All Posts tagged MDT

Practical and Effective Treatment

Nick Rinard Physical Therapy continues to get patients results with “practical and effective treatment” since 1996!

Getting patients better in as little as 3 visits with only an average of 6-8 visits per patient. 

 

“After a hit + run accident on my bile, I have spent the last year recovering to the point where I could focus on a shoulder injury.

The orthopedic surgeon referred me to PT and I am delighted that after only three visits, my range of motion has returned and my pain has disappeared.

Thanks to the office staff for promptly scheduling me + to the PT for practical and effective treatment.”

Jennifer

More

Have you moved out of state and looking for a physical therapist that is as good as Nick?

If you have moved out of state Nick Rinard Physical Therapy offers telehealth that gets great results, but if you find yourself with a condition that needs in-person visits, here are some questions you might want to ask when looking for a physical therapist.

Is the PT known among patients and providers for getting the best results in the fewest visits?

Does the PT prioritize teaching the patient how to actively self-treat rather than provide a lot of passive treatment to the patient?

Is the PT disciplined in using evidence based care and applying logic to their assessments to find the most likely source of the problem and treat it with the simplest intervention possible?

Is the PT certified in MDT at a minimum?

Has the PT been successfully practicing at the above level for 20+ years?

Does the PT have a lot of patients who choose to return to them for their other issues?

Has the PT taught the methodology to other PTs?

Does the PT put their patients’ outcomes above their own ego and ambition?

Is the PT quick to refer out to another, more appropriate practitioner as soon as the patient fails to show improvement?

The list could go on.


Nick Rinard, Owner, Physical Therapist

 

More

Heal faster! Go to Nick Rinard Physical Therapy First!

“I had seen a previous PT for a few visits and didn’t feel any better – I thought my sprained ankle was a lost cause.

On my first visit with Dr. Rinard, he diagnosed my issue and provided immediate relief.

I had several PT appointments and felt constant improvement.

I’m back to running and playing volleyball and I could have done it without his help/patience/understanding and knowledge.

Thank you so much! ”

Gloria

More

Is your sleep becoming compromised?

Get your sleep back by calling and scheduling your evaluation at Nick Rinard Physical Therapy today.

“I was not able to walk my usual 2 miles a day and I was having pain all day and night in the thigh.

Because I could not massage it out, I figured it was a spinal referral pain.

Having been “fixed” by the McKenzie Method of lower back pain after a fall in 2014, I asked my provider for a referral here.

I can walk as much as I want now. I can sleep with no pain.”

Tenny

More

Back Pain, Free Future by Margo Burette

Did you know that 80% of American will experience low back pain in their lifetimes?  Take a look at these eye-opening statistics: https://www.thegoodbody.com/back-pain-statistics/

Nick Rinard Physical Therapy uses cutting-edge, scientifically-validated mechanical diagnosis and treatment techniques to help you find the cause and cure of your back pain. Let us help you today.

.Xray highlighting region of severe back pain

More

Miki’s Perspective: As a DPT Candidate and Patient

As a PT student exposed to the McKenzie Method for the first time, I observed therapeutic results that appeared miraculous in their efficiency and expediency. It was eye-opening to learn the principles of MDT and the systematic logical approach to classifying and treating notoriously difficult-to-treat conditions including chronic debilitating back pain. Many patients I observed confessed they had battled back pain for decades and tried everything, including pharmacology, chiropractic, acupuncture, massage, as well as craniosacral therapy.

When I was injured in a car accident, I received McKenzie treatment and felt better within the first 2 weeks. In this car accident, I had been rear-ended at high velocity on the freeway, and was recovering from a fracture. My treatment included rest (lying down for 10 minutes) to reduce inflammation and gentle range of motion exercises. This was doable despite a busy schedule and I was able to resume my regular workload sooner than anticipated.

