Staff

Elisheva Chamblin, PT

Mark F. Schwall, PT

Rudolph Vidi, PT

Services

Advanced Care for:

 Acute & chronic tendonitis

 Adhesive capsulitis

 Ankle sprains

 Arthritis and joint pain

  Auto accidents

  Back & Neck

  Carpal tunnel syndrome

 de Quervain’s disease

 Difficulty walking/balance

 Headaches & TMJ

  Hip pain

  Knee, elbow pain

 Lat. & medial epicondylitis

  Leg pain/sciatica

Lymphedema

Morton’s neuroma

Patellofemoral pain

Plantar fasciitis

Postsurgical rehabilitation

Postural syndromes

Rotator cuff tendonitis/bursitis

Shoulder pain

Spinal dysfunction

Sports injuries

Workers’ compensation

Woman’s health Vertigo/BPPV

Bicycle Ergometer

Electrical Stimulation

Joint replacement rehab

Lymphedema massage

McKenzie spinal program

Neuromuscular Re-education

Paraffin/Iontophoresis

Skilled joint mobilization

Soft-tissue mobilization

State of the Art Cold Laser

SportsArt Treadmill

SportsArt UBE

Sports Rehabilitation

Therapeutic Exercise

Ultrasound

Compassionate Care with Proven Results:

Two convenient locations:

Manahawkin

1322 Route 72 W., Suite 1

Manahawkin, NJ 08050

(609) 489-0230

fax: (609) 489-0232

Toms River

1594 Route 9, Unit 2

Toms River, NJ 08755

(732) 557-9319

fax: (732) 557-9519

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Monday
Jun112012

Early Treatment by a Physical Therapist Associated with Reduced Risk of Health Care Utilization and Reduced Overall Health Care Costs

 

ALEXANDRIA, VA, May 25, 2012 - A new study published in Spine shows that early treatment by a physical therapist for low back pain (LBP), as compared to delayed treatment, was associated with reduced risk of subsequent health care utilization and lower overall health care costs.

Using a national database of employer-sponsored health plans, researchers examined a sample of 32,070 patients who were newly consulting a primary care physician for low back pain. Patients were identified and categorized based on their use of physical therapist services within 90 days of the consultation. Those who were referred to a physical therapist early (within 14 days of the consultation) showed a reduced risk of subsequent health care utilization and experienced lower overall health care costs than did those patients with delayed treatment by a physical therapist (within 15-90 days of consultation).

During an 18-month follow-up period, researchers found that early treatment by a physical therapist was associated with reduced risk of subsequent surgery, injections, physician visits, opioid use, and advanced imaging, along with a corresponding reduction in overall LBP-related medical costs relative to delayed treatment by a physical therapist. Total health care costs for patients receiving early care from a physical therapist were an average of $2,736.23 lower.

According to the study's lead author, Julie M. Fritz, PT, PhD, ATC, associate professor in the Department of Physical Therapy at the University of Utah and clinical outcomes research scientist at Intermountain Health care in Salt Lake City, "The value of referring patients to physical therapy who are newly consulting primary care physicians for low back pain likely depends on the timing of the referral and how patients adhere to physical therapy guidelines that recommend maintaining and improving activity levels." She added, "Despite the fact that primary care practice guidelines generally recommend delaying referral to a physical therapist for several weeks, we found that about half the patients receiving treatment from a physical therapist did so within two weeks, which is a practice that may be justified by emerging evidence."

Fritz explained that one possible reason for the link between early care by a physical therapist and positive outcomes may be that physical therapists can contribute to promoting a greater sense of self-reliance in managing LBP and confidence in a positive outcome. "If a physical therapist's treatment assists in developing self-efficacy, it is reasonable to expect it would have greater impact when implemented very early, before negative expectations have become reinforced and entrenched." Fritz added that early care administered by a physical therapist may offer an alternative to management strategies that can foster a sense of dependency in the patient, such as use of MRI or opioids.

The study found that patients using a PPO plan were more likely to receive early treatment from a physical therapist (53.4%) as compared with those using an HMO plan (44.7%). Also, the highest rates of physical therapist utilization were found in the Northeast and West. Patients in the Midwest were more likely to seek early treatment from a physical therapist (58.7%).

