3DPT Celebrates 15 Years!

On August 18, 2026 3DPT officially turns 15! 
They say time flies when you’re having fun… these 15 years sure have flown and 3DPT has come a long way!

Fifteen Years of Growth

So how did 3DPT get to our 15th year? 

Founders Ken Guzzardo and Jeff Sallade started 3DPT wanting it to be the type of place where they would want to work and where they’d want their own families to go for physical therapy. Keeping that philosophy and our Core Values  top of mind has helped guide every decision over the years, from who we hire to how we work with our patients.

What started with just Ken and Jeff has grown into an amazing team who all feel the same way!
Each of 3DPT’s 15 partners values their clinic, their coworkers, their patients, and their communities; our therapists truly care about our patients’ well being and helping improve their quality of life; our front desk and aide staff really know how to make a patient feel welcome and important, and our billing and operations groups ensure our patients can focus on their physical therapy without having to worry about insurance coverage, scheduling and more.
(For the past 4 years 3DPT has been named a Top Workplace, an honor we don’t take lightly because it’s based entirely on feedback from the team itself!)

We also realized the importance of being involved in the communities where our clinics are located. In fact one of the best parts of being a small business is being a part of awesome communities alongside our patients and friends! We always want to bring value to our communities and to support our towns, neighbors and partner businesses however we can. 

Still the Same Mission

3DPT is now 14 clinics in Cherry Hill, Cinnaminson, Deptford, Franklinville, Haddon Heights, Haddon Township/Westmont, Hainesport, Jenkintown (PA), Medford, Newark (DE), Old City Philadelphia (PA), Tabernacle, West Berlin, and Williamstown as well as a specialty service company, 3DPT Pelvic Health.

That’s 15 amazing partners, more than 100 employees and thousands of the best patients who have helped make 3DPT the company it is today.

Looking forward to the future

Knowing how fast our first 15 years have gone, we’re looking forward to celebrating lots more over the next 15 years! We don’t know exactly what the future holds, but we plan on being here for a long time – owned and operated by the 3DPT family led by our mission and core values.

Thank you to all of you for your support!

Do I really need to warm-up?

Trust me, I get it…sometimes it’s hard enough getting out of a warm bed in the morning and getting yourself out the door to run. Adding an additional pre-run warm-up routine can seem like overkill!

As much as we don’t want to spend any extra time prepping for a run, a quick warm-up routine provides numerous benefits that are too good to skip out on. Research has shown that a targeted 5-minute warm-up routine can decrease injury risk, improve running economy, and even make your run feel easier. Why wouldn’t you want these boosts in performance for all of your runs?

How does a warm-up help?

A warm-up quite literally works by increasing your body’s core temperature. This increase in core body temperature will also increase the temperature and blood circulation to the muscles of your legs. This improved blood flow and muscle temperature will reduce muscle tension and muscle resistance thus improving muscle contraction, speed, and force. When a warm-up is performed correctly, it will also activate your nervous system and thus improve muscle coordination. By reducing muscle tension and improving muscle function, you drastically reduce the risk of injuring your muscles, tendons, or joints. 

The benefits don’t stop there. Due to the improved muscle contraction and nervous system coordination, you will experience a boost in running economy. This means that your muscles will require less energy to run at a specific pace resulting in an improvement in performance. Recent studies have supported these claims by showing significant improvements in running economy and running performance following a short warm-up. In addition to boosting your running economy, other studies have shown that an adequate warm-up makes your run feel easier than without performing a warm-up. A 2021 study showed that runners who warmed-up prior to running reported a significant reduction in perceived effort while running. Who wouldn’t want to run faster and feel better doing it?

What is the best way to warm-up?

Static stretching is widely used during warm-up routines for runners before heading out on the road. Static stretching is performed by stretching a muscle as far as possible and holding for a prolonged period of time, typically 30 seconds or longer. Unfortunately, research has shown that this particular type of stretch can actually negatively impact muscle function. Multiple studies have shown that performing static stretching during warm-ups impairs running performance, running economy, and can reduce maximal voluntary muscle strength and muscle power. 

Instead of warming-up with static stretching, a dynamic warm-up routine has proven to provide the most benefits prior to exercise. A dynamic warm-up includes actively and quickly stretching a muscle without a prolonged hold or over-pressure. This quick stretch/movement activates muscle spindles which in turn stimulates the nervous system, along with promoting blood flow to the activated muscle. 

It is recommended that a dynamic warm-up is performed after a few minutes of light jogging. With just a 5-10 minute routine, you can get all of the benefits on your next run.

I teamed up with Dave Welsh, owner of the South Jersey Running Company and US Indoor Masters Champion in the Mile, to show you our preferred dynamic warm-up routine before jumping into a workout. Take a look at this video to check it out.
(PS if you like the scenery in the video you have to check out the new track at the Camden Athletic Complex!!)

Mark and Dave’s Dynamic Warm-up Routine:

• Lateral Band Walks: Using a resistance band placed around your ankles or knees, stand in an athletic position and step to the side 10x and then step back to the starting position. This is used to activate the small muscles of the lateral glute that stabilize and keep your pelvis level while you run. 

• Hamstring Scoops: Straighten your leg and flex your foot towards you. Bend your trunk towards the ground and “scoop” your hands around your foot and return to standing. Perform on your opposite leg. Perform 10x each leg. This quick and dynamic stretch activates your hamstrings and calf muscles. 

• Controlled Marching into Stride: Stand tall and bring one knee up so that your thigh is parallel to the ground. Return your leg to the ground and perform on the opposite leg. (Make sure to swing your arms with the movement). Perform 10x each leg and transition into a stride. This drill focuses on activating your hip flexor muscles.

• Dynamic Marching into Stride: This drill is the same as the previous drill, but this time you are switching your leg before your opposite leg returns back to the ground. Perform 10x each leg and transition into a stride. This drill again activates the hip flexors but now engages the glutes and calf muscles. 

• “Buttkickers” into Stride: Start by actively bringing your foot towards your bottom. While your foot returns to the starting position, bring your opposite foot towards your bottom. Perform 10x each leg and transition into a stride. This drill will activate your quadriceps muscle on the front of your thigh. 

• B Skips into Stride: Start by bringing your leg up as stated in the dynamic marching drill. This time as you return your foot towards the ground, kick your foot away from your body as if you are trying to scrape the ground with your foot. Perform 10x each leg and transition into a stride. This drill is used to activate your hamstring muscles on the back of your thigh. 

