Nick Roselli OT - July 2022

Nick Roselli OT - July 2022

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

JULY 2022 WWW.NROTHANDREHAB.COM

Bronx, NY 10462 (718) 822-4054

FINDING YOUR OWN WAY REFLECTING ON PERSONAL INDEPENDENCE

If you’ve read the newsletters for some time, you probably know that I enjoy any excuse to spend time with family. The Fourth of July is no exception. Even though the holiday is a lot of fun for me, it’s also an important reminder: Americans are always willing to fight to protect their independence — and it’s not because we’re particularly angry or rebellious. Our independence allows us to have control and the power to pursue our personal happiness. Even when we take it for granted, independence affects us on a personal level every day. In fact, this month, many graduating students are experiencing complete independence for the first time in their lives. Maybe you know one, or you’re one of them. As a mentor to many students in my field, I thought I’d share a few lessons I’ve learned as a professional, and fellow human being. One aspect of independence isn’t only self-reliance — it’s realizing that you need to be self-reliant because other people are also relying on you. In school, you’re only doing whatever is needed of you. But, as a health care professional, it’s not pre- written when and what people need from me. I have to think for myself, and make sure to always be right. I need to think critically and accept when I am wrong and need to learn more. This is how we grow and become better at our craft. I would not be able to advise clients throughout their recovery, where professional advice directly affects their well-being and success. Guiding a patient toward the best possible recovery outcome isn’t a one-time effort. It takes a lot of work, all of the time. It might sound overwhelming, but that realization really motivates N R-Q T When you are injured or suffering from a debilitating hand or upper extremity condition, you need the best possible rehabilitative care from a certified hand therapist. Scan this code to learn more about the services we offer.

me. As a young therapist, my clients’ phone calls seeking my direction made me think: “Oh, wow. These people really need me.” It gave me a sense of purpose — and even value. Getting new patients is hard for any new therapist. I’ve talked a little bit about this before, but, when opening my private practice, I needed to make my own way. Specialized therapists, like me, often have to rely on doctor referrals in order to gain new patients — and without working for a hospital or health organization, getting referrals isn’t guaranteed. Without anyone to speak up for you, it’s easy to be forgotten in the dust. You could spend months filling out insurance network application paperwork, just to crack the door open for someone to remember your name. Early in my career, back when I was knocking on doctors’ doors, I got a call from an insurance company. I learned that a physician I had developed a professional relationship with had tried to refer to me but couldn’t because I wasn’t in-network or on that patient’s particular plan. This doctor called the insurance company personally. “I want Nick Roselli on this plan,” he told them. They took me in, right away.

That blew me away.

Independence can seem overwhelming, but it starts with thinking for yourself. Let’s be honest: School doesn’t prepare us for that well enough. Now, when I teach new students or train new staff members, I try to free up their thinking as much as possible. When we look at a case or treat a patient, I’ll ask, “Tell me what you see.” They’ll be nervous and probably say the wrong answer, but it allows students to evaluate their own knowledge and judgment to make a clinical or operational decision — and that’s the most critical skill any therapist can develop. –Nick Roselli, OTR/L, CHT, Owner . • Nick Ro - Therapy It’s a small first step, but when you’re forging your own path, even the small steps make a difference. • 1 WWW.NROTHANDREHAB.COM

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No. 4: Shin Splints If you plan on doing a lot of high impact activities, such as running and jumping, you may experience shin splints. You’ll need plenty of rest and ice to heal from this injury, but physical therapy can also help to get you back on your feet! A treatment plan that may include specific stretches, strengthening exercises, and massages can help alleviate the condition. If you’re upset about an injury putting a stop to your outdoor fun this summer, you aren’t alone. We see patients with life-disrupting and even life-changing injuries all the time. Your pain deserves proper treatment, so don’t hesitate to give us a call.

shin bone. Luckily, you don’t have to live in pain. Physical therapists can design stretches and stability/ strengthening exercises to address your specific problems. No. 2: Ankle Sprains If you’ve ever gone out for a run and suddenly felt a pulsing pain in your ankle, then you may know how easy it is to get ankle sprains. These painful and debilitating injuries can leave you helpless on the sofa, but a little physical therapy can get you back into the wilderness again. No. 3: Tennis or Golfer Elbow In summer, many people dust off their tennis racket and golf clubs to start playing again. Unfortunately, these sports can lead to some awkward movements for your body, especially your elbows. Tennis or golfer elbow can occur from repetitive strain on your elbow tendons. Even people who don’t play tennis or golf can suffer from these injuries, so they benefit from a diagnosis and a treatment plan that can help them avoid future problems.

