Wednesday, November 30, 2011

Teaching our Children the True Meaning of Christmas...very inspirational

Instead of our usual blog, and in consideration of the wonderful season that is now upon us, I've decided to make this week's entry be more about teaching the true meaning of Christmas.  I found this story online and I hope you enjoy it as much as I did.  It really helps put the season into perspective and gives us the opportunity to teach our own children about the true meaning of Christmas while they are still young.  Enjoy!

Teach the children...
Late one Christmas Eve, I sank back, tired but content, into my easy chair. The kids were in bed, the gifts were wrapped, the milk and cookies waited by the fireplace for Santa. As I sat back admiring the tree with its decorations, I couldn't help feeling that something important was missing. It wasn't long before the tiny twinkling tree lights lulled me to sleep.

I don't know how long I slept, but all of a sudden I knew that I wasn't alone. I opened my eyes, and you can imagine my surprise when I saw Santa Claus himself standing next to my Christmas tree. He was dressed all in fur from his head to his foot just as the poem described him, but he was not the "jolly old elf" of Christmas legend. The man who stood before me looked sad and disappointed, and there were tears in his eyes.

"Santa, what's wrong?" I asked, "Why are you crying?"

"It's the children," Santa replied sadly.

"But Santa, the children love you," I said.

"Oh, I know they love me, and they love the gifts I bring them," Santa said, "but the children of today seem to have somehow missed out on the true spirit of Christmas. It's not their fault. It's just that the adults, many of them not having been taught themselves, have forgotten to teach the children."

"Teach them what?" I asked.

Santa's kind old face became soft, more gentle. His eyes began to shine with something more than tears. He spoke softly. "Teach the children the true meaning of Christmas. Teach them that the part of Christmas we can see, hear, and touch is much more than meets the eye. Teach them the symbolism behind the customs and traditions of Christmas which we now observe. Teach them what it is they truly represent."

Santa reached into his bag and pulled out a tiny Christmas tree and set it on my mantle. "Teach them about the Christmas tree. Green is the second color of Christmas. The stately evergreen, with its unchanging color, represents the hope of eternal life in Jesus. Its needles point heavenward as a reminder that mankind's thoughts should turn heavenward as well."

Santa reached into his bag again and pulled out a shiny star and placed it at the top of the small tree. "The star was the heavenly sign of promise. God promised a Savior for the world and the star was the sign of the fulfillment of that promise on the night that Jesus Christ was born. Teach the children that God always fulfills His promises, and that wise men still seek Him."

"Red," said Santa, "is the first color of Christmas." He pulled forth a red ornament for the tiny tree. "Red is deep, intense, vivid. It is the color of the life-giving blood that flows through our veins. It is the symbol of God's greatest gift. Teach the children that Christ gave His life and shed His blood for them that they might have eternal life. When they see the color red, it should remind them of that most wonderful Gift."

Santa found a silver bell in his pack and placed it on the tree. "Just as lost sheep are guided to safety by the sound of the bell, it continues to ring today for all to be guided to the fold. Teach the children to follow the true Shepherd, who gave His life for the sheep."

Santa placed a candle on the mantle and lit it. The soft glow from its one tiny flame brightened the room. "The glow of the candle represents how people can show their thanks for the gift of God's Son that Christmas Eve long ago. Teach the children to follow in Christ's foot steps... to go about doing good. Teach them to let their light so shine before people that all may see it and glorify God. This is what is symbolized when the twinkling lights shine on the tree like hundreds of bright, shining candles, each of them representing one of God's precious children, their light shining for all to see."

Again Santa reached into his bag and this time he brought forth a tiny red and white striped cane. As he hung it on the tree he spoke softly. "The candy cane is a stick of hard white candy: white to symbolize the virgin birth and sinless nature of Jesus, and hard to symbolize the Solid Rock the foundation of the church, and the firmness of God's promises. The candy cane is in the form of a 'J' to represent the precious name of Jesus, who came to earth. It also represents the Good Shepherd's crook, which He uses to reach down into the ditches of the world to lift out the fallen lambs who, like all sheep, have gone astray. The original candy cane had three small red stripes, which are the stripes of the scourging Jesus received by which we are healed, and a large red stripe that represents the shed blood of Jesus, so that we can have the promise of eternal life."

"Teach these things to the children."

Santa brought out a beautiful wreath made of fresh, fragrant greenery tied with a bright red bow. "The bow reminds us of the bond of perfection, which is love. The wreath embodies all the good things about Christmas for those with eyes to see and hearts to understand. It contains the colors of red and green and the heaven-turned needles of the evergreen. The bow tells the story of good will towards all and its color reminds us of Christ's sacrifice. Even its very shape is symbolic, representing eternity and the eternal nature of Christ's love. It is a circle, without beginning and without end. These are the things you must teach the children."

I asked, "But where does that leave you, Santa?"

The tears gone now from his eyes, a smile broke over Santa's face. "Why bless you, my dear," he laughed, "I'm only a symbol myself. I represent the spirit of family fun and the joy of giving and receiving. If the children are taught these other things, there is no danger that I'll ever be forgotten."