References:

Faelli et. al. 2021. The Effect of Static and Dynamic Stretching during Warm-Up on Running Economy and Perception of Effort in Recreational Endurance Runners. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8391672/

Fradkin et. al. 2010. Effects of Warming-up on Physical Performance: A Systematic Review With Meta-analysis. https://journals.lww.com/nsca-jscr/fulltext/2010/01000/effects_of_warming_up_on_physical_performance__a.21.aspx 

Herman et. al. 2012. The effectiveness of neuromuscular warm-up strategies, that require no additional equipment, for preventing lower limb injuries during sports participation: a systematic review. https://bmcmedicine.biomedcentral.com/articles/10.1186/1741-7015-10-75

Young WB 2007. The use of static stretching in warm-up for training and competition. https://pubmed.ncbi.nlm.nih.gov/19124908/#:~:text=Static%20stretching%20(SS)%20is%20widely,of%20optimal%20warm%2Dup%20protocols.

Marking a Milestone, Making a Move!

In November 2016, Dr. Chuck Bachi opened the doors to 3DPT’s third clinic in his hometown of Haddon Township. Over the years the Haddon Township clinic has grown right alongside its patients with new equipment, an expanded space, and a growing team of amazing physical therapists, aides and front desk! Haddon Township local,  Mark Frasco joined the team a few years ago and is now a partner running the office and overseeing the expansion to Westmont. Chuck, moved over to the 3DPT Cherry Hill office but maintains a strong presence in his home town. 

Opening Day November 21, 2016

The start of something good in Haddon Township!

3DPT Westmont’s new home!

Now, in our 10th year, we’re making a move!

3DPT Haddon Township is moving to a new and improved clinic just down the street in Westmont. And in honor of the milestone, we’re updating our name to… 3DPT Westmont.

Here’s what it means for patients: same team, same approach to treatment, now with a bigger, more spacious clinic equipped with new equipment and technology. The best part…the new clinic is right around the corner (less than 1 mile away!), so patients won’t have to go far for the same care they’re used to!

Opening later this summer…

3DPT Westmont
Sentry Office Plaza
216 N. Haddon Avenue,
Haddon Township, NJ 08108

Mark and Chuck signing the lease!

Construction is underway!

Over the years, being part of the Haddon Township community has meant more than just treating patients in the clinic. We’ve loved getting involved with and sponsoring local soccer, Little League, and youth wrestling teams, offering scholarships to local high schoolers and cheering on the same kids and families who make up so much of our patient base. That involvement isn’t going anywhere! Being in Westmont just gives us a new home to keep showing up for the teams and organizations that make this area what it is.

After a decade, what hasn’t changed is what got us here in the first place: a team that loves what they do and patients who make it worth doing. We can’t wait to keep that going in the new space!

For questions about the move or to schedule an appointment,
don’t hesitate to call us at 856-240-7609.

A Higher Degree of Care

Over the years, we have had numerous 3DPT employees who worked as aides or at the front desk get accepted into graduate school for physical therapy and other healthcare graduate programs.  It is rewarding to be able to act as a stepping stone for all of these employees as they work their way towards their end goal of becoming healthcare providers.  We have 12 current employees that have been accepted into or graduated from higher education programs and we want to take this chance to recognize them and wish them all the best!

Mary-Kate
PT Aide, Medford

I am excited to be starting a position as a nurse at Jefferson Health at the end of the summer. Working at 3DPT has given me valuable experience and increased my confidence in patient care. Throughout my schooling, I received immense support from my coworkers, which allowed me to grow both personally and professionally. I am grateful for all the guidance 3DPT has provided.

Emmie
PT Aide, Medford

I recently graduated summa cum laude from Stockton University with a Bachelor of Science in Biology. Over the next year, I plan on building my clinical experience and applying to Physician Assistant programs. I am incredibly grateful for my time at 3DPT and for the amazing team that supported me along the way!

Shane
PT Aide, West Berlin

I graduated from Stockton University and am excited to have begun the Doctor of Physical Therapy program at Widener University. My time at 3DPT has given me valuable experience and strengthened my passion for physical therapy. I’m thankful for the mentorship and support I’ve received from the 3DPT. I look forward to continuing to learn and grow as I work toward becoming a physical therapist.

Danielle
PT Aide, West Berlin

I recently graduated from Rowan University and received my Bachelor’s in Exercise Science. This summer, I am starting the DPT Program at Seton Hall University. My time at 3DPT has taught me everything from making patient connections to individualizing care. I am so excited to start this new chapter of my life with help from 3DPT!

Olivia
Front Desk, Cherry Hill

I will be attending Drexel’s Accelerated Nursing Program this upcoming fall. 3DPT has helped me so much along the way with providing lots of support and encouragement, as well as, giving me lots of knowledge about the healthcare field and patient interactions that will help me immensely in the future.

Hannah S.
PT Aide, Tabernacle

I will be attending Drexel University’s DPT program this fall. 3DPT has given me the ability to build many relationships with amazing PT’s who have helped me so much throughout my application process and journey to starting PT school. They continue to give me advice that will stick with me for the rest of my career!

Molly Cate
PT Aide, Hainesport

I am excited to continue my education at Widener University in the Doctor of Physical Therapy program starting this June. 3 Dimensional Physical Therapy has played a huge role in helping me get to where I am today. The PTs and staff at the Hainesport office guided me throughout my time there and gave me so much experience and advice that helped shape my future goals. I am very thankful for everything the Hainesport team has done for me and for helping prepare me for the next step in my journey. Kaitlin Ley, Carlie Strazzullo, Madison Critchfield, Kristen McCloskey, Pat Giaquinto, Jeff Sallade and Ken Guzzardo, thank you for everything you have done for me.

Lauren
PT Aide, Haddon Heights

I will be starting the PTA program at RCSJ this upcoming fall. 3DPT has helped me by giving me a ton of first hand experience in the field. It has allowed me to take a few years after receiving my Bachelor’s degree to really figure out what I want to do with my future. Along the way, I have gained so much knowledge by working closely with the PTs in Haddon Heights. Everyone is so happy to answer questions and willing to help me learn that I feel like I am already a step ahead heading into this next chapter!

Jeremy
PT Aide, Haddon Heights

I will be attending Arcadia University’s Physical Therapy Program in August. 3DPT has been a tremendous help in my journey. The many therapists I have worked with helped improve my knowledge in the profession and I am going to PT school with some confidence on what to expect and how to handle the situations that are to come.

Shikha
PT Aide, Cinnaminson

I am grateful to be attending the DPT program at Thomas Jefferson University in Center City. I am so thankful for all that I’ve learned at 3DPT. I am especially thankful for the support of all the PT’s and our patients. These relationships are what drive me.

