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Nick Roselli OT - August 2022

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THE OT OBSERVER

. • Nick Roselli - Therapy N R-Q T S peciali z in g in H and and U pper Ext re m i ty R eha b ili t a t ion

Queens 61-18 190 St. Fresh Meadows, NY 11365 (718) 454-0842

Bronx 931-A Morris Park Ave.

Manhasset 585 Plandome Rd., Ste. 102 Manhasset, NY 11030 (516) 869-5576

AUGUST 2022 WWW.NROTHANDREHAB.COM

Bronx, NY 10462 (718) 822-4054

FEELING STUNTED? HELP US HELP YOU — WITH SURVEY RESPONSES!

Tennis elbow and golfer’s elbow are two different, common conditions that occur due to repetitive movements in the arm and wrist. They’re a form of epicondylitis, an inflammation of tendons that attach to the elbow. While tennis elbow affects the lateral (outside) epicondyle, golfer’s elbow affects the medial (inside) epicondyle. Yes — that means you can have both at the same time, and you don’t need to be a tennis or golf player for that to happen. Many people put their wrist and arms in harm’s way every day without realizing it. It’s surprising how many wrist conditions and injuries people won’t assume they should see a specialist for. Wrist sprains may seem simple, but they can occur in one ligament or multiple. Splints aren’t very effective, when store-bought, and are like medication: You need a customized prescription or you’ll experience dependency and possibly damaging side effects. Arthritis is another very common, progressive condition, and many people assume that the best fix is surgery. That’s not true. With joint protection techniques, you can minimize your arthritis pain, make substantial functional progress, and likely avoid surgery altogether. With these workshops, I hope the community can grow a greater understanding that fixing their pain should be prioritized. They don’t need to live with it. And even if you’re not in pain today, protecting your joints is important. After all, at the end of the day, you can’t cure arthritis, but you can treat it and the symptoms related to it. Our tools, experts, and resources can help you live a better, more independent, pain-free life. If you want to learn more about any of these conditions, don’t forget to scan the QR code to respond to the survey, and share it with a friend or family member who would benefit, too. Thanks so much for reading this. I’ll see you next month.

Everyone has personal goals they look forward to achieving in life. For me, one of my biggest goals is to become a local resource for my community. I feel for my patients when their entire life is being stunted by pain. The good news is that the right medical support can help eliminate that pain — but people aren’t always certain of who they can trust. As an expert in injury for the upper extremities (from your fingertips to your shoulders), I want to create free workshops that will help community members alleviate pain when it hurts the most. Help me help you, and scan this QR code to take a survey on which topics you want to know more about. If you’re not sure which topics to choose, here are a few of the most common questions I hear from my friends, family, and patients. Carpal tunnel syndrome is often the first condition that patients will self-diagnose after experiencing hand pain. But sometimes, their real injury is not even close. It’s one of the most well-known hand conditions by name, yet not many people really understand what it is. Educating ourselves on carpal tunnel is really important, so we can spot the early signs of damage and even decrease the risk of carpal tunnel in the long run. Shoulder injury is another big topic, because many people will experience shoulder injury at one point in their lives. Whether it’s from work, sports, or simply the test of time, we can help treat your shoulder pain and injury so you can avoid possible surgeries. As long as it’s not a traumatic injury, working with a therapist can often save you thousands of dollars in surgery costs.

Suffering from pain in your hand or arm?

Help us help you! Complete this 30 second survey.

–Nick Roselli, OTR/L, CHT, Owner

• 1 WWW.NROTHANDREHAB.COM

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LIVE LONGER AND STRONGER CHANGING THE SCOPE OF EXERCISE

Gardening While gardening doesn’t seem as vigorous as other exercises, it is a hearty physical activity. Digging around in the dirt is actually great for your immune system, and it strengthens your arms, legs/knees, and balance. Mycobacterium vaccae, which is a bacteria commonly found in gardening soil, can alleviate symptoms of allergies, asthma, and even psoriasis. Cycling Whether it be in a class or outdoors, cycling can be very beneficial for stiff or sore joints. You’re able to get your blood flowing and build muscles in the front and back of your legs as well as your hips. Your arms are also strengthened due to the resistance of balancing your arms and shoulders to steer. Yoga Holding a series of poses can stretch and strengthen your muscles, tendons, and ligaments. It also helps lower heart rate and blood pressure and can even relieve symptoms of anxiety and depression. For older adults, a well-rounded workout that consists of endurance, strength, balance and flexibility can help in many ways. Some can even be fun!

