DSC02931

The American PT concept for runners regeneration

Winter is characterized by cold, early darkness and inconsistent weather conditions. These conditions often interfere with running training and force regular runners to take long breaks during the cold months. Whereas in summer long laps are performed after work, in the winter regeneration phase the focus is increasingly on short but effective runs and additional indoor training.

We have developed a sophisticated training plan to guide you through the winter months and treat minor instabilities from the previous season that can rob you of your strength and performance and in the long term lead to dysfunctions and injuries. In order to find and eliminate these dysfunctions, we pay increased emphasis on your breathing, movement and fitness.

Breathing

Before we can move properly, we must breathe properly. Breathing gives us stability and at the same time guarantees full mobility. A dysfunctional breathing can cause painful tension and back pain. The result is pain, careful movement and lost training days. To avoid this, we work specifically on your breathing technique for more energy and performance.

Movement

Movement is the foundation of all sports. To move freely, we depend on mobility and stability. If any of these are missing, energy leaks occur. They rob us of a lot of strength and lead to unnecessary wear and tear of our joints and ligaments. With the so-called runner’s TÜV we can recognize injuries and dysfunctions and correct them with specific exercises.

Fitness

In order to achieve optimal performance in training and competition, we need to be sufficiently fit. Running requires strength and stability in our posture, a lot of endurance to maintain this strength over several kilometers and explosive power when the finish line is in sight. During the quiet winter months, the focus for runners should therefore be on stabilizing the back and trunk muscles, so-called core training, functional and joint-gentle muscle building and fascial training to prevent shortening of the tendons and muscles in the legs.

  • First we treat all pain and movement restrictions (e.g. blockages) with
    Chiropractic, dry needling, fascial treatment and various physiotherapeutical
    techniques.
  • Next we test breathing, movement and fitness. In case of dysfunctions, corrective
    exercises offered.
  •  If we can‘t find any dysfunctions, we offer individual training, training plans and group training to prepare for the next season.

American PT will help you enjoy running again and optimize your performance so you can get back on track in spring.

Yours Michael Boettcher

massage

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

62FAFE3E-EBD9-4D3B-975F-1A16D487671A

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

421D2972-EC89-4A9F-A37D-33DCF052A8A0

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

DSC02931

Pain in the knees from running

Many of our customers complain about knee pain while running. They often describe the pain as dull around the knee joint or as a twinge at the kneecap. Most often, the pain occurs during running or immediately following exercise. Clients often try stretching exercises or using a fascia roller to loosen the surrounding muscles and get rid of the pain that way. Unfortunately, the pain can be persistent and, in the worst cases, force them to take a longer break.

Causes of knee pain

The most common reason for knee pain is overuse of the lower leg extensor muscle quadriceps. If the muscle is used too frequently, so-called trigger points develop. These are small nodules in the muscle that have poor blood supply and cause a characteristic pain pattern. If there is overuse of the quadriceps, the pain tends to feel dull and is located around the knee. If the fascia is stuck or tight, the pain tends to be located on the sides of the knee or just below the kneecap (patellar tendinitis). In both varieties, the pain occurs during and after running.

Our holistic approach

Our strategy for this situation is first to lower the tension in the muscles by dry needling and massage. This is done by working on the fascia with a special tool to loosen it up and release any adhesions. With special tests we can determine if the connection between the nerve and the muscle is working properly. If this connection is inactive, the muscle will be overloaded or misloaded again and the discomfort will return even after the therapy is finished.

Functional Movement Screen

Once we have the local discomfort under control, we do a Functional Movement Screen and look at the patient’s overall movement amplitude. This gives us the opportunity to identify and target further faulty movement patterns. Through corrective exercises at home, discomfort and thus pain can be prevented in the future. Yours Michael Boettcher
DSC02943

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

equipment

Homeoffice – risks and side effects

Due to the ongoing pandemic, more and more people are being forced to work from home, but not everyone has an ergonomic workplace available. People often work at the kitchen table or on the sofa and often lack the time or motivation for compensatory movement after work or during breaks. Especially in the dark season, when it is already dark outside after work, many people find it difficult to get enthusiastic about exercise and sports. Instead, they make themselves comfortable on the sofa with a bag of chips.

From a medical point of view, these factors can in the long term promote physical complaints such as tension in the neck and shoulder area and headaches or lead to pathological obesity and associated chronic cardiovascular diseases. Furthermore, lack of exercise and an ergonomically inappropriate sitting position can increase the potential for musculoskeletal disorders. Through a prophylactic posture, the respiratory muscles tense up, breathing becomes shallower, we feel tired and exhausted and have difficulty concentrating.

Anyone who wants to prevent this should therefore provide for compensatory exercise in their free time. True to the motto “if you rest, you rust”, even small units of one hour per week can provide sufficient mobilization and relaxation. In our practice for physiotherapy and personal training, we offer not only classic physiotherapeutic applications but also an extensive portfolio of holistic training with a focus on joint-sparing movement sequences and medical muscle building.

We recognize and treat dysfunctions so that you can work in your home office in a relaxed and pain-free manner. Say goodbye to pain and make an appointment today.

Your Michael Boettcher Continue Reading