Caroline
PT Aide, Jenkintown

This fall, I will be attending the Doctor of Physical Therapy program at Arcadia University. 3DPT gave me valuable hands-on experience working with patients and learning from physical therapists, helping build my clinical skills and confidence as I prepare for PT school. After earning my DPT, I hope to work as a travel physical therapist and gain experience in a variety of settings across the country.

Hannah R.
PT Aide, Jenkintown

Now that I have graduated my undergraduate degree in Biology with a Spanish minor from Arcadia University, I will return there in August for PT school! 3DPT has helped me in numerous ways, the most impactful being solidifying my passion for the PT profession.

Congratulations to everyone! We know you are on your way to something great!

How the Tactical Athlete Program Is Changing the Way Firefighters Train and Recover

A Foundation Built on Service

Introducing the Tactical Athlete Program

The Tactical Athlete Program was developed with the goal of bridging the gap between rehabilitation, injury prevention, and performance optimization for this population. The purpose of the program is not only to help firefighters recover from injury, but also to proactively improve movement efficiency, physical resilience, and career longevity. Through targeted mobility interventions, strength and conditioning programming, movement assessment, cardiovascular conditioning, and recovery education, the program aims to reduce injury risk while enhancing occupational performance capacity.

The Physical Reality

Firefighters represent one of the most physically demanding populations within the tactical athlete community. The occupational requirements of lifting heavy equipment, carrying loads upstairs, operating in awkward environments, performing repetitive bending and climbing tasks, and responding under high-stress conditions place significant strain on the musculoskeletal and cardiovascular systems. Additionally, firefighters are frequently expected to perform these physically demanding tasks while fatigued, sleep deprived, and wearing external loads that substantially increase physiological stress. Despite these demands, many firefighters receive limited education or structured guidance regarding injury prevention, recovery strategies, movement quality, and evidence-based strength and conditioning principles specific to their occupational needs.

Training That Reflects the Demands of the Profession

A major focus of the program is increasing awareness surrounding the importance of structured training that reflects the actual demands of the profession. Tactical athletes should not train like traditional gym-goers; their physical preparation must account for load carriage, muscular endurance, work capacity, power production, mobility, and fatigue resistance in environments that closely resemble occupational tasks. By implementing evidence-based physical training principles and emphasizing early identification of movement dysfunctions, firefighters can improve durability and maintain a higher level of function throughout the span of their careers.

A Personal Mission, A Professional Purpose

Ultimately, this program reflects both a professional mission and a personal passion: to serve the tactical athlete community by helping individuals move better, perform at a higher level, and sustain long, healthy careers in service to others.

Why Is My Hand or Elbow Numb or Tingling?

Experiencing numbness or tingling in your upper extremity can be uncomfortable—and sometimes concerning. Whether it comes and goes or feels constant, these sensations are often your body’s way of signaling that something isn’t functioning properly.

The good news? In many cases, hand numbness and tingling can be treated effectively—especially when addressed early.

What Are Some Causes of Numbness or Tingling?

1. Carpal Tunnel Syndrome

One of the most common causes of hand numbness – carpal tunnel syndrome occurs when the median nerve is compressed at the wrist.

Common symptoms include:

• Numbness or tingling in the thumb, index, middle and half of the ring finger
• Symptoms that worsen at night
• Weakness or difficulty gripping objects
• Clumsiness with manipulating small objects

2. Cubital Tunnel Syndrome

This condition involves compression of the ulnar nerve at the elbow.

You may notice:

• Tingling in the ring and small fingers
• Symptoms when your elbow is bent (like when using your phone or sleeping)
• Hand weakness or clumsiness
• Weakness with gripping objects

3. Pinched Nerve in the Neck

Sometimes the issue doesn’t start in the hand at all. Nerves that originate in the neck can become compressed, leading to symptoms that travel down the arm.

Signs may include:

• Tingling that radiates from the neck or shoulder into the hand
• Pain or stiffness in the neck
• Symptoms that change with head or neck movement

4. Overuse or Repetitive Strain

Frequent use of your hands—especially for typing, texting, or manual work—can irritate surrounding tissues and nerves.

5. Other Medical Conditions

Less commonly, numbness and tingling may be related to:

• Diabetes
• Arthritis
• Poor circulation

How Can Hand Therapy Help?

Occupational therapists and Certified Hand Therapists (CHTs) are trained to evaluate and treat conditions affecting the upper extremity.

Treatment may include:

• Customized splinting to relieve pressure on nerves
• Targeted exercises to improve strength, mobility and fine motor coordination
• Nerve gliding techniques
• Education on posture and activity modification

The goal is to reduce symptoms, restore function, and help you return to your daily activities without pain or limitation.

Ready to Find Relief?

If you’re experiencing hand numbness or tingling, our team is here to help. A personalized evaluation can identify the cause of your symptoms and create a plan to get you back to feeling your best.

From the Diamond to Delaware: My journey to 3DPT Newark!

From as early as I can remember, I’ve always loved to move. That passion naturally led me to sports and athletics at a young age. Growing up, I played baseball, basketball, and football at a competitive level—if there was a game being played, I wanted to be a part of it. But baseball was always my first love.

I grew up in Lancaster, Pennsylvania, and attended Conestoga Valley High School, where I competed in both basketball and baseball. During that time, I was introduced to strength and conditioning training, and it quickly became another passion of mine. I loved not only playing sports, but also the process of preparing for them—getting stronger, improving mobility, and finding ways to perform at a higher level.

That passion sparked a deeper interest in human anatomy and physiology. I became fascinated by how the body moves, heals, and adapts. During an internship class, I had the opportunity to shadow a physical therapist, and that experience planted the seed for what would eventually become my career path.

I was fortunate enough to continue my baseball career at the collegiate level, beginning at Cecil College in North East, Maryland. After a successful freshman year, I took a major leap forward as a pitcher and began drawing interest from several NCAA Division I programs, including the University of Pittsburgh, St. John’s, and Old Dominion, along with MLB organizations such as the Philadelphia Phillies, Washington Nationals, Kansas City Royals, and New York Mets.

Just when everything seemed to be lining up, I hit one of the biggest challenges of my life—I ruptured my ulnar collateral ligament (UCL) in my throwing elbow, requiring reconstructive surgery better known as Tommy John surgery.

What felt like the ultimate high quickly became one of my lowest moments, but experiencing an injury and the long road of rehabilitation changed my outlook on not only my career path, but the importance of health and strength. It deepened my passion for training, recovery, and human performance, while also strengthening my desire to become a physical therapist. Rehabilitation showed me firsthand how powerful the right guidance, support, and treatment could be—not just physically, but mentally and emotionally as well.

