Polar Plunge

polar plunge  noun

an event held during the winter where participants enter a body of water despite the low temperature 

(According to wikipedia at least... and trust me the water gets cold in Florida!)

2013 Polar Plunge sponsored by the USA Student Advocacy Forum

The Student Advocacy Forum (SAF) is a student-created and student-led group at USA that takes action to raise awareness of physical therapy and raise funds for research and advocating for PT through political action.  In this case, political parties don't matter... it is about the future of physical therapy and allowing the profession to grow.

SAF caught my attention my second semester; the first project I got involved in was the 2nd Annual Polar Plunge.  I then helped plan the 3rd Polar Plunge and have now graduated and passed the reins down for the 4th Polar Plunge.  I believe this year's will be the best yet!

Throughout the rest of my school career at University of St Augustine I was involved in the Pittsburgh-Marquette Challenge (now the Miami-Marquette Challenge), Federal Advocacy Forum, Snack for PAC, and LogN'Blog to name a few.  Each of these activities allowed students to rally together to fundraise for our profession. (Check out each of these pages to learn more about the events/activities)

My biggest piece of advice now for students who say they don't have the time to get involved because they are busy studying: 

You cannot afford not to get involved.  This is your future! 

If you aren't going to fight for it, who will?

Curious what all this fundraising and advocating is for??  Honestly, it's for the patients!

Here are two hot topics that we are currently working towards:

Medicare Therapy Cap

In 1997, the Balanced Budget Act was passed, placing a cap on the amount of therapy covered by medicare at around $1900/year for physical therapy and speech combined, an extra $1900/year for occupational therapy.  This means that each time a patient comes to therapy, they received services that each have a reimbursement value.  Once that amount hits $1900, medicare stops covering therapy services (not including the exemption process here).
So why does this matter?  For patient's who have experienced a neurological disorder such as a stroke or traumatic brain injury or even some orthopedic dysfunctions that will require extensive therapy often in all three categories (physical, occupational, and speech), this money will run out fast!  We are trying to get rid of this arbitrary number and allow for the necessary therapy to be covered for our patients. Check out this link for a more detailed explanation!

Direct Access  

Currently in the state of Florida, physical therapists can evaluate and treat a patient for 21 days without a referral from a physician.  After the 21st day, it is required that the patient is seen by a physician to sign-off on continued physical therapy.  So what is the problem? One explanation for this is summed up in the picture below:

If you notice, being seen by a physician, a specialist, having imaging done, and then attending physical therapy the average cost is $2,100 - $2,200. However, going to a physical therapist directly only cost on average $900 - $1,000.  

One thing to keep in mind here is that physical therapists have been trained to look for a differential diagnosis or signs that the patient's symptoms are not in our scope of practice and that a patient needs to be seen by their physician.  However if a patient is complaining of knee pain, why see a physician and have imaging done if the pain can be evaluated by a physical therapist and treated without the expensive costs of an x-ray or MRI.  There are always cases where a patient is not appropriate for therapy and needs medical attention, and we are aware of that.  (I personally had a patient once that I knew after two sessions that he was not appropriate for therapy and we called the physician for an MRI for suspected disc involvement.)

So why this post?  The 4th Annual Polar Plunge is coming up fast!  Mark your calendars for Saturday February 1st and join in on the freezing fun. Check out the Advocacy facebook for more information!

If you don't have an advocacy forum at your school but want to start one, leave a comment and I would love to share with you and get your in touch with some current students!

Joy

A new year, a new you!

What  is the first thing that comes to mind when you think of New Year's Day?

If you are already an active person who loves the gym, you are dreading this phrase!

New Year's Resolutions!!

Every year there is an influx of people into the gym trying to workout and get healthy.  Most gym-lovers know this is normally just a phase and will only last a month or so.  However I hope the influx is permanent this year!!  Some of the things I am going to try:

 (disclaimer: I am just as bad at this, however being a PT I feel I need to start practicing what I preach!  I will keep ya'll updated on my progress.)  

