All Posts tagged treatment

Happy Thanksgiving

Happy Thanksgiving from Nick Rinard Physical Therapy in Portland Oregon 2024

Happy Thanksgiving from everyone at Nick Rinard Physical Therapy.

Nick Rinard Physical Therapy is very Thankful to have you in our lives! We couldn’t do it without you!

Nick Rinard Physical Therapy will be CLOSED for Thanksgiving on Thursday, November 28th 2024, Friday November 29th, 2024, Monday December 2nd 2024 and Tuesday December 3rd 2024.

Regular office hours will resume Wednesday December 3rd 2024.

If you are in need before then please do not hesitate to call
503-244-6232 or email help@rinardpt.com and we will get back to you as soon as possible.

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Nick Rinard Physical Therapy helps get our firefighters back in the line of duty.

A Nick Rinard Physical Therapy patient emphasizes the importance of health and fitness in the the demanding role of a firefighter.

His home exercise plan is so convenient he can do it while he works!

Thank you for your service and courage you give to the community.

Thank you for sharing your Nick Rinard Physical Therapy story!

 

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Getting patients results since 1996

Nick Rinard Physical Therapy- where patients come to get results from physical therapy!

“I had lower back pain for the past 4 years & previous physical therapy visits & exercises only had temporary results.
After only 6 visits I can go back to my regularly scheduled daily HIT classes.
I’m so confident that if I had another pain issue in the future I can come back to Nick & get it fixed.”
Cara

 

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Struggling with knee pain? Nick Rinard Physical Therapy is the place for you.

We can get you back to walking, exercising, running, enjoying your sport again….

“I had horrible knee pain that was keeping me from being a mobile as I wanted.

Even just going up and downstairs even hurt.

Dr. Rinard was amazing- best PT experience I’ve ever had.

Exercises were easy to do + only had once/week appointments after the first week.

I can no go down stairs with no pain, one legged lunges without pain, play tennis without pain, + do 5K walks or more without knee pain.

THANK YOU ALL!”
Marla

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Results from the heart

 

Results from the heart.

Thank you Terry for sharing!

“Sometime ago, I was injured rather severely, causing a constant agonizing nerve pain. A nurse at the hospital where I was examined recommended Diagnostic Physical Therapy; namely Nick Rinard and his associates.

Under Nick’s careful supervision, these highly trained professionals diagnosed my condition and started treatment immediately, and gave explicit instructions for exercises I was to do at home between visits.

Not only did the pain improve, but also my mental outlook, as the world suddenly seemed a worthwhile place to be. Sessions took place daily at first, then weekly, and eventually my condition was so much improved that I can now live a normal life.

Nick and his team of professionals have achieved a level of care and skill I had not previously seen, with a superb knowledge of the human body, especially the arts and sciences associated with muscle, bone, nerve and sinew, as well as an unexpected understanding of one’s mental and spiritual outlook.”

Terry

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Just a reminder as coronavirus cases rise in Oregon.

Nick Rinard Physical Therapy has continued SAFETY MEASURES and are ALWAYS here for you!

Our staff is fully vaccinated and continues to follow social distancing, sanitation protocols and wear masks.

New patients and established patients will find every visit very valuable and should not delay care due to increases in Coronavirus cases.

We are here to diagnose, educate, offer tools, listen to concerns, and meet all safety needs of every patient.

May all our patients stay safe, healthy and have a quick recovery should they test positive for Coronavirus this summer.

Nick Rinard Physical Therapy is here for you.

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The official first day of summer is upon us.

It has been a busy and wonderful spring at Nick Rinard Physical Therapy!

We are excited about getting you pain free from all your injuries so that you can slide into your favorite summer activities!

While a lot of injuries can occur during activities, it’s just as common to injure yourself slouching on the couch with your feet up while you have been waiting for the rain to stop and the sun to shine.

Your seasonal pains could point to a chronic condition that could easily be treated.

With summer just around the corner take care of your aches and pains now before they get worse.

Nick Rinard Physical Therapy is ALWAYS here to help!

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The end of year is fast approaching.

We, at Nick Rinard Physical Therapy, hope that everyone had a great holiday.

After Thanksgiving the end of the year seems to go by a little faster than usual.
You have lots to do and you don’t need to do it in pain.


Get your results today!


“Lumbar pain – was a deranged disc.
Katie fixed me right up in a couple of weeks.
And now my range of motion is better than before the injury.
Resuming running / yoga….”
Andrew

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What are you doing to improve yourself in 2018?