After multiple transfers and plenty of challenges, I finished my collegiate baseball career at Indiana University Southeast in New Albany, Indiana, where I earned my Bachelor’s degree in Biology with a minor in Chemistry. I ended my baseball journey with a workout for the Pittsburgh Pirates—a full-circle moment that reminded me how far the journey had taken me.

From there, I began the Doctor of Physical Therapy program at Arcadia University, where I was introduced to 3 Dimensional Physical Therapy. I consistently heard incredible things about the company’s culture, mentorship, and commitment to patient care. One of my adjunct professors, Jessica Valloreo, helped solidify 3DPT as a top choice for my clinical placements.

I had the opportunity to complete clinical rotations at both the Medford and Tabernacle locations of 3-Dimensional Physical Therapy. In Medford, I learned from an incredible team of clinicians and immediately connected with the culture—one centered around exceptional patient care, strong community relationships, and genuine support among coworkers. It was there that I realized I wanted to be part of something bigger than just a clinic.

In Tabernacle, I worked closely with Joe Montalvo (who recently opened the 3DPT Franklinville office!) Watching him build relationships and create impact within a community sparked the vision of one day doing the same in a community closer to home for my wife and myself.

In December 2022, I was offered a position at the Haddon Heights location, where I had the opportunity to work under Jessica Valloreo—another full-circle moment. Shortly after graduating from Arcadia, I also began a sports residency, allowing me to merge my professional passion with my lifelong love of athletics.

Through mentorship from Jessica Valloreo and Chuck Bachi, I gained a deeper appreciation for what truly sets 3DPT apart: a commitment to excellence in patient care, clinician growth, and leadership development. Participating in the 3DPT leadership program further fueled both my personal and professional growth and pushed me closer to one of my biggest goals—owning my own practice.

Today, my wife, daughter and I live in Chesapeake City, Maryland, and I am incredibly excited for the opportunity to plant roots in the Newark, Delaware community. My goal is simple: to help people move better, feel stronger, and get back to living the life they want to live.

What I love most about physical therapy is showing people what they are truly capable of. My own journey has been filled with highs and lows, setbacks and opportunities, but every challenge taught me something valuable. One of the most exciting parts of physical therapy is being the detective—finding the true root cause of dysfunction instead of simply treating symptoms. When we solve the real problem, we create lasting change, not temporary relief.

That is what physical therapy is all about.

I am incredibly excited to become part of the Newark community and to serve the people around me—whether that’s working with local athletes, families, business owners, physicians, or individuals simply trying to get back to everyday life without pain.

I want to help build stronger relationships, support healthier movement, and make a lasting impact throughout the Del-Mar region.

Life, much like rehabilitation, comes with setbacks. But one thing I have learned through my own journey is that people are incredibly resilient. We are all capable of achieving extraordinary things with the right support, guidance, and belief in ourselves.

I’m excited to help this community do exactly that.

3DPT Newark
302-605-0577
Four Seasons Plaza
646 Plaza Drive, Suite 12
Newark, DE 19702

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. It occurs when the plantar fascia, a thick band of tissue that runs along the bottom of your foot, becomes irritated or inflamed.

Most people describe it as a sharp, stabbing pain in the heel, especially with the first steps in the morning or after long periods of sitting. It may improve as you move around, but can return after prolonged standing, walking, or exercise.

Common Causes

Plantar fasciitis usually develops over time due to repetitive stress. Some of the most common contributing factors include:

• Increased activity (running, walking, or standing more than usual)
• Tight calves or limited ankle mobility
• Poor foot mechanics (flat feet or high arches)
• Unsupportive footwear
• Prolonged standing (especially on hard surfaces)

How Physical Therapy Can Help
At its core, plantar fasciitis is not just a “foot problem,” it’s often related to mobility, strength, and movement patterns throughout the entire lower body.

Physical therapy focuses on addressing the root cause, not just the symptoms.

At 3DPT, treatment may include:

• Improving ankle and foot mobility
• Strengthening the foot, calf, and hip muscles
• Correcting movement patterns that overload the plantar fascia
• Gradually returning you to walking, running, or workouts without pain

The goal is not just short-term relief, but long-term prevention.

Common Treatments for Plantar Fasciitis
Your plan of care will be individualized, but may include:

Stretching

• Calf stretches
• Plantar fascia-specific stretches
  • These help reduce tension on the heel and improve flexibility.

Strengthening

• Foot intrinsic muscle exercises
• Calf strengthening
• Balance and stability work

Manual Therapy
Hands-on techniques may be used to improve tissue mobility and decrease irritation.

Activity Modification
We help you stay active while avoiding movements that continue to aggravate your symptoms.

Education & Footwear Guidance
Simple changes like wearing more supportive shoes or adjusting your daily habits can make a big difference. Check out this resource for specific exercises to do for plantar fasciitis!

How Long Does Hand Therapy Take?

If you’re dealing with hand pain, stiffness, or recovering from an injury or surgery, one of the first questions you may have is: “How long will hand therapy take?”

The honest answer is—it depends. Every patient and every condition is different, but there are general timelines that can help set expectations.

What Affects How Long Hand Therapy Takes?

Several factors influence your recovery timeline, including:

1. Type of Injury or Condition
A mild strain or tendon irritation may improve within a few weeks, while more complex conditions like fractures, tendon repairs, or nerve injuries can take several months.

2. Surgery vs. Non-Surgical Treatment
If you’ve had surgery, your therapy timeline is typically longer. Post-operative protocols are carefully structured to protect healing tissues while gradually restoring motion and strength.

3. Severity of Symptoms
More severe pain, stiffness, or swelling often requires more time and consistency in therapy.

4. Consistency with Therapy
Patients who attend sessions regularly and follow their home exercise program tend to recover faster and more effectively.

What Happens During Hand Therapy?

Hand therapy focuses on restoring function so you can get back to your daily activities as quickly and safely as possible. Treatment may include:

• Customized exercises to improve motion, strength and fine motor coordination
• Hands-on techniques to reduce stiffness and pain
• Education on activity modification to prevent re-injury
• Swelling and scar management
• Splinting or bracing when needed

When Will I Be “Back to Normal”?

Recovery doesn’t always mean 100% back to where you were before—but the goal is to get you as close as possible, safely and efficiently.

Many patients begin to notice improvements within the first few sessions, but full recovery takes time. Progress is often gradual, not overnight.