1. Make a physical reminder to exercise like a calendar to cross off each day.

2. Start small and work up to harder routines as you get stronger.

3. Track your progress to help keep you motivated, whether it is weight loss or increased strength.

4. Drink plenty of water!

If injury strikes...

When starting a new routine or continuing with your old ones, injury can occur.  Competitor offers 6 signs that you should go to a Physical Therapist when injury occurs.  I will highlight them here, but go check out their site for more information! (All credit for the information below goes to Competitor!)

1. Pain that doesn't go away.

Most people know to ice an injury when it first occurs.  This helps with inflammation and pain.  However, if the pain remains after 3-4 days you may want to get it checked out by a physical therapist to make sure it isn't something more serious.

2. A dull pain that won't stop.

This is similar to number 1 - if the pain does not go away and remains as a dull ache it may be your body telling you something more serious is occurring.

3. A traumatic accident.

A broken bone is pretty obvious and everyone seeks medical attention right away for this.  If you roll your ankle (sprain/strain) you also need to seek a physical therapist.  If you fall and notice changes in your body, you need to seek a physical therapist.  Be aware of your body - any changes after an accident may need to be checked out.

4. Medication may not be the best answer for pain.

If medications are not helping the pain, get checked out to make sure something more sinister isn't occurring.

5. Sharp pain instead of a dull ache.

A sharp pain often indicates a more serious issue - think muscle pull. 

6. Changes to your body.

Again, similar to number 3 - you know your body best!  If you notice swelling or bruising after a workout go get checked out.  Anything out of the ordinary may be your body saying something isn't right!

Good luck with all New Year's Resolutions or lifestyle changes!  

Comment below with what you plan to try in 2014.  

Joy

What is physical therapy?

A personal trainer... a massage therapist... an ancillary service.  

All common misconceptions and all wrong.

We are the movement specialists.  We improve motion, decrease pain, avoid surgery, and return patients to function.

And in the state of Florida you can see a physical therapist directly without a physician referral for 21 days.  Not in Florida? Find a PT near you and ask about seeing a therapist directly, if possible.

Our Education

Physical therapy programs are now training students at the doctorate level.  In 2.5 to 3 years, students undergo intense training in anatomy, biomechanics, physiology, pharmacology, orthopedics, neuroscience, therapeutic exercise, and the list continues.  Basically, this means we are highly skilled in the ability to examine a patient, determine any differential diagnosis (aka need to refer to a physician), create a specialized program for each patient to stretch and strengthen muscles, improve range of motion (along with a list of other treatment methods including manual therapy, the use of modalities, etc) and return them to normal function.  We are trained to treat common orthopedic conditions as well as neurological conditions such as strokes, Parkinson's, and traumatic brain injury.  Check out the APTA's website to see more on this.

Avoid Surgery

Another big benefit to physical therapy is its use to decrease the need for surgery.  The Center for Disease Control published a study of in-patient surgeries in 2010 - 51.4 million surgeries were performed.  Of those surgeries, 4.8 million were related to cardiac health.  Physical therapy can be implemented to exercise patient's with heart disease in a controlled environment.

Side note: Remaining active is key to help prevent heart disease.  The American Heart Association recommends the following activity:

• At least 30 minutes of moderate-intensity aerobic activity at least 5 days per week for a total of 150
  
  OR

• At least 25 minutes of vigorous aerobic activity at least 3 days per week for a total of 75; or a combination of the two
  
  AND

• Moderate to high intensity muscle-strengthening activity at least 2 or more days per week for additional health benefits.

As a professor of mine put it (and any USA student or alumni knows what is coming...) Motion is lotion! If you don't use it, you lose it! So stay active :)

Physical Therapy Vs. Surgery

The National Institute of Health reported a study from the New England Journal of Medicine (check out their twitter for the latest research) earlier this year that found physical therapy to deliver results comparable to that of surgery in regards to a torn meniscus of the knee.  More examples of the benefits of PT over surgery can be found here.

