Call today Carlisle 717.245-0400 Mechanicsburg 717.697-6600 CM CARDIN & MILLER P H Y SIC A L THER A PY Home Exercise Program Start with this exercise sequence to reverse muscle imbalances that cause neck pain and headaches 1. Shoulder Shrug 1. Shrug 2. Pinch Shoulder Blades HOW IT’S DONE: 1. Stand with upright neutral posture. 2. Shrug your shoulders half way up toward your ears. 3. Do NOT shrug your shoulders as far up as they will go. 4. If you have pain, stop the exercise. 1. Shrug 2. Pinch Back 3. Tuck Chin to Neck HOW IT’S DONE: HOW IT’S DONE: 1. Maintain your shoulder shrug and pinch your shoulder blades back (together). 2. Do NOT pull your shoulder blades back as far as you can. 3. It is important that you do not lose the shoulder shrug while you are pinching your shoulder blades back 1. While you maintain shoulder shrug and shoulder blade pinch, tuck your chin toward your throat. 2. Do NOT tuck your chin as far as it will go. 3. Always do this in order in 3 steps: Shoulders up, back, chin tuck. 4. Should feel a slight stretch in the back of your head and neck 5. Hold position 5 seconds, repeat 10 times once every 1-2 hours. CARDIN & MILLER CM P H Y S IC A L T H E R A P Y Carlisle 290 East Pomfret Street Carlisle, PA 17013 717-245-0400 Fax: 717-243-5688 Mechanicsburg 156 Cumberland Parkway Mechanicsburg, PA 17055 717-697-6600 Fax: 717-697-6700 Free Screening Coupon Inside! News & Notes P HY S IC A L T HE R A P Y P HY S IC A L T HE R A P Y Our Therapists are Experts In: Neck/Arm Pain, Numbness & Tingling • Headaches Lower Back & Mid Back Pain • Hip & Knee Pain, Injuries & Arthritis Shoulder Pain, Bursitis & Tendonitis • (Plantar Fascitis) Heel, Arch, Foot & Ankle Pain Custom Foot Orthotics • Numbness / Burning in the Toes (balls of the feet) Diabetic Needs (Custom Inlays & Extra Depth Shoes) • Sports Specific Physical Therapy Concussion Therapy • Vertigo / Dizziness • Pediatric Disorders • All Orthopedic Injuries / Disorders Ask Your Physical Therapist… Direct Access Ever wonder why … Your arm hurts and your hand is going numb or why you keep getting headaches? Get answers to your questions about pain by emailing any of our therapists listed below…. Have you ever Wondered … Can I see a Physical Therapist without a referral from my Doctor? The answer is YES! In Pennsylvania, by Law, you can be seen by a Physical Therapist without a physician referral for the first 30 days. Carlisle Steve Miller, Owner, PT, C.Ped: [email protected] Brian Cardin, Owner, PT, C.Ped: [email protected] Andrew Zang, DPT, MTC: [email protected] Matthew Casale, DPT: [email protected] Amanda Kern, DPT: [email protected] Mechanicsburg Robert Gorinski (Clinic Director) DPT, McKenzie certified, C.Ped: [email protected] Lucy Edens, DPT: [email protected] FIND US Visit Our Website: www.cardinmillerpt.com Like Us on Facebook! www.facebook.com/CardinandMillerPT YouTube Channel! www.YouTube.com/user/CardinandMillerPT Here’s how it works … 1) You hurt your back, foot, etc. and instead of waiting to “see if it will go away on its own” call Cardin and Miller to schedule an appointment today so we can help you get rid of the pain ASAP! 2) When you call Cardin and Miller, our Friendly Staff will check your insurance benefits to see if your particular insurance allows Direct Access (Most Do). We will get you scheduled for an evaluation with us ASAP! 3) During your thorough 1 hour evaluation if we uncover any reason why you should see your family dr. or another specialist before seeing us, we will refer/schedule you with the appropriate professional. FREE SCREENING COUPON 3 Effective Exercises for Neck Pain & Headaches Success Stories November / December 2013 ANSWERS TO YOUR MOST COMMON QUESTIONS ABOUT NECK PAIN Inside This Issue Why Do I Have Neck Pain and/or Headaches? ➢Muscle Imbalance: Patients ENTER TO WIN! Many times patients report that they feel stiffness and or burning from the neck across the top of the shoulders or between the shoulder blades. Also, many patients complain of headaches that start at the back of the head that can end up behind the eyes in some folks (this type of headache can vary from an annoyance to migraine intensity). $10 GIFT CARD ➢What causes Muscle Imbalance? Direct Access - See your therapist without referral News & Notes for any past or current patient who refers a friend or family member (see Free Screening coupon inside!) Find the misspelled word in this newsletter and email it to [email protected] for your chance to win a $50 gift card to Appalachian Running Company/ Dutrey’s shoes. alachia App n nn Ru This exercise sequence is meant to be used as a beginner exercise. Most often more exercises and hands-on manual therapy