The Bottom Line

Hand therapy timelines vary, but with the right plan and commitment, most patients see significant improvement in function, pain, and strength.

If you’re unsure what your recovery may look like, the best first step is an evaluation with a hand therapist who can create a personalized plan for you.

At 3DPT, our certified hand therapists and occupational therapists specialize in helping you recover faster and get back to what you love.

Can Hand Therapy Prevent Surgery?

Not every condition requires surgery. In fact, many common hand and wrist issues respond well to conservative (non-surgical) treatment, especially when addressed early.

Hand therapy is a specialized area of rehabilitation focused on treating conditions affecting the hands, wrists, elbows and shoulders. It combines therapeutic exercises, manual techniques, splinting, and education to reduce pain and stiffness & restore movement, strength, and daily function.

Hand therapy may help prevent surgery for conditions such as:

• Carpal Tunnel Syndrome
• Lateral epicondylitis or medial epicondylitis
• Tendonitis (like De Quervain’s)
• Trigger Finger
• Arthritis 
• Sprains or strains

The earlier you address hand or wrist pain, the better your chances of avoiding more invasive treatments. Ignoring symptoms can allow conditions to worsen.

When Surgery Might Still Be Needed

While hand therapy is highly effective, there are cases where surgery may still be necessary. Severe nerve compression, advanced arthritis, or complete tendon injuries may require surgical intervention.

However, even in these situations, hand therapy plays an important role both before and after surgery to improve outcomes and speed up recovery.

Take the First Step Toward Relief

Hand therapy is a safe, effective, and often overlooked option that can help you get back to doing what you love. We would be happy to schedule an evaluation today or find a location near you to get started.

Why Pelvic Floor Physical Therapy = Self Care

The pelvic floor is a group of muscles, ligaments, and connective tissues that sit at the bottom of your pelvis—kind of like a supportive hammock. These muscles hold up important organs such as the bladder, rectum, intestines, and (in women) the uterus, and they help control when you go to the bathroom. The pelvic floor is the “floor” of your core system. 

Why your pelvic floor matters in daily life 

Your pelvic floor is working all the time, even if you don’t notice it. It affects: 

• Bladder and bowel control : Helping you hold in urine and stool—and release them when you’re ready.
• Core strength and stability: The pelvic floor is part of your core system (along with your abdominals and back muscles), helping with balance, posture, and everyday movements like lifting or exercising.
• Sexual function: Healthy pelvic floor muscles contribute to sensation, comfort, and function during sex. 
• Support for organs: The pelvic floor keeps your pelvic organs in the right position and prevents issues like heaviness or pressure. 
• Comfort and pain levels: If these muscles are too tight, weak, or uncoordinated, it can lead to pelvic pain, lower back pain, or discomfort during daily activities. 

When something’s off 

If the pelvic floor isn’t working properly, you might notice: 

• Leaking urine when you cough, sneeze, or exercise 
• Frequent urges to go to the bathroom 
• Constipation or straining 
• Pelvic pressure or heaviness 
• Low back, hip, or pelvic pain with sitting, movement, or intimacy 

In short, the pelvic floor plays a big role in basic, everyday functions—so when it’s not working well, it can impact comfort, confidence, and quality of life.

Do you need Pelvic Floor Physical Therapy? 

Common reasons to see a Pelvic Floor Physical Therapist 

• Urinary leakage with sneezing, laughing, running or anytime!
• Urinary urgency, pressure or heaviness
• Frequent urination 
• Constipation 
• Fecal incontinence 
• Low back or hip pain 
• Pelvic pain 
• Sexual Dysfunction or pain with intimacy
• Pelvic Floor Dysfunction 
• Diastasis Recti 
• Endometriosis 
• Interstitial Cystitis 
• Polycystic Ovary Syndrome (PCOS) 
• Pregnancy: Labor and Delivery preparation 
• Postpartum care 

Pelvic floor PT gives you the proper tools to recover and is foundation for feeling strong, confident, and fully you, from the inside out.

Unsure if Pelvic Floor Physical Therapy is right for you?
Schedule a 15 minute consultation with a 3D Pelvic Health therapist to discuss your options!

Do I Need Occupational Therapy for Hand Pain?

Occupational therapists, who specialize in hand therapy, focus on restoring upper extremity function for maximum independence in everyday activities.

Treatment may include:

• Customized exercise program to improve strength and mobility
• Manual techniques to reduce pain and stiffness
• Splinting or bracing to improve positioning and allow healing
• Education on activity modification, joint conservation techniques and ergonomics
• Guidance for safe return to work, hobbies, and sports

What Causes Hand Pain?

Hand pain can come from a variety of conditions, including:

• Fractures
• Arthritis
• Tendonitis
• Carpal tunnel syndrome or cubital tunnel syndrome
• Trigger finger
• Post-surgical recovery

Because the hand is made up of many small joints, tendons, and nerves, even minor issues can have a big impact on function.

When Should You See an Occupational Therapist?

You may benefit from occupational therapy if:

Your pain is not improving:
If your symptoms have lasted more than 2-3 weeks without improvement, it’s a sign that your body may need help recovering.

Daily tasks are becoming difficult:
If you are having difficulty with daily tasks such as: writing, cooking, typing, or getting dressed, we would be happy to help you improve your function. 

You notice weakness, stiffness, or decreased motion:
Loss of grip strength or limited movement can lead to long-term issues if left untreated.

You experience numbness or tingling:
This may indicate nerve involvement, such as carpal tunnel syndrome or cubital tunnel syndrome, and should be addressed early.

You’ve had a recent injury or surgery:
Guided rehabilitation is essential to ensure proper healing and to restore full function safely.

Ready to Get Started?

If you’re experiencing any of these symptoms, don’t wait for them to worsen. Our team at 3DPT is here to help you regain function and get back to doing what you love. Click below to learn more and to schedule an appointment!

When Should You See a Hand Therapist?

Your hands and upper extremities are essential for nearly everything you do— buttoning a shirt, driving, typing, reaching an object overhead, cooking a meal, etc. When pain, stiffness, or weakness starts to interfere, it may be time to see a hand therapist.

A Certified Hand Therapist (CHT) is a specialized occupational or physical therapist trained to evaluate and treat conditions affecting the hand, wrist, elbow and shoulder. But how do you know when it’s the right time to seek care?

Common Signs You Should See a Hand Therapist

1. Persistent Pain in the Hand, Wrist, Elbow or Shoulder

If you’re experiencing pain that lasts more than a few days or continues to return, it shouldn’t be ignored. Conditions like tendonitis, arthritis, or nerve compression can worsen over time without proper treatment.

