Sara Shupe, MSPT, Dip. MDT is a physical therapist specialist and founder of J.O.Y. Physical Therapy Inc, a mobile and tele-health physical therapy provider servicing the Twin Cities Metro Area, greater Minnesota, and Wisconsin. Sara has presented early access models of mechanical diagnosis and therapy (MDT) in the treatment of low back pain to the American Physical Therapy Association (APTA), National Association of Spine Society (NASS) and The international MDT Conference. Sara lives in Eagan, MN with her 14 year old son, and Dox mix puppy.
Have you ever been so proud of yourself for starting a new exercise routine only to notice the progressive ache starting in your hip, knee or foot? Then the whispers begin -
I'm too old for this.
I will never lose this weight.
I guess I'm allergic to exercise.
Do I skip the gym?
According to the Bureau of Labor Statistics in 2012, sprains, strains, tears, back pain and carpal tunnel syndrome are some of the most commonly reported musculoskeletal disorders. Despite common beliefs, middle-aged folks like myself are more likely to report these phenomenon. So, it is more of a silver-age problem than a golden-age one. Despite the increased prevalence rates in this population, it has been shown that folks who exercise at least 120 minutes a week demonstrate superior health statistics over those that exercise zero minutes a week.
Among these, are those that don't need to see their doctor for their sprain, strain, tear, back pain or carpal tunnel syndrome. If, that is, you are a regular formal exerciser. That middle word is important, as it has often been asked if parking your car farther away from the grocery store door or taking the stairs instead of the elevator "counts." The answer is No. Despite your Nike watch, living life doesn't count as exercise. Your heart rates needs to get to the moderate level necessary to change your metabolic rate. But that soap box is for another blog, for another day...
My Xray says I have arthritis in my foot. Now what?
Firstly, the more appropriate question is "so what?"
What you need to know is that an "abnormality" on scan is seen frequently in folks in this age range; many of whom don't have any pain at all. In other words, false positives are common. It may have been there before you tried to tackle your weight loss goals with extreme bodyshaping classes. What we have come to understand is that arthritic changes on scan are common 60% prevalent in us middle aged silver folks and 100% prevalent in those golden over the age of 60 ( May & Rosedale JOSPT 2012; Carlton & Maccio J Manip Ther 2018).
Yes, that's right. 100%!
Don't skip the gym. Do MDT.
Mechanical Diagnosis and Therapy, or MDT, is a specialized form of assessment that utilizes your movement, positions and functional complaints to determine your pain and movement pattern. This pattern, called Directional Preference to is associated with improved symptomatic and functional outcomes in back and limb problems (Long, A et al Does it matter which exercise? Spine 2004; Long A et al 2008; Rosedale et al 2014, Edmond et al 2014). So it does not rely on the patho-anatomucal model, sometimes called the disease-model, which has repeatedly demonstrated to be invalid in the literature.
J.O.Y. Physical Therapy Inc has same-day visits available. Don't wait! Get your MDT treatment today and get back to the gym quickly! Often, we can come right to your gym! Call 651-800-MYPT or email us at [email protected] today!
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