Get To Know Your PT: Greg Ohanessian

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Therapydia SF physical therapist Greg Ohanessian takes some time to talk about his love of smoked meats, completing his OMPT residency, and the importance of compassion in the PT profession.

“Everything in moderation. Too much or too little of one thing can be detrimental and this applies to all areas of life!”

When did you know that you wanted to be a physical therapist?

I knew I wanted to be a PT while laying on a treatment table getting my own shoulder therapy back when I was 16 years old. As I gradually felt my shoulder feel better after a football injury, I saw the power of improving mobility and movement to improve life!

What’s your favorite song to get you motivated?

Outside the Fire -Garth Brooks

What is the biggest challenge involved in being a PT?

The biggest challenge as a PT was completing my Orthopedic Manual Physical Therapy Residency through the Ola Grimsby Institute. It included 1 year of deep learning of all anatomy, joint function, pathophysiology, examination procedures and manual therapy techniques. It concluded with a practical test in front of judges. The extra post doctorate year of study has helped me improve my evaluation skills to accurately diagnose musculoskeletal issues and optimally treat my patients.

How do you like to stay active?

I like to take urban hikes with my family, golf and jump on my Peleton!

What surprised you the most about the physical therapist profession?

How under utilized we are as a profession. PT’s unique skill sets to diagnose and provide optimal solutions to musculoskeletal problems are an asset to our communities. I plan to change the publics’ perception of PT and improve access to PT.

Are you currently pursuing any further education/certifications?

I am planning on completing my Titliest Performance Institute certifications to become a level 3 Medical profession for Golfers.

What’s your go-to breakfast?

I start my day early so……Coffee!

What do you wish everyone knew about PT? / What is the biggest misconception you hear from new patients?

Patient’s never know that they can come and see us before there is an injury to keep injuries away.

What is the most important personality trait that a PT must have?

Compassion

What do you do to de-stress/unwind?

I like to BBQ and smoke meats and enjoy a nice glass of wine!

Finish this sentence: On Saturday mornings, you can usually find me…

Pushing strollers around San Francisco or at sporting events.

What is your favorite piece of wellness advice to offer?

A man’s worth is measured with intellectual dexterity and physical vitality.

Click here to learn more about Greg and the other physical therapists at Therapydia SF.

Pilates + Physical Therapy

Pilates Physical Therapy San Francisco

Joseph Pilates, a German medic who trained in boxing and gymnastics, developed Pilates as a form of exercise in the early 20th century. As a child, he suffered from various illnesses and though he had no formal training, was fascinated with the study of human movement and dedicated to improving his physical fitness. Pilates believed that postural dysfunction and inefficient breathing techniques contributed to poor health. Originally called “Contrology”, he considered the method a holistic approach to movement, incorporating mind, body and spirit.

Initially conceived as a sequence of bodyweight exercises performed on a mat, Joseph Pilates invented several pieces of equipment (apparatus) over the years. The Reformer and The Cadillac were both developed from his experimentation with springs attached to hospital beds, and The Chair was inspired by…you guessed it, a living room chair! As its popularity grew, The Pilates Method became mainstream, offered in gyms, studios and taught as an adjunct in physical therapy clinics.

The benefits of Pilates may seem clear. The most commonly mentioned reasons people do Pilates is to improve core strength and stability. Less obvious are two important reasons I suggest Pilates to my patients:

Pilates is a method of exercise that emphasizes on breathing with movement. The ability to coordinate respiration during movement is essential for everyone, yet many are challenged by this seemingly simple act. The muscles of respiration contribute to stabilization, so if respiration is altered, spinal stability will be compromised.

Pilates can be modified for various levels of recovery and fitness. While mat-based Pilates exercises might seem easy, sequences can actually be more challenging than those performed on a Pilates apparatus since participants must control their bodies without any external assistance. The various Pilates apparatuses can be used to increase the challenge of an exercise or to provide assistance to complete a movement. Depending on how the springs on an apparatus are set, there may be an increase in resistance for a focus on strength or a decrease in resistance for improved control. Springs may also be used to provide support, making an exercise more accessible to a healing body.