Summer is a fun, exciting time of year. However, it can also lead to being less careful than usual because of all the fun activities we participate in! Here are some common summer injuries to try and avoid. No. 1: Knee Injuries Knees are one of the most commonly injured joints in the human body. You might experience knee pain after a fall while playing sports, or you can even tear your ACL (anterior cruciate ligament), which connects the front center of your knee to your 4 Common Summertime Injuries PT CAN HELP ALLEVIATE

Ditch the Flops Why Your Flip-Flops Are Doing More Harm Than You Think

‘What if I just only wear flip-flops? Will that help?’ Unfortunately, this isn’t just something your body “gets used to.” Wearing flip-flops for a long period of time can cause chronic problems in addition to standard joint pain. For instance, you could experience plantar fasciitis — which is pain in the tissue that connects your heel and toes — or Achilles tendinitis. The latter results from overuse of the tendon in the back of your heel. Essentially, because your foot is having to compensate for flip-flops’ lack of support, the overexertion at an unnatural angle causes more problems over time. ‘So, I can never wear flip-flops, then?’ Good news! You don’t have to swear off flip- flops or sandals. Find a pair of shoes that offer the right amount of support for your arches. You can tell if shoes have this by looking for the “bump” in the middle of the shoe. Archies are a popular flip-flop brand with the arch built right in! Test drive a pair of these or consult with a trusted physical therapist to find the flip-flops or sandals that give you the summertime look we all want without the flip-flop pain.

Whether you’re walking around poolside or simply enjoying a day at the ballpark, few summertime outfits are complete without a pair of flip-flops. But if you struggle with foot pain — or are simply aging out of your invincible 20s — wearing flip- flops may be one of the worst things you can do for your feet.

‘Why do my feet hurt!?’ Because flip-flops don’t have any support, your arches receive more pressure than when you are wearing shoes that have built-in materials for arches, like tennis shoes. That often explains why your feet are sore, but this can also create a problem for the rest of your body.

‘Wait — flip-flops can hurt my whole body?’ Wearing flip-flops can limit how you walk because you’re compensating for the arch pressure. This can impact your ankles, knees, lower back, and hips by placing unnatural weight on these joints and muscles. This could also have an impact on your balance, since the distribution of your weight with each step is off-kilter.

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From pain killers to carbonated drinks, you can find caffeine everywhere on the American market. However, high caffeine consumption can pose risks. The good news is that in moderation, caffeine may contain useful health benefits, but if you want to actually benefit from caffeine, consider these healthier options. But what is caffeine, exactly? Caffeine is a natural stimulant — in other words, it stimulates the brain and central nervous systems, which prevents weariness and helps you stay alert. Over 80% of the world’s population consumes a caffeinated product every day, including tea, coffee, soda, and energy drinks. In North America alone, this number rises to 90%. Research shows that caffeine may possibly elevate your brain function and metabolism, and during exercise, it may even increase your body’s use of fat as fuel — but that doesn’t necessarily mean chugging an energy drink is ideal. Why? Its health benefits come mainly through tea or coffee. Walk into any grocery store, and you’ll notice that many highly caffeinated drinks are also high in sugar and additives. Sugar is extremely harmful to your long-term health — and GET CAFFEINATED IN A ‘HEALTHY’ WAY KEEP IT SIMPLE

