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Greetings Friends!
I hope you are enjoying this beautiful summer! I wanted to share a patient's story with you as I find it to be incredibly relevant. I recently had a woman call and ask me if I could help her with a chronic shoulder problem she had suffered with for over 6 months. She had no idea how she injured it, but it was bothering her while sleeping, lifting overhead and working in the garden. She said she has been to two physicians and a physical therapist and no one could seem to help her stabilize her condition. Of course I said I would be glad to evaluate her.
She came in, told me her story and emphasized how intense her shoulder pain was. If you were listening, as I was, it seemed like she knew, for a fact, that she had a rotator cuff problem, though nobody knew how to solve it. She also thought she needed to see an orthopedic surgeon, though no one would send her to one. She heard that I knew a number of surgeons and that I recommend to them often. As I sat there listening I couldn't wait to evaluate this patient. I am always inquisitive to examine when someone is so adamant about what their problem is.  
Since it is our practice to always check the neck before the shoulder, I began with the neck. As luck would have it, the neck movements began to aggravate her shoulder pain. When I moved her neck, she felt the pain she knew so well and began to wonder about her original thoughts regarding her rotator cuff theory. After much discussion and examining, we both came to the conclusion that her pain was stemming from her neck. I let her know that this was not uncommon. I shared with her that perhaps the other medical providers didn't examine her neck because they were simply only listening to her complaints since she was pushing her shoulder problem so confidently.
This example clearly shows the complexity of examining every single person with a set system whether a patient is emphasizing one area or another. I am so thankful to my mentor, Beverly Stewart, in New York, who drilled that into my head over 37 years ago. It truly helps distinguish between what a patient might think and what the anatomy is truly telling us on examination.
In case you were wondering, we did get her better and she is back to sleeping, lifting overhead and gardening, without any pain. If you are frustrated with any musculoskeletal pain and it is a chronic problem, please don't hesitate to call us and get examined. The problem might not be where you think it is and this might be the reason you have not gotten better!


Health Information

5 Tips to Avoid Chronic Pain
1. Know Pain, Know Gain. There is a growing body of evidence suggesting that understanding how our pain systems work is an excellent strategy in managing it. The great news is that you don't need to know a lot! Simply knowing the basics of how our brain and nerves work, and their role in pain, can help reduce your chance for developing chronic symptoms. Learn more.

2. Keep moving. Gradually and steadily. Living an active, healthy lifestyle not only improves our general well-being and health, but can also reduce our chances of developing chronic pain. Our body was built to move, and we need to understand that not all aches or soreness is cause for concern. Learn more.

3. Spend time with a good PT. If you experience an injury, or develop the onset of pain, seeing a physical therapist (PT) early on can help address and manage your symptoms. PTs are movement experts who can diagnose and treat injuries and help you identify strategies to better manage your pain. The earlier you seek care, the better the chances you have for not developing chronic symptoms. And there's no reason to wait: you can see a physical therapist without a physician's referral in all 50 states and the District of Columbia. Learn more.

4. Don't focus on an image. While most of us want a diagnostic image (ie, x-ray, MRI) to tell us "why we hurt," images actually give us little information about what's causing pain. A study performed on individuals 60 years or older, who had no symptoms of low back pain, found that more than 90% had a degenerated or bulging disc, 36% had a herniated disc, and 21% had spinal stenosis. What shows up on an image may or may not be related to your symptoms. Once imaging has cleared you of a serious condition, your physical therapist will help guide you back to the life you want to live!

5. Addressing depression and anxiety helps. Your chances of developing chronic pain may be higher if you also are experiencing depression and anxiety. A recent study in the 
Journal of Pain showed that depression, as well as some of our thoughts about pain prior to total knee replacement, was related to long-term pain following the procedure. Make sure that you talk to your medical provider about your mental health throughout your treatment; it can help make your journey go much more smoothly following an injury or surgery.

The American Physical Therapy Association launched a national campaign to raise awareness about the risks of opioids and the safe alternative of physical therapy for long-term pain management.  Learn more at our #ChoosePT page.

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MPT News & Happenings
Don't miss the party of the summer! Come celebrate the 5th annual  South Bend Jazz Festival, August 20 th ,  on the Island at Century Center. Savor draft beer from Crooked Ewe and great food!
Live it up with Hot Jazz, Soul and Latin acts; Kath Kosins, Rico, Joe McBride & Danny Lerman, the IUSB Jazz Ensemble
and the South Bend All Stars. 
Under 12 free, buy tickets at    save $5 off the $15 tickets with this discount code : mcdpt

Fran's Favorite Quotes
"We attract what we focus on!"



"Favorite Physical Therapy"
McDonald Physical Therapy


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