While its popularity has increased, Pilates as a method of exercise has become less defined over the years. Today, virtually any type of movement performed on a Pilates Reformer or mat can be labeled Pilates and, without experience working with a qualified instructor, you may never know the difference. When your doctor recommends the method, a coworker suggests Pilates because, “it worked for me,” or you choose to do Pilates independently with an online video, you are applying a very broad exercise method to a condition that may require a little more specificity and individualization. In fact, many mat or equipment-based Pilates exercises are flexion-based and are not only inappropriate for some patients, but actually contraindicated (e.g. herniated disc, osteoporosis). Exercises that focus on strengthening the back of the body (posterior chain) may exacerbate other conditions (e.g. stenosis, spondylolisthesis).

As a physical therapist who is Board Certified in Orthopedics, I use my Pilates training to enhance my educational foundation in anatomy, kinesiology, and pathology. In the United States, there is a large discrepancy in the training involved to qualify as a Pilates instructor. Some instructors train with Master Instructors and participate in educational programs that include a basic study of anatomy with observation and practice hours. These programs may also involve an overview of specific injuries and provide information on what types of exercises should be avoided. Other instructors, including those at TherapydiaSF, are licensed physical therapists looking to expand their exercise instruction techniques as a complement to their physical therapy education. On the other end of the spectrum are those who take a weekend class or do some training on their own to teach Pilates.

Modern day Pilates varies dramatically from what its creator originally taught. A savvy, educated consumer should know what to look for when choosing the right class or instructor.

If you’re looking for a form of exercise to support your recovery, start with a physical therapist who is trained in Pilates. Your goal may be to return to work with your Pilates instructor, but a thorough assessment with a medical practitioner (e.g. your physical therapist) will help identify potentially harmful exercises and highlight what you should focus on during your Pilates sessions with your trainer. A successful treatment strategy often includes work with both a physical therapist and a Pilates instructor open to collaborating.

If you are healthy, pain-free, and looking for a challenging workout, you have a variety of options. Many clients continue their work with Pilates instructors who are also physical therapists based on our ability to recognize and address potential injury risks. Group classes might also be a consideration for a more affordable option and for a more social experience. Classes vary in style and are less individualized, so if you are looking for more guidance, we recommend one-on-one training.

Pilates should never replace work with a qualified rehabilitation specialist trained to treat injury. Nor should someone with an injury attempt to use self-guided Pilates exercises to treat or manage their injury. If your physician has recommended Pilates, or you need a specialized program, find a physical therapist with training in Pilates. You will receive a thorough examination that will help the therapist develop a treatment plan and determine if you are appropriate to begin work with a Pilates instructor, or if you should start with Pilates-based physical therapy.

Get to Know Your PT: Laura Sako, TherapydiaSF Physical Therapist

San Francisco Physical Therapy Laura Sako

TherapydiaSF physical therapist Laura Sako takes some time to discuss what she loves about the Bay Area, how she became interested in PT and the one superpower she’d love to have.

What is the best thing about being a physical therapist?

I love having an active job that allows me to meet new people and figure out new puzzles every day.

How did you get interested in physical therapy?

I have a lot of physical therapists in the family so I’ve always been familiar with the profession. It wasn’t until I started volunteering in different settings and interacting with all types of patients that I really began to understand the importance of PT and decided that it was the career I wanted to pursue.

What do you like most about the Bay Area?

The diversity of the neighborhoods. It’s always fun to explore different areas and discover what makes them unique.

What is your favorite place to be active?

The Cascades in Washington. I’m originally from Seattle and that mountain range has a special place in my heart.

What activity in SF is on your bucket list that you’ve still never tried?

Ride a cable car.

What are you currently reading?

The Devil in the White City by Erik Larson

If you could have one superpower, what would it be and why?

The ability to fluently speak every language. My brain is very left-sided!

What is one of your major accomplishments in the last few years?

Drove across the country and passed my Orthopedic Clinical Specialist Exam.

Click here to learn more about Laura and the other physical therapists at TherapydiaSF.

TPSF Holiday Coat Drive: November 13-December 22

Do you have coats in your closet that you no longer wear?

TherapydiaSF is hosting a coat drive for the holidays! Stop by either TherapydiaSF location now through December 22 and donate your gently worn coats to a great cause!

