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ReVITALize Rehab Club

Author: Danh Ngo

  • Common confusion around back brace for posture correction or back pain relief


    To brace or not to brace?   When you are experiencing low back pain, an easy solution is to pick up a back brace to support your spine.  The theory makes sense as a back brace helps your spine from moving too much.  When you are in pain, such as a lower back pain due to a muscle spasm or arthritis in back, your back feels weak and needs the extra support.  It makes logical sense that when your lower back hurts to move, a brace can reduce your back pain by limiting this movement.

    There is this counter-argument that when your body relies on a back brace, your muscles get weaker from disuse.  If you are suffering from back pain, the fear of your back muscles getting weaker is not a friendly thought.  If you ask any Physical Therapist or Chiropractor, you will hear a strong “NO!”  It will sound like there is no wiggle room.  Black and white answer.

    Why are weight-lifters wearing those belts to lift then?  Does that make them weak to lift heavy?  Huh?   There are times we go to Walmart or Home Depot, to see the warehouse employees wear back braces as a uniform.  Are they more at risk of hurting themselves or weakened their posture?

    In an analysis of many research related to this topic called a Cochrane Database Systematic Review, Negrini S in 2015 showed that there are not many conclusive articles that support a strong yes or no position to wearing a brace or not.  As a Holistic Spine and Sports Medicine Physical Therapist Clinic in Long Beach, California, we have heard this question many times “What are your thoughts of wearing a back brace for my back pain (or posture)?” (more…)

  • 3 Anti-inflammatory Foods That Help You to Sleep


    Here is this month’s food that we are highlighting a specific topic of sleep.  There are 3 foods that help you sleep better that you do not read about enough.  If you noticed, we specifically chose fruits as they get no love when it comes to having the anti-inflammatory conversation.  Fruits get a bad rap due to the high sugar content but do not let that fool you.

    Modern media has trashed our beliefs of curbing the portion size of fruits.  Glucose is important for energy for our whole body.  When people advise you to use will-power to lose weight, exercise more, be more patient, blah blah blah, it’s nearly impossible without glucose.

    Our brain is like a circuit and electrical transmission is used throughout the day.  Glucose from fruits helps keep this transmission.  Modern society and many hidden factors like heavy metals and inflammatory toxins overheat our brain circuit.  This will lead your body into a spiral that may take weeks, months, or years to show.  It was never an auto-immune issue in the first place, and if you have been diagnosed with an auto-immune or chronic pain disorder, you need these three even more.

    The nutritional benefit information provided below is a blend of “Life Changing Foods” book by Anthony William and www.ph360.me which is a company that brings individual mind+body+recovery health plans based on your genetic profile.  This is important to understand as your body will change every month to every year.  A diet might be the best for you now, but not be in a year.  Every experience and your body’s growth will need nutritional modification to best fit the stress you are dealing with: physically, mentally, and recovery.

    Here is another factor that will help you understand if the 3 foods below are the best or not for you.  Your body will tell you if you NEED or you should HOLD off (for three months) on eating this three food.

    The optimal time to stop and listen to your body is 40-60 minutes after you eat.

    There are three main categories to which you need to pay attention to after you consume the recommended food: physical, emotional, and recovery/detox.

    Physical: BAD if the food makes you feel tired, weak, and sluggish.  Food should recharge you but in this case, help you to relax.

    Emotional: BAD if the food makes you feel moody, anxious, impatient, or a sense of “something is off”.  Food should help you be in a state of calmness. (more…)

  • 3 Tips on How to Get Better Sleep With Lower Back Pain

    Sleeping is important.  There are many conclusive studies that show how important sleeping is from anti-aging to injury recovery.  The problem is that when you have lower back pain (this article will apply if you have neck or upper back tension and muscle spasms), there is no one size fit all answer to getting our beauty sleep.

    So what should you do?

    There are three principles that will help you achieve this feat.  Every night is different.  You are different than your friends.  Our body composition is unique.