2. Numbness or Tingling

Numbness or Tingling – the “pins and needles” or burning sensation – in your upper extremity may be a sign of nerve involvement, such as carpal tunnel syndrome. Early treatment can prevent long-term damage and improve recovery outcomes.

3. Weakness or Difficulty Gripping

If you notice a decrease in grip strength—like struggling to hold objects, open containers, or carry items—this could indicate joint, muscle, or nerve dysfunction that a hand therapist can address.

4. Limited Range of Motion or Stiffness

Difficulty bending or straightening your fingers, wrist, elbow or shoulder may result from injury, inflammation, or conditions (such as trigger finger, arthritis or frozen shoulder.) Hand therapy focuses on restoring mobility safely and effectively.

5. Recovery After Injury or Surgery

Whether you’ve had a fracture, tendon injury, or surgery, hand therapy plays a critical role in recovery. A structured rehabilitation plan helps restore strength, motion, and function while reducing the risk of complications.

6. Difficulty Performing Daily Activities

If everyday tasks—like typing, cooking, or getting dressed—become painful or challenging, it’s a clear sign your hand function needs attention.

How Hand Therapy Can Help

At 3DPT, our hand therapy specialists create individualized treatment plans that may include:

• Targeted exercises to reduce pain and inflammation & improve strength and flexibility 
• Manual therapy techniques
• Custom splinting when needed
• Activity modification and ergonomic education

Our goal is simple: to help you return to the activities you love—pain-free and with confidence.

Ready to Get Started?

If you’re experiencing any of these symptoms, don’t wait for them to worsen. Our team at 3DPT is here to help you regain function and get back to doing what you love. Click below to learn more and to schedule an appointment!

Know It All Nutrition joins 3DPT Medford

Starting Monday, March 16, 2026 Know It All Nutrition will be seeing patients at the 3DPT Medford clinic
Know It All currently has a location in Marlton and is excited to join the Medford community alongside 3DPT!
Learn more about the team!

Know It All Nutrition was founded by Registered Dietitian Nutritionists (RDN’s) Lynne Nugent and Lisa Staas, who have been working together for over 14 years serving the South Jersey community. Their mission is to help clients develop realistic, sustainable nutrition habits that support recovery, strength, performance, and long-term health.

Growing up on the Jersey Shore, Lynne developed an early appreciation for an active, outdoor lifestyle that sparked her lifelong passion for health and nutrition. When she’s not working with clients, Lynne enjoys spending time with her family, relaxing at the beach, gardening, reading, and running—especially along the shoreline that helped inspire her career path.

Lynne has more than 20 years of experience in the field of nutrition. In 2012, she followed her dream of opening a private practice with her colleague and friend, Lisa. Lynne has made a lifelong commitment to helping others achieve their healthiest and strongest selves. She creates a relaxed, supportive, and non-judgmental environment, allowing clients to feel comfortable discussing the physical and emotional factors that often contribute to chronic health concerns.

As a Registered Dietitian Nutritionist, Lynne provides practical, sustainable nutrition guidance, helping clients create simple, realistic meals while avoiding fad diets and quick fixes. She is dedicated to delivering individualized, evidence-based care that reflects the core philosophy of Know It All Nutrition.

Before entering private practice, Lynne worked as a clinical dietitian in ICU and surgical hospital settings and later managed outpatient nutrition services in the community. She also helped create, develop and manage weight management and bariatric programs and holds a Certificate of Training in Adult Weight Management from the Academy of Nutrition and Dietetics. Lynne and many of her clients are proud to have been featured over the years in various magazine and newspaper publications.

Lisa’s interest in nutrition began in high school when her mother had her first heart attack at the age of 39. This life event allowed Lisa to recognize the important role that nutrition and health play in one’s quality of life. In college, her interest in nutrition and wellness grew from a desire to stay healthy into a true passion to help others to do the same.

Throughout her professional career, Lisa has worked in various areas of nutrition. Over the years, Lisa has teamed with personal trainers to develop weight management programs at organizations such as The Academy of Vocal Arts in Philadelphia and the Burlington County YMCA.

Lisa’s interest in weight management and obesity also led her to her work with clients in Adult Weight Management programs in a large South Jersey health system.  

Lisa’s passion for leading her clients to health and wellness ultimately led her to creating Know It All Nutrition with friend and co-owner, Lynne Nugent. 

Lisa counsels individual clients, teaches group nutrition classes and is focused on developing individualized plans for clients taking GLP-1 medications looking to maximize their goals.  Her devotion to nutrition education counseling leads clients toward mindful eating, falling in love with the benefits of a healthy lifestyle and achieving acceptance for what it takes to reach and maintain goals.

Nutrition plays a powerful role in recovery, strength, bone health, and overall performance—especially when paired with physical therapy.

Know It All Nutrition offers personalized, evidence-based nutrition counseling on site to support your physical therapy goals and long-term health. Some of their services include nutrition management for GLP-1 medications, weight, blood sugar, blood pressure, cholesterol, sports nutrition, inflammation, and gastrointestinal issues to name a few. They also provide body composition analysis using a bioelectrical impedance scale and a comprehensive review of your blood work to help guide a plan tailored specifically to you.

Their goal is simple: to help you Know It All about Nutrition—in a way that works for your body and your lifestyle. In person and Telehealth appointments are offered. Most Insurances Accepted.  

Follow Know It All on social media for upcoming tips and recipes.

To schedule an appointment: Request a call back at 856-626-0040 or email them at info@knowitallnutrition.com

A little bit about the owners:

Lynne Nugent’s Education & Affiliations

Lynne’s dietetic education began at Montclair State University, where she received her Bachelor of Science degree in nutrition and dietetics. She completed her dietetic internship at the College of Saint Elizabeth in Morristown, NJ. Her numerous certifications and achievements make her stand out in the world of dietary professionals: she is a registered dietitian nutritionist; she holds a certificate of Training Adult Weight Management from the Academy of Nutrition and Dietetics; she is a member of the NJ Dietetic Association and Academy of Nutrition and Dietetics, and a member of the Weight Management, Dietitians in Business and Nutrition Entrepreneur sub-specialty groups.

Lisa Staas’ Education & Affiliations

Lisa received her Bachelors Degree from the University of Delaware.  Lisa holds a MS in Health Education, with a concentration in Nutrition Marketing from Saint Joseph’s University in Philadelphia, Pennsylvania. Lisa holds a certificate of Training in Adult Weight Management  from the Academy of Nutrition and Dietetics.