Previously, I had been rear-ended twice at lower velocities, and pursued chiropractic and massage treatment both times. Chiropractic involved 3 visits per week initially, and went on for a year. This took a lot of precious time out of my schedule and came at a high financial expense. At the time, I noticed I felt better whenever I stayed active, but the sharp pain in my neck and back returned several times per week. I felt unable to manage my pain and thought I needed the chiropractor to “fix me.”

Nick Rinard Physical Therapy Portland Oregon Logo GreenAt Nick Rinard Physical Therapy I achieved a pain free full return to function in less than 2 months. Over the last 4 weeks, I only required 2-3 visits and was able to manage exacerbations of pain mostly on my own since I knew what exercises would provide relief. In addition to effective treatment, I was happy with the way Nick and his team treat everyone. I always felt welcome and appreciated, like a member of the family.

As both a student and patient of MDT, I am thrilled at the results it provides.

Patient perspective:

McKenzie is initially less hands-on compared to other PT approaches. The patient is an active participant in healing, and engages in a personalized home program from day one. Education is an integral aspect of treatment. This empowers the patient to understand the cause of their ailment, and provides the patient with tools to remedy recurrences or exacerbations. McKenzie treatment is a great investment of a patient’s time and funds, as it provides a toolkit to effectively self-manage pain.

Physical Therapist (PT) perspective:

McKenzie therapy is a disciplined classification system with a logical testing protocol that guides treatment. The classifications and associated interventions and progressions can be applied to many health conditions. Having a clear protocol helps the therapist stay focused and effective when the clinical presentation appears unclear. MDT includes the patient as an educated, active partner and decreases patient dependency on passive treatment mechanisms. Patients tend to obtain good results quicker and need fewer visits compared to other therapeutic approaches. MDT is based on understanding the mechanical and physiologic events of spinal derangements, altered tissue, and inflammation. It is logical and effective.

How MDT is different:

McKenzie therapy provides a clear, well-organized protocol to assess, classify, and treat health conditions appropriate for physical therapy. Treatment consists of limited, low-dosed and highly targeted exercises designed to provide clarity of diagnosis. This serves as the dependent variable whose effect is measured and helps clarify the clinical picture. Patient’s response to treatment is generally assessed within 48 hours, and fine-tuned/altered/progressed according to findings. Due to this disciplined and focused approach, MDT frequently resolves common conditions including back pain and neck pain in less visits, and therefore at substantial financial and time savings.

More

Quadriceps Strengthening Exercise Routine Decreases Pain Associated With Osteoarthritis and Meniscus Injury

Quick Answers Are Never a Guarantee

Picture of woman running wearing RinardPT logo

We live in a culture that seeks immediate results and quick answers to solutions. Most of the time, unfortunately, we also want what requires the least amount of effort on our part. In the medical community, this boils down to people deciding to have surgery to fix the problem. Unfortunately, surgery is never a guarantee. Time and time again I treat patients here at Nick Rinard Physical Therapy who were advised to have surgery and, after the procedure was performed, their pain remained. This happens because of both the general public and medical practitioners’ lack of understanding about how the body moves and heals. Recently, there was a man referred to our Portland airport (PDX) clinic by his friend for knee pain. He was scheduled to have knee surgery the next week, but wanted to have a second opinion. My colleague diagnosed him with a very simple problem: knee capsulosis, and he was reporting decreased pain and improved range of motion by his 2nd visit. He cancelled his surgery and is expected to have a great outcome with conservative care.

Regimented Exercise Can Decrease Knee Pain without Surgery

I recently came across a study that found simple regimented exercise routine focusing on quadriceps strengthening and cardiovascular endurance decreases knee pain associated with osteoarthritis. What a great concept: exercise can decrease pain and improve function and avoid surgery! The authors of the study concluded: “Optimal exercise programs for knee OA should have one aim and focus on improving aerobic capacity, quadriceps muscle strength, or lower extremity performance,” the authors concluded. “For best results, the program should be supervised and carried out three times a week. Such programs have a similar effect regardless of patient characteristics, including radiographic severity and baseline pain.”

