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Physiotherapy – The holistic healing method

Head, shoulders, knees and toes: physiotherapy is used for numerous illnesses, injuries and functional disorders and makes an important contribution to the healing process. Especially when it comes to healing procedures for rehabilitation, for example after an accident or a stroke, physiotherapy is indispensable. However, it can also be used preventively to avoid physical limitations or pain. The different areas of application of physiotherapy make an important contribution to the amplitude of movement and functionality of the musculoskeletal system, and help to restore or maintain mobility.

What is physiotherapy?

Physiotherapy is mainly understood as the so-called movement therapy. It is a useful alternative or supplement to surgery or drug treatment. Physiotherapeutic applications can be carried out actively or passively. In active therapy, the patient’s independently performed movements are used to prevent or cure complaints. In passive therapy, this is done through treatment by a trained therapist.

What are the areas of application of physiotherapy?

Physiotherapy is mainly used for prophylaxis, therapy and rehabilitation. For the prevention of dysfunctions or injuries, for example, occupational malpositions can be counteracted with physiotherapy. Physiotherapy also helps to accelerate the healing process of orthopedic diseases and thus improves the quality of life. In addition, physiotherapy treatments are used for rehabilitation after prolonged illnesses or after accidents.

What effect does physiotherapy have on the body?

  • Support of metabolism and blood circulation
  • Pain relief or even relief from pain
  • Increase of physical fitness, coordination and mobility
  • Restoration and strengthening of mobility

Known tools in physiotherapy

 

Massage

Massage can be used to relieve all forms of tension in the muscles. Using special massage techniques, pain is reduced while blood circulation and metabolism are stimulated.

Lymphatic drainage

Lymphatic drainage uses special massages of the lymphatic system to activate the lymphatic vessels and reduce swelling or water retention. The healing process is accelerated, the tissue can be better supplied with blood and mobility is restored.

Manual therapy

Manual therapy remedies functional disorders of the musculoskeletal system, such as restrictions in mobility or pain during movement. Mobility can be restored with targeted mobilization as well as stretching exercises to relieve pressure.

Yours Michael Boettcher

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Autoimmune diseases – when the body fights back

An autoimmune disease is a disease caused by a reaction of the body’s immune system. Autoimmune diseases attack tissues or organs. The symptoms vary from person to person, depending on the disease, and only in some cases can be treated with medication. Autoimmune diseases affect many people and are among the most common chronic diseases in Germany.In Western countries, they affect about five percent of the population, with women being affected relatively more often. The best known and most common autoimmune diseases are:

  • Crohn’s disease
  • Hashimoto’s
  • Type 1 diabetes
  • Multiple sclerosis
  • Rheumatoid arthritis
  • Celiac disease
  • Lupus

What happens in the body during an autoimmune disease?

In an autoimmune disease, the body’s immune defense system attacks tissue. Which tissue is attacked depends on the type of immune disease. Normally, the immune system attacks mainly pathogens foreign to the body, such as viruses, bacteria or fungi. In the case of an autoimmune disease, the immune system can no longer distinguish between cells that are foreign to the body and those that are the body’s own, and therefore also attacks healthy cells. However, an autoimmune disease should not be confused with an allergy. In the case of allergies, the immune system does not behave in an autoimmune manner, but rather assesses harmless foreign material as threatening and then reacts to it in an exaggerated manner.

How can physical therapy help with an autoimmune disease?

Certain autoimmune diseases affect the skin or internal organs, while others, such as multiple sclerosis, affect muscle tissue and joints. The physical fitness and motor skills of those affected can be impaired, especially after an episode. With targeted exercises, we help maintain mobility and fitness and relieve pain in the long term. Based on a careful assessment, we develop an individual therapy program – adapted to the circumstances, the course of the disease and the personal needs of our patients.

Nutrition is the key to a better quality of life

In some autoimmune diseases, such as celiac disease or diabetes, a healthy diet is also an important factor for well-being. With our nutritional counseling, we help those affected to create a balanced diet plan tailored to their needs. Depending on the disease, certain diets can help alleviate symptoms. Basically, the diet should be low in sugar and rich in fiber and contain foods that are believed to have an anti-inflammatory effect.

Would you like a consultation or an appointment? Feel free to call us or use our online appointment tool.

