to improve the fitness of your respiratory function. The team at Park Sports Physical Therapy is ready to step in by providing vital support to patients recovering from COVID-19.

For cases of COVID-19 that are more serious, long-term respiratory damage is a common after-effect.  Those recovering from COVID-19 may find that their lung-function is impaired to various extent. Some patients become winded from light activity, such as brisk walking. The pulmonary rehabilitation program at Park Sports aims to alleviate some of the residual effects that patients who have suffered from the Coronavirus may experience. Luckily, most cases are mild and the breathing issues are easily addressed through Physical Therapy. One significant advantage of a supervised breathing program is that it can be effectively performed in the safety of your home via Telehealth. Our skilled therapists at Park Sports employ a variety of techniques to help you bounce back from the residual effects of COVID-19 faster by teaching you how to engage your respiratory muscles. Those techniques include but are not limited to diaphragmatic breathing, visualization, biofeedback, and relaxation. 

Our mission at Park Sports Physical Therapy, located all across Brooklyn, New York, is to assist you in the rehabilitation process following severe cases of COVID-19. Whether you are suffering from long-term respiratory impairment because of a chronic lung condition, or as a result of the novel Coronavirus, our practice has you covered. Click Here to find out more about our team of highly qualified therapists. Our community-driven team of highly-educated therapists is here to aid you through your recovery process. 

Pulmonary physical therapy might include:

Pulmonary physical therapy is available not only for those recovering from COVID-19, however. It can also assist those suffering from the following conditions and symptoms:

 

If you find that you have any of these conditions or symptoms, and/or have contracted COVID-19, check-in with your doctor to see if pulmonary physical therapy might be the right thing for you. The data has made it conclusive that pulmonary physical therapy is very effective for treating these conditions and symptoms. Pulmonary physical therapy has been proven to improve respiratory muscle strength, endurance, lung capacity/function, and breathing capabilities.

Click here to request an appointment with us.

Click here for an exercise you can do at home for some pulmonary rehabilitation.

 

 

 

Tips for Runners During the Coronavirus

Social distancing during the COVID-19 epidemic has hampered the activity of most athletes. Whether it is the literal closure of gyms and certain portions of public parks, or simply the anxiety centered around going outside, staying active has become increasingly difficult. Runners are no exception to this rule. 

However, for runners, it is still possible to get in your miles. Not only this, but it is also important to continue getting in your miles. Research shows that regular exercise, assuming you are not sick, boosts immunity, and specifically, it significantly reduces the risk of contagious diseases caused by viruses and bacteria. Hence, if you’re worried about catching the coronavirus, one of your first lines of defense is regularly getting exercise. First and foremost, leading health experts suggest that so long as you keep a 6 feet distance from other people, it is perfectly safe to go out and run. In fact, not only is it safe but –aside from its immune-boosting benefits– it is recommended for the preservation of mental health. 

Aside from keeping a 6-foot distance from other people, there are a few caveats to keep in mind for when you go out on your next run. Firstly, you probably should not drink from water fountains on your water break. According to Angela Rasmussen, a virologist at Columbia University, “We don’t have any data about how long the virus remains infectious on water fountains, but, given their proximity to other people’s mouths and noses, I would say you should not.” Next, when you get back from your run, you should take your shoes off before going back into the house. According to Saskia Popescu, an infection-prevention epidemiologist, the data doesn’t definitively suggest that the coronavirus sticks to shoes, “but they carry a lot of gunk in general, so leave them at the door.” This is simply a “better safe than sorry” protocol. Another tip is to find routes that are generally unpopulated. The news has reported repeatedly runners who are violating the 6-foot-distance rule by going to populated tracks to run. Not only is this putting yourself and others at risk, but it has the potential to increase the government’s likelihood to impose more restrictions on outdoor get-togethers, including going on walks or runs, as is what happened in Italy. Generally speaking, sidewalks and ordinary streets are a good option: fewer people are out and about, making adherence to the 6-foot-distance rule easier. Likewise, going on your run in the morning or the evening will make it easier to avoid others while continuing to social distance. An exceptionally good location is here in Brooklyn: Prospect Park! Prospect Park is a quite vast and expansive park, making it easy to keep a reasonable distance from others while still getting in a great run! Finally, if you like, you can wear a mask when you go out for your run. It isn’t necessary, as, transmission of the coronavirus is extremely unlikely by merely going outdoors. Still, for the sake of alleviating some anxiety about going outside, for yourself and others, it might be a good idea to wear a mask. 