Health experts report that even a 2-degree drop in body temperature results in reduced heart rate, loss of coordination, and confusion. Adults cannot work effectively and children find it difficult to learn. For most, a warm coat solves the problem. But, for the nearly 15% of Americans living in poverty, a warm winter coat is a budget “extra.”

Join the team at TPSF this holiday season to give back to those in need! For every coat you donate, you will receive a raffle ticket for a drawing to be held on December 27th. Three tickets will be drawn for your choice of a physical therapy evaluation, a Pilates session or a RunRx running assessment.

TherapydiaSF-Embarcadero Center: 1 Embarcadero Center, Lobby Level

TherapydiaSF-Market Street: 580 Market Street, Suite 100 (mezzanine level)

Health Insurance 101: Understanding Your Benefits

It’s a new year and, for many people, this means a new insurance policy. While insurance can be confusing, it is important to understand your health insurance benefits as you consider your options for treatment. We’ve put together a handy primer to explain the basic components of an insurance plan, in hopes that it will make life simpler for you!

In-Network vs. Out-of-Network: Providers who are in-network with your insurance company have agreed to accept a lower rate for their services, as determined by the insurance company, in exchange for being affiliated with and promoted as a “preferred provider”. Out-of-network providers determine the value of their services and are not under contract with the insurance company. Most plans have some level of out-of-network reimbursement. Many people think that if a practice is not in-network with their insurance, they can’t seek services at that clinic. In fact, insurance companies may even tell you you have to work with an in-network provider, even if you have out-of-network coverage. This is wrong and misleading. We elaborate more on the difference between in- and out-of-network coverage in this past blog.

Explanation of Benefits (EOB): This is sent by mail or available online after each medical service you receive. Your EOB will include lots of information, but look for the billed amount, allowed amount, any payments made by your insurance company, and the amount you owe, or patient responsibility.

Billed Amount: The amount that your healthcare provider bills to your insurance company.

Allowed Amount: The amount your insurance company deems a service provided to you is worth. This may be equal to the billed amount, though is more often less than the billed amount.

Deductible: This is the amount of money you are required to pay before your insurance benefits kick in. This amount resets annually, typically at the beginning of the year. Occasionally, there are some services where the deductible is waived, but in general you are required to pay the amount of your deductible before insurance pays for anything. Generally, there are separate deductibles for in- and out-of-network providers, though occasionally they are combined.

Coinsurance: Generally, this is the percentage of what you are required to pay per service. This is most often calculated using the allowed amount. For example, 30% coinsurance means that you are required to pay 30% of what your insurance allows for a particular service, while they pay 70%. This shared payment responsibility starts only after you meet your deductible.

Copay: This is a flat-rate amount that you pay each time you visit a provider, regardless of the billed or allowed amounts. This won’t start until you have met your deductible.

Out-of-pocket max: This is the maximum amount of money you will have to pay per year for covered healthcare. Once you reach your out-of-pocket max, insurance should cover 100% of your medical expenses.

Visit limit: This is the maximum number of visits your insurance company will pay. However, this is not a guarantee. Often, an insurance company will state a high number, or even unlimited visits, but will deny payment after review of medical notes if they don’t consider treatment to be justified.

At TherapydiaSF, we are happy to call your insurance on your behalf to determine your specific in- or out-of-network benefits. We also offer discounted cash rates as an alternative, if you are faced with a high-deductible plan, high co-insurance or limited visits. Please let us know how we can help you get started on your path to a healthy 2017!

 

 

Movement Matters

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You’ve heard it before, “exercise is good for you.” It probably started with your PE teacher in grade school and now it’s your doctor reminding you at your annual physical exam. It seems that a new study touting the benefits of exercise is reported on the nightly news almost every week. We all know that exercise is good for losing weight and getting stronger, but what you might not realize is that beyond the physical changes you see, by committing to a regular exercise routine, you’ll have a positive impact on your mind, body and soul. So why is it that according to the Centers for Disease Control and Prevention, 25 percent of the U.S. population doesn’t participate in any physical activity?

