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Body

Check out whats new in the world of physical therapy and rehabilitation

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Mind & Soul

Latest evidence and research on neurorehabilitation, the mind, and CBT

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Healthcare

Delve into innovative solutions to the many problems we face in healthcare

Latest Articles

Iron-deficiency Anemia: do I really have to eat red meat?

My discussion here stems from my personal frustration with my borderline anemia, and how across the medical community the common recommendation for anemia is to eat “leafy greens and red meat”. Why red meat? My diet is primarily plant-based, and I get frustrated when I’m told that I must eat red meat to improve my anemia (seeing as I readily eat leafy greens already). On another note even if you aren’t vegetarian recent studies have demonstrated a correlation between red meat consumption and increased incidence of mortality 12-36%, diabetes, cardiovascular disease, and cancer (1,2). What really is going on? Is eating red meat necessary for improving our iron levels? The short answer is no, but you have to take a deeper look into what anemia is and how other foods you are eating can impact your ability to absorb iron. Much like how various drugs have various interactions with one

Redefining Physical Therapy in the Time of COVID: Time for Innovation

Change is often driven by necessity, whether due to a crisis or a feeling of dissatisfaction. During times of duress, current structures are challenged and pushed leading to innovation or failure. During the 1918 Pandemic, many of our current established hygienic principles were developed during that era. At that time no antibiotics or vaccines existed, so the primary control efforts depended on pharmacological interventions such as isolation, good personal hygiene, the use of quarantine, disinfectants, and limiting public gatherings(1). Previously communal cups were used at wells where everyone would use the same utensils. The pandemic created a systemic change in behaviors that are now standard in today’s hygienic practices.  As a result of COVID19 companies have been forced to restructure or sink. The most evident has been for companies to implement work from home principles (Twitter, Facebook, Google, etc.), transitioning to video conferences and education. We clearly have a long way

Shoulder Impingement: Looking Beyond the Shoulder

Let’s start with a simple case study: Liz is an 18yo female who comes into the clinic with a complaint of anterior shoulder pain. Liz is training for her college volleyball season and has had on and off shoulder pain all throughout high school, but now that she has a scholarship for college and she really wants to be able to keep her scholarship and prevent her shoulder from getting worse. What are the key points we can take away: Anterior shoulder pain: this gives us a starting point. We are going to want to probe for more information (nerve symptoms, radiating pain, certain positional factors that make it worse/better, description of the pain etc.) On & off pain: indicates that this may be a chronic issue -osis vs. -itis if we are looking at some sort of tendinopathy. This will also be important with treatment and pain management strategies Volleyball

Concentration

Do you have trouble concentrating? Are you easily distracted? I know I am! This new generation where we easily have access to many different products, answers, and media, is now facing the difficulty of focusing. We are taught to be efficient and productive with the time that we have, yet all the social media and tools that we have are made to capture our concentration for mere seconds. So then are we slowly programming our brains to have shorter and shorter spans of concentration? This also brings up the discussion of ADD(attention deficit disorder) and ADHD(attention deficit hyperactivity disorder). Is this a new problem that this generation is facing, and are we too quick to give out prescription medication rather than target the programing of our brains? The New York Times recently published an article discussing the issue of Adderall abuse in the new job-seeking post-graduate population(1). Society pushes us to machine

How are you working out?

Are you a runner? Tennis player? Rower? Basketball player? Based on your sport and what you are trying to do you, you can tailor how you lift or strengthen. Building muscle is important to increase your outcomes, but it only helps if you are working out according to your sport. For instance: as a sprinter, you want to work on power and speed, if you go to the gym and do 20reps at a lower weight you are working on endurance muscles and thus it won’t help you increase your speed. So then how do you exercise? To break it down your muscles are built up of different fibers. Type 1a, IIa, and IIb are the most commonly discussed muscle fibers. Type Ia fibers are your slower onset more tonic (endurance/stabilization) muscle fibers. Type IIa and IIb(IIX) are your rapid onset of strong contractile fibers. These fibers help with power,