Lisa is a member of the Academy of Nutrition and Dietetics and a member of the New Jersey Dietetic Association. Lisa has actively worked on assisting the organization to obtain state licensure for Dietitians and Nutritionists.

My Future in Franklinville

Growing up, basketball quickly became a year-round obsession for me. I competed at Northern Burlington County Regional High School before continuing my career at Rowan University. During my time at Rowan, I realized that if I wanted to reach my full potential, I needed to commit not only to skill development but also to strength and conditioning. That pursuit sparked a deeper interest in anatomy, physiology, and human movement. What began as a desire to become a better athlete evolved into a passion for helping others do the same—ultimately leading me to a career in physical therapy.

While attending Arcadia University for PT school I was able to learn from Dr. Jessica Valloreo, who was an adjunct/lab professor during my time there and that put 3DPT on my radar. Classmates who had done their clinical rotations with 3DPT spoke volumes about their experience which furthered my interest in the company. When the opportunity arose to interview with 3DPT, I jumped at it—even though I had just started my career at another practice a few weeks earlier. Very early in the interview process, I knew that if given the opportunity, this was where I wanted to build my career.

My journey with 3DPT began in June 2021 at the Tabernacle office.  During my time in Tabernacle, I grew tremendously as both a clinician and a leader. Learning under both Dr. Carlie Strazullo and Dr. Katy Stieber was greatly beneficial for me. Both of them provided me with opportunities to grow and I looked to embrace each opportunity —serving as a clinical instructor for PT students, participating in the 3DPT Leadership Program, and stepping into the role of Athletic Liaison for the clinic and Seneca Highschool. Each experience deepened my passion for patient care while expanding my vision for what I could contribute beyond the treatment table. Over time, the question shifted from “What’s next?” to “How can I create something meaningful?” Becoming a Clinic Partner became the clear next step.

What excites me most about physical therapy is the challenge each patient presents. There is often far more to the story than what is written on a prescription. I take pride in digging deeper, identifying root causes, and developing individualized plans that create lasting change—not just temporary relief. Helping someone return to the sport they love, get back to work, or simply move without pain is incredibly rewarding.

Opening a 3DPT clinic in Franklinville is more than a professional milestone—it’s a meaningful opportunity to invest in a community. I am excited to build relationships with local families, athletes, physicians, and organizations, and to create a space where people feel supported, heard, and empowered in their recovery. My goal is to establish a clinic culture centered on trust, accountability, and excellence—where patients know they are our priority and where long-term health, not just short-term fixes, drives our care.

I look forward to becoming an active member of the Franklinville community and bringing the same energy, dedication, and patient-first mindset that has shaped my journey thus far. This next chapter represents growth, opportunity, and the chance to make a lasting impact—and I couldn’t be more excited to get started.

3DPT Franklinville
856-328-7547
225 Delsea Drive, Suite 6
Franklinville, NJ 08322

Non-surgical treatment for ACL tears: Are you a Coper?

Torn ACL: Do You Really Need Surgery?

Hearing that you’ve torn your ACL can be overwhelming. Many people assume surgery is the only option—especially if they’re active. But the truth is more nuanced. For some people, structured physical therapy alone can lead to excellent outcomes, even without ACL reconstruction.

Let’s break down what that means, who it applies to, and how physical therapy fits into the decision.

What Does the ACL Do?

The ACL (Anterior Cruciate Ligament) provides stability to the knee. Tearing the ACL can cause giving way during sports or buckling while walking down the street. 

When it tears, people may experience:

• Knee “giving way”
• Instability during sport
• Difficulty with cutting, pivoting or quick direction changes
  

While surgery can restore mechanical stability, it’s not the only path to regaining function.

Can You Recover Without Surgery?

Yes—some people can. Research over the last decade has shown that carefully selected patients can achieve similar pain relief, function, and quality of life with physical therapy alone compared to surgery. These individuals are often called “copers.” Copers are people who can stabilize their knee using strength, coordination, and neuromuscular control—even without an ACL.

What the Research Says 

• A large review of studies published in 2023 found that many patients with isolated ACL tears had similar long-term outcomes whether they chose surgery or high-quality rehabilitation

• A 2024 review of multiple studies showed:

  • Patient-reported outcomes (how the knee feels and functions) were often similar with or without surgery

  • Surgery improved mechanical stability, but that didn’t always mean better day-to-day function

  • Some people returned to activity just as successfully with rehab alone

👉 The takeaway: Surgery isn’t automatically required for everyone.

Who Might Be a Good Candidate for Non-Surgical Rehab?

You may be a good candidate for rehab-first treatment if you:

• Have an isolated ACL tear (no major damage to other knee ligaments or meniscus)

• Can fully straighten and bend your knee without pain

• Have minimal or no swelling

• Can regain good quadriceps strength
• Don’t experience frequent episodes of the knee “giving way”
  

At 3DPT, we use objective testing—not guesswork—to help guide this decision.

How Do We Decide? The Coper Screening Process

Before recommending non-surgical rehab, we perform a structured screening that may include:

• Single-leg hop tests

• Strength testing

• Functional questionnaires

• Discussion of your activity goals

If you meet specific criteria, physical therapy may be a safe and effective first step. If not, we help guide you back to your orthopedic provider with clear information.

What Does Physical Therapy Look Like?

Rehab for ACL copers goes beyond basic strengthening. It includes:

• Progressive strengthening of the hips and legs

• Balance and coordination training

• Agility and sport-specific drills

• Perturbation training (controlled challenges that teach your knee to react and stabilize)

The goal isn’t just to get stronger—it’s to teach your body how to protect your knee during real-world movement.

Examples of Perturbation Training:

What If You Want to Return to Sports?

Many people can return to recreational activities—and even some sports—without surgery.
However:

• Athletes in high-demand sports involving cutting and pivoting (soccer, basketball, football) may still choose surgery

• Others may successfully return with rehab alone, depending on their response to therapy and goals

There is no single “right” answer—only the right answer for you.

Example of a single-leg hop test:

The Bottom Line

An ACL tear does not automatically mean surgery.

With proper evaluation, evidence-based physical therapy, and shared decision-making:

• Some people can avoid surgery altogether

• Others may choose surgery knowing they explored all options first

• Everyone benefits from high-quality rehab—before or after surgery

At 3DPT our role is to help you understand your options, guide you through the evidence, and support the decision that best fits your life and goals.

If you’ve been told you need ACL surgery or aren’t sure what your next step should be, we’re happy to help you navigate the process. Click below to schedule an evaluation with a 3DPT physical therapist!