‘Tis the season for making resolutions, focusing on self-improvement, and charting the course for the year ahead.  What are you doing to improve yourself in 2018?  One small step that can make a tremendous impact in many areas of your life is simply to establish good self-accountability.  How credible are you?  Many of us are loyal to commitments we make to our friends, family, and coworkers but we may routinely neglect to fulfill our promises to ourselves.  When was the last time you put off a work out, failed to follow through with a diet goal, or simply lost momentum with a good training program?

Creating the discipline of good habits is beneficial to all of us!  Whether you are looking to reboot your home exercise routine or seeking to redeem your diet after an avalanche of holiday feasts – consistency is the key.  Daily diligence defines the difference between crashing through a fad and building a foundation of good habits that can improve your life.  In some areas of life, this need for consistency is obvious, for example: brushing your teeth.  If you wish to have fresh breath for your date on Friday night, is brushing your teeth just once on Tuesday going to cut it?  Nope!  Good oral hygiene requires that twice a day commitment every day of the week.  Other areas of our health will benefit from applying this daily discipline as well.

So, here are 5 easy ways to help build credibility with yourself and to insure you follow through with all of those good intensions.

  • Make an appointment with yourself – Schedule time on your calendar each day, even if it is just 20 minutes, to do your home exercise program. Honor this time the same way you would honor any other medical appointment.
  • Reward yourself when you follow through – Improving your health is its own reward, but you may need other tangible incentives to keep you motivated on your course. Make a barter system with yourself – “For every 10 minutes I spend on this treadmill, I will get 10 minutes of guilt-free Netflix ve
  • Get friends and family onboard – One of my patients found the best way to correct his posture was to recruit his children, “It’s open season, kids – anytime you can catch me slouching, call me on it and I will give you a dollar.”
  • Keep it visible – Put those running shoes in a high visibility area of your home so that you have a visual reminder to gear up and get outside for a jog. Are you using a theraband for your exercise routine? Don’t hide it – hang it in plain sight so that you are prompted to put it to good use!
  • Teach what you’ve learned – If you have mastered a new exercise or healthy recipe, share it! Pay it forward and reap the benefit of better understanding through teaching. You know you have truly mastered a technique when you can teach it effectively to someone else.

So let me know – what do you do to encourage yourself to follow through with your commitments to yourself?  Have you tried any of these suggestions before?  Do you have new ideas you’d like to share with us? Let’s support each other in making 2018 a year of abundant good health!

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Can TMJ Pain and Dysfunction be Purely Mechanical?

TMJ pain can be a real problem for its victims, limiting their ability to chew and talk, and interrupting sleep. Often, headaches even limit the person’s ability to concentrate! Various treatments have been proposed to alleviate the symptoms of TMJ (Temporomandibular Joint) pain, many of which are very complex and even invasive. Looking at the TMJ as “just another joint” and not predetermining that it has to be complicated has been very freeing for me in using a mechanical approach. Let me explain using a patient example from this week in clinic.

My approach is modeled after the McKenzie Method of Mechanical Diagnosis and Therapy, although very little about TMJ specifically has been written or published about it. (1)

Symptoms and Experience

Now, about the patient. (Name and other identifying information has been omitted to protect privacy). This patient complained of intermittent left jaw pain with wide opening of the mouth. He stated it only occurred then, and otherwise it really was not painful. However, chewing tough foods, he admitted, was sometimes painful. His worst pain occurred with rapid opening of the mouth and could be as intense as 6 on a scale of 1-10.

Therapist’s Evaluation and Findings

Objective findings were limited and painful opening with slight left deviation, limited and painful protrusion, limited and painful right deviation, and no pain or limitation with retraction, or left deviation. Repeated tests performed actively by the patient of protrusion first, then of right deviation resulted in producing the patient’s symptoms, no worse after, but also no change in baseline ROM or pain. Forces were progressed to patient applied over-pressure to right deviation. The patient reported that this produced his pain initially, then decreased pain as he performed more repetitions. Subsequently, he reported wider opening with less pain!

Patient Homework

Home exercises were assigned, which naturally consisted of patient applied over-pressure into repeated right deviation every hour or two as per typical McKenzie protocol. On the second clinic visit two days later, the patient stated he was already 50% improved! This finding confirmed the mechanical diagnosis of derangement syndrome. In this classification, there is a good prognosis for rapid and lasting recovery from the problem.

Get Yourself Evaluated

This is only one clinical example of a purely mechanical TMJ problem. While there are examples of TMJ issues that are not derangements, or even mechanical, often a mechanical cause of the pain can be found and the patient helped by mechanical therapy. It is well worth a thorough examination to determine if your TMJ pain has a mechanical component, and to get appropriate treatment which would otherwise be missed.

(1) http://www.sciencedirect.com/science/article/pii/S1356689X1100230X

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