Restore Motion

However, surgery is not always avoidable.  719,000 of the aforementioned surgeries were total knee replacements and 332,000 were total hip replacements.  Physical therapy also plays a large role in restoring proper range of motion and strength in these patients.  Without therapy patients are often left with a lack of range which can lead to an abnormal walking pattern and impaired quality of life.

Decrease Pain

Physical therapy can also help alleviate pain.  The APTA reports nearly 80 percent of Americans suffer from back pain - but this is not necessary!!  Physical therapists are trained in spinal mobilizations and soft tissue techniques that can help relieve pain and restore motion, as well as train muscles and teach proper posture to minimize recurrence.  We take multiple courses for these treatments and can even become certified in Manual Therapy.

Get more information about physical therapists here.  Check out the "Did You Know?" page for more research demonstrating the usefulness of physical therapy.

To sum this up: we are the movement specialists, we learn about every aspect of the musculoskeletal system (muscles and bones), we take a whole body approach and examine any area that may be causing the issue (think problem at the elbow - we will look at the shouder/neck and wrist/hand as well!).  We are one of the best kept secrets in healthcare and it is our job to make our profession known!

Quick Personal Experience: I was talking with a nurse about Physical Therapy - she was seen by one for some neck pain.  Fast forward four months, she was in a car accident and told by insurance she could go to a Chiropractor... but being able to go to a PT was not mentioned.  She told me she ran into her PT at Publix who asked about her neck.  During the conversation she found out she could have returned to the PT after the accident and it would be covered by insurance.  She told me she had no idea and wishes she would have known!  She will now being going to her PT for any musculoskeletal needs.  It's experiences like this that we need to learn from and avoid.  We need to educate the public!

Something strike your interest?  Ask a question.  Leave a story or personal experience with physical therapy.  Share this post and help spread the word about physical therapy.

And trust me - Physical therapy spans way more than what I have covered!  This is just the beginning!  We can treat patients who have cancer (think lymphedema post breast cancer for example), urinary incontinence, post surgery rehabilitation, gait and running analysis, orthopedic injuries, sports injuries, low back pain... the list goes on!

Joy

The beginning...

Welcome!  Since social media has become such an effective way of reaching the masses, I figured I would share my journey entering the physical therapy world.

To catch you up to where I am today, here is my background:

January 2007
I was a senior in high school and convinced I wanted to be an Architect due to my love of drawing.  Two months later I knew there was no way I could sit a computer all day!  Next thing I remember I was on track to become a physical therapist.  I credit this to my brother contracting Bell's Palsy and having unsuccessful physical therapy due to lack of knowledge by the therapist he had.  (Side note: He recovered just fine; and, as with any profession, there are some bad therapist out there however there are many great therapists!)

December 2010
I completed my Bachelor of Science degree in Health Science, with a minor in Biology.  I had an interview with a few physical therapy schools and was excited to begin my journey.

March 2011
St Patrick's Day I found out I was accepted to the University of St Augustine.  I spent the next 8 months enjoying my freedom before starting doctorate school.

August 2011
I began physical therapy school.  I could spend seven blog posts describing each semester in depth but there is no need for that!! In the end I met a lot of amazing people, learned more in two years and four months than I ever thought possible, and grew more as person and professional than I imagined!!  For nostalgia sake I will include a few pictures of the journey :)

Bacon Night first semester

USA Advocacy takes the DC! Follow the University of St Augustine Advocacy group on twitter @DPTadvocacyUSA

Black Canyon, Colorado

Throughout the course of my internships I traveled to Ohio, Colorado, and Texas. 

Sign of the Advanced Manipulator with the USA Green Class 2013.

And 2 years 4 months later I graduated and became Joy Frye, DPT!

I will leave you there for the first post, as the last picture pretty much brings you up to speed.  I will enjoy my last few days of vacation before I begin my first big girl job.  Feel free to leave comments about things you want to know, ask questions you have about physical therapy, share this blog post on every form of social media you use!

Joy