Safety Tips for Winter Chores

February 8, 2012

Jack Frost has been kind to us so far this winter.  We’ve had warm temperatures and very little snow.  In our area however, most of the winter’s snow and ice comes to us in February and March.  Kids enjoy a day off of school and the snow provides beautiful scenes around town.  Unfortunately, cleaning just a few inches of snow from the sidewalk and driveway one day can leave many of us with back and shoulder pain for days or weeks.

Scott Quackenbush, PT, DPT of Amber Hill Physical Therapy of Damascus recommends the following to prevent injury when shoveling snow.  Most injuries that occur from shoveling are due to stress to unconditioned muscles.  So, first and most importantly, take care of your back all year long with exercises that strengthen your back and abdominals.  It only takes a few exercises a day to increase your strength and stability in these muscles.

Next, be sure to use the right tool for the job.  Most shovels are designed to be one size fits all, but different handle lengths can be found between various brands.  Choose a shovel with a handle long enough for you to keep your back straight while shoveling.  Bent handle shovels are best for preventing strain on the low back.  Remember to throw some salt on the walks as well to prevent slipping and falling on icy surfaces.

There’s no way around it, shoveling is exercise!  So, it’s important to warm-up beforehand by stretching the muscles in your shoulders, back and legs.  Each stretch should be done three times and held for 30 seconds each.  Stretch only until you feel slight resistance and without pain.  Do not bounce while stretching, count slowly, and remember to breathe.

  • Hold straight arm across chest with opposite hand pulling elbow in toward chest to feel stretch in the back of your shoulder.
  • Clasp hands and straighten arms while rounding shoulders and stretching forward to stretch the back of both shoulders.  Repeat with other arm.
  • Clasp hands behind back, straighten arms and stretch down and back to stretch the front of your shoulders.
  • Sit on a firm chair such as a kitchen chair with feet flat on floor and knees and hips at right angles.  Bend forward and reach for ankles until you feel a stretch in your low back.
  • Seated in chair, reach right hand across body and hold opposite thigh to rotate, look over left shoulder and stretch your back.  Repeat for opposite side placing left hand on right thigh and look over right shoulder.
  • Seated in chair, straighten one leg in front of you with heel on floor and point toes to the ceiling, bend forward and reach for toes to stretch your hamstrings.

Once you get started on clearing the snow from your sidewalk and driveway, follow this advice to protect yourself from injury.

  • Pushing snow is preferred over traditional shoveling.
  • If there is too much snow to push, do not attempt to lift large loads.
  • Bend your knees and lift with your legs, not your back.
  • Avoid twisting motions.
  • Take frequent breaks.  Setting a timer on your watch or putting one in your pocket is a good way to remind yourself to take breaks.
  • Stay hydrated by drinking water on your breaks.

Remember that shoveling can also be a strain on your heart and lungs.  Even people who exercise regularly can be at risk for heart attacks when shoveling because of the combination of intense work load and freezing temperatures.  This is another good reason to follow the tips above.  If you are unsure if you should be shoveling snow because of your heart or other health concerns, you should talk to your physician.

Don’t forget about the best option for clearing snow from your walks and driveway, the neighborhood kids that want to earn a little money!  Keep a little cash tucked away for those snowy days and let them take the hard work off your hands.  Just remember they need to follow these same rules, so be sure to interrupt them with hot chocolate and make them take a break.

Even the best prevention isn’t enough sometimes and injuries still occur.  If this happens to you or someone you know, Amber Hill Physical Therapy can help.  You can consult one of our experienced physical therapists at any of our five convenient locations.  We are in-network with most insurance companies and many plans do not require a referral from your physician which can save you time and money.  If you are unsure of the referral requirements for your insurance, our office staff will obtain this information for you and notify you if a referral is required.


Don’t forget to put yourself on your gift list this year!

November 23, 2011

As we enter into the busy holiday season this week, be sure to make time to take care of yourself. The holidays are a wonderful time to celebrate with family and friends. There are cookies and pies to bake, delicious family feasts, shopping for gifts, and parties to attend. There are so many things to do and so little time to do them! Many of us sacrifice our own healthy habits in order to fit it all in.

This year, don’t let the holidays get the best of your health. Even on your busiest days, it’s important to take care of yourself. The healthier you are, the more you will enjoy the special occasions with family and friends. Even if you don’t have time for your full workout, don’t skip it all together. Get your blood moving for 15minutes and do some gentle stretching to keep you healthy and energized for all your holiday activities.

Donald Novak, PT, DPT has these tips to keep you healthy through the holidays.

In the kitchen: Don’t try to do everything at once. Use the days leading up to the holiday to prepare. Make sure your cooking surface is at the proper height. You should be able to stand and work with arms slightly bent so that you are not bent over your work area or working too high. When possible, sit down and work to give your feet, legs and back a break. Just follow the same rules so that you are not bent over your work space or reaching too high. Be sure to give your leg and back muscles a good stretch before and after. Don’t be afraid to get some help! Sharing the work gives you a chance to remember holidays of the past and make new holiday memories. Plus, everyone gets out of the kitchen sooner to enjoy the rest of the holiday.