Mind:
When faced with a busy schedule and too many meetings on your calendar, exercise often takes a backseat. If you’re not sleeping well and wake up exhausted, the last thing you want to do is lace up your running shoes and head out for a sweat session. However, the next time you’re fading midday, consider skipping your visit to the local coffee truck and hit the gym instead.

According to a 2011 study of more that 3000 people, those who get at least 150 minutes of exercise a week sleep significantly better and feel more alert during the day than those who do not.1

In that same year, a study of older adults revealed that regular aerobic exercise increases the volume of the hippocampus, the area of the brain related to memory, and can help improve memory function. While its effect on the mind is continually being studied, findings strongly suggest that exercise promotes improved brain function.2

Body:
You’ve probably known that aerobic exercise is essential for heart health as long as you can remember. Starting an exercise program is often the first piece of advice given to individuals at risk of developing cardiac disease. People who exercise regularly tend to develop less heart disease their sedentary colleagues. If they do develop a form of heart disease, it happens later in life and is generally not as severe.3

Exercise also promotes bone health, an important consideration as we age. While studies are ongoing, one released earlier this year showed moderate intensity aerobic exercise may have a protective effect on bone and cartilage by regulating elements in the body involved in increasing our bone mass density.4

A strong heart and strong bones are important, but exercise can help the body in other ways. Emerging research suggests that moderate amounts of exercise may have a positive effect on chronic pain by changing an individual’s perception of and response to their pain.5 Movement continues to be the most conservative, most inexpensive, and likely the most effective treatment for lower back pain, a condition that affects 80% of us during our lives.

Soul:
Have you ever started a workout in a bad mood and ended it feeling even worse? Not likely. Do you alleviate stress with a tough session? You might be on to something. There is a strong link between between exercise and mood. In general, active people are less depressed than sedentary people. A 2007 study concluded that exercise was generally comparable to antidepressants for patients with major depressive disorder.6 A hot topic of research in the mental health field, scientists are extremely interested in learning how to prescribe exercise as treatment for a variety of conditions including stress, anxiety, and depression.

The more digitally connected we are, the less real contact we tend to have with friends and family. There’s an app for everything, but not one that promotes in-person interaction with our true social circles. Exercise has a positive effect on our relationships and can even lead to developing new friendships. Finding a common exercise interest increases motivation, fosters healthy competition and can create strong social bonds with friends and family.

The benefits of exercise are vast and the scientific support of movement continues to grow. Who wouldn’t want to look better, feel better and be better? If you’re a regular exerciser, keep it up! The changes you’re making are huge. If exercise hasn’t been your thing, find something you enjoy, commit to your health and get moving. Your mind, body and soul will thank you.

  1. Loprinzi, Paul and Bradley Cardinal. “Association between objectively-measured physical activity and sleep, NHANES 2005–2006.” Mental Health and Physical Activity2, (2011) 65–69.
  2. Ericksona, KI, et al. “Exercise training increases size of hippocampus and improves memory.” PNAS 108.7, (2011) 3017-3022.
  3. Myers, J. “Exercise and Cardiovascular Health.” Circulation.107(2003) e2-e5
  4. Alghadir, JH, et al. “Correlation between bone mineral density and serum trace elements in response to supervised aerobic training in older adults.” Clin Interv Aging.11 (2016) 265-73.
  5. Jones, MD, et al. “Aerobic training increases pain tolerance in healthy individuals.” Med Sci Sports Exerc8(2014) 1640-7.
  6. Blumenthal, JA, et al. “Exercise and pharmacotherapy in the treatment of major depressive disorder.” Psychosom Med. 7 (2007) 587-96.

 

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Physical Therapy: What to Expect

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Marathon training has picked up and your Achilles tendon has been bothering you on your long runs. Or maybe you played golf this weekend and your back has been sore ever since. Perhaps work has gotten busy and your neck has been sore for a week. Whether it’s a friend or your doctor, chances are, if you ask around, someone will suggest you see a physical therapist.

So what should you expect?

During your first visit your PT will work to understand your injury and develop a treatment plan. We will ask you questions about your pain or discomfort—when did it start, what makes it better, what makes it worse? We will ask you about your work and the things that you do for fun. Sure, we want to get to know you, but, more importantly, that info also helps us understand how to best help you and keep you as active as possible while you’re recovering.