"I think I'm beginning to understand."

"That's why I came," said Santa. "You're an adult. If you don't teach the children these things, then who will?"

(author unknown)

Wednesday, November 16, 2011

Carpal Tunnel Syndrome and How Our Certified Hand Therapists Can Help You!

What is it?

• Carpal tunnel syndrome is the effect of pressure on the median nerve, one of the main nerves of the hand. It can result in a variety of problems, including pain, tingling, numbness, swelling, weakness or clumsiness of the thumb, index, middle and ring fingers.

What caused it?

• Carpal tunnel syndrome develops in people who have a tendency toward swelling or inflammation in their hands.
• Like a telephone cable, the median nerve is a connection between the fingers and the spinal cord. It passes a through a protective conduit (tunnel) deep in the wrist (carpus), along with the nine tendons which bend the fingers. The nerve and each of the tendons are each nearly as wide as a pencil. The tunnel is only a little over an inch wide - just big enough to hold the nerve and tendons. When the tendons are irritated, the lining around the tendons (synovium) swells up and puts pressure on the nerve. This pressure cuts off the blood supply to the nerve.
• Tendon swelling (tendinitis) results from a person's own tendency to collect fluid around their tendons and joints. This may be aggravated by repetitive or strenuous activities.
• Swelling from adjacent problems, such as trigger finger, basal joint arthritis, rheumatoid arthritis or effects of a wrist fracture may aggravate or bring on carpal tunnel syndrome.
• Early on, symptoms occur during sleeping hours. This is because the swelling is relieved by normal use of the hand which pumps extra fluid out of the carpal tunnel. The fluid pressure builds up only when the hand is at rest - especially during sleep. Bending the wrist may also increase pressure on the nerve.
• In more advanced cases, symptoms occur during waking hours. At this stage, scar tissue may form around the nerve from repeated episodes of pressure. Nerve damage is suspected when any symptoms occur regularly during the day.

What can you do to help?

• As many as two out of three people with mild carpal tunnel syndrome will have some improvement with Stretching Exercises designed to relieve pressure within the carpal tunnel as outlined here.
• "Over the counter" non-steroidal anti-inflammatory medication (NSAID), such as aspirin, ibuprofen, naprosyn, or ketoprofen. Check with your pharmacist regarding possible side effects and drug interactions.
• Take Vitamin B6 100 mg daily (not more) - controversial, but can't hurt, and might help. If you are pregnant or receiving vitamin therapy already, first check with your doctor.
• A splint or brace which supports the wrist, to use while sleeping.
• Wait and watch.

What can a therapist do to help?

• Provide a hand splints to support the wrist.
• Help identify aggravating activities and suggest alternative postures.

What can a doctor do to help?

• Confirm that this actually is the problem. This may require special nerve tests done by a neurologist.
• Prescribe stronger NSAID medication or cortisone-type medication.
• Prescribe hand therapy and/or a custom prescription splint.
• The most effective treatment without surgery is a cortisone shot into the carpal tunnel. Depending on several factors, these measures can provide provide long-term relief in 5 to 60 per cent of patients. Conservative treatment is usually not recommended for patients who have evidence of nerve damage.
• Surgery for carpal tunnel syndrome is intended to provide more space for the nerve and tendons, so that swelling will not put dangerous amounts of pressure on the nerve. It is usually done through an incision on the palm or the front of the wrist. An incision is made to open the carpal tunnel. The tunnel opens up.  It heals with more space inside for the nerve and tendons - like letting out a pair of pants.
• Carpal tunnel syndrome associated with other medical conditions, such as rheumatoid arthritis, may require a more extensive cleaning out of the tissue around the tendons, referred to as a synovectomy.

There are many different techniques used for the surgery - whether it involves a cut in the palm, the wrist, smaller or longer cuts or different instruments, the one thing in common is that the thick layer of ligament in front of the nerve is cut.

After surgery, the healing edges of the ligament beneath the skin are usually tender for at least four to six weeks after the procedure. Temporary tenderness on each side of the palm where the ligament is attached to the bones on each side of the palm these bones is common after surgery and is called "pillar pain". This generally resolves gradually. Hand therapy is often helpful during recovery.

How successful is treatment?

• Swelling, stiffness, aches and pains in the hand may well be due to other problems, and may persist to some extent following any form of treatment.
• Nerve damage existing before treatment may lead to incomplete recovery.
• With this in mind, the great majority of patients are improved with appropriate treatment. Most reports indicate that if carpal tunnel syndrome is the only problem, over 95% of patients have a satisfactory outcome from surgery.

What happens if you have no treatment?

• It depends most importantly on whether or not the problem actually is carpal tunnel syndrome and whether or not there are other medical conditions contributing to the overall picture.
• Mild carpal tunnel syndrome can improve without treatment in as many as one in three people.
• The chances of getting better without surgery are less when
o both hands are involved.
o the longer the problem has been going on.
o the older the person is.
o the more severe the symptoms of numbness and tingling are.
• The longer the nerve is irritated, the longer numbness or tingling are constant, the harder it is to have a full recovery - even with surgery. If the problem is severe, however, surgery is a reasonable step to prevent further nerve damage even if full recovery cannot be guaranteed.

