Choice PT: Hip, Knee and Leg Pain

Move to Live Your Resource to Moving Well and Living Life

DR. JOE NAPOLEONE, PT, DPT,OCS Getting To Know The Choice Physical Therapy Team!

Background / Education A native of Rochester, NY, home of the garbage plate, Joe completed his Bachelors in Exercise Science, Master of Science and Doctorate in PhysicalTherapy (DPT) all at Ithaca College where he was a captain of the Bomber football team. Upon graduation Joe practiced in an outpatient setting for two years in Providence, RI prior to completing an orthopedic residency with an emphasis on movement science through Drayer Physical Therapy Institute in Lebanon, PA. Area of Expertise Manual therapy, spinal rehabilitation, TMJ, shoulder pain, hip pain, knee pain, sports injuries, and post- operative rehabilitation. Certification/Involvement Joe became a Board Certified Clinical Specialist in Orthopedics (OCS) through the American Board of

Physical Therapy Specialities, one of only a handful in the Capital District. Joe is also certified in the Selective Functional Movement Assessment (SFMA) as well as the Functional Movement Screen (FMS). A member of the APTA for more than seven years he has also been active with the Eastern District of the NYPTA and has been a clinical instructor for graduate physical therapy students as well as high school students interested in the field of physical therapy. Personal Life Joe is a die-hard Buffalo Bills fan, an avid reader and is always looking for new things to learn. He enjoys chasing around his two young children, Dominic and Cora, and spending time with his wife Erin.

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Move to Live Your Resource to Moving Well and Living Life

DID YOU JUST CALL MY KNEE STUPID?!

I think we all remember singing the song, “your hip bone’s connected to your, thigh bone. Your thigh bone’s connected to your, knee bone. Your knee bone’s connected to your, shin bone….”you get the idea. There’s a lot of truth behind those lyrics and it’s quite common that compensations in one area of your body can place more stress on another area. The fancy term for this theory is Regional Interdependence (there will be a quiz later). The concept of Regional Interdependence applies to many areas of the body, but possibly the most common area is the knee joint. My first year out of PT school, I heard a more experienced PT say: “the knee is really a stupid joint, it just listens to what the hip and ankle tell it to do.” Research study after research study confirm that if your hip or ankle aren’t working the way they should be, your knee is going to try and pick up the slack. Imagine you have 3 employees that all have the same job duties. All three show up to work, but two of them just kick back and take a nap while the third is trying to do all the work. That hard worker will be able to sneak by carrying the extra load for a period of time but eventually will become overworked, burnt out, and cranky. Many times your

knee joint is that hard working employee trying it’s best to make up for inefficiencies at the hip and/or ankle. Enter meniscus injury, ACL injury, early arthritic changes, tendonitis, bursitis, and even dislocations. Any good rehab program should address both the injured, painful structure as well as the underlying issues that caused that structure to become painful in the first place. If you’re struggling with knee pain, remember that song we used to sing as kids, you could be a few simple hip strengthening and ankle stretching exercises away from a much happier knee! As always, let me know if you have any questions, we’re here to help in any way we can! Have a great month, Joe

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GRIND YOU DOWN? Does Arthritis Pain

Millions of Americans suffer from arthritis pain every day, taking Ibuprofen and stronger medications to numb the pain and address the ongoing inflammation. The definition of arthritis is joint inflammation, however the term has acquired a wider meaning. Arthritis is now used as a generic term for osteoarthritis and other conditions that affect joints. The pattern, severity and location of arthritis symptoms can vary depending on the specific form of the disease. Typically, arthritic conditions are characterized by pain and stiffness in and around one or more joints. The symptoms can develop gradually or suddenly. Certain rheumatic conditions can also involve the immune system and various internal organs of the body. Physical therapy is an important part of the ongoing treatment for arthritis. Physical therapy strengthens, stretches and stabilizes muscles surrounding affected joints providing needed support. Relieving Joint Pain Exercising is important to help reduce joint pain and stiffness. Light to moderate-intensity physical activity can actually prevent a decline in function, even restoring health. However, some people with arthritis may be reluctant to exercise because of joint pain after activity. You can take various steps to relieve pain, such as heat and cold therapy, or pain relievers, making it easier for you to exercise and stay active. In addition to physical therapy, choose non-impact exercises such as bicycling,

swimmingorwaterexercise.Furthermore, researchshows thatevenmodest weight loss combined with exercise is more effective in decreasing pain and restoring function than either weight loss or exercise alone. If you are suffering from arthritis pain, call us today and discover how we can relieve your pain, returning you to a more active, pain-free lifestyle!

Exercise Essentials Try this movement if you are experiencing leg pain.

Healthy Recipe: Honey Garlic Shrimp

INGREDIENTS • 1/3 cup honey • 1/4 cup soy sauce

Strengthens Legs

www.simpleset.net

• 1 Tablespoon minced garlic • optional: 1 tsp minced ginger • 1 lb medium uncooked shrimp, peeled & deveined • 2 teaspoons olive oil

SIT TO STAND Scoot forward on your chair. Slightly lean forward with your knees over your toes as you rise to a standing position. Do not allow your knees to buckle inwards towards one another. Repeat 5 - 10 times.

INSTRUCTIONS 1. Whisk the honey, soy sauce, garlic, and ginger (if using) together in a medium bowl. 2. Place shrimp in a large zipped-top bag or tupperware. Pour 1/2 of the marinade mixture on top, give it all a shake or stir, then allow shrimp to marinate in the refrigerator for 15 minutes or for up to 8-12 hours. Cover and refrigerate the rest of the marinade for step 3. (Time-saving tip: while the shrimp is marinating, steam broccoli and microwave quick brown rice). 3. Heat olive oil in a skillet over medium-high heat. Place shrimp in the skillet. Discard used marinade. Cook shrimp on one side until pink-- about 45 seconds-- then flip shrimp over. Pour in remaining marinade and cook it all until shrimp is cooked through, about 1 minute more. 4. Serve!

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Patient Success Spotlight

Do You Have Joint Pain?

“I came in with knee soreness and we worked on the underlying problem in the hip. The result was that my knee got much better, and the rotation of my hip was greatly corrected. The hip glitch that I would once in a while feel has not returned either. Joe and Sarah were fantastic to work with, until Joe starts singing that is! Seriously great diagnostic evaluations and great treatment modalities.” – E.S. Joe and Sarah were fantastic to work with, until Joe starts singing that is!

Congratulations Sarah, Tom, and Cody!

2. If you could drop what you were doing right now and do anything you wanted, what would it be? a. Fly to the Florida Keys. b. Go kayaking. c. Cure all terminal illnesses. 3. If you could change lives with one celebrity, who would it be? a. Justin Timberlake

June15thmarksour thirdyear inbusiness,andaround this time of year I often reflect on the many blessings we’ve had to get us to where we are at today. Hands down, our amazing staff comes to mind!! Time surely does fly and we are thankful for the hard work from Sarah, Tom and Cody, who celebrated their 2nd and 1st work anniversaries with us in May! We are so very proud of our PT’s and I personally love observing their growth and abilities to help each of their patients. Play along below to learn more from our fun PT trivia :) Guess which therapist answered each response to the questions below: 1.What isonethingthatnoonewouldknowaboutyou? a. I never drink coffee. b. I was President of Marist College’s Chapter of Habitat for Humanity, and loved it! c. I do not like ketchup.

b. Jimmy Fallon c. Ryan Reynolds

Until next time, Erin : )

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