An April 20 study in Spine also supports the benefits of early physical therapy for low back pain. In this study, researchers found that patients who received physical therapy early (within 30 days) after an episode of acute low back pain had a lower risk of subsequent medical service usage (surgery or epidural steroid injections) than patients who received physical therapy later. In this study, authors analyzed a national sample of the Centers for Medicare and Medicaid Services' physician outpatient billing claims.

Currently 47 states and the District of Columbia allow some form of direct access to physical therapists for treatment/intervention, although some states impose restrictions if patients have not been referred by a physician.

Coauthors of the study were John D. Childs, PT, PhD, associate professor and director of research, US Army-Baylor University Doctoral Program in Physical Therapy, Ft Sam Houston, San Antonio, TX; Robert S. Wainner, PT, PhD, associate professor, Texas State University - San Marcos, San Marcos, TX, and Timothy W. Flynn, PT, PhD, distinguished professor, Rocky Mountain University of Health Professions.

The study was funded by grants from the Orthopedic and Private Practice Sections of the American Physical Therapy Association (APTA) and the American Academy of Orthopaedic and Manual Physical Therapists. Funds were also provided by a faculty grant from Texas State University.

The American Physical Therapy Association (APTA) represents more than 80,000 physical therapists, physical therapist assistants, and students of physical therapy nationwide. Learn more about conditions physical therapists can treat and find a physical therapist in your area atwww.moveforwardpt.com. Consumers are encouraged to follow us on Twitter (@moveforwardpt) andFacebook.

Friday
Mar042011

Breast Cancer Survivors At Higher Risk For Falls

03 Mar 2011  

Cancer Therapies May Affect Balance, According to New Study in the Archives of Physical Medicine and Rehabilitation The combined effects of chemotherapy and endocrine therapy may increase the risk of bone fractures in breast cancer survivors. In a study scheduled for publication in the April issue of the Archives of Physical Medicine and Rehabilitation, researchers from the Oregon Health & Science University Knight Cancer Institute, Portland, asked post-menopausal breast cancer survivors whether they had fallen in the past year and then tracked their falls over a six-month study period. They found evidence that women who have survived breast cancer may fall more often than their peers.

"Our study is the first to consider how breast cancer treatment may increase fall risk by using a comprehensive set of objective measures of fall risk and by exploring mediators of the treatment-falls relationship," commented Kerri M. Winters-Stone, PhD, Associate Professor and Associate Scientist, Oregon Health & Science University, School of Nursing and a member of the Knight Cancer Institute. "Our findings suggest that recently treated postmenopausal breast cancer survivors have higher rates of falling compared with population averages for community-dwelling older adults. Balance disturbances may explain how treatment could have contributed to falls in breast cancer survivors." 

Investigators found that 58% of breast cancer survivors had experienced a fall in the previous year and almost half (47%) fell within 6 months after joining the study, a rate nearly double the 25% to 30% annual fall rate reported for community-dwelling older adults over 65 years of age. 

Researchers measured a comprehensive set of neuromuscular and balance characteristics known to be associated with falls in 59 study participants. They found that only balance discriminated breast cancer survivors who fell from those who did not. The study findings also suggest that the balance problems may have been related to changes in the vestibular system that were associated with chemotherapy treatment. 

Professor Winters-Stone stated, "Falls in breast cancer survivors are understudied and deserve more attention, particularly in light of the increase in fractures after breast cancer treatment and the relationship of falls to fractures. Our findings add to growing evidence that fall risk is increased in breast cancer survivors and that vestibular function may underpin associations between breast cancer treatment and falls." 

Citation:

"Identifying Factors Associated With Falls in Postmenopausal Breast Cancer Survivors: A Multi-Disciplinary Approach" 
Kerri M. Winters-Stone, PhD, Britta Torgrimson, PhD, Fay Horak, PhD, PT, Alvin Eisner, PhD, Lillian Nail, PhD, RN, Michael C. Leo, PhD, Steve Chui, MD, and Shiuh-Wen Luoh, MD. 
Archives of Physical Medicine and Rehabilitation, Volume 92, Issue 4 (April 2011). doi:10.1016/j.apmr.2010.10.039


Article URL: http://www.medicalnewstoday.com/articles/217839.php

Wednesday
Apr072010

The Great Causeway Challenge on Sunday April 18th, 2010

Future Physical Therapy will be in attendance at The Great Causeway Challenge on Sunday April 18th, 2010 to benefit the Southern Ocean County Hospital Pediatric Services sponsored by the SOCH Foundation.  