Yours Michael Boettcher

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Stretching – lengthen your muscles

Stretching exercises maintain the flexibility of muscles and the mobility of joints, which is a prerequisite for a healthy musculoskeletal system. Stretching can also improve training performance, relieve tension and reduce stress.

An indispensable part of professional sports

That’s why stretching exercises are a must in professional sports. If the sport requires particularly explosive movements or flexibility, stretching afterwards is indispensable. It increases flexibility, reduces muscle shortening and has a positive effect on performance. Stretching should be done for at least five minutes after each fitness session to promote recovery. One-sided movement patterns and incorrect posture can also be corrected through stretching exercises.

Effects on the musculoskeletal system

In the long term, stretching primarily improves the mobility of joints and surrounding structures. Tendons and ligaments are strengthened, and muscular imbalances are corrected in the short term by lengthening shortened muscles, thus reducing tension in the muscle. Additionally, it can reduce stress and restore circulation.

In the field of physical therapy, stretching is used to reduce muscular imbalances and correct problems caused by muscle shortening, as well as speed recovery from injuries.

Stretching correctly

However, to avoid injury, some important rules should be followed when stretching:

  • Stretch dynamically before the fitness session, as the muscles are not yet warmed up and thus injuries can easily occur.
  • The movements should be performed slowly and in a controlled manner
  • It is better to do static stretches after the training session.
  • Do not forget to breathe
  • The pain should be sustainable at all times
  • Always stretch on a non-slip surface

Static and dynamic stretching

Static stretching involves trying to pull the muscle to be stretched as far as possible and holding this position for 20-30 seconds. Static stretching should never be done before a workout, as it can reduce performance and lead to injury. Static stretching exercises are also not recommended if muscle soreness is noticeable.

Dynamic stretching exercises, on the other hand, consist of gentle movements that could also be described as springy. The muscle is stretched for a few seconds, but can always contract again. This form of stretching promotes blood circulation and thus also the oxygen supply to the muscle and is therefore particularly suitable as a warm-up before the fitness session.

If you want to improve mobility and promote health through regular stretching, you should be patient in your approach. The muscles need a few attempts to stretch properly, so it’s better not to rush things.

Your Michael Boettcher

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The cause-consequence chain

The cause-consequence chain describes a state of irritation of the tissues in the musculoskeletal system that is directly related to an injury and has an effect on surrounding structures (a kind of chain reaction).
A general distinction is made between ascending and descending chains. An ascending chain is often triggered by trauma to the lower extremities, such as supination trauma (twisting of the ankle). Thus, there is sometimes a link between an old foot injury and acute hip symptoms.

Accordingly, in sports medicine there are also descending cause-and-consequence chains, such as discomfort or dysfunction in the hip, which can lead to pain in the knee. These are usually triggered by a dysfunction of the temporomandibular joint. This is followed by a protective posture with increased stress on the unaffected structures in order to minimize pain as well as further irritation of the affected structures.

Over a longer period of time, overload symptoms can occur, which are often characterized by local pain. However, these can also manifest globally in adjacent structures. This type of chain reaction can ensure that local therapeutic measures remain unsuccessful, as the actual cause of the pain present is often not included in the treatment planning.

It is therefore even the more important to include surrounding structures such as joints, muscles or ligaments in the initial examination as well as in the treatment and to structure the therapy holistically. Over the long term, better therapy goals can therefore be achieved and the quality of life sustainably improved.

If you have any questions about the cause-effect chain or would like to make an appointment for treatment, please feel free to call us!

Your Michael Boettcher

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Reflexive Performance Reset – not only for competitive athletes

Reflexive Performance Reset, or RPR is more than just an ordinary therapy. It activates muscles that have a key function in our musculoskeletal system via certain reflex points. These key muscles give our body more support, bounce, energy and lead to more mobility in the long term. The Reflexive Performance Reset consists of different breathing exercises and the stimulation of certain nerves in the body, which help to increase the training success and prevent injuries.

When we are under constant stress and give our body little time to regenerate, it is inevitably put into stand-by mode. In this state, the body has little energy and performance is significantly reduced. Reflexive Performance Reset can help to bring the body back to its performance peak, reduce pain caused by compensating for poor posture, improve mobility and increase resistance to injury.