We will watch you do certain movements and collect some information by taking measurements and conducting particular tests. Often we will even look at different areas of your body that may not seem to be related to your injury.

Once we feel like we have enough information to create your treatment plan, we will likely get started that first day by teaching you an exercise or two to work on until your next appointment.

You should expect to work with the same PT at each session. Occasionally, two PT’s will work together as a team during your course of treatment, but our goal is to maintain consistency from visit to visit, and we find this harder to accomplish when more than two PT’s are involved.

When you return for your first follow up visit, expect to get to work! Your PT will have developed a plan that may include a variety of manual therapy techniques (‘hands-on’ work) and will definitely include exercise. We might ask you to do some things that seem silly—feel free to ask us why. It is not uncommon to see our patients blowing up balloons during their appointments, or crawling across the gym mat. It’s actually fun and we laugh a lot! At each session we will check and recheck some of the same tests we performed on day one, to understand the effect of the treatments we have been providing.

When you leave our studio, you will be expected to do your homework. We will provide resources to help you remember your exercises and yes, we will know if you’re doing them. Patients who are active participants outside of the PT clinic almost always heal faster than those who aren’t. A physical therapist can’t make you better alone. Physical therapy is a team approach and we need your help!

How often you come to PT is part of the treatment plan that you and your therapist develop together. Among our patients, there is a wide range of plans that change over time (i.e. once per week, once every other week, twice per week, etc). There are several factors we consider when planning your PT schedule. From the rate of healing and the body’s adaptation to new activities, to being swamped at work or due to financial constraints, treatment schedules will be specifically recommended to fit your needs. However, you should expect to attend at least 3-5 sessions in order to get the full benefit of working with your PT.

Once you are back to your marathon training, out on the golf course, or are able to sit at your computer without neck pain, it’s probably time to graduate from physical therapy! Some of our patients choose to continue to work with their PT for exercise as part of one of our wellness programs while others reach out the next time they need us.

Let us know how we can help you stay as active as possible!

How to stay motivated to exercise during the foggy days of a San Francisco summer

Come December, almost every fitness magazine or blog features an article about how to stay motivated to workout during the winter months. The Internet is full of fitness tips for winter, while retailers push the latest in coldweather gear.

San Francisco is a city with little variability in our temperatures, making these articles virtually irrelevant to our fitness buffs. Yet, we do have one weather phenomenon that can be a buzz kill for outdoor recreationalists. While the rest of the country enjoys warm summer days, we often host an unwelcome guest named Karl the Fog. Karl is active on social media, with his very own Twitter, Facebook and Instagram accounts. Don’t get me wrong, some people welcome Karl and appreciate the cooling blanket he provides. It is easy enough to escape his presence with a quick trip inland. Plus, it’s pretty amazing to see his fingers of fog creep across the skyline, hiding the sun and its warmth in a matter of minutes. Others, myself included, are easily affected and develop feelings of fatigue and sluggishness. We may need a little push to get outside for exercise. On my first day of graduate school at UCSF almost 15 years ago, a professor told us to be sure to escape the city on weekends to avoid developing SAD—Seasonal Affective Disorder, a type of depression that often occurs during winter conditions…or, in our beloved city, during the summer when the sun doesn’t shine. I still get a burst of energy when I wake up to a clear, sunny morning. On those perfect days, I can’t wait to get outside and don’t want to waste a rare, beautiful day. Those kinds of San Francisco days make even the foggiest worth it.

So how can you stay motivated to exercise during the foggy days of a San Francisco summer?

