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Articles Of The Week March 29, 2020

 

These are unprecedented times and it’s really important for us to stay active and healthy, so a big thanks for this article on how to exercise at home during the Covid-19 quarantine.

“Top 10 Exercise at Home Ideas During Coronavirus Quarantine” – Nick Ng

 

Obviously, this pandemic is at the top of everyone’s mind and one of the big questions is whether or not you can become immune to the virus. This article gives some great answers (and would probably be a good one to share with your patients while our clinics are closed down)

Both for physical and mental health, we all understand how important exercise is. However, what exercise is the healthiest? There are many factors contributing to this question and fortunately, they are answered here.

“What Kind of Exercise is Healthiest?” – Todd Hargrove

We all know how important mental health is and at this time, we are all faced with different things that are challenging our mental health. So here’s how we can improve our mental health during this pandemic.

“Improving Mental Health During COVID-19” – Jerome Perera

This one is a little tongue-in-cheek, but gives us a good visual on why it’s important to self-isolate right now.

“Places To Visit This Weekend”

 

5 Things You Can Do During The Covid-19 Pandemic

In 2007 I worked at a sawmill and the union gave us direction to strike.

We had no idea how long we’d be out (although we were fortunate to receive strike pay). The first month went by, then two, then three, until eventually, we were out for over 17 months. None of us saw that coming!

These are surely unprecedented times.

In my 44 years of life and my nine years of practice, I have never seen anything like this.

The Covid-19 virus has become a global pandemic and none of us are sure when the end is in sight. There are good news stories coming through of how some are battling through and getting back to health, and then other stories of life lost on a large scale in some areas.

Hitting closer to home is how many of us (if not all) are having to close our practice with no opening date in sight, only estimates. None of us know when this is going to end and with that comes the uncertainty of what the future holds, not only for our health and our families but also for our businesses.

So, in the meantime, what can we do?

1. Exercise

We all know how beneficial exercise is, not only for the body but also for the mind.

For us introverts being isolated is kind of fun, we get to stay at home in quiet places, read a book and recharge, but at some point, it’s probably going to become a struggle.

However, for our more extroverted friends, this can be a very stressful time as they don’t get the fulfillment they need from social interaction, which can definitely take a toll on mental health.

Exercise is one of the most beneficial things we can do for mental health, so if you’re starting to feel down think about doing some exercise at home. If you do a search on youtube it’s pretty easy to find some different bodyweight, yoga, or other programs that might help you with your mental health, but also keep you fit and healthy so when your clinic opens you can return to work and help those patients that have been desperately missing your treatments.

Here are a few articles with some suggestions for stay at home exercise:

You Can Take Care of Yourself in Coronavirus Quarantine or Isolation, Starting Right Now* – Anna Goldfarb

These fitness studios are live-streaming workout classes for free during the coronavirus outbreak* – Sophie Lewis

Do Yoga With Me* – doyogawithme.com

Top 10 Exercise Ideas to Do at Home During Coronavirus QuarantineNick Ng

I haven’t tried any of these, nor am I giving them an endorsement, but there are at least a few different things you could try from home to get some regular exercise, just see which ones (if any) work for you.

If you don’t like these options, see if you can connect with some friends to do some sort of exercise together via skype, zoom, facetime, or messenger so you not only get some exercise but some of that valued social interaction as well. 

*these free offerings are temporary during the coronavirus pandemic

2. Learn Something New

We are going to have a lot of time on our hands during the coming weeks/months…who knows how long.

So why not take the time to learn something new?

Over on theMTDC Facebook page, we have been trying to do some Facebook lives to look at some new research and had a discussion last night about how a few of us changed our narratives on some old massage therapy myths when were faced with research that told us otherwise. We are going to try and do this as often as we can during this pandemic so that we can at least learn something and share some ideas with our colleagues while having some social interaction and helping each other out.

You can watch the one we did on research hereand the one on how we managed facing massage myths we truly believed in when faced with research that told us otherwise here.

Here are some other free offerings you could use:

Again, I haven’t used any of these freebies (yet) but if you know of any others please share them with us so we can get the word out to as many of our therapist friends as possible to help with this downtime.

*these free offerings are temporary during the coronavirus pandemic

3. Connect With Other Therapists In Your Community. 

Now more than ever we need to support each other.