By activating specific reflex points that bring the body out of these damaging compensation patterns and targeted breathing exercises, the muscles can recover faster, you have more energy and are more resistant to stress. Whether you are a competitive athlete, an athlete or simply a sports enthusiast, the RPR concept is so simple and yet so promisingly designed that it can be implemented at any time. Just contact us!

Yours Michael Boettcher

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Slipped disc – causes and treatment options

The term “herniated disc” is often used to describe permanent stabbing pain in the lumbar region. In fact, it stands for the wear and tear of the mass consisting of cartilage and connective tissue between the vertebral bodies and the associated pain in the lower back.

Lack of exercise, poor posture, overweight or too weak abdominal and back muscles are among the most common causes of incorrect loading of the intervertebral discs. The result: increased wear and tear of the fragile outer structure of the intervertebral disc.

As a result, the outer ring of the intervertebral disc becomes brittle and tears when subjected to frequent and above all incorrect loading. The inside of the disc, a gelatinous mass, emerges and can press on the nerves in the back. This pressure in turn leads to severe pain and often to paralysis.

When pain no longer goes away, it becomes a burden. They restrict our everyday life and slow us down – at work and in our leisure time. We at American PT can work preventively on your back and trunk muscles to prevent a herniated disc or accompany you after a disc surgery with physiotherapy.

Through preventative exercises and applications in the field of physiotherapy and physiotherapy, chiropractic, dry needling or other curative practical procedures, we can restore the functionality of your body and thus give you back a piece of vitality and well-being.

Do you have questions about our services or would you like to make an appointment? Please feel free to call us!

Yours Michael Boettcher

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It all starts with mobility

Were you ever in the situation where you have back pain, visit your doctor and he tells you that you should work on the stability and strength in your back? The statement, however, only represents one side of the medal. A significant factor that can cause back pain is lack of mobility.

But what exactly do doctors, physiotherapists and sports scientists mean when they talk about mobility? In their Handbook of Training Theory (Hoffmann, 1993), Martin, D., Carl, K. & Lehnertz, K. wrote “Mobility is the ability to perform movements in a random and targeted manner with the required or optimal range of movement of the joints involved”.

In order for the musculoskeletal system to work properly, there must therefore be a minimum degree of mobility. Restrictions in mobility, on the other hand, lead to faulty signals to the central nervous system. This, in turn, affects stability and causes tension in the muscles.

Restricted mobility can have local effects or have an effect elsewhere. An example: If mobility is restricted in the ankle joint, this can lead to instability in the neck and associated tension.

In the anamnesis before treatment begins, we at American PT first try to find out whether it is a stability or mobility problem. Using the fascial roller and the fascial ball, we first release the tension in the muscle chains and then work on mobility with corrective exercises. These treatments not only help with tension, but also have a long-term effect on posture, movement sequences and energy.

If you have any questions about mobility or would like to make an appointment, please call us!

Yours Michael Boettcher

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Medical rehabilitation training – effective and gentle on the joints

What is medical rehabilitation training?

Medical rehabilitation training is generally used after injuries and operations to restore mobility and treat diseased areas of the musculoskeletal system. Targeted training units are used to improve strength, mobility and endurance in the long term. The specially developed medical build-up training for therapeutic purposes is considered part of rehabilitation treatment and is often accompanied by a doctor.

For whom is medical rehabilitation training recommended?

In general, medical rehabilitation training is prescribed by a doctor after an injury or operation on the musculoskeletal system. However, it can also be used for persistent pain in the joints or back. The physiotherapist draws up an individual training plan tailored to the problem area and person. Medical rehabilitation training is also suitable for the prevention of painful muscle tension and resulting damage to the spine.

What is trained in medical rehabilitation training?

Depending on the type of training, medical rehabilitation training trains balance, coordination and posture, strength, flexibility, speed or endurance. The essential components of the medical rehabilitation training are: mobilisation and mobility training, strength and stabilization training, coordination training, endurance and cardiovascular training.

What equipment is used for medical rehabilitation training?

The medical rehabilitation training uses training equipment that is easy on the joints and yet highly effective, while putting optimal strain on the muscles and joints. Additionally, computer-controlled training devices such as the Power Plate or EMS allow a targeted training of the deep muscles and can be used, for example, for muscle building before an operation.

In our practice for physiotherapy we offer medical rehabilitation training for therapeutic purposes. Do you have any questions or would you like to arrange an appointment? Call us, we will be happy to assist you!

Yours Michael Boettcher