      • Appreciate the cool- While the fog may be lingering in your neighborhood, just a few miles in any given direction the temps may be soaring, making a morning workout intolerable. Last weekend I was visiting my hometown and got out for a fairly early run…in 85 degree heat (and loved every minute of it). Yet, friends in hotter climates complain of having to workout at 5:00 am to avoid the heat, or worse, they have to stay in an air-conditioned gym for their daily dose of exercise.
      • Wait it out- Depending on the day, it may actually burn off. But, as soon as you see a glimpse of clear sky, head on out. You never know when Karl will return. It may be a matter of a couple of hours, or might stay clear the rest of the day.
      • Or don’t…There’s a strong chance that he’s here to stay for the day. Embrace the cool climate and know that you’ll have a sunny day soon enough. According to a 2011 study of 229 students conducted at sunny Santa Clara University (1), exercising outdoors was more enjoyable and resulted in less tension and stress, compared to indoor exercise.
      • Try a different neighborhood- In a city known for its microclimates, you can almost always find a sunny spot in San Francisco. Venture to a different neighborhood for some exploration and, fingers crossed, maybe a little sun. Some of the sunniest neighborhood in San Francisco include the Mission, Noe Valley, DogPatch and Potrero Hill.
      • Appreciate your surroundings- The outdoors take on an entirely different look and feel under the cover of fog. Views you have seen a million times, suddenly become new, taking on a different type of beauty. Have you ever seen The Presidio under cover of fog? Or heard the foghorn sounding under the Golden Gate Bridge? The trails in Glen Canyon become beautifully mysterious when shrouded in fog.
      • Take it indoors- There are a ton of great indoor fitness options, if you just can’t drag yourself outside to face the fog. Some of my favorites are TRX, yoga, Pilates, and circuit training workouts in the gym or at home.
      • Grab a friend or play some music- Can’t get out the door? Grab your iPod or call a friend. Both have been linked to increased motivation for exercise. In fact, a 2013 article in Scientific American (2) reports, “Music distracts people from pain and fatigue, elevates mood, increases endurance, reduces perceived effort and may even promote metabolic efficiency. When listening to music, people run farther, bike longer and swim faster than usual—often without realizing it.”

Tips for exercising on foggy days:

      • Don’t overdress- While wet, foggy weather isn’t always cold weather. You’ll learn your lesson if you head out with too many clothes into the often warm, humid air. Your best bet is to dress just like you do for any SF day—layer, layer, layer (preferably in a sweat wicking fabric).
      • Don’t forget the sun protection- Sunscreen and sunglasses are a must on even the foggiest of days. According to dermatologists, 87% of the sun’s rays penetrate through clouds, fog and mist. While these can block sunlight, they don’t effectively block harmful UV rays.
      • Warm up appropriately- Depending on the temps, you may need more of a warm up on a foggy day. I recommend a dynamic warmup and light start to your workout.

Ahh…the sun just came out—time to hit the trails! See you soon, Karl.

 

References:
1. Plante, TG, et al. Exercising with an iPod, Friend, or Neither: Which is Better for Psychological Benefits? Am J Health Behav.™ 2011;35(2):199-208.
2. Jabr, Ferris. “Let’s Get Physical: The Psychology of Effective Workout Music”. March 20, 2013. http://www.scientificamerican.com/article/psychology-workout-music/.

The Top Five Reasons Why You Should Get To Know Your PT

A few years ago I hosted a get together with a bunch of friends. At some point in the evening, after everyone had figured out how we were connected, someone remarked, “It’s a good thing you’re a PT. You wouldn’t have any friends otherwise.” As I looked around the room at my guests, two were physical therapy colleagues, while the rest were former patients turned friends. While I understand that some PT’s prefer not to develop personal relationships with current patients, I truly believe in the importance of developing a long-term professional relationship with one.

If it’s not a good fit, find one you trust and with whom you can connect. If they turn into a good friend, even better!

Here are The Top Five Reasons Why You Should Get To Know Your PT:

We’ll be spending quality time together.
During the course of your treatment, you’ll be seeing us regularly. I am fortunate to spend 45 minutes with patients, often once, maybe twice a week. Compare that to the amount of time you spend with your doctor during a scheduled appointment, or even how often you see your best friend in any given week. Several years ago, I attended the wedding of a patient-turned-friend after knowing her only a few weeks because, as she told me, “The only person I spend more time with during the week is my fiancé.”