Your body undergoes a variety of changes over the years, many of which are

degenerative and can be debilitating to your health. But exercise can help slow these age- related issues, like heart disease or high blood pressure, and even prevent them in the long run. Here are four ways you can get moving

without overexerting yourself.

Walking or Jogging Taking a stroll around the neighborhood or a few laps around the park can help build stamina, strengthen lower body muscles, and help fight against bone diseases like osteoporosis. If you want to sweat it out some more, jogging might be a great alternative. But remember to be kind to your joints: Walk at a pace you’re comfortable with, wear supportive shoes, take breaks as needed, and walk on soft surfaces, like tracks or grass.

We Want to See You Healthy! THE 3 MAIN GOALS OF PHYSICAL THERAPY

Prevention It’s not enough for us to heal you. We also want to help strengthen

When patients arrive at their very first physical therapy appointment, they usually don’t know what to expect. In many cases, they have experienced an accident or injury and need physical therapy to regain the use of their body so they can enjoy their usual daily activities. They might think that the physical therapist's only goal is to heal their body, but that’s actually only one part of it. Many of us have three goals in mind when we are working with our patients.

your body to prevent future injuries to the same area. Prevention often ties to education: You need to understand what caused the issue in the first place to know how to prevent it. We will also teach you stretches and exercises that you can do at home to continue strengthening the injured areas. If you’ve never been to a physical therapy appointment, it can be intimidating walking through our doors. Now that you know we’re here to heal and educate you while helping to prevent future injuries, that first appointment should be much more manageable.

Education For the most part, education increases understanding. We want our patients to understand why their body is responding the way it is. If you’re in pain, we want to educate you on why you feel that way and what you can do to decrease symptoms. We want to be transparent so you feel comfortable and know you’re in a safe place with physical therapists who want you to feel better. This often leads to positive outcomes when we’re finished with treatment.

Healing Healing is a big part of physical therapy since, in most cases, you’re here to fix a physical issue that’s been plaguing you. We will work through stretches and exercises to relieve your pain and improve your functional abilities. Through physical therapy, we can accelerate the stages of healing while restoring muscle flexibility. After a few appointments, you will really start to notice a difference.

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IT’S NICE TO MATCHA Benefits of Powdered Green Tea — And Risks

Reap the benefits. Matcha can increase your intake of antioxidants, which may help prevent cell

Matcha is an incredibly tasty, high-quality powdered green tea that has swept the food scene across the globe. It flavors popular hot teas, lattes, bubble teas, milkshakes, and even sweet breads and desserts. But is it worth the hype? Let’s find out. What’s matcha, anyway? Matcha is a finely ground green tea powder that has a strong and earthy tea flavor. For most teas, you steep the leaves in hot water. However, with matcha, you put the powder directly into water to create a hot, foamy drink. It’s processed from relatively young tea leaves and pairs well with sweet flavors. That’s why you’ll find matcha in sweetened drinks and desserts on most menus. Here’s a quick nutritional breakdown. On its own, matcha has no sugar or added ingredients. Two grams of matcha contain about 5 calories, 1 gram protein, 1 gram carbohydrates, 1 gram dietary fiber, 0.36 milligrams of iron, 1.2 milligrams vitamin C, and 200 international units of vitamin A. The most surprising numbers here are fiber and vitamin A, which are both 4% of your daily value. Importantly, matcha has a high level of antioxidants — specifically, catechins. It’s estimated that matcha may have up to 137 times more catechins than other forms of green tea.

damage and even lower your risk of several chronic diseases. Green tea extract is a well-researched ingredient commonly used for weight loss, and matcha may have a similar effect. Green tea’s properties are especially helpful at promoting good liver health. Additionally, matcha has a concentrated amount of caffeine — with an added bonus, if you’re caffeine wary. Matcha contains a compound called L-theanine, which alters the effects of caffeine to promote alertness and prevents an energy crash after caffeine’s effects wear off. Avoid the risks. Unfortunately, despite matcha’s exceptional health properties, it’s often used in not-so-healthy drinks and foods. If you consume matcha, avoid adding a lot of sweeteners. Excessive sweetener will cancel out the benefits. So, buy a bag for yourself and stir a small amount into a cup of hot water — you might be surprised how tasty a simple cup of hot matcha with very few additives can be!

