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Liberty Rehabilitation Specialists - May 2021

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MAY 2021

LIBERTY NEWS REAL CARE. REAL RESULTS. FOR REAL LIFE

NORTH CENTRAL 415 Embassy Oaks Dr. #202, San Antonio, TX 78216 210.490.4738

NORTHEAST 2130 NE Loop 410, Ste. 212, San Antonio, TX 78217 210.656.5848

SOUTHSIDE 3138 SE Military Dr., Ste. 113, San Antonio, TX 78223 210.922.6292

COMMON YARD AND GARDENING INJURIES AS WE HEAD TOWARD SUMMER, LET’S TAKE CARE OF OUR BODIES

One thing they’d tell you to keep in mind is that you don’t have to cut or whack yourself with a gardening tool to sustain hand trauma. Repetitive-use injuries, like carpal tunnel, can occur when you’re doing the same motion over and over — often with a tool in hand. Our bodies aren’t designed to do that, especially as we age, and it’s a risk factor for further injury. Really, though, I wish people would just wear gloves. It wouldn’t solve every problem, but it’d fix most of them — and prevention is always better than cure. There’s another area that I see a lot of spring injuries: back strain, especially in the lower back. Like the hand trauma, I attribute this to gardening or yardwork as well. Although there are several ways to get hurt like this, the most common by far is from bending over at the waist to pick something up. How often do we do that? It’s something that happens every time we reach for a tool, grab and pull a weed, or move heavy objects around the garden. Weight certainly increases the risk of injury, but by no means is it a necessary factor in this trauma equation. The same is true for age: Older adults are more likely to get hurt from bending at the waist, but it can happen to anybody — and with young people, weight often is a big contributing factor in their lower back injury. To avoid this, you can do three things. The first is to stretch regularly, especially in the mornings and right before you go work in the yard. It may feel silly, but just because you’re close to home doesn’t mean you can’t “overdo” it. Take things slow and stretch first. The second tip I have is to use proper form. Bend at the knees, not the waist, when lifting objects. Crouch down to pick something up, and if you have to lift, do so with your legs. Last but not least? Take more trips with lighter loads, instead of one big heavy trip. And if possible, get help with the heavy stuff — there’s nothing wrong with putting kids and grandkids to work! –Dr. Mary Lou Lugo

Spring usually has us itching for a chance to get outside. After months of rain or snow, we’re ready for a little sun. This spring, though, things feel particularly urgent. I suppose that’s because the “cabin fever” we get from being cooped up all winter has really been going on for months longer than usual for many of us as we try to stay safe, and keep others safe, during this pandemic. One activity that I know many readers enjoy is getting out into the garden, now that the weather is finally nice enough to do it. I can’t blame anybody for that! But I do see a fair number of recurring injuries each spring, and I’m a little worried that we’ll see the same thing this year. And since yardwork and gardening are activities that can be done outside but don’t actually involve leaving our homes, I wonder if more people aren’t going to be at risk for common, but preventable, injuries. When we garden, we use our hands for all kinds of things. We dig, pull, pat down dirt, bend and break branches, chop into the ground with gardening knives, attack weedy areas with vigor, and endanger our digits with sharp and thorny plants like roses. I suppose that all sounds a bit melodramatic, but each spring, I see a number of patients come in with hand trauma from gardening. Most commonly, that trauma is from a tool and the person’s grip slipped, the tool twisted on them, or they didn’t see their other hand in the way until it was too late. Hand injuries can be hard to deal with. As we discussed last month, for our therapists to specialize in hand treatment, they have to take classes and get hands-on (no pun intended) practical experience under a supervisor. Liberty PT team members Lori Welter, OT, CHT; Jessica Morales, OTR (and soon to be CHT); Andrew Cavazos, COTA (Certified Occupational Therapy Assistant); and Amanda Munoz, DOT (Doctor of Occupational Therapy) all have taken a lot of time and effort to attain the necessary certifications and experience. Having them in our clinic is a blessing, and I’m always grateful for their training and hard work — never more so than in spring, when hand injuries become common once more.