You can confide in us.
Because we will be spending time together working on improving your health, there may be certain things that come up during our time together. Human are complex creatures. There are many factors that can contribute to health, some of which may not be that easy to bring up. As healthcare providers, we are bound by law and ethics to maintain your privacy, and need to know about factors that may be affecting your healing. During any given week I talk to people about such potentially uncomfortable topics as depression, intimacy, problems in relationships, and other sensitive things. We talk about frustrations with treatment and health concerns seemingly unrelated to their physical therapy treatments. Often, the things we discuss are vital to my success as a PT though occasionally I need to refer out to someone better equipped to handle the issue. You need to feel comfortable enough with your PT to be able to discuss the uncomfortable.

We can help ease your fears.
Perhaps you’ve just received a new diagnosis that is troubling, even scary. Sometimes the medical jargon associated with an MRI report or after a doctor visit can be overwhelming. Chances are, we’ve worked with other patients with similar problems and can help explain things in ways you’ll understand. It is not a normal week if I don’t have a friend or family member reach out with questions about a particular diagnosis. The discussion this weekend was about Jason Day at The US Open, his struggles with vertigo, and how PT can help…did you know that?

We can let you know when it’s time to get serious about your health.
There is a reason your back hurts. Ignoring it isn’t the answer and it is likely a symptom of a larger problem. The good news is, you’re willing to invest a little time and energy, and maybe a few little changes to your daily routine, we can make a huge impact. Sometimes a friend or PT who knows you well is the best person to impress upon you the importance of taking your health seriously. You only get one body in this life, treat it well.

We can help you navigate the confusing world of medicine AND fitness.
There is so much misinformation and conflicting advice floating around out there. Who can help you differentiate fact from fiction? A PT with a good clinical experience who has continued to grow professionally and is able to critically evaluate research is good person to have on your team. Well-meaning but incorrect advice is commonly dispensed from people who don’t have the same training and expertise as PT’s who work in musculoskeletal medicine every single day.

We really do care.
My colleagues and I talk about this all of the time. It is not uncommon for us to say to a patient, “I was thinking about you on my walk to work.” I often develop new treatment plans in the most unlikely of places. This is why my showers are sometimes a little longer than necessary. We PT’s are generally so invested in our patients that we take it to heart when someone doesn’t seem to value or appreciate our care. This is also the reason we are exhausted at the end of the week. Don’t expect your PT/friend to want to get together for Happy Hour on a Friday evening!

Welcome to the TPSF Team-Michelle Cotter, PT, DPT

Dear Friends,

I’d like to take a moment introduce myself as I am so grateful to be the newest member of the TherapydiaSF family. My name is Michelle Cotter and I’m a physical therapist. While I specialize in pediatrics, I love treating adults as well. 

My passion for helping people heal began as a youngster when I volunteered in the athletic training room at my high school while rehabilitating my own injuries.  It was further strengthened when I spent the summer of my junior year in high school helping my mom recover from heart surgery. I received my Doctorate in Physical Therapy from Samuel Merritt University in Oakland, California and completed my final internship at Lucile Packard Children’s Hospital, where I learned the intricacies of proving excellent patient care to children and their families. My experience working on the UC Davis Athletic Training team, as well as over 5 years of clinical experience, has helped me develop expertise in identifying movement dysfunction and choosing the best treatment methods for a variety of injuries for all ages. 

Over the past 3 years, I have also been treating infants and children, assisting in their gross motor development, so that they are able to play and participate in age-appropriate activities with their peers. I have had particular success in developing effective rehabilitation programs for children with developmental delay, positional plagiocephaly and a variety of sports-related injuries.

My goal as a physical therapist is to provide an individualized framework for healing based on current research and patient education.  I aim to facilitate the recovery and prevention of injuries for each patient, no matter what age, so that they may achieve their mobility goals.

I love educating patients about how their body moves and teaching them strategies to change dysfunctional movement patterns. I emphasize educating patients and families on their specific condition and how they will take an active role in the recovery process for optimal health and function. This approach to an interactive plan motivates me to be the best physical therapist I can be. I get great satisfaction in building collaborative partnerships focused on the achievement of life-long health and wellness with my patients

I am very excited for the opportunity to work in such a collaborative and interactive environment that promotes long-term health and wellness and I look forward to meeting each of you! Please feel free to contact me if you would like more information.

Sincerely,

Michelle Cotter, PT, DPT
Doctor of Physical Therapy