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ReVITALize Rehab Club

Author: Danh Ngo

  • 3 Hidden Signs That Your Body Needs to Recover From The Grueling School Year

    119045112_2757491_stydIt’s that time of the year when educators are celebrating that the school year is over and/or summer break is here.  I have many wonderful and passionate educators as close friends and they take pride in their craft, including my wife.  At this time, teachers reflect on the year to see where the breakdowns went or what can be done better.  I love this habit as many successors in any industry do this on a routine basis.

    As educators take this time for self improvement and recharge their emotional and spiritual side, many all too often ignore their physical side.  Prolong standing can have a negative effects on your muscles, joints, and anything that needs to work against gravity.  The constant need to fight gravity and the daily grind results in an overuse syndrome due to fatigue.  Cornell University has calculated that “standing requires ~20% more energy than sitting”.  Many of the complications come from prolonged standing (more than 60% of a work day) that is repeated several times a week.  The key to countering this phenomenon is to stay moving combined with a fitness routine that matches with your work requirements.  The key word is “routine that matches” what your body needs to go through to reduce your chances of having lower limb swelling, varicose veins, back and leg pain.  Coronary heart disease and arthritis can also be worsened by standing for long periods.   (more…)

  • Essential Oil 101: Marjoram

    marjoram-leavesAs I research essential oils that are good for pain relief, Marjoram oil kept showing up.  If you google Marjoram, there is this idea that Marjoram and Oregano are the same.  This is confusing as to why they are labeled as two different herbs but are the same?  Sally Bernstein blog article titled “Oregano….Or Is It Marjoram” clarified this confusion beautifully.  In summary, all oregano is marjoram because they stem from the mint family, however, NOT all marjoram is oregano.

    Marjoram comes from the genus Origanum and part of the mint family.  It’s mainly made up of Terpinen-4-ol, sabinene hydrate, borneol, and γ-terpinene.   A study that looked at Sweet Marjoram showed its many uses for digestion, sinus and colds, skin disorders, anti-clotting, antibacterial, anti-inflammatory, and rheumatic (joint related) issues.   Marjoram has been named “wintersweet” or “joy of the mountains”, due to its benefits in calming the nervous system.  A calm nervous system can help relax muscle tension and hence the pain relieving property.   (more…)

  • Running 101: Debunking the Myth of Running and Arthritis


    It is almost spring, and this is the time when people come out of hibernation to start running.  Our first article on running titled “Instruction Manual on How to Run Like Tony Starks (Iron Man)” details why one should be fit to run rather than running to stay fit.  If you desire a healthy run, the article elaborates how to address your weak links.
    If you are still skeptical and nervous about injuring your back and legs, or you have knee pain and are fearful of making it worse, there is a new study from the American College of Rheumatology that attempts to answer the age-old debate of whether running leads to arthritis.  This was a thorough study, and their results show that running is not correlated with increased incidence of knee arthritis.
    Cartilage provides padding and protection at the end of your bones.  Arthritis is a result of this cartilage wearing down over time.  This is commonly referred to as having “bone on bone” when that happens.
    MYTH: the cartilage at the end of your bones have limited life span like the soles of your
    shoes or car windows.  If you repetitively use your shoes or roll up and down your car windows, they will eventually wear out.   But human joints are not comparable to a car window or a pair of shoes.  Our joints are healthy living tissues with regenerating capabilities.  This may explain why the study did not find a correlation between running and arthritis.

    (more…)

  • Instruction Manual on How to Run Like Tony Starks (Iron Man)

    bay%20runRunning is great for the body and easy to incorporate anytime you choose.  The biggest issue is running with this mindset sets up our body to fail.  It results in runner’s knee, shin splint, ITB syndrome, stress fractures, and other orthopedic issues that I treat throughout the year.  The motto “you have to be fit to run and not run to stay fit” holds true 100% if you want to last long in this individual sport.  In a perfect world, without bills to pay and no responsibilities, the motto will be easy to follow.  In reality, what should you do?  How do I reach my fitness goal and stay away from the doctor’s office?

    TAT is the answer to that!  Tissue adaptation time or otherwise summarized with the saying “slow and steady will win the race.”   The human body is resilient and adaptable when treated with respect and proper care.  Our tissues can take a lot of beating, but it has a limit of when to fail.  If the time the tissue is being stressed is dragged out over an extended period of time, then the threshold is higher.  Basically, the slower the task, the tissue’s capacity (ability to not fail) is greater. (more…)

  • To Sprain Or Not Sprain (an Ankle)?

    image-565a81b35f9b5835e4679f61An ankle sprain is one of the most undermanaged injuries that can potentially result in other aches and pains down the road.  There are multiple theories on the importance of ankle sprain care, which includes the potential loss of coordination, early arthritis, compensation, and changes in joint mechanics.  The reasons may seem complicated with multi-syllabic words, but the treatment is too simple to ignore.  If you read my article on “The Secret to Moving Well and Performing like a Professional (Instructions on Foot Care),” I talk about the intricacies of the foot and briefly talk about the talus bone.  More on this later.