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STRAIGHTEN THE SLOUCH 3 TOOLS TO HELP YOU PERFECT YOUR POSTURE

Slumping our shoulders is a form of poor posture that often results in neck, shoulder, and back pain. It can be a hard habit to break, so sometimes people need a little more than self- correction to improve their posture. Enter posture correctors: tools specifically designed to help correct a person’s posture. Though they should not be used regularly, they can help remind your body of what a correct posture is and how to maintain it without support. Here are three correctors that can help you. Truweo This supporter is for anyone who is on a small budget and looking to improve their posture. The Truweo posture corrector is used by wrapping around the shoulders — both over and under clothing — and can be adjusted for optimum comfort. It is lightweight, breathable, washable, and can be worn for all activities. Whether you are sitting at a desk, working out, or walking, Truweo will be there to offer you the extra support you need. Find it now on Amazon! Forme Wearing both a corrector and a bra can be uncomfortable, which is why Forme is perfect for anyone hoping to avoid that discomfort. The Forme sports bra offers an under-bust band

for posture improvement and also includes eight functional panels to help you stay comfortable, especially during physical activity. You can find this and other health-conscious clothing items at Forme.science. Aspen If you need lower-back support, this posture corrector is a great choice. Easily fitted under or over clothes, this device can ease back pain caused by fatigued muscles, spasms, or flare-ups in addition to offering lumbar support. The Aspen Lumbar Support is completely adjustable, so you are in control of the amount of pressure applied. To learn more about this item, visit the Aspen website at AspenMP.com. Before deciding which corrector you should use, talk to your doctor. They can help you choose the best option for this journey of posture correction and overall health improvement.

AN ANCIENT PRACTICE WITH MODERN BENEFITS

GIVE TAI CHI A TRY

Yang, Chen, Wu Hao, Wu, and Sun styles. The most commonly practiced form is Yang, which places an emphasis on slow and exaggerated movements accompanied with slow, deep breaths. Because it includes gentle movements, Yang tai chi can be practiced by many individuals, regardless of their age or mobility. Tai chi is also a perfect way for anyone recovering from an injury to exercise without straining their bodies. Benefits For aging adults, tai chi offers many benefits, including balance, strength, and flexibility, which begin to fade with age but are necessary to help people stay active and reduce the risks of falling or developing arthritis. Because tai chi also focuses on the mind and breathing, it also improves mental and emotional well-being.

Martial artist and actor, Li Lianjie — aka Jet Li — is best known for his roles in the films “Fist of Legend,” “Shaolin Temple,” “Fearless,” and “Hero.” He has over 30 years of experience as a tai chi practitioner and is an advocate for the traditional Chinese martial art form. That’s because it comes with a long history that shows its many benefits.

Origins While the exact age of this martial art form is unknown, tai chi can be dated back to as far as 2,500 years ago. Tai chi, also known as tai chi chuan or qi gong, was originally created and used as a form of self-defense. However, practitioners adapted it over the centuries, and many began using it as a form of meditation and exercise. Today, tai chi includes a focus on the mind, breathing practices, body awareness, and motion through slow and deliberate movements. Practicing this discipline brings calm and balance into the mind and body, which can be integrated into every aspect of life.

Learning tai chi is easy, and it starts with attending the right class. Find a local martial arts school or consider joining Jet Li’s online academy at TaijiZen.com. Through this ancient form, you can bring peace, balance, and health into your life.

Forms Tai chi consists of several different forms, including

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‘FINALLY, A LEGIT NUTRITION STUDY!’ THE LINK BETWEEN PROCESSED FOOD AND WEIGHT GAIN

Instagram star, Doctor Mikhail “Mike” Varshavski went truly viral in 2015 after being dubbed “the sexiest doctor alive” by People magazine. Though his good looks brought him initial fame, Doctor Mike’s steadfast approach to his profession as a certified primary care physician is what keeps him relevant. Today, he shares educational videos on his YouTube channel about medicine and health. In his video, “Finally, a LEGIT Nutrition Study,” he breaks down new research on highly processed foods and our health. Studies have shown that a diet filled with highly processed food increases our risk of obesity and diseases like diabetes and heart disease. These all too common health concerns decrease our longevity, yet the Centers for Disease Control and Prevention (CDC) reports: • 42.2% of the U.S. population is considered obese. • 1 in 10 people has diabetes. • 18.2 million adults over the age of 20 have coronary artery disease, the most common type of heart disease. Despite knowing this, scientists were unsure whether these outcomes were linked to people eating highly processed foods or people not eating enough unprocessed whole foods. Doctor Mike explains that this uncertainty was due to a lack of randomized controlled studies. But in 2019, the

