Are you having trouble getting patients to exercise?

Here are some great books to improve your performance:
The Power of Habit: Why We Do What We Do in Life and Business
The Brave Athlete: Calm the F*@k Down and Rise to the Occasion

Not everyone who comes to physical therapy likes to do exercises. This can be difficult for physical therapists and personal trainers. In this video, Dr Lance Labno talks about the difficulties that therapists can have getting a person to exercise.

Any questions just shoot them to me in the comment section below….

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How Yoga Can Wreck Your Body

I love yoga and believe it can be an incredible way to improve strength, movement and flexibility.  But sometimes, we can take any activity, hobby or form of exercise a little too far.  This attached link is a repost from a New York Times Magazine article that I found interesting and unfortunately true.

Yes, I have seen a number of injuries that Glenn Black talked about in the article, some life threatening that occurred during someone’s yoga practice. Here is the link.

How Yoga Can Wreck Your Body

Enjoy the article…. But don’t think that I’m saying yoga is bad.  We just have to think sensibly.

Trigger point and How to get rid of shoulder pain – video

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How to Get Your Medicare Patients Assistance with Medicare Questions? A SHIP Can Help!

A State Health Insurance Program (SHIP) is a free insurance counseling service provided by the Administration on Community Living and in partnership with the Centers for Medicare & Medicaid Services (CMS) and state aging agencies to assist Medicare beneficiaries and their caregivers with Medicare information throughout the year as well as during Medicare’s Open Enrollment from October 15th – December 7th. Every state has a SHIP program, but it may be called a different name. For instance, Minnesota’s is called the Senior Linkage Line. As a Medicare provider, there may be a time when you will need to refer a Medicare patient and/or caregiver to obtain more information on Medicare and Medicaid’s benefits. A SHIP can help!

SHIPs answer questions about Medicare, Medicare Supplement Insurance, Medicare Part C Advantage Plans (such as HMO, PPO, private fee-for-service (PFFS), etc.), Medicare Part D, long-term care financing options, other prescription coverage, and low-income assistance.
SHIPs provide free, impartial information to help consumers make informed decisions regarding their health care choices. Each SHIP strives to help Medicare beneficiaries and their caregivers to be wise consumers and to get the most value for their health insurance dollars.

What Can SHIPs Offer?

Show Medicare patients how to evaluate Medicare Part A & Part B health insurance, Medicare Supplement Insurance, Medicare Advantage Plans (Part C), Medicare Prescription Drug Plans (Part D), and/or long-term care insurance policies currently available

Teach Medicare patients to assess their needs so they can make informed decisions about their health insurance policies

Educate Medicare patients so that they can understand Medicare, organize their records, file claims, and appeal Medicare decisions

Inform Medicare patients of their rights as a Medicare beneficiary or health insurance policyholder

Refer Medicare patients to appropriate agencies where they can get help with other needs

Assist Medicare patients with finding help to pay for their health and prescription plans premium, deductible, coinsurance, and prescription costs

Provide educational materials and brochures on Medicare and Medicaid related benefits

Provide speakers to make presentations to large and small community groups, professionals, and other interested parties

Contact Your State SHIP! Below provides the State, SHIP Name, Phone Number, and Website:

Illinois SHIP
Illinois Senior Health Insurance Program (SHIP)
Phone: 1-800-548-9034
Website: http://state.il.us/aging/SHIP
Minnesota SHIP
Minnesota State Health Insurance Assistance Program/ Senior LinkAge Line
Phone: 1-800-333-2433
Website: http://www.mnaging.org/
Wisconsin SHIP
Wisconsin State Health Insurance Information Program (SHIP)
Phone: 1-800-242-1060
Website: https://www.dhs.wisconsin.gov/benefit-specialists/medicare-counseling.htm
Note: For all other state SHIP programs, call 1-800-MEDICARE (1-800-633-4227) or visitwww.medicare.gov or www.shiptacenter.org

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Trigger Point Therapy Helps Migraine Sufferers

Trigger point therapy is a common technique we use in our clinic.  Here is storyy.  from MoveForwardPT that we see in our office everyday.