    Arthritis, the dreaded A-word.  The condition of arthritis can be summed up as the lack of muscle control and muscle support.  Think driving on the road with bumps that help us recognize when we drift to another lane.  A car is designed to handle driving over these bumps, but if you abuse this, and drive over the bumps constantly, then it can wear out the car sooner than later.  Now, think if these tiny bumps on the lane divider getting larger and larger as you run over them. Imagine them shouting at you to stop doing this but you still do it anyways.  (more…)

  • Heel Thy Pain (for Plantar Fasciitis and Achilles Tendonitis)

    Do you dread walking in the morning because of heel pain (especially in the first few steps)?  Is your heel pain slowing you down?  You are most likely dealing with a condition called plantar fasciitis, which affects up to 2 million Americans each year.  This is staggering but I believe will rise due to social norms and habits.  Fortunately, this condition is manageable with patience and the right course of care.  It is important to understand the mechanics of our foot to heel thy pain.  Read “The Secret to Moving Well and Performing Like a Professional (Instructions on Feet Care)” to appreciate the complexity of what you are feeling every step you take.

    heel_spurPlantar fasciitis is described as an irritation to the plantar fascia.  A bone spur is common to see in a x-ray with this condition.  The origin or root of this plantar fascia at the heel is where you should feel the most pain upon poking to it.  The collection of morning pain, pain with poking to the heel, and positive Windlass Test confirms this heel-pain-imagecondition.  The simplified description of the Windlass Test is pain upon pulling your big toe back in sitting or standing.  The saying I tell my patient is that the easy part is diagnosing it, the hard part is managing it due to the complexity of our foot design.

    The treatment strategies talked about later in this post can be loosely applied to Achilles tendinitis.   (more…)

  • The Secret to Moving Well and Performing like a Professional (Instructions on Foot Care)

    1092493_54676285Do you want to know a secret in regards to what people ignore when working out for better performance?  I have said it before in past articles.   Our body is a wonderful machine and there is one sub-system within the human body that allows us to protect ourselves, be nimble, absorb shock, and transfer force like a pole vaulter’s stick for explosiveness.  This is our ankle/foot complex.  Every bone and joint in our foot has a specific function and each component feeds off each other.  There is a reason why there is not a good ankle joint replacement surgery because the joint is too intricate to capture all the details of what our feet can do.

    In order to appreciate the complexity of this design, I have to explain the basics of how our feet work.  When people talk about the foot, the terminology that is often used to describe our foot posture is supination and pronation.   In simple terms, supination is used to describe high arch posture and pronation is for flat feet posture.  Each posture has a specific function and our feet need to go through both postures to have optimal feet health.   One big myth is that having a high arch or flat feet is bad and we need to buy shoes to adjust our feet.  Let me try to explain why this idea can hurt our feet just as much as it can help our feet.  The foot is a sensory system that guides the rest of our body in what to do.  A maladaption within this normal supination and pronation pattern is influenced by our feet sensory system not being trained enough.

    The walking cycle is an efficient movement; starting from loading onto our heel first, then rolling off our big toe. (more…)

  • Fitness 101: Finding a “Personal” Trainer (Part 2)

    funny-fitness-pictures-curls

    Finding a good “personal trainer” is an important choice that should not be taken lightly.  It is important to not only take care of your body but finding someone who knows more that the average about the human body so you can bring out the most of your own movement capacity.  The motto at ReVITALize Rehab Club is to Dream BIG! Move BIG!

    Part one of this article “Fitness 101: Finding a “Personal” Trainer (Part 1)” I write about the eight factors that I will look for when choosing a personal trainer.  Here they are again.

    1. they assess and screen
    2. credentials
    3. you do most of the talking
    4. they listen and take their time
    5. they walk the walk
    6. they do not make bogus claims…makes sense
    7. they can explain every exercise and why it is done and when it is done and how it impacts tomorrow
    8. they address sleep, nutrition

    A good trainer will keep you motivated and excited to work out.  The week in and week out meeting can blossom into a “personal” relationship that may help your trainer be one step ahead in your recovery and when you have the unavoidable “lows”.  Accountability is a key component and proven as a reliable factor in maintaining consistency.  What is the hardest part of any fitness journey?  I believe it is staying on track and being focused.  Isn’t it better when you actually enjoy the process.

    (more…)

  • Fitness 101: Finding a “Personal” Trainer (Part 1)

    bad-personal-trainerCongratulations!  Whether you are reading this article because you are interested in hoping on the fitness train or the title caught your attention, my plan is to expose the truth about the fitness industry.  The human body is a marvelous machine and is designed to perform remarkable feats of movements.  This makes the job of a performance specialist aka personal trainer duties difficult.  One has to have a wide knowledge foundation in order to achieve what the client desires.

    I am in the middle of designing my first customized online coaching program.  I thought it will be easier, but as I sat down to design a fitness program to help my client gain strength and run faster, I realize there are lots of detail components of a program.  The main goal is to make the program safe for the joints while loading the muscle to prevent injuries.  The next goal is to understand who my client is and how his body functions so we can maximize every time he decides to work-out.   The last goal is to understand what makes him tick so I can keep his mind and body focused on his goal.  I can be the best performance specialist/trainer but if the client gives up on him or herself, then my job is meaningless.

    Enough of the rant.  Let me make a list of what you should look for when finding a personal trainer.

    1. they assess and screen
    2. credentials
    3. you do most of the talking
    4. they listen and take their time
    5. they walk the walk
    6. they do not make bogus claims…makes sense
    7. they can explain every exercise and why it is done and when it is done and how it impacts tomorrow
    8. they address sleep, nutrition

    (more…)

  • How to Gain the Upper Hand in Life Using Chinese Medicine

    Johnny is always the tallest kid in his class. He usually runs the fastest and he never loses in arm wrestling. Most kids are jealous how Johnny is built and want to be just like him. In the mean time, Ricky is always the shortest kid in his class. He never wins any arm wrestling and his asthma always stops him from completing any race. Ricky is just that little below average kid nobody really noticed. We’ve all heard stories like this or maybe you are that Johnny or Ricky. I am not the Ricky in this story but I was never the Johnny either. I’ve always wondered why can’t I have the build and talent like Johnny in real life. In Chinese medicine, the kidney organ is the one that determines whether you will be Johnny or Ricky.

    The kidney in Chinese medicine is considered one of the most important organs. People even refer to the kidney as the “root of life.” (more…)