Runners, like all athletes, are susceptible to injuries. Research indicates that runners show an injury rate that ranged from 2.5 to 33 injuries per 1000 hours of training in novice runners and 17.8 injuries per 1000 hours of running in recreational runners. During this time, it can be hard to find treatment for such injuries. Many physical therapy practices have shut down due to the COVID-19 epidemic. We here at Park Sports Physical Therapy, however, are still taking on patients. An outline of Park Sports Physical Therapy’s guidelines during this time can be found here. Still, in short, we are currently offering physical therapy sessions via telehealth, which is essentially physical therapy guided coaching through video/audio online chats. The results of a study done by the Yale School of Medicine indicates little difference in effectiveness between in-person and telehealth physical therapy sessions. So if you are injured, feel free to request a telehealth PT session with us at Park Sports Physical Therapy. 

If you are injured and would like to do some exercises on your own, here are three that are particularly helpful for runners. All of these movements will require a lacrosse ball. While these cannot nearly equal having an actual physical therapy session, they can certainly bring you some relief through self-soft tissue treatment for muscle soreness:

Lacrosse Ball Shin Smash: 

This movement is particularly useful for knee, ankle, and foot soreness.

  • Source: Becoming a Supple Leopard by Dr. Kelly Starrett DTP  

Lateral and Anterior Compartment Shin Mobilization: 

If you are dealing with issues such as foot soreness, soreness associated with shin splints, strange downstream soreness, knee soreness, and/or ankle soreness, this movement can be helpful.

  • Source: Becoming a Supple Leopard by Dr. Kelly Starrett DTP  

Planter Surface Smash: 

Plantar fasciitis is a painful condition that is extremely common for runners. And also, generally speaking, foot soreness is widespread amongst runners. One way to ease foot soreness is to roll your foot on a lacrosse ball: 

  • Source: Becoming a Supple Leopard by Dr. Kelly Starrett DTP  

If you adhere to the above guidelines, you can continue your running routine while maintaining proper social distancing guidelines. Likewise, you can be sure that if any injuries arise during this time as a result of your runs, Park Sports Physical Therapy will have your back with our telehealth physical therapy sessions. Stay healthy, and keep trotting! 

Pelvic Floor Physical Therapy During Social-Distancing

This blog post is written by Samira Panjaki, PT, DPT

What is telehealth for pelvic floor physical therapy?

Pelvic floor physical therapy can be used to treat a variety of symptoms in both men and women. Conditions range from sexual pain to urinary and fecal incontinence. While an in office visit is the ideal way to be fully evaluated, making a telehealth appointment for your pelvic floor symptoms is a great way to get started. Furthermore, since telehealth is done in the comfort of your own home it eliminates any anxiety you may have about a pelvic exam.

What are pelvic floor exercises?

A recent study conducted at Vanderbilt University Medical Center (1) looked at women’s baseline knowledge of pelvic floor exercises and pelvic floor disorders. The study found that while the subjects had high baseline knowledge regarding pelvic disorders, they did not know about exercise and therefore they were not inclined to perform pelvic floor exercises. This is where your pelvic floor physical therapist can help.

What will happen during my treatment?

As part of your treatment program your pelvic floor physical therapist at Park Sports Physical Therapy will conducted a thorough subjective exam via teleconferencing. Furthermore, your PT will create an exercise program for you that can be done in the comfort of your own home. Depending on what is found on an initial evaluation your PT will create an individualized exercise program for you. This may include stretching the pelvic girdle muscles, strengthening of pelvic, abdominal, hip, and back muscles, breathing and relaxation techniques, and functional activities aimed to retrain your muscles.

Why is having access to your physical therapist so important in your plan of care?

Having an exercise program overseen by your PT will improve your chances of success. A study published in 2018 found that long long-term adherence to pelvic floor exercises in women was influenced by having personalized instructions as well as aids that served as reminders (2).

At Park Sports Physical Therapy your pelvic floor physical PT will provide you with exercises sheets and educational handouts with easy to follow instructions. Most importantly your PT will check in with you frequently to keep you accountable. If you are ready to take the next step in improving your pelvic health click here to request telehealth appointment!

Sources

1.Goodridge, SD. et al. Association of Knowledge and Presence of Pelvic Floor Disorders and Participation in Pelvic Floor Exercises: A Cross-sectional Study. Female Pelvic Med Reconstr Surg. Jan 25 2020.
2. Venegas M, Carrasco B, Casas-Cordero R. Factors influencing long-term adherence to pelvic floor exercises in women with urinary incontinence. Neurourology and Urodynamics. 2018;37:1120–1127.
3. Image credit here

Home Exercise for Scoliosis.

This blog post is written by Kristin Romeo PT, DPT, OCS, Certified Schroth Practitioner.

 

Kristin Romeo, PT, DPT, OCS

Home programs are an important part of the Physical Therapy regimen for those with Scoliosis. Integrating safe movements and strengthening exercises into your daily routine helps keep your body strong and stable. Below is a quick strengthening exercise that is safe for those with a spinal curvature and doesn’t require any equipment. Set aside at least ten minutes a day to keep your body strong and healthy.