Believe it or not, this is a golden opportunity to connect with other providers in your community. Try sending other therapists, or clinics an email and see if there is a way for you to connect online while we’re closed down.

Maybe talk about whatever you focus your practice on and find out what they focus on. Perhaps then a referral system can develop once we’re back up and running again.

Or maybe you can discuss marketing strategy, confusing conditions, patients who you’re not sure how to help, or just talk about how hard things are right now being business owners.

This might even be a way to discuss how your government is handling things in your area, how it affects you and your practice, along with understanding how your business can take advantage of government assistance at this time.

Our businesses are quite different than most, so the more we can help each other with this, the better off we will all be. 

The point is to connect with other healthcare professionals in your area and see if there’s a way you can help each other, we all need that right now.

4. Start A Blog

If you’re not already blogging to support and market your business, now is a great time to start.

Perhaps you’ve considered it in the past but never really had the time to do it…well…now’s your time!

While blogging can sound difficult, it doesn’t have to be. We’ve written tips about creating amazing blog posts before, which you can read hereThe great thing is that you can do it for free! WordPress and Wix are both options that provide free websites for you to start blogging with if your business doesn’t already have a website to blog from. 

One of the great things about having a blog in our industry is that it positions you as the expert in your community. As long as you are putting out some quality content regarding your treatment and what you do, it gives you an opportunity to reach new patients and build more trust in your current ones by showing them you care enough to write about and research a topic to educate them. It can be invaluable!

5. Communicate With Your Patients

Arguably this could have been ranked as the #1 thing to do, but I thought self-care was more important.

As much as we need each other right now, your patients may need you even more. 

Everyone is freaked out and they are looking for good information from trusted resources. You are that resource!

So, don’t be that annoying therapist that is emailing them a few times a week, but once a week or every two weeks just check-in and see how they’re doing is a good way to remind them you’re still there and you care about their welfare.

Look for trusted websites with trusted information you can share with them.

Especially if you know they are elderly, or immune-compromised and this pandemic could be a big issue for them. Be that trusted healthcare professional that cares enough to send the odd email just as a check-up to see how things are going. If you know they had something big coming up, check-in and see how it went, or send condolences if you know a big event got canceled, be personable ab0ut it, you know your patients and what matters to them.

Most of the time our patients see us more than they do their doctors and our relationship with them is far different. Be that trusted healthcare professional. I hate to say this is a “marketing tactic” (and I’m definitely not a marketer), but you want to be front of mind with your patients once it’s safe for them to come and see you again, so it’s important to stay front of mind and honestly how hard is it to send a couple of emails here and there for the people who support your business? It will be well worth the time investment.

If you know your patients have businesses in town, do what you can to support them as well. Order take out from their restaurant, get groceries delivered from their store, or use their delivery service company, just try to support the ones who support you. 

This is a weird time and we’re all in this together, so the more we can do to help our families, our colleagues, our careers, and our patients, the better! While we don’t know how long this is going to last, we should use the time as wisely as we can. Like I spoke of at the start, when we were out on strike for 17 months there was a lot of wasted time, sitting and waiting. If I had known we were going to be out that long, I wish I had used the time in a more productive fashion. It wasn’t until month 15 that I actually registered for and took a course. There is so much I could have gotten done in that time, but we just didn’t know when it was going to end. I don’t plan on taking this time as lightly and I want to be as productive for my business as possible. I hope you do that same too. If there’s anything we can do to help and support you at this time, don’t hesitate to reach out, we’ll see what we can do to help. You’re not alone, we’re all in this together.

 

Caring For The Caregiver

 

Caregiver: a person who cares for someone sick or disabled.

Recently I have had a few massage therapy patients become caregivers for their spouses. One day they are going through life normally, with their own routines, their own chores, and their independence. The next day they are taking on their spouse’s routines and chores.

Both spouses have lost their independence.

The caregiver suddenly has had to take on roles at home such as chef, chauffeur, life coach, physical care aid, etc. Roles that maybe they hadn’t done in a long time, some possibly never. The transition has not been easy, but my patients have done it with patience and grace.

Having been both a cancer patient and a cancer patient-caregiver, I can honestly say that it is often harder to be a caregiver. It is hard to watch your loved one go through something challenging. A caregiver often feels helpless. As a patient you have goals: get through surgery, get through rehab, get through the next oncology appointment. Your adrenaline moves you through. The caregiver watches you recover from surgery, cry from pain and frustration, and have side effects from treatment. The caregiver worries.