no matter what benefits you read about caffeine, the harmful effects of sugar can overwhelm them by heightening your risk of diabetes, heart disease, and much more. The experts agree: Tossing a sugar cube or two into your cup of coffee isn’t the same as drinking a sugary Red Bull. Additionally, too much caffeine can cause some problems. In some individuals, caffeine can promote headaches, migraines, and high blood pressure. Caffeine is also a psychoactive substance, which means it’s habit forming. After a period of not drinking coffee, you might be familiar with the “caffeine withdrawal” and its side effects: anxiety, tremors, restlessness, irregular heartbeat, and even trouble sleeping. Thankfully, these effects are temporary. Studies show that the people who benefit the most from caffeine are often those who drink anywhere from 1–4 cups of tea or coffee a day. You can also find zero-sugar seltzer waters with low doses of caffeine if you need a small kick. Keep it simple, and you’ll avoid excess sugar and reap the benefits of caffeine more fully.

HEALTHIER HOT DOGS WITH SLAW Inspired by RachaelRayMag.com

TAKE A BREAK!

Craving a healthy dog for National Hot Dog Month? We’ve got you! Follow our recipe for a dog packed with protein, fiber, and vitamins. (Serves 8)

DIRECTIONS

INGREDIENTS

• 2 tbsp vegetable oil • 1 green apple, peeled and diced • 1 red onion, thinly sliced • 1 small head red cabbage, cored and shredded • 2 tsp ground cumin • 1 tbsp grill seasoning • 3 tbsp apple cider vinegar • 2 tbsp maple syrup • 8 organic chicken sausage links • 8 whole-wheat hot dog buns, toasted

1. In a large skillet over high heat, warm the vegetable oil. Sauté the apple, onion, and cabbage and toss until wilted. Season with cumin and grill seasoning and cook for 10–12 minutes, until tender. 2. Add the vinegar and maple syrup, then toss to combine. Cook for 1 minute and set aside the slaw. 3. On the grill, cook your chicken dogs according to the package instructions. 4. Assemble the works, starting with the bun and piling in the chicken dog and slaw. 5. Dig in! For an extra health boost, serve with grilled summer vegetables.

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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. Creating Your Future, Your Way 2. Why Summer Can Be Dangerous Why You Need to Ditch the Flip-Flops 3. The Healthiest Way to Get Caffeinated INSIDE THIS ISSUE

Healthier Hot Dogs With Slaw

4. Try These Easy, Healthy Microhabits

5 Easy, Healthy Microhabits INVEST A FEW MINUTES FOR A HEALTHIER FUTURE

No. 2: Dedicate 5 minutes of your lunch to walking. Whether you want a relaxing walk or a quick jog to get energized, spending time during your lunch to venture outdoors might be more restorative for your mind and body than you’d expect. This is especially easy to do if you’re working from home!

No. 4: Create a gratitude habit. If your world disappeared tomorrow, what would you miss? Take time in your day, whether it’s the morning, afternoon, or night, to think about everything and everyone you value in your life. This advice isn’t just about achieving better emotional fulfillment; studies show that gratitude practices have significant health benefits, from improved heart health to mental health. No. 5: Take breaks. Avoid burnout. We can get fixated on our jobs and our obligations. But everyone needs regular breaks and personal days off to avoid burnout. Plan to take breaks, and make a promise to never skip them. With these small self-improvement commitments, you might surprise yourself with how far you can go!

Creating a new habit can feel like an enormous hurdle, but the most successful attempts often start with very small steps. Try these very small commitments — they could make a big difference, and even develop into more dedicated habits. No. 1: Go to bed 10 minutes earlier. Research shows that adults need 7–9 hours of sleep. It’s a common myth that adults can get accustomed to five hours of sleep, but experts from the Sleep Foundation say otherwise. While daytime drowsiness may stabilize over weeks or months, persistent sleep deprivation can wreak havoc on your metabolism,

No. 3: Find a way to eat an extra serving of fruit or vegetables. If you find yourself struggling to eat healthy foods, don’t subscribe to premade meal kits only to give up a few days later. Instead, try adding fruits and vegetables to meals you already prepare and/or enjoy. Once in a while, replace overly salty or sweet snacks with fresher alternatives.

cardiovascular system, and immune system. To slowly convince yourself to get more sleep, try getting to bed 10 minutes earlier each time. It’s a small, simple change that could make a noticeable difference.

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