Sitting Axial Elongation and Expansion:

  • Sit in a chair with feet planted firmly on the floor. Sit with good posture and do not lean against the back of the chair. Put hands on your shoulders with elbows pointing outwards, forearms parallel to the floor.
  • Try to maintain a small arch in your low back and take a big inhalation through your nose. As you breathe in, try to reach your spine tall by reaching the crown of your head upwards to the ceiling.  Gain as much height as you can and expand your ribs wide. Be mindful not to shrug up your shoulders as you breathe.
  • Slowly release the air through pursed lips while making a “ssss” sound to slow down the exhalation. Try to maintain the height you gained during the inhalation and keep muscles activated during your exhalation.
  • Repeat for three sets of ten breaths.

 

Keeping up with the exercises prescribed to you by your Schroth Physical Therapist is important to keep your spine healthy as you age. It’s critical to keep a good exercise routine while you’re home because of the COVID-19 pandemic (and always!) as you don’t want to lose the progress you’ve worked so hard to make. Stay strong and stay healthy!

Learn more https://www.schrothmethod.com/

 

Physical Therapy in Times of the Coronavirus

Physical Therapy in times of Coronavirus is challenging, but our Park Slope location is open and we continue to provide services. Physical Therapy is an essential business. Our providers prioritize your safety while we are working toward your recovery. We have implemented aggressive screening techniques before each patient visit. We are constantly monitoring information about the coronavirus as it becomes available from the Center for Disease Control (CDC), World Health Organization (WHO), following directives of our local government.

We understand that recovery is time-sensitive and it is important for us to make sure that there is minimal interruption in your Physical Therapy.

Park Sports’ Response to the Coronavirus

Here are the specific steps we are taking to protect your safety:

  1. We provided our staff with the best possible protection, including commercial-grade N-95 masks and gloves.
  2. We reduced treatment area density and see only one patient an hour with no other patient present in the same room.
  3. We are sanitizing treatment areas after each patient including exercise equipment, door handles, light switches, treatment tables.
  4. We’re using EPA approved cleaners that kill coronavirus and other infectious agents.
  5. We are washing our hands frequently after each contact and are using alcohol-based sanitizers.

As always, we remain committed to your health and recovery. We understand your safety concerns and if you would like to speak to your provider directly please do not hesitate to call us or send us an email at info@parksportspt.com.

If you are now working remotely, or want to continue therapy in your home, we offer telehealth services.

Click here to request telehealth appointment!

We encourage you to stay informed on the situation about coronavirus in NYC. Below are some additional resources from the CDC about the virus:

CDC Frequently Asked Questions: https://www.cdc.gov/coronavirus/2019-ncov/faq.htm

World Health Organization: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public

New York City Department of Health: https://www1.nyc.gov/site/doh/covid/covid-19-main.page

Telehealth for Brooklyn-based Physical Therapy

“Telehealth” is a buzz word that has been getting a lot of attention lately, and we believe, for the right reasons! Telehealth is an innovative way to make high quality care more accessible to patients. Park Sports is thrilled to announce that we are now able to serve orthopedic, post-operative, and pelvic floor needs through a HIPAA-compliant telehealth platform. All our clinicians are available for the video appointmentTelehealth Physical Therapy in Brooklyn

 

How It Works

Call our office today to schedule an appointment with one of our well-respected Doctors of Physical Therapy. A friendly receptionist will help to verify your insurance coverage and set up a time slot. You will receive an invitation link with your scheduled appointment time, which will also provide any pre-appointment instructions. Make sure that you have good internet access and are in a safe place to perform exercises! Once you are in your virtual session, your provider will assess your injury and create a treatment plan. They will then provide home exercises and help to answer any questions, as well as make follow up appointments. To learn more about it please visit the American Physical Therapy Association webpage https://www.apta.org/PTinMotion/News/2020/3/16/TelehealthCOVID19/ 

 

Why Telehealth

  •     Easy to use high quality digital and audio platform
  •     Great for individuals who cannot leave their homes
  •     Ensures safety and prevents exposure to anyone who may be sick
  •     Decreases long wait times for in-person care
  •     Assists in acute injuries such as spraining an ankle
  •     For chronic injuries such as long term low back pain
  •      It allows the provider to monitor home programs in real home environments.
  •     Provides access to large groups such as sports teams

 

Moving Forward

While treating virtually does not completely take the place of in-person care, during times of environmental constraints such as the Covid-19 pandemic, it allows us to better help you on your road to recovery. Your safety and healing have always been, and will always be, our number one priority at Park Sports! Telehealth is clearly an excellent tool to ensure continuity of care and may even lead to creative ways of thinking about care delivery in the future. Call us to trial the Telehealth platform today!