When I was going through cancer treatment my husband was always asked, “How’s Meaghan doing?”. I wish they would have asked him, “How are YOU doing?”.

Understanding For The Caregiver

Here is a real-life example of what I have seen in my massage therapy practice.

Last year one of my patients had a stroke. He suffered extensive physical weakness on his dominant side. He could no longer drive, he had to relearn how to get out of bed, walk, get to the bathroom in time, he even had to find new ways to get dressed. A lot of these things are still challenging for him.

For the first several months his spouse had to help him with everything. She diligently drove him to his massage therapy appointments with me, to his physical therapy appointments, to his neurology appointments. She had an appointment book with her that was filled with daily appointments for her husband.

One day I looked her in the eyes and said, “How are you doing?”. She looked back at me and after a moment said, “I’m tired.” I suggested maybe she should book herself in for a massage one day. Just to have an hour of quiet time alone. A couple of months later I saw her name in my schedule and she hasn’t looked back. She comes in each month, talks a bit about how different her life feels, and then has peaceful silence for 60 minutes on my massage table.

It’s so important for us as massage therapists to take care of those that need our help physically, but it’s also important to take care of the caregivers.

What Can We Do?

Here are somethings we as massage therapists can do to help.

  1.  Encourage the caregiver to take time for themselves. As I did, I suggested my patient’s wife come in for massage herself. I think she values this time now. Some other suggestions excellent suggestions are:
    • making time for exercise
    • making time for rest or sleep
    • participate in social events
    • ask for and accept help. Accepting help can be very hard. Let the caregiver know it is ok to have help
    • find a hobby they can do alone or with their spouse
    • find a few hours a week that brings them joy
  1. Let them talk. Chances are the spouse who is suddenly sick or disabled often complains about how their life has changed. We must remember the caregiver’s life has changed too. They may need to get some frustration, anger, or sadness out. Let them.
  2. Allow them into your life. Maybe they would like to hear about a “normal” life. Share your life with them. Tell them positive stories about your kids or family. Something that made you laugh on the weekend.
  3. Limit negative talk. You might be sick of the rainy weather. Maybe you are also be going through some challenging times. Life is hard! But try to limit negative talk with clients who are going through the hard stuff. Negativity can become competitive. How much are they suffering compared to you? Their life is hard now, don’t let them downplay it and don’t downplay it for them.
  4. Be quiet and calm. Maybe they don’t want to talk at all. Maybe they want a gentle massage. You are the professional and should gage their mood each time you see them. While my massage practice is focused mainly on relaxation first, I can easily tell if a patient wants to talk throughout the entire treatment or if they want to be silent. Let your patient guide this.
  5. Encourage them. Tell them how great they are doing. After each treatment with my patient I say, “You’re doing amazing things for your husband. He is lucky to have you.” I also remind her to do something for herself again that week. Perhaps they will remember these words on a day seems harder than normal.
  6. Find resources. Perhaps the caregiver will need some further resources, such as support groups or counseling. Having a list or offering to look for more information that could help your patient. From personal experience, there are a lot of social media support groups where people with similar life challenges can ask questions and share stories. I have met several new friends through these support groups.

While this post has stories about becoming a caregiver by surprise, the content would be excellent for all caregivers. There are a variety of different types of caregivers. Some may have cared for a disabled child since birth some may be hired caregivers, some may be new caregivers.

Caregiving asks you to lean into love you didn’t know possible. It asks you to change your life. It asks you to give.

Let us give something to the caregivers.

 

Articles Of The Week March 15, 2020

 

The Covid-19 virus is filling all of our news feeds right now and I’m sure we’ve all had a few cancellations in our clinic because of it. One good thing we can do is actually demonstrate to our patients what we are doing to keep things clean, this article gives some great advice on how to do that.

“Massage Therapy—Demonstrating How You Are A Safe Space For Your Clients” – ABMP

I’m sure we’ve all been hearing some new terms in the past couple of weeks with this coronavirus outbreak. A new one for me is: “Social Distancing,” which is explained in this article along with the reasons why we should do it.

“Social Distancing: What It Is And Why It’s The Best Tool We Have To Fight The Coronavirus” – Thomas Perls

Sleep deprivation can cause a whole host of issues for a person, but this is amplified when someone is dealing with a concussion. New research is showing how blue light can actually help those with a concussion get better sleep.