Physical Inactivity is THE Major Public Health Problem of the 21st Century

I came across a quote that really resonates with these findings: “…most medical schools only allocate a perfunctory hour to the fact that physical activity is medicine. This is a major failing of medical education when physical inactivity is the major public health problem of the 21st century.”

Resources

Meta-analysis: Quadriceps exercise best reduces knee OA pain:
http://news.todayinpt.com/article/20140329/TODAYINPT04/140328005&SearchID=73533945353381?utm_content=sf25084815&utm_medium=spredfast&utm_source=facebook&utm_campaign=social2013&sf25084815=1
Accessed on May 1st, 2014
Mechanotherapy: how physical therapists’ prescription of exercise promotes tissue repair. K M Khan, A Scott. Br J Sports Med 2009;43:247-252

More

RinardPT Monthly – May 2014

Nick Rinard Physical Therapy in Portland Oregon Logo White

RinardPT Monthly

Nick Rinard Physical Therapy
9700 SW Capitol Hwy Suite 140
Portland, OR 97219

Volume 6, Issue 3
April 2014

SW Portland Open House

Should you be resting?

ICE or HEAT?

Should you be ‘working through’ the pain?

Is the source of your pain serious?

Ask an experienced MDT Physical Therapist at Nick Rinard PT! With a 15 minute Free Consultation, we can often find the cause of your pain and give you advice to help treat your symptoms.

Xray highlighting region of severe back pain

Join us for a special Open House and ask about your pain “while you’re here.” Light refreshments will be offered, and appointments are encouraged though WALK-INS are always welcome!

Tuesday, June 17th – 5:00pm-8:00pm

Call 503-244-6232

for your Evaluation or Free Consultation

RinardPT patients get Results:

Don’t take our word for it

“I came into Nick Rinard PT because of a car accident in December that I sustained a neck injury in. I had very limited neck motion, & had pain when I tried to move my neck. I had severe pain when sitting for long periods of time, trouble driving, and doing other everyday activities. I also had random headaches every day that kept me from doing normal tasks. Now I feel much better. My headaches have almost gone away, I have my range of motion back, and I am not in pain anymore.”-Lauren 04/28/2014 “I was referred for treatment after PT elsewhere was not improving my symptoms for a post-operative L5-S.1 discectomy/laminectomy. Once starting treatment at Nick Rinard PT I knew it was the right fit. After my 1st visit I had increased symptoms and called that evening. I was immediately helped over the phone and scheduled to return the next day. From then on, it was steady improvement with detailed explanation of exercises and physiology. I’m beyond grateful for the care and staff at Nick Rinard PT.”-Shelley 04/17/2014

 

Nick Rinard Physical Therapy 4 people jumping on the beach

FREE CONSULTATION COUPON

MENTION THIS COUPON AND SCHEDULE YOUR FREE SCREEN TODAY (503) 244-6232
In just 5-10 minutes, MDT can determine if your pain is mechanical or not. If so, we can help get you out of pain and back to enjoying your life.

 

Clinical Conversations NOW at RinardPT.com

From low back pain, hip pain, ‘pseudo tennis elbow’…

We’ve seen it all at
Nick Rinard Physical Therapy!

Come see our success stories, get advice for how to avoid pain, and what to do while you wait for your physical therapy visit with us.

http://RinardPT.com/clinical-conversations/

Mobilization with Movement with Grip
More

RinardPT Monthly – April 2014

Nick Rinard Physical Therapy in Portland Oregon Logo White

RinardPT Monthly

Nick Rinard Physical Therapy
9700 SW Capitol Hwy Suite 140
Portland, OR 97219

Volume 6, Issue 3
April 2014

New Look, Same Great Care!

MDT of Portland is Now Nick Rinard Physical Therapy

With a new name and a new logo, we’ve had a lot of exciting changes. We hope that you like our new look, and rest assured that the changes stop there.