    This is one reason why the mattress industry is making a fortune off of our desire to sleep better.  We all get cranky when we lose sleep.  We try the mattress at the store to find out that months later, it is not supporting us like it used to.  Why?  Because our body changes and adapts to your daily needs.  The mattress does not cater to your body. (more…)

  • How to Tone Your Arms Safely While Having Back Pain


    Many head to the gym to work out with a purpose of losing weight or to build muscle.  If you are looking to shed fat and firm up your body (aka “tone up”), but have back pain, you are left guessing with a trial and error system.

    You either try a weight machine, hoping that it does not tease your back to tense up, or stick with super easy exercises that you know will not do anything but cause you to give up.

    The Myth Of Toning

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    http://jeb.biologists.org/content/219/2/235

    Before we dive into how to help yourself, we have to help you to understand a big common misunderstanding.  You cannot choose to tone up your arms by doing thousands of bicep curls and tricep presses.  Cardio based exercises are not separate from muscle strengthening exercises.

     

    The definition of how muscle physiology works is that a muscle appears to shrink as it shed layer (more…)

  • When You Should Try Pilates and Yoga for Neck Pain or Tension (Part 1)


    Neck pain is troublesome.  Many do not realize that restoring your alignment and rebalancing your muscles is possible with Pilates and yoga for neck pain sufferers.  yoga and pilates are great for helping you restore your neck tension or pain.  When you have neck pain, it can be difficult to perform all the vigorous pilates movements or twisting poses that can strain your neck.  This is where the dilemma lies and there is a simple 1-2 combo that will help you get over this hump.  Actually, many with neck tension have the dreaded hump to the back of their neck which yoga and pilates are great for reducing and restoring.

    To those that are unfamiliar with the premise of yoga or pilates, we will summarize them from a Physical Therapist’s perspective and how we know when someone is ready. (more…)

  • Essential Oil 101: Rosemary

    Isolated sprigs of fresh Rosemary, one with flowers. Shallow depth of field.Many know that Rosemary is a culinary herb but unaware of its medicinal purposes like pain relief, cognitive boost, and for anti-aging skin care.  Rosemary, also known as Rosmarinus officinalis, has been dated all the way back to the Romans, Egyptians, and ancient Egyptian civilization.   There is a myth where the Virgin Mary is said to have spread her blue cloak over a white-blossomed rosemary bush when she was resting, and the flowers turned blue.  The shrub then became known as the “Rose of Mary”.  Rosemary has an anti-microbial, anti-oxidant, anti-fungal, analgesic, and anti-inflammatory medicinal property as shown in Ulbricht’s systematic review in 2010.

    Research has shown that Rosemary has a chemical composition that includes polyphenol like carnosic acid, rosmarinic acid, camphor, caffeic acid, ursolic acid, betulinic acid, and carnosol.  Rosemary has a 10-20% camphor composition which is important as an insect repellent,  stimulation of nerve endings sensitive to cold (analgesic), increase heart rate, suppression of appetite and slower breathing rate.  Silvia Moreno et al. links the antimicrobial and antioxidant property from its polyphenol composition.   Rosemary extracts showed a high radical scavenging activity which is important for cancer treatment and anti-aging care.  As you can see, Rosemary Essential Oil (EO) can be a great fit for your health needs as detailed below. (more…)

  • How to Prepare For Cyber Monday Olympics (Neck + Arm Event)

    Pokemon-Go-Launches-in-Brazil-Ahead-of-OlympicsCyber Monday is becoming a bigger phenomenon in our modern society as we shift towards the internet of things.  Smartphones have hyper-drive cyber Monday even busier, however, our bodies are not designed for spending hours on the small phone devices or at a desk looking for these deals.

    smartphone-570214_1280This article will dive into 3 exercises that are designed to help keep your upper body limber so you do not get any unwanted tendinitis, stiff neck syndrome, or nerve irritation.  Yes, we have seen an uptick in this diagnosis more and we would like to explain why these exercises are important and how it can help you enjoy your Christmas and online presents for yourself.

    Our body will protect your nerves at all cost.  The nerves depend on two things to stay healthy: blood and lymphatic circulation.  Lymphatic circulation is the system that works with our immune system to fight unwanted things and detox them towards our lymph nodes.  There is a hierarchy in who is the boss of our body.  Our brain tells our nerve what to do.  Our nerve talks to our muscles and tells it to move, relax, or freeze up into a muscle spasm.