including neck and back adjustments will need to be done as well. It is important to remember that if you have had pain for 2 weeks or more that is not getting better, it will most likely not go away without some help—so schedule an evaluation with us today! CM CARDIN CARDIN & & MILLER MILLER ny Exercises P HY S IC A L T HE R A P Y in g Co m p There will be one winner chosen randomly from all the received entries. Contest for Past and Present Cardin & Miller patients only. a Usually muscle imbalances are due to poor sitting posture from sitting for long periods at work, studying and or sitting in front of a computer. This causes your back to round making the muscles between your shoulder blades, the front of your neck, and across the top of your shoulders too long. This causes your muscles to spasm up to protect themselves from lengthening further (which creates the burning and stiffness that you feel). The rounding of your back during prolonged sitting also causes your head and chin to “drift” forward shortening the muscles in the back of the neck. As the muscles in the back of the head and neck become shortened and too tight, they “squeeze” the nerve in the back of your head and neck, which causes your headaches. Continued on page 2 ANSWERS Call today Continued from page 1 Why Do I Have Pain and or Numbness/Tingling in My Arm/Hand? ➢Here are the following reasons why you are feeling this: 1)Herniated Disc: Between each of the neck bones in your spine there is a fluid filled disc, that when normal, provides cushion and shock absorption. Herniation happens when prolonged poor posture, repetitive motion or injury causes the fluid inside the disc to “tear thru” the layers of the disc and push those layers of the disc against a nerve that starts in your neck and supplies feeling and strength to your arm and hand. This nerve pressure is what causes your arm and hand symptoms. 2) Degenerative Disc Disease: This occurs when some of the fluid in a disc (between the bones of your neck) is no longer present. This causes the bones of your neck to be closer together than they should be which can place pressure on the nerves in your neck. This usually causes pain and stiffness in your neck, but if there is enough pressure on the nerve, then the nerve will carry the pain and or numbness into your arm and hand. 3)Stenosis: This occurs when the canals where the nerves travel in the spine around your neck get too small. This squeezes the nerves and can cause pain, numbness/tingling in one or both of your arms and hands. 4)Arthritis: This occurs when the joints of the Carlisle 717.245-0400 Mechanicsburg 717.697-6600 CM CARDIN & MILLER P H Y SIC AL THER A PY neck are inflamed and can cause extra bone growth on the bones of your spine (bone spurs). Most of the time, arthritis pain stays in the neck, but if the arthritis causes bone spurring that puts pressure on the nerves around the neck, then this can lead to arm and hand symptoms. ➢So … How Do I Get Rid of the Neck Pain, Headaches and Arm Pain/Numbness? 1) Schedule a Physical Therapy Evaluation at Cardin and Miller Physical Therapy. One of our expert Physical Therapists will perform a 1-hour evaluation in which they will talk to you about your daily activities that may be contributing to your pain. During the evaluation, the therapist will be measuring your range of motion and strength as well as performing special tests that tell us whether muscle imbalances are the cause of your pain and headaches or if the pain is due to another cause. 2) Based on what we find in your evaluation we will develop a treatment plan, which may include a combination of neck and mid back adjustments, massage, strengthening and flexibility exercises to reverse muscle imbalances. We will teach you how to achieve and maintain proper posture when driving or sitting for prolonged periods of time. 3) If during your evaluation, we determine that you need to have an X-Ray, MRI or see a spinal surgeon, we will communicate with your physician to make this happen. Most of the time X-Rays, MRI, and surgery are NOT needed. SUCCESS Call today Carlisle 717.245-0400 Mechanicsburg 717.697-6600 Patient Success Stories Don’t take our word for it … see what our patients have to say In early September 2011, I started experiencing tingling & pain in my left arm while driving. The symptoms got progressively worse. By the middle of September I could not drive without pillows bracing and supporting my left arm. I made an appointment with my family doctor who told me I was “getting old” and that my problem could be handled by either a shot every month or Physical Therapy and the doctor suggested I go to Cardin and Miller Physical