Zucchini Corn Fritters Inspired by MakingThymeForHealth.com

TAKE A BREAK!

If you have a bowl and 30 minutes, you can make these fritters for dinner! Add them to your list of go-to meals that celebrate summer vegetables.

DIRECTIONS

INGREDIENTS

• 4 cups shredded zucchini • 1/2 cup corn kernels • 6 green onions, chopped • 3 garlic cloves, minced • 1 1/4 cups chickpea flour

1. In a large bowl, combine all ingredients except oil and toppings. Stir until well combined and let rest for 5 minutes until a batter forms. 2. In a large skillet, warm the oil over medium heat. Scoop 1/4 cup of zucchini mixture into the skillet. Cook for 3–5 minutes, then flip. Cook for another 3–5 minutes until fritter is golden brown. Repeat with the remaining batter. 3. Serve topped with nacho cheese, black beans, salsa, and avocado.

• 2 tsp ground cumin • 1 tsp dried oregano • 1 tsp dried thyme • 1 tsp each salt and pepper • 1 tbsp olive oil • Vegan nacho cheese, black beans, salsa, and avocado for toppings

• 3 WWW.NROTHANDREHAB.COM

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. • Nick Roselli - Therapy N R-Q T S peciali z in g in H and and U pper Ext re m i ty R eha b ili t a t ion

PRST STD US POSTAGE PAID BOISE, ID PERMIT 411

www.nrothandrehab.com

61-18 190 St. Fresh Meadows, NY 11365

1. We Need Your Survey Responses! 2. 4 Simple Yet Effective Ways to Work Out Understanding the Objectives of Physical Therapy 3. Matcha Health Benefits — And Risks Zucchini Corn Fritters 4. 4 Reasons Why You Might Not Be Losing Weight INSIDE THIS ISSUE

Find Your Focus AND ACHIEVE THE BODY YOU WANT

You’re doing too much cardio. Though cardio is an important part of a workout routine, it can’t be the sole focus. It keeps your heart healthy and boosts your metabolism, but if you’re doing too much, it can have side effects that reverse your progress. Long cardio sessions can eat away at lean muscle mass; your muscles are important for your metabolism to burn more calories. Try to keep cardio on the lighter side; that way you can also focus on other major muscle groups. You’re not taking recovery days. When you feel that afterburn and soreness following a workout, it is the prime time to take a recovery day. Recovery and rest are important steps in a workout routine, because

As anyone who struggles with their weight knows, dropping a few pounds can be incredibly difficult. Even if you’re working out regularly and your diet is great, you may still find it hard to get to an ideal weight. Our bodies and metabolisms are complex, working out isn’t always enough, and you need to address all of the issues that may be affecting your body. Here are a few reasons why you might not be shedding pounds even if you’re working out. You’re not eating the right foods. People tend to focus all their energy on burning calories without considering what they’re eating as fuel for their bodies. A great tip is to look for all natural, whole foods. These will have all the nutrients you need, whereas processed foods have little to none.

most of your fat burning will be done in that period. Make sure after working hard that you listen to your body and give it the break it may need before your next workout. There may be many reasons you aren’t making as much progress on your weight loss goals as you'd hope. But there are alternatives that can help you lose that weight in a safe, sustainable way.

You’re eating too much. Your body needs to burn as many or more calories than you consume. Don’t focus on counting calories; instead, focus on eating when you’re hungry, but eat slow enough to where you don’t get too full too quickly. This way you can find a healthy balance between what your body needs versus what you want.

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