    Anatomically, our nerves are strategically at the parts of your body that are intentionally protected.  Our ulnar (funny bone nerve), median (carpal tunnel nerve), and radial nerve run under the surface of our arm.  Deeply under our collarbone, chest muscles, and armpit region.

    How is your posture going to impact the nerves and its health?

    If you round your shoulder forward and/or stick your chin out as you type, you are slowing the circulation of vital nutrients to the nerve.   Imagine your plumbing system being slowed down by weeds and waste like my kids putting play-doh down the toilet.  (more…)

  •  Why Having Pain is Like Having a Stroke (Part 1)

    Think-Youre-Too-Young-for-a-Stroke-1440x810Movement is movement.  There are no differences when the body is having trouble moving, whether it is due to pain or a major stroke.  Okay, I understand I am making a big exaggeration.  When you understand how to help people move and have done it successfully for many, I would like to share how your tension or pain is no different than how a stroke patient moves.

    Why is this important?  Most people can see and agree that there are inefficiencies that a stroke patient has to deal with when walking, pushing, and pulling.  When people are in pain, it is easier to ignore thus neglecting the true underlying need of why most are in pain.  Coordination and movement strategies.  There are many concepts that come into play and I don’t think many would want a 20 part series article =) so I will write about how movement strategies causes people to be in pain in part 1 and lack of coordination in part 2.

    Let’s get started.

    Physical Therapists are known for their work in orthopedic and stroke rehab.  As someone who can add pediatrics and sports movement to the mix, I realized one thing.  I should have paid in class more, especially the subject that didn’t peak my interest.  I wish our first-year instructors emphasized that everything is connected since we have one brain, from pediatrics to geriatrics.

    Everyone grew up the same way.  We all came from our mother’s womb to come out as a baby with no movement options.  We saw something that peaks our interests or it helped us survived so we learned to move in a specific sequence.  Roll.  Crawl,  Stand.  Cruise.  (more…)

  • 3 ReVITALizing Foods That No One is Talking About

    Here is this month’s food that we are highlighting.  Our family eat these on a regular basis and as a father who is somewhat in charge of cooking, I put these three ingredients in a crock-pot.  Scroll below the 3 ingredients on why putting these three together can be a simple and powerfully healthy recipe.

    The nutritional benefit information provided below is from ph360.me which is a company that brings individual mind+body+recovery health plans based on your genetic profile.  This is important to understand as your body will change every month to every year.  A diet might be the best for you now, but not be in a year.  Every experience and your body’s growth will need nutritional modification to best fit your stress you are dealing with: physically, mentally, and recovery.   (more…)

  • How to Exercise While in Pain (Part 1)

    painEveryone knows that exercise is important.  Did you know that exercise impacts all but one system in your body?  Exercise makes you look and feel younger.  When you are in acute or chronic pain, there are no clear guidelines besides rest…and maybe more rest (until infinity and beyond).  Okay.  I have two children so I could not resist sneaking in Toy Story quotes.  This article intention is to help you make a better decision since this is the one puzzling common theme when someone seeks medical expertise due to pain or not feeling good.

    30-Buzz-LightyearThe truth is that medical schools do not educate doctors on how to teach exercise prescription effectively.   As a performance specialist and Doctor of Sports Physical Therapy, I have studied exercise intensely.  There are three cohorts that might be able to help you when you are trying to learn how to exercise safely while in pain: ones that have done it themselves through trial and error, ones that have gone to school to learn how to do it, and ones that have experienced both.

    Pain is scary and can cause you to second guess what you are doing, especially if your pain worsens over time.  Guess what?  When I first started, I was scared to help people in pain.  I spent two years learning about it but when someone in front of you is saying it hurts, the normal behavioral response is to follow the Hippocratic Oath of “do no harm”.  I gingerly tested my boundaries but stayed in the comfort zone.  I see this in every aspiring physical therapy students that I mentored.  My biggest growth was when I suffered back pain, had back surgery and helped myself to lift really heavyweights. (more…)