Chesapeake Physical and Aquatic Therapy Newsletter
In This Issue
Website Makeover!
Osteoarthritis
Spotlight on PT's
Quick Links
Join Our List
Join Our Mailing List
Website Makeover!!
Chesapeake Logo
CPAT is pleased to announce that we will be undergoing a website makeover, and the new version should be ready for launch sometime this month!  The new-look site will provide much of the same useful information that is currently there, with the addition of "Chesapeake Interactive"- a place for improved feedback and communication with patient's, as well as an area for physicians to refer a patient or send updated orders and prescriptions over the web!  We will send an announcement when the new site is ready, stay tuned! 
Upcoming CPAT Events
Fireworks
July 11th: CPAT Seminar on Common Running Injuries: Columbia Supreme Sports Club Office, 7PM, please call 410-381-700 for more info!
 
July 22nd: CPAT at the "Yard": CPAT's annual employee pilgrimage to Camden Yards for a game- stop  by the bleachers and say Hi! 
 
Issue: # 19 July/2008
Greetings!

July 4th is just a few days away, and we hope you and your family have a great holiday!  The 4th of July is a celebration of the "birth" of our great country's independence.  July also marks the anniversary of the "birth" of CPAT!  We are pleased to be celebrate our 6th year in practice ,and would like to take the opportunity to thank our great employees and patients, without whom CPAT wouldn't be a great place to work and rehab!  Have a great holiday and rest of July!
Osteoarthritis (OA) 
OA knee What is it, and what can I do about it?
By Sheilani Eisenbeiss, PT, CPAT LAurel 
 
 
Osteoarthritis is currently the primary reason for total hip and knee replacements in the US. OA is otherwise known as degenerative joint disease, and is the most common kind of arthritis. It is characterized by breakdown of joint's cartilage and periarticular bone changes which, if affecting the knee or hip joint, can cause difficulty in climbing stairs and walking due to pain and stiffness. OA can also interfere with a wide range of activities of daily living including dressing, eating, drinking, home maintenance, taking medications, writing, toileting and sleeping among many other activities that constitute everyday activities that affects someone's quality of life, especially if the OA affects more than one joint. 

Often times, patients with OA walk in a physical therapy clinic with the hope of decreasing their pain, while at the same time increasing their strength for a better functional capacity. This is a great goal and physical therapy is a great resource for patients who wish to delay replacement surgery or to prepare for an upcoming surgery. Treatment of OA symptoms can be designed to tailor a particular need. However, the general treatment may include the following:
 
Therapeutic Exercise
 Physical activity and exercise can increase muscle strength and endurance, retard bone loss, control joint swelling and pain, improve joint lubrication, reduce joint stiffness, maintain or improve flexibility, increase aerobic fitness and reduce fatigue, reduce postural sway and prevent exacerbation of symptoms. Although therapeutic exercise does not necessarily change the course of inflammatory process of OA, it may help lessen the pain and disability associated with the inflammation. Aquatic exercises are an excellent way to exercise because the physical properties of water can unload a joint yet provide a varying amount of resistance during exercise. Your physical therapist will tailor your exercises according to the result of your screening during an evaluation. 

Manual Therapy
Your physical therapist may elect to perform soft tissue mobilization to reduce muscle spasm and joint mobilization to reduce stiffness and increase range of motion. Joint mobilization also prevents joint contracture associated with prolonged stiffness of the joint.
 
Modalities
There are numerous physical therapeutic modalities that can be employed to decrease inflammations, reduce pain and increase range of motion. These may include but are not limited to, cryotherapy (use of cold), thermotherapy (use of heat), ultrasound, electrical stimulation, and iontophoresis.

Orthotics
Orthotics, including bracing, taping, and splints, may be recommended for patients with localized inflammation to limit the load imposed on the affected joint or structures. This may help the individual return to activity sooner and limit exacerbation of inflammation and local tissue damage.
 
Patient Education

Education is aimed at empowering the individual to manage their symptoms and its affect on daily life. It allows the patients to become their own advocate, learn what activities are helpful or harmful, and recognize an exacerbation so as to implement an appropriate plan to manage it. Patient education may also include training for energy conservation, modification of home and work environment, and coping strategies.
 
Although OA is quite a challenging condition to manage, resources to manage your symptoms and resources are available. A visit to your physical therapist or primary care physician is the first step to get help. You may also go on line for additional reading: www. Arthritis.org
Spotlight on PT's!
MeghanMeghan Urciuoli, DPT and Renuka Jain, MPT 
 
Meghan Urciuoli, DPT: CPAT is pleased to announce that Meghan recently celebrated her 3 year anniversary with CPAT!  Meghan has been an integral member of the highly successful Bowie team over the past 3 years.  We often hear form her patients,how compassionate and empathetic Meghan is!  Meghan's heart of gold and healing hands are an awesome combination for her patients!  Meghan graduated from Virginia Commonwealth University with a doctorate in physical therapy in 2005 and has been at CPAT ever since.  Prior to that, she received her bachelor's degree in animal science and biology from Virginia Tech and will always be a Hokie at heart.  She likes working with all types of diagnoses, however she specializes in orthopedics.  She especially enjoys the challenge of treating spinal dysfunctions.  She is trained in a variety of manual techniques which she incorporates into her holistic treatment approach.  To schedule an appointment with Meghan, please contact our Bowie office at 301-262-5852.

Renuka Jain, DPT: RenukaAlso recently celebrating a CPAT anniversary, is Renuka, who relocated to Maryland from the Boston area one year ago and joined Chesapeake's Columbia office.  Even though she is a Red Sox fan, we decided to overlook that and give her a shot!  Renuka brought with her years of great orthopedic experience, treating a wide variety of conditions and diagnoses. Renuka also brings an alternative medicine aspect to CPAT, as a Reiki Level 2 practitioner. Renuka specializes in a variety of mobilization techniques of the spine and extremities, but enjoys treating a wide variety of orthopedic patients. To schedule an appointment with Renuka, please contact our Columbia office at 410-381-7000.

Happy Fourth of July! Continue enjoying the summer, and stay healthy!
 
Sincerely,
 

Doug Rosener
Chesapeake Physical and Aquatic Therapy