As cold weather arrives, do you notice more people sniffling and sneezing? Let’s look at a common health myth that is appropriate for our fall season: The common cold is caused by being cold. Your mom may have told you, “Put on a sweater or you will catch your death of a cold!” Most folks now realize that the cold is caught from a virus, not from ambient temperature. The cold viruses, or rhinoviruses, are passed through physical contact or proximity to infected people. Infected people can share their germs through coughing and sneezing.
So, science disproves that old myth that temperature creates illness. Those miserable sore throats, runny noses, and headaches are caused by the viruses themselves.
Mom may not have been entirely off base with her association, though! Cold viruses enter the human body through the nose. This is where our snot comes to the rescue, bundling up the viruses into an easily swallowed package that can be dropped into the caustic cauldron of the stomach where acid quickly degrades it. However, when we breathe cold air through our noses, the cooler temperature slows down the movement of the mucus. Since the snot cannot race to your rescue, the virus is more likely to enter the body through the mucus membranes and make you sick.
Also, cold viruses cannot survive high temperatures. Cold weather is the preferred climate for rhinoviruses, and they can flourish in autumn temperatures for a longer time. This improved survival rate increases the probability that a cold virus will be successfully passed from individual to individual.
So this myth is partially true – cold weather can increased your susceptibility to catching a cold from a virus by impairing your natural mucus defenses and boosting the survival rate of the virus.
Margo Burette, PT, DPT
https://buff.ly/2wdq8yt “Overdiagnosis can harm patients by leading to overtreatment, diagnosis related anxiety or…
Posted by McKenzie Institute International on Saturday, August 25, 2018
https://bjsm.bmj.com/content/early/2018/06/09/bjsports-2018-099257 “… estimates of MRI osteoarthritis prevalence among…
Posted by McKenzie Institute International on Monday, August 20, 2018
'Directional preference of the extremity: a preliminary investigation'. Well done to the folks from Maccio Physical…
Posted by McKenzie Institute USA on Monday, August 13, 2018
Look for the up coming article in MapMyRun (powered by Under Armour).
At Nick Rinard Physical Therapy a lot of patients come to see us with knee pain and/or knee arthritis, both before and after various knee surgeries, including total knee replacement surgeries.
Since 2010, knee replacements have been the most performed surgery on people over 45 years of age. Knee replacements are performed at the rate of 700,000 per year. Because of this increasing rate, the efficacy of pain relief and improvement of function should be investigated.
100 patients with knee arthritis
A researcher, Soren Thorgaard Skou, has done just that. In his study, he looked at 100 patients with knee arthritis and assigned them to a surgical group or non-surgical group (which received physical therapy, medication and diet education). After one year, 85% percent of the surgical group had significant improvements in pain vs 68% of the physical therapy group. The surgical group and larger gains in their ability to climb stairs and walk. However, the study also showed that the surgical group is at greater risk for complications that the physical therapy group is not. The surgical group is more likely to have blood clots or a manipulation (another procedure performed by the surgeon to increase range of motion). The surgical group had more adverse side effects vs the physical therapy group (24 vs. 6).
Physical therapy is effective
Physical therapy is effective and should be considered a viable option before jumping to surgery. If the first knee replacement can be delayed, this can decrease the necessity for a second surgery (current replacements last 10-15 years). We urge our patients to remember that we are always here for you before or after surgery. Nick Rinard Physical Therapy is a phone call away 503-244-6232 !
1/3rd of knee replacements are unnecessary
This, taken into consideration with the study that came out last summer that found nearly 1/3rd of knee replacements are unnecessary, should be considered when deciding to have a knee replacement or a trial of physical therapy to determine effectiveness.
Dr. Skou’s report (N Engl J Med. 2015 373;17:1668-9)
Physical Therapy clinicians are not only therapists, they are educators. A big part of being a physical therapist is answering patient’s questions and educating them on anatomy, the proper way to perform an exercise, how to walk and transfer safely, and what to expect going into surgery.
One-on-one educational session with a physical therapist
A recent study looked at the benefit of having a one-on-one educational session with a physical therapist prior to having a total joint replacement surgery. A researcher split 126 patients into two groups: one group had a group class prior to having surgery, the second group had an additional one-on-one session with a physical therapist. “Significantly more patients who attended the extra one-on-one counseling session with the physical therapist before surgery indicated that they were better prepared to leave the hospital after surgery and were, overall, more satisfied with the preoperative education they received,” Dr. Joshi stated.
Additionally, the patients who received the one-on-one session had required fewer PT sessions in the hospital and met discharge criteria (walking up/down stairs and transferring out of bed) faster.
What this indicates is that patients benefit from a one-on-one educational session with a physical therapist prior to joint replacement.
Improve overall satisfaction
Patients, therefore, may consider having a pre-surgical appointment with a physical therapist to improve their overall satisfaction and outcomes following a total joint replacement
Seeing a physical therapist first for low back pain decreases overall out of pocket costs, opioid use, and less ER visits.
Study from the University of Washington and George Washington University
A study split patients into three groups. The first group saw a physical therapist first “PT first” group. A second group was “PT later” group, as they saw another provider initially, but eventually had physical therapy. The last group was “No PT” as they never had physical therapy.
This study found that the group that saw “PT first” for low back pain had lower costs for care vs the “PT later” and “No PT” groups (this includes what they are paying out of pocket). The “PT first” group also had lower costs with emergency room visits, imaging, and opioid use.
Physical Therapy reduces prescription medication use
What this means is that seeing a physical therapist can not only reduce your pain and use for prescription medication, it also costs you less! Since Oregon has direct access for physical therapists (by law, you do not need a physician referral to see a physical therapist), patients should be using this route directly for treatment of their low back pain. Call Nick Rinard Physical Therapy today and schedule your pain away! 503-244-6232