“Light Improve Your Sleep Following Concussion?” – Complete Concussion Management

Leadership is not something that comes easy, but we could use more leaders in our profession, not only for the benefit to other practitioners but also to benefit our patients. This post outlines seven attributes of good leadership that we all could learn from.

“Leadership Matters” – Jason Giesbrecht

Athletes commonly use cortisone injections in their knee to mask pain, but research is starting to show this may actually cause more harm than good.

“Cortisone Injections For Hip And Knee Pain Are More Dangerous Than Was Thought” – Laura Donnelly

 

[REVIEW] Why We Sleep: Unlocking the Power of Sleep and Dreams

 

After being in PT for almost 20 years, I’ve spent the last 5 years looking at methods outside of traditional physical therapy and patient education. Everyone is searching for the elusive magic bullet that will help the non-responders. That is why I started studying mindfulness, nutrition, and sleep. I’ve touched upon sleep here before.

I’ve known that sleep is vital to recovery, for athletes with recurrent injuries, and is associated with individuals in chronic pain. So I wanted to dive into the why. I often educate my patients on the importance of sleep but did not have the background on the mechanisms of why sleep is so vital.

After reading Why We Sleep: Unlocking the Power of Sleep and Dreams, I’ve become convinced that of all the basic pillars (Sleep, Nutrition, Exercise), Sleep may be the most vital and often ignored.

How this Book Can Help Your Patients

Decreased sleep less than 8 hours on average can lead to

  • persistent flight or fight mechanisms – increased levels of cortisol
    • this was the most AHA moment I’ve had while listening to the audiobook on Audible, as poor sleep quality/quantity has been associated with persistent pain states and central sensitization
  • decreased athletic performance, increased likelihood of injury and delayed recovery times

Learning these vital points and learning about their specific mechanisms will only strengthen your patient education.

How this Book Can Help You

I purchased the audiobook and ebook in order to learn how to better educate my patients.  I also got A LOT out of it for my own health and recovery. Turns out my “I can get along with 6 hours of sleep a night” would put me in a less than 5% of the population with a rare genetic profile. I’ve been getting 8 hours a night for about 5 weeks. Similar to when I went mostly plant-based, I’ve had
  • increased energy levels
  • better recall – which honestly I just blamed on getting older and having an army of children
  • better ability to concentrate and increased productivity
Reading this text has been game-changing for me, in the same way, changing my entire nutritional profile has. The audiobook, in particular, is narrated excellently by Steve West, who has an accent on part with the Headspace app guy.
The author, Dr. Matthew Walker, breaks down sleep in a way accessible to everyone, and not just clinicians. It’s highly recommended and at the Top 5 of my Non-PT related books that everyone needs to read.
For this review, I purchased the Audiobook on Audible with my own funds, but the links to the book are Amazon affiliate links. If you purchase either with the link, you are supporting our blog. Thanks ahead of time if you do! Next step, get the author on Therapy Insiders Podcast!
Check it out on amazon!

Articles Of The Week March 8, 2020

 

As we all know, college is really expensive. This is an interesting story of how one mature student took things into his own hands to keep costs down.

“One Night I Woke Up With Ice All Over My Face”: This Mature Student Sleeps In His Camper Van To Afford School – Jamieson Lamb

We published a post on FAI this week, then this article was brought to our attention. This is how one of our colleagues went through hip surgery and what recovery looked like in the first week. A great story from the patient perspective.

“Hip Labrum And FAI Surgery Recovery Week 1” – Rachel Carroll

The words we use when helping our patients can have both a positive and negative effect. With that, if we are able to help patients “rephrase pain” could have a positive effect on their emotions around their experience and thus make a difference in their morale.

“The Right Words Matter When Talking About Pain” – Michael Vagg

Quite often we have a patient come in believing their pain experience is because of a single cause. Part of our responsibility is to help them realize it is not necessarily one thing…but many.

“Not One Thing But Many” – Tristen Attenborough

Many of us at one time focused primarily on a biomechanical model of pain in our practices. However, as we learn more we have to take more factors into account like; mechanical, contextual, neurological, and affective touch.

“The Limitation Of A Biomechanical Model Of Massage Therapy” – Richard Lebert