Nick Rinard Physical Therapy is committed to continuing to provide specialized McKenzie (MDT) based personal care for you and your loved ones-just like we have since we opened our doors in SW Portland, Oregon in 1999.

Nick, Natasha, and the entire Nick Rinard PT team are here for you!

Call 503-244-6232
for your Evaluation or Free Consultation

RinardPT patients get Results:

Don’t take our word for it

“When I first came for PT, my lower back was very stiff & it was painful to do side-bends. I my lower back became fatigued from walking/running I would experience muscle spasms in my back.Now I can walk/run my normal 45 minutes or hike and I feel good-no spasms!”-Maureen 03/14/2014 “I was referred by my doctor after 6 weeks of going to another PT clinic with no results. I wasn’t hopeful that Nick Rinard PT would get any better results. After 4 visits, I could tell things were changing for the better. My pain while standing was a 10 at worst, down to a 3 at the end of my day. The people and staff are amazing and friendly. I loved how they put their ‘thinking caps’ on before they start. Thank you so much.”-Teresa 03/26/2014

 

Nick Rinard Physical Therapy 4 people jumping on the beachFREE CONSULTATION COUPON

MENTION THIS COUPON AND SCHEDULE YOUR
FREE SCREEN TODAY
(503) 244-6232
In just 5-10 minutes, MDT can determine if your pain is mechanical or not. If so, we can help get you out of pain and back to enjoying your life.

 

Join the Walk to Cure Arthritis! We’ll Meet you There!

 

Oregon and SW Washington Walk to Cure ArthritisSaturday, May 17th in Vancouver, Washington
Nick Rinard Physical Therapy will be at the Health Fair from 9am-1pm.

Esther Short Park
Columbia St
Vancouver, WA 98660
  • Choose to walk a 1 or 3 mile loop

Registration and more information at :
http://vancouverwalktocurearthritis.kintera.org/

Can’t make it? You can make a donation for the cause at the the link above to show your support!

 

 

More

Vertigo: A mechanical cause and treatment!

The most common cause of vertigo (dizziness) is benign paroxysmal positional vertigo (BPPV) and it is a mechanical disorder. A trained clinician can evaluate and treat this condition based off of the patient’s symptoms. The evaluation consists of moving the head into specific positions. Symptoms of BPPV include vertigo with change in head position, nausea with or without vomiting and disequilibrium (poor balance).

Curable

Image of Inner Ear and Vestibular System edited by Dan Yedinak

Vestibular System

BPPV is a curable condition affecting the vestibular system (inner ear). Your inner ear is comprised of 3 semicircular canals (SCC) and 2 otolith organs. These structures detect head movements (acceleration). Crystals called otoconia are embedded in the otolith organs. Sometimes, the crystals can become dislodged and misplace into the semicircular canals. The misplaced crystals result in increased sensitivity to head movements.

Hopes for a Positive Response

I was treating a patient for low back pain when she mentioned that she was experiencing severe episodes of dizziness. I informed her about BPPV and mentioned that the treatment was very simple and effective. She agreed to have an evaluation in hopes for a positive response.

My patient tested positive for BPPV utilizing the Hallpike-Dix test for the left semicircular canals. I also performed a few other tests and exercises to rule out other potential causes for symptoms. Once we had our diagnosis of BPPV, the treatment was very simple.

Improvement in just one week

I took my patient through a series of head movements that reposition the crystals back into the otolith organs (the saccule and ultricule). After performing the repositioning maneuver, baseline symptoms were decreased and she returned the next week without having any severe episodes of vertigo.

BPPV – A Common Vertigo that is Easily Treated

BPPV is the most common cause for vertigo. Luckily, it is very easy to diagnose and treat with a trained therapist. If you or someone you know has vertigo as a result from head movements, have a physical therapist evaluation so that you may start feeling better today!

More