Migraine Headaches Treated With Trigger-Point Therapy: Angelie’s Story

Angelie lived with migraine headaches for decades, experiencing 2-3 episodes per month that could last for several days. Physical side effects included nausea and visual disturbances, all of which caused Angelie to retreat from the life she loved, declining social invitations and professional opportunities in anticipation of yet another migraine.
She tried everything for treatment. Heavy doses of pain medication first. Then acupuncture, acupressure, diet modification, steroid and Botox injections, biofeedback, and massage therapy. Many of those treatments provided short-term relief, but Angelie struggled to find the kind of lasting results, free of problematic side effects, that would allow her to regain control of her life.
It wasn’t until a neurologist referred Angelie to physical therapist Claire Melebeck, PT, DPT, for trigger point therapy that Angelie escaped the cycle of migraine episodes that had plagued her for 30 years.
“I had immediate results with relief,” Angelie said. Headache episodes were shorter, and, more important, they were less frequent. Soon Angelie counted up to 12 consecutive pain-free days—a personal breakthrough. “I could not remember having that many pain-free days in a row since 1974,” she said.
Her physical therapist wasn’t surprised. Claire had long used trigger-point therapy to treat orthopedic conditions like shoulder impingement, patellofemoral pain, and iliotibial band syndrome, and she was confident the treatment could be effective in treating the effects of migraine headaches, too.
“I was getting patients better faster and more efficiently,” Claire said. “It was not 2 or 3 visits before they would feel a difference. It was 10 minutes of this treatment, and they would stand up and say, ‘Wow, that’s different!'”
Thanks to trigger point therapy, today Angelie’s life is much different than before. She’s working again, and she’s back to making plans with friends and family.
“It makes me feel like I’m truly living my life again, instead of sitting in my room sick,” Angelie said.
Listen to Angelie share her story about treating her migraine headaches with trigger point therapy on Move Forward Radio.

To learn more click onto MoveForwardPT for more exciting stories.

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How to shave when you have a shoulder injury

In this video Dr. Lance Labno shows you how to shave when you have a shoulder injury – ac joint separation or rotator cuff injury.

Improving joint stability with isometric integration exercises helps you stabilize your shoulder joint to reduce shoulder pain. This technique is also effective to eliminate shoulder pain popping.

This is a great video to show you how to shave your face even with and elbow injury.

Let me know you you have any ways to reduce popping shoulders, shaving hacks, questions, comments or ways to shave with a bum shoulder.

🔴 Get More Great Tips – Subscribe ➜ https://goo.gl/DO7P8j

Any questions just shoot them to me in the comment section below….

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A home program called BrainBeat improves concentration and timing in less than 14 sessions

Brainbeat exercises has been a great tool and learning experience for my family and I recommend for both kids and adults over the age of 7.

In the comfort of your own home and in less than 14 sessions following the BrainBeat exercises we were able to improve our timing and coordination with activities requiring focus such as playing the trumpet and even getting ready for school.

The fun and engaging BrainBeat exercises slowly increase difficulty and become more challenging  (sometimes to the point of frustration) which was a great learning lesson to work through.


My son and I have improved our ability to focus.

I have noticed that my son has increased his time on tasks such as working on homework assignments that he finds less interesting.

What I did not expect:

How quickly my son learned to stay on beat both during the BrainBeat exercises.

Improved timing and rhythm while learning to play the trumpet and keyboard.

Brainbeat has been a great tool and learning experience for my family and I recommend for both kids and adults over the age of 7.

For more information click on this link. BrainBeat

Disclaimer: We have found Brainbeat to be extremely valuable and use brainbeat for personal use. We do not have any financial ties or incentives with BrainBeat.


Find out what other free physical therapy resources

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When to Use Ice and Heat

When to use ice and heat: A picture of a physio therapist trying to fix the knee joint by applying ice and heat

This article will discuss when to use ice and heat for your injury. The use of ice and heat are cheap self-treatment techniques to reduce pain with minimal side effects and risks.  This article is going to give you basic facts on when it is best to use ice or heat to reduce pain and/or swelling.  Use of ice and heat are the top two most common forms of quick pain-relief techniques for muscle and joint pain.  The decision between ice and heat is made depending on whether your pain is new or recurring.  In general, ice is for new injuries to treat inflammation and swelling.  Ice decreases the blood flow to the site of your injury, thereby reducing inflammation and swelling.  Pain that lasts for weeks can be treated with heat, which brings blood to the area to promote healing.