National Institutes of Health conducted such a study and was able to prove a causal relationship for the first time. “Eating a diet rich in highly processed food causes weight gain,” researchers concluded. In this study, 20 participants lived in a facility where their meals were prepared for them. For two weeks, participants received meals made only

from highly processed foods, and for the other two weeks, all meals were made with unprocessed foods. On the weeks that participants ate processed foods, they gained 2 pounds per week on average. On the weeks they ate unprocessed foods, they lost 2 pounds per week on average. The study also showed that when the participants ate only processed foods, they consumed an extra 500 calories per day. Doctor Mike theorizes that’s because those foods are addicting, they taste better, and they’re more accessible. If you’re interested in learning more about the relationship between food and health or any other medical topic, check out Doctor Mike’s YouTube channel. His fun and educational videos dive deep into these topics and offer easy-to-understand explanations.

SHAVED ASPARAGUS SALAD Inspired by ACoupleCooks.com

TAKE A BREAK!

INGREDIENTS

DIRECTIONS

• 1 lb asparagus spears

1. With a vegetable peeler, shave each asparagus spear from tip to base. This is easiest to do if the asparagus is on a flat surface. 2. Place shaved asparagus in a bowl and blot off excess moisture with a paper towel. 3. In a separate bowl, make a vinaigrette by whisking together lemon juice, Dijon mustard, and olive oil. 4. Pour vinaigrette over shaved asparagus and add Parmesan cheese, salt, red pepper flakes, and black pepper. Toss to combine. Taste and adjust seasonings.

• 1 tbsp lemon juice

• 1 tsp Dijon mustard

• 3 tbsp extra-virgin olive oil

• 3/4 cup Parmesan cheese, grated

• 1/2 tsp kosher salt

• 1/8 tsp red pepper flakes

• Freshly ground black pepper, to taste

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PRST STD US POSTAGE PAID BOISE, ID PERMIT 411

www.liberty-rehab.com

NORTH CENTRAL 415 Embassy Oaks Dr. #202 San Antonio, TX 78216 210.490.4738

INSIDE THIS ISSUE

1.

COMMON YARD AND GARDENING INJURIES

2. THE SUPPORT YOUR POSTURE NEEDS

BRING PEACE AND BALANCE INTO YOUR LIFE

3. PROVING THE WEIGHT-GAIN CULPRIT SHAVED ASPARAGUS SALAD 4. CAN YOU DO CARDIO AT HOME?

GET YOUR HEART PUMPING AT HOME! 4 LIVING ROOM CARDIO WORKOUTS

parallel with the floor. Using your shoulder and back muscles, pull your arms toward you then back out in front, as though you were rowing a canoe. Repeat this exercise 8–10 times.

Walking for 30 minutes a day is a great way to get in some exercise, but getting in a daily walk outdoors isn’t always possible. If you're unable to enjoy your regular cardio exercise, what can you do? Try these four cardio workouts to get your heart pumping right from your living room. March in Place Marching is a great way to start slowly increasing your heart rate. Start by standing in place then lifting the legs up in a steady march, lifting each knee as high as you can without losing your balance. Make sure that you are also pumping your arms in time with your feet. For the best outcome, lift your legs 20 times. Side Steps Start by standing in the middle of the room with plenty of space for you to step left and right. Take a side step in one direction, then two side steps in the opposite direction, then move back two steps. If you’re worried about keeping your balance, try doing this within an arm’s length of a wall so you can reach out to steady yourself, and remember to keep your back straight. Repeat 20 times. Seated Rows While sitting in a chair, keep your spine straight and shoulders back. Extend your arms until they’re out in front of you,

Dance Dancing is a great cardio exercise and plenty of fun

too! Pick your favorite dance style and start moving those feet. Some styles, such as ballet or hip-hop, can be more challenging, especially if your mobility is limited. However, freestyle is plenty of fun too. No matter how you choose to dance and whether you’re by yourself, with a friend, or with your spouse, turn on some music and start grooving to your favorite tunes. A Note on Safety: Before you get started on any exercises, make sure that the space around you is safe. Give yourself plenty of room to move around so you don’t have to worry about bumping into furniture and accidentally hurting yourself. If you’re an older adult, be sure to have a stable surface nearby just in case. A chair, for example, can help you steady yourself if you begin to lose your balance.

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