If you are suffering from Carpal Tunnel Syndrome and are looking for relief, call us today to schedule an appointment and one of our Certified Hand Therapists can discuss therapy options with you.  We take most major insurances.  1-386-898-0443.


Online resource: http://www.eatonhand.com/hw/hw006.htm

Wednesday, November 9, 2011

Top 5 Repetitive Strain Injuries in Runners and Ways to Treat Them

Running is a popular sport enjoyed by many people of all ages. While running is great exercise for the muscles, joints, heart and lungs, it may also cause repetitive strain on body parts and be a source of injury.  
While not all running injuries can be avoided, many repetitive strain injuries from running can. By maintaining adequate flexibility and strength, you can limit your chances of suffering from the top five running injuries.
1.              Iliotibial Band Syndrome: Iliotibial band syndrome (ITBS) occurs when there is repetitive friction of the iliotibial band, a thick mass of tissue that courses down the outside of the thigh from the hip to the front of the knee. Irritation of the ITB usually causes intense burning pain in the outside portion of the kneecap. Treatment of ITBS involves rest and ice during the initial phase of injury. This can help limit the inflammatory response.

After a short period of rest, gentle stretching of the ITB can be started. Occasionally hip and abdominal strength limitations can have an effect on knee position during running, which can place stress on the ITB. Therefore, hip and core strengthening may be required to fully recover from ITBS. Your doctor and physical therapist can help you determine which specific muscles groups you should focus on.


2.              Piriformis Syndrome: The piriformis is a muscle that resides deep in the hip and serves to rotate and stabilize the hip. Irritation of the piriformis muscle can cause hip and buttock pain. The piriformis muscle courses over the sciatic nerve, and tightness in the piriformis muscle can cause pain that runs down the leg, much likesciatica. If you have piriformis syndrome, your doctor and physical therapist should evaluate you to determine the biomechanical cause of the pain. Since low back pain is sometimes felt in the hip, examination of your low back and spine should occur. Initial treatment of piriformis syndrome involves a period of rest. Once the acute pain has subsided, stretching and strengthening the muscles of the hips and legs should occur.


3.              Patellofemoral Stress Syndrome (PFSS): This common knee problem occurs with improper tracking of the kneecap in the groove of the femur and causes pain around the kneecap. It can be caused by tightness in the iliotibial band, weakness in the thigh muscles, or weakness in the hip muscles. Treatment of PFSS involves rest and ice to control initial inflammation. After a short period of rest, gentle stretching and strengthening can be done. Your physical therapist should also evaluate your gait and running stride to assess if other mechanical faults are causing your problem.


4.              Shin Splints: Shin splints are caused by inflammation of the anterior tibialis tendon in the front of the shin. Symptoms of shin splints include pain, numbness and burning in the front of the shin. Occasionally poor foot position can cause shin splints, so your physical therapist should evaluate the position of your feet while you are standing and lying down. Orthotics are sometimes necessary to correct foot position.


5.              Plantar Fasciitis: The plantar fascia is a thick band of tissue on the bottom of the foot that helps form the arch of the foot. Irritation of the plantar fascia can cause pain on the bottom of the foot near the heel bone. You should initially treat plantar fasciitis with a period of rest and ice. Gentle stretching of the calf and leg muscles should be started. As with shin splints, a foot evaluation may be necessary to see if the position of your feet may be a mechanical cause of plantar fasciitis.
If you are a runner experiencing any repetitive strain injuries, you should speak with your doctor and physical therapist to decide on the best treatment for you. A thorough evaluation of your specific biomechanics while running can help you treat the current problem and prevent future episodes of pain.
This article originally appeared on: 

Wednesday, November 2, 2011

Early Therapy Can Help Knee Surgery Patients

Beginning physical therapy within 24 hours of knee arthroplasty surgery can improve pain, range of joint motion and muscle strength as well as cut hospital stays, according to new research in Clinical Rehabilitation.

Physical therapy and public health researchers from Almeria, Malaga and Granada in Spain compared patients who began treatment within 24 hours of surgery with those who began 48 to 72 hours after their operation in a random, controlled clinical trial. Each group had more than 150 patients, ages 50 to 75.

The post-operative treatment began with a series of leg exercises, breathing exercises, and tips on posture. By the second day, walking short distances with walking aids was added. In subsequent days the regimen built up to adapting to daily life activities, such as beginning to climb stairs on the fourth day.

On average, those beginning treatment earlier stayed in hospital two days less than the control group and had five fewer rehabilitation sessions before discharge. An early start also led to less pain, greater range of joint motion both in leg flexion and extension, improved muscle strength and higher scores in tests for gait and balance.

Other benefits of early mobilization after this surgery are fewer complications, such as deep vein thrombosis, pulmonary embolism, chest infection and urinary retention. With hospital-acquired infections, such as MRSA, also a serious concern, a shorter hospital stay also might lower the risk to patients of contracting this type of secondary infection.
source: todayinpt.com