Therapy (Thank God). My Physical Therapist, Andy Zang, evaluated me on September 19th and started me on 4 very specific exercises. I had therapy twice a week at Cardin and Miller and by mid October I was pretty much pain free and was telling people that Andy, Sarah & the Cardin and Miller Staff had “fixed” me. The tingling was gone and I was back to “my normal”. I am in better overall shape than I have been in years and my neck and arm do not bother me at all. – THANK YOU Andy, Sarah & Staff at Cardin & Miller — John M. Prior to coming to Cardin and Miller Physical Therapy, I suffered with pins and needles, numbness and limited mobility in my upper back, neck and arms. After several sessions with Andy, the majority of symptoms had been relieved and I could return to activities with little discomfort. During each session, I was able to see Andy and he explained the purpose of each exercise and answered any questions I had about my treatment. Now I’m mostly symptom free and will continue my exercises at home. THANK YOU to Andy and the — Alison M. Cardin and Miller team. This is my second time as a patient at Cardin and Miller Physical Therapy and this time, just like the first, it was a great experience. The staff is prompt, courteous, and fun to work with. At Cardin and Miller, you don’t feel like a patient, you feel more like part of a family because even though you are there for treatment, they treat you like one of their own. When you first start they do a careful assessment to determine just how severe your injury may be, and they develop a training program that fits you. I would definitely recommend Cardin — David N. and Miller Physical Therapy to other people who need it. CM CARDIN & MILLER PH YSIC AL T H ERAPY FREE Screening! Call 245-0400 or 697-6600 Today to schedule your free screening with Cardin and Miller Physical Therapy for Neck Pain, Arm Pain / Numbness, and or Headaches. Bring this coupon with you to your free screen. This free screening coupon may be transferred to your friends and family. NEWS & Notes www.CardinMillerPT.com Mechanicsburg 156 Cumberland Parkway Mechanicsburg, PA 17055 717-697-6600 $10 GIFT CARD for any past or current patient who refers a freind or family member … just write your full name below and when we receive it, we will send you the gift card as a THANK YOU! Carlisle 717.245-0400 Mechanicsburg 717.697-6600 CM CARDIN & MILLER PH YSIC AL T H ERAPY from the Cardin & Miller family Andy Zang DPT, MTC … Sarah Rumberger PTA … Josh Beck & Rick Fesler … Congratulations X 2 to Andy and his wife who celebrated the birth of their daughter Alivia 6 months ago AND Andy just completed his manual therapy certification (this means that he is an expert in the area of neck and back therapy including adjustments and other hands-on techniques) Is Pregnant!! Sarah and her husband Corey are expecting a baby boy this January. STAY TUNED … Of Appalachian Running Company are 2 of the top Amateur triathletes in the world. Amanda Kern DPT … Breana Miller … Congratulations!!! Amanda got engaged on July 13, 2013! Is the proud new mother of Grayson Tyler Miller born July 3rd 7lbs 5.5oz, 21.5 in long. Expires December 31, 2013. Carlisle 290 East Pomfret Street Carlisle, PA 17013 717-245-0400 Call today Amanda Conlan PTA, C.Ped … Congratulations!!! In May, Amanda passed her exam and is now a Certified Pedorthist. Andrew Zang DPT, MTC Doctor of Physical Therapy Manual Therapy Certified Andrew joined the Cardin & Miller staff in 2008. He is a graduate of the University of Pittsburgh’s Doctor of Physical Therapy program. While at Pitt, Andrew received extensive orthopedic and manual therapy training. Andy competed in track and field and crosscountry for the Panthers. He was named to the Big East Conference Academic All-Star team in each of his four years. Andrew’s primary area of interest is in treating patients with low back and neck issues. While at Cardin and Miller Physical Therapy, he has become the primary Both Josh and Rick finished in the top 10 at the Lake Placid Ironman Championship earlier this year and both competed in the Ironman Championship in Kona Hawaii Therapist Spotlight therapist for treating patients with vestibular disorders (dizziness). In 2012/13, Andrew completed his Manual Therapy Certification with Evidence in Motion, a Physical Therapy driven program to further evidencebased clinical practice. Andrew grew up in Central PA and was a 2001 graduate of Cumberland Valley. He and his wife, Allison, reside in Mechanicsburg and in April of 2013, they welcomed a baby girl, Alivia. In his free time, Andrew enjoys running and weight training.
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