 

Written by Lacey Salberg, PT, DPT 

 

Hand Injury in Rock Climbers

Hand injuries for climbers follow a specific pattern that is known to and best-treated by Certified Hand Therapists.
Brooklyn Hand Therapy

Human fingers are not designed to carry 3-4 times body weight. This is how much pressure our phalangeal joints carry in a “crimp” position during a climb. In climbing athletes, Middle and the Ring digits’ are mostly involved. Chronic injuries include tendinitis and muscle strains. Digital pulley tears are very common among rock climbers we see in our Brooklyn Physical and Occupational practice. The causes vary. Some are cumulative: overtraining and poor planning. Some are acute like a sudden loss of footing. A similar injury may happen in other sports: gymnastics, basketball, weight lifting, contact sports. However, rock climbers’ finger injuries are unique.

Over the last 20 years research has been done to analyze injury distribution and injury risk involved. As the sport becomes more professionalized we see more involved injury patterns in our Williamsburg and Park Slope Brooklyn locations (because of our proximity to rock climbing gyms). Our rock-climbers physical therapy patient population is statistically consistent with the national average: an overwhelming majority of them are Hand injuries.

Know what to do when it happens.

Finger pulleys are fibrous anatomical structures around your digits that keep you tendons close to the bone. There are several, but the ones over the proximal and the middle phalanx, A-2, and A-4 are in the most vulnerable position. If damaged, your tendon pulls away from the bone. Resulting “bowstringing” of a tendon reduces its efficiency. Athletes often report a loud pop when it happens. Immediate pain is swelling ensue with a visible tendon bulge on the palmar surface of the hand. In the long run, if left untreated, it can lead to a loss of strength and motion in your hand.

Hand Therapy facilitates recovery

The good news is that most of finger pulley injuries do not require surgery and heal in approximately 4-8 weeks. During the healing, your body lays down collagen to repair the damage. It could be problematic as uncontrolled healing can lead to tissue adhesions. Skillful Physical or Occupational Therapy intervention guides healing. It prevents unnecessary scar formation and ensures the smooth gliding of the tendons. Hand therapists at our locations in Williamsburg, Park Slope, and Clinton Hill can fabricate a Pulley Protection Splint. The splint is effective and provides support while you gradually return to climbing. The specialized taping technique keeps tendon closer to the bone and thus assumes the function of a pulley.
Evidence suggests that any of the external support is not useful in preventing injury. The preventive program should include core strengthening and shoulder stabilization exercises.
Park Sports board-certified hand therapists are here to help!

Sports Rehabilitation for Runners


A piece of good news for those who decide to become runners later in life.

A recent study in the British Journal of Medicine discovered that distance running for middle age beginners did not cause more damage to your knees but may actually refurbish them by reducing an already existing wear and tear. Marathon Running May Be Good for Your Knees. For a Physical Therapy practice involved in Sports Rehabilitation for runners, the article is invaluable.

A surprising finding for health care professionals involved in Sports Physical Therapy.

Researchers followed a group of novice runners during their preparation for the London Marathon. MRI scans were performed before they started training for the marathon and after the event. A surprising finding was that some damages they saw on the first scan unexpectedly got better in the post-marathon studies. How it is accomplished on the cellular level remains uncertain. Possibly, by generating and releasing endorphin-like chemicals or increasing the stability of the joint through improved neuromuscular control.  On the negative note, there was more wear and tear in the tissues surrounding the knee cap, a condition associated with overuse syndrome. The good news is that patellar-femoral syndrome ( knee cap irritation) can be successfully treated with Sports Physical Therapy. We refer to it as anterior knee pain. It is the most common Sports Physical Therapy condition found in distance runners.

Strengthening the muscle supporting the joint can fight off arthritic changes.

One probability brought up in the article was that exercising the muscles surrounding the joint had a healing effect on the joint. Although there is plenty of evidence to support the benefit of low-intensity aerobic activity for the arthritis symptoms (https://www.ncbi.nlm.nih.gov/pubmed/16305269), a high-intensity repetitive weight-bearing activity, like training for a marathon, was thought to potentially cause damage. Surprisingly, the opposite seems to be the case. https://parksportspt.com/brooklyn-sports-rehabilitation/ The study supports our view that more exercise creates more benefits. Our clinics in Park Slope and Williamsburg specialize in Sports Rehabilitation and geared towards rehabilitation of the runners. From my personal experience as a competitive runner and working with hundreds of endurance athletes, I could see a measurable improvement in symptoms after individually designed and properly administered exercise program. Improving muscular control and re-balancing the muscle groups around the join accomplishes this goal. Sports Physical Therapist would implement an individualized program after properly identifying deficiencies in muscle performance during specifically chosen tasks. It is important to note that the aforementioned study did not measure additional variables such as training protocols, cross-training, and nutrition.