Shopping: Holiday shopping should be considered a sport! So, it’s important to dress for it. Wear comfortable clothing and supportive shoes, preferably walking shoes. Go for a sprint, not a marathon! Don’t try to get all of your shopping done in one trip. Spread it out so you don’t have to be on your feet too long. If you do try to make a day of it, take frequent trips to the car to drop of your packages. It’s also important to take lots of breaks and stay hydrated. If you still aren’t convinced this is exercise, pick up a pedometer and track the number of steps you take between Thanksgiving Day and New Year’s Day. You might surprise yourself! As with all exercise, don’t forget to stretch before and after your shopping trip.

The most important thing you can do is listen to your body. If you think you’ve over done it, don’t put off treatment. A few visits with your physical therapist can reduce your pain and increase your strength and flexibility so that you can get back to enjoying the season.

Happy Thanksgiving!


Back to Practice! What young athletes can do to decrease the risk of a torn ACL.

September 11, 2011

As students head back to school, they also head back to practice.  Two of the most popular sports of the fall season, football and soccer, put young athletes at risk for a common knee injury, a torn anterior cruciate ligament (ACL).  The ACL is an internal ligament that helps stabilize the knee.  In sports that involve quick stops and direction changes, the players are at a greater risk for injury to this stabilizing structure.  Female athletes have a higher incidence of ACL injury than males. (1)

Once the ACL is torn, the athlete may need surgery and several weeks or months of rehabilitation.  This can lead to a disappointing and early end to their fall sports season.

So, what can you do to stay healthy and on the field all season?

Kristin Hutchinson, P.T., D.P.T. of Amber Hill Physical Therapy recommends a custom training program to help prevent ACL tears.  Proper training before taking the field can improve the athlete’s skills as well as help to prevent injuries.  One of Amber Hill’s experienced physical therapists can develop a program specific to your strengths and weaknesses to keep you playing all season.  A custom ACL program consists of an evaluation to determine your specific needs and two follow-up appointments to monitor your form and progress your program.

For more information or to schedule an evaluation, call Amber Hill Physical Therapy at 301-473-5900.

A little extra work early in the season can have a large payoff when you finish your season strong!

References:

  1. McNair PJ, Marshall RN, Matherson, JA: Important features associated with anterior cruciate injury. N Z Med J 1990; 103:537

Welcome to Amber Hill Physical Therapy!

August 19, 2011

High Heels for Prom? Here Are Some Great Tips!

Young women who plan to wear high-heeled shoes to prom should take some precautions to avoid future foot, knee, and back trouble, according to Donald J. Novak, P.T., D.P.T., an experienced physical therapist and owner of Amber Hill Physical Therapy.

A study conducted by researchers at Harvard University showed that both heel width and height contribute to torque and stress placed on the knees and back. A lower, wider heel puts less stress on the body than a higher, thinner heel such as a stiletto.

A similar study at Iowa State University found that the time spent in high-heeled shoes as well as step size also contribute to the stress placed on the feet, knees and back. Prolonged wear of high-heeled shoes can cause problems for several days. Years of high-heel wear increase the likelihood of osteoarthritis in the knees as well as joint degeneration, the study concluded.

Young high school women who are sports-minded should also beware of the short-term stress that wearing high-heels could put on their muscles and joints, which puts them at risk for injury on the sports field.

Here are some tips for young women and parents for wearing high heels to prom:
Shopping:
• Look for shoes with straps; they increase the body’s stability.
• Wear insoles, not only for cushioning but to spread out the pressure on the foot.
• Make sure the shoes have leather lining to prevent the foot from slipping in the shoe.
• Stay away from pointed toes if you choose high heels. As a rule, the higher the heels should have a more squared toe.
• Avoid a heel height of more than two inches.
• Shop for a second pair of flat shoes for dancing and walking distances.
Pre-Prom:
• Before donning that lovely outfit, do some calf stretches and lower back stretches
During Prom:
• Take along your flats. Reserve the high heels for “picture” time and entry into the grand event.
• Take smaller steps to avoid injury when wearing heels.
Post-Prom:
• Repeat the pre-prom stretches.
• Ice the sore area twice a day for 10 minutes and refrain from joint stressing activities for a few days
• If the pain continues for more than a day or two, visit a physical therapist. They can provide you with special exercises to stabilize your legs and back. Don’t “tough it out” as you may injure yourself further.

www.amberhillpt.com


Five Locations to Serve You

August 19, 2011

E-Mail: ahpt@amberhillpt.com

Frederick
Phone:
(301) 663-1157 // Fax: (301) 663-1229
Location: 187 Thomas Johnson Dr., Ste. 6
Frederick, MD 21702 map

NEW!
Urbana

Phone: (240) 529-0175 // Fax (301) 810-5241
Location: 3500 Campus Dr., Ste. 101
Urbana, MD 21704 map

Damascus
Phone: (301) 253-0896 // Fax: (301) 253-0897
Location: 9701 New Church St.
Damascus, MD 20872 map

Jefferson
Phone: (301) 473-5900 // Fax: (301) 473-5901
Location: Jefferson Professional Center, 4014 Mountville Rd.
Jefferson, MD 21755 map

Thurmont
Phone: (301) 271-9230 // Fax: (301) 271-9232
Location: 120 Frederick Rd., Suite D
Thurmont, MD 21788 map

Early morning, evening and Saturday hours are available.


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