There will be four different races for participants including:

Biathlon: 12.5 miles Biking and 5K Run

Bike Only: 12.5 Miles

5K Run/Walk Only - USATF Sanctioned

Kids' Fun Run

Starting Times:

9:00 a.m. 5k run/walk

9:15 a.m. Bike Only Race

9:30 a.m. Biathlon

9:45 a.m. Kids' Fun Run

For brochures or further information please call Lisa Klein at 609.978.3076

You can register online at www.SOCHFoundation.org

 

 

Tuesday
Mar302010

Have Arthritis? Apparently You Need a Physical Therapist.

I Saw this piece on this evening's news cast from WABC in NY and felt it was definitely worth sharing.  As this news piece and the accompanying article point out, medication might make you feel better but physical therapy can in many cases make you better and allow you to continue or resume your desired activities.  According to a recent report in the Journal Arthritis Care and Research 80% of patients with Osteoarthritis of the knee who received physical therapy including exercise improved significantly. 

As a colleague of is so fond of saying, "You have surgery, you have drugs or you have us."  If your arthritis is preventing you from doing the things you want to do, maybe it is time to give "us" a shot.

 

Thursday
Feb252010

Weather Alert - February 25-26: 2010: We Have Snow Again!

Friday at Noon:  Both offices are currently open.  In Toms River, driving on main roads is wet at least in the immediate vicinity of the office on Route 9.  We are now anticipating being open in our Toms River location on Saturday, February 27th.  Hours TBA and by appointment only.  If you would like to come in on Saturday, please give us a phone call to schedule.  Stay tuned!  This snow storm stuff is out of control!

Friday Morning at 9:20am: At this time, our Manahawkin location is open.  But Elisheva reports travel on Route 72 is difficult.  If you elect to attend your appointment, please drive with great care.  Due to the large number of cancellations this morning, we have elected to open our Toms River location at approximately 11:00am.  This will allow the landscapers to hopefully clear the parking lot.  If there are any changes, we will note them here.

 

Friday Morning at 7:00 am:  At this time, we anticipate opening for regular business hours.  However my street has not been plowed.  Please call ahead to ensure we are indeed open.  Travel safely.  Please stay tuned to this website for any further updates.

Thursday Evening 7:20pm: Some sources are indicating yet another round of heavy snow tonight.  We will be updating this website tomorrow morning by 7am to indicate any potential change in scheduling for tomorrow (Friday).  Let's hope the weather cuts us all a break and we escape any additional significant accumulation.  We hope everyone is warm and safe in their homes this evening.  This will be a winter to remember!

Thursday at 11:20am:  One additional note, the parking lot is still snow and slush filled with about 4-5 inches of accumulation.  They are currently working on clearing the lot, but are unsure as to when it will be completed.  If you are concerned about being able to navigate the parking lot, please call to reschedule.  Otherwise we look forward to seeing you at your normal scheduled time.

Thursday at 10:41am Toms River Location ONLY:  I have made my way to the office and as it stands now, barring significantly worsening conditions we WILL be open today for normally scheduled operating hours.  If you are unable to keep your appointment due to road conditions in your neighborhood, please call to reschedule.  We are currently evaluating being open on Saturday to accommodate patients who are unable to keep their appointments today.

Major roadways are now currently wet with some slush accumulation but are drivable.  It is possible conditions could worsen as the day progresses based on current weather projections.  If you do decide to venture out, please drive safely.

Thursday at 8:21am - As it stands right now heavy snow is falling and due to the weather conditions, Future Physical Therapy in Manahawkin will be closed today.  We are currently calling patients scheduled for today to reschedule to Friday.

A decision for our Toms River location is still pending and we expect to make a final decision around 10:30am.