The information below can help you figure out when and how to use these inexpensive temperature-related techniques.



Heat works by opening up and dilating blood vessels to increase blood flow which supplies oxygen and nutrients to reduce joint, muscle, tendon and ligament pain.  Warming up of muscles brings a relaxation effect that decreases muscle spasms and improves flexibility and joint motion.  Applying superficial heat to your body can improve the flexibility of tendons and ligaments, reduce muscle spasms, and alleviate pain.

How to use Heat

Heat can be applied by using either either dry or moist warmth.  With repeated uses, dry heat may dry your skin.  Moist heat has been shown to penetrate better into the skin.  Sources of heat can be applied by an electric or microwavable heating pad, hot water bottle, gel packs, or hot water baths.  The heat should be warm, not too hot, and should be maintained at a consistent temperature, if possible. Ask your doctor or physical therapist which heat source would be best for you.

When to use Heat

Apply heat when you have are experiencing chronic muscle and/or joint pain. Heat also works well on stiff joints that are affected by arthritis.

How to use Heat Safely

Always wrap a thin towel over a hot device such as a hot pack to reduce potential risk of burning your skin.
Avoid using heat for longer than 20 minutes, unless advised by your doctor or physical therapist.
Be cautious when using heat if you have poor circulation or diabetes.
Avoid lying down on a heating pad because you can burn your skin if you fall asleep.
Do not use heat on an open wound or stitches.

Here’s a link to a great heat therapy product:  Natural Heat Therapy Wrap

ICE THERAPY (aka Cryotherapy)

Cold and ice slow down and constrict blood flow to an injury which reduce swelling and pain associated to swelling.  Cryotherapy can be used to reduce inflammation, muscle spasm, and pain. Examples: a new case of freshly pulled muscle, rotator cuff muscle or achilles tendonitis.

How to use Ice

Cryotherapy treatment is most commonly delivered using ice, cold packs or a bag of frozen peas.

When to use Ice

Use of ice is ideally used for the first 24 to 48 hours after an injury. Ice therapy is good for sprains, strains and bruises that may occur in sports, falls, or just bumping into things.

How to use Ice Safely

Use cold packs or ice bags to injured areas for no more than 20 minutes at a time. Then remove the ice for 10 minutes and reapply it again for 10-20 minutes until the area is feeling better.
Do not apply ice for longer than 20 minutes. Also, wrap ice or ice packs in a thin towel before applying.

Here’s a good product that helps apply ice to the injury quicker: Cryocup

PLEASE NOTE: If you are unsure when is best to use heat or ice to an injury, call your health care provider’s office.

Here’s a couple other articles that you might find interesting:

Easy ways to manage chronic pain

create a habit loop for improved exercise performance

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Increased intensity of treatment, strength and function after a total knee replacement

Picture of an athlete strengthening his knee after a total knee replacement

There is documented evidence of increased intensity of treatment going to a private physical therapy practice. This is an excellent article and study demonstrating why you may spend more money going to a physician-owned practice vs. a private physical therapy office.

Physician Self-Referrals for TKA Physical Therapy: More Visits, Less Intensity

Thank you APTA for doing research to help our profession!

To learn more about Movement Solutions click here to see what people say about us

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Our Favorite Websites that look at primitive reflexes

Below are some great websites of other movement based programs that look at the role of retained primitive reflexes on learning and behavior:


Claire Hocking

Peter Blythe and Sally Goddard Blythe

Brendan O’Hara

Martin McPhillips

Brain Gym – Paul and Gail Dennison

Cecelia Koester

Body-Mind Centering – Bonnie Bainbridge Cohen

Handle – Judith  Bluestone

We are always looking for new ideas and Information. Please send us any other resources you come across.

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