More Space. More Innovation. More Care: The new and improved 3DPT Medford

Incredibly, 3DPT will celebrate our 15th anniversary in 2026! Time sure does fly when you’re having fun!
Back in August 2011, 3DPT’s very first treatment session actually took place in co-founder, Jeff Sallade’s living room! Less than a year later Jeff and his partner, Ken Guzzardo opened up the very first 3DPT clinic in Medford, NJ with just the two of them and 1 office manager. Now 15 years later the 3DPT family has grown to 12 clinics (with 2 more on the way this year) and a team of amazing physical therapists, front desk personnel, PT aides, and operations, billing and marketing departments!

3DPT Medford will always hold a special place as our first clinic. Over the years, we’ve expanded the space, renovated and gotten new equipment to better serve our patients. It’s been great but…there’s always room for improvement, and this year we’ve made a big improvement!

Over the last few months, 3DPT Medford has undergone an extreme makeover and expansion! We’ve doubled the size of our original clinic, designing the space around a better rehab experience for our patients and added some great new equipment and features.

So what’s new?

Balance & Gait Training Area

Our Balance and Gait Training Area is a dedicated space designed to safely assess and improve stability, coordination, and walking mechanics. Equipped with specialized tools and parallel bars, this area allows PTs to address balance deficits, fall risk, post-injury recovery, and neurological conditions.

Advanced Strength Equipment

New strength equipment, like a squat rack, will be used to support higher-level rehabilitation, performance training, and long-term strength development to provide a safe progression from rehab to performance

Indoor Turf

Turf-based training prepares athletes for real-game demands through controlled, sport-specific movement.

Golf Simulator

Personalized golf performance assessments with a golf simulator allow golfers to train smarter with swing analyses and performance metrics

AlterG® Anti-Gravity Treadmill

The AlterG® Anti-Gravity Treadmill reduces joint impact while preserving natural movement, allowing for a safer, earlier return to walking and running across athletic, post-surgical, and orthopedic rehab.

Private treatment areas for 3DPT Pelvic Health and Dry Needling

3DPT Pelvic Health will now be relocating from our Tabernacle clinic to Medford (in addition to Haddon Heights) with a larger, more private treatment area.

We’ve also added more private rooms for services such as Dry Needling!

We’re excited about all the changes and upgrades to 3DPT Medford! The new space and advanced equipment will help us to better serve our patients at every stage of recovery and performance. This growth allows us to deliver more individualized care, progress treatment more effectively, and create a safer, more functional environment for real-life movement. Ultimately, the expansion reflects our commitment to helping our community move better, stronger, and with greater confidence!

Want to see the new space for yourself?

Join us at our 3DPT Medford Grand Re-Opening event on Thursday, January 29th! We’ll be hosting demonstrations of the new equipment, contests, prizes and refreshments will be provided. We hope you will join us!

Click below to schedule an appointment at 3DPT Medford or any of our 12 locations

My Journey as a Stem Cell Donor

In 2013, while representing Saint Peter’s Sports Medicine Institute at a health and wellness event, I met someone who would change my life forever. A representative from DKMS, a global organization dedicated to the fight against leukemia and other blood cancers, was there registering people to become bone marrow and stem cell donors. As he explained the process, he shared something profound: my bone marrow or stem cells could save the life of a person battling leukemia.

It was then that I was reminded of a close family friend who had been diagnosed with leukemia when I was growing up. It was a painful and frightening experience, but thankfully, she not only survived but thrived. Today, she has a successful career in the fitness industry with a loving husband and a healthy child. Her story became my anchor, and without hesitation, I decided to register as a bone marrow donor.

A few years later, in 2015 I was informed that I was actually a match for a 34-year-old woman from Maryland! The excitement and anxiety were overwhelming. However, after undergoing additional tests, I was told that my donation was no longer needed. Had they found a better match? Had the recipient recovered or, sadly, passed away?, I never found out the reason, but the experience stuck with me.

My Father-in-Law’s Diagnosis

Life had a way of bringing me back to the cause in unexpected ways. In 2023, my father-in-law, who had been a patient at 3DPT in the past, was diagnosed with Acute Lymphoblastic Leukemia (ALL), a form of blood cancer. It was a heartbreaking moment for our family, and as you can imagine, there was little I could do other than offer my support, thoughts, and prayers. But then, a memory surfaced from years prior: my registration as a stem cell donor.

I realized that the more people who register, the higher the chances of finding a match for someone in need. I couldn’t just sit by and do nothing. I decided to use my role as the CMO of 3DPT to launch a virtual drive to encourage more people to register as bone marrow and stem cell donors. Despite my efforts, only three people initially signed up. It wasn’t the success I had hoped for, but it didn’t matter. My father-in-law, fortunately, didn’t need a stem cell transplant, and he made a full recovery. As a result, I decided to pause the drive, and the idea faded into the background.

A Full Circle Moment: Donation Day

Fast forward to April 2025. I received an email that I had been matched again. This time, it was a 43-year-old man from Canada, diagnosed with Acute Myeloid Leukemia (AML), another form of blood cancer. I was initially apprehensive—what if things didn’t work out like last time? But this time, the need was real, and I was ready.

The donation process was much more involved than I had anticipated. It began with a series of blood tests, physical exams, and detailed questionnaires. I even had to inject myself with medication to stimulate stem cell growth—a process that was admittedly a little daunting. But in the end, everything fell into place. On September 2, 2025, I underwent the donation procedure.

The process was remarkably smooth. I spent a few hours at the donation center, where they extracted my stem cells through a procedure known as apheresis, which is similar to donating plasma. A few days later, I received an update: the recipient had received my stem cells and was beginning his journey toward recovery. The cells would begin to work within 24-48 hours, and I felt a profound sense of peace, knowing that I had contributed to saving a life.

Check out this video from the big day (and hear about Chuck’s record-breaking donation!)

Why I Donated: A Legacy of Hope

When people ask me why I decided to donate, my answer is simple: because I could. Stem cell and bone marrow donation is a profound gift. It’s not just about donating cells; it’s about offering someone the chance to fight for their life, to see their children grow, or to chase their dreams. The incredible thing is that you don’t have to be a hero to make this kind of impact. You only need to take the first step—by registering.

Since 2013, my journey has come full circle—from registering as a donor at a wellness event, to launching a virtual drive for more registrants, to finally completing the donation process myself. This experience has reinforced the truth that we all have the power to make a difference in someone’s life. And sometimes, it’s a difference that can mean the world.

If my story encourages just one person to register as a stem cell or bone marrow donor, then this article will have done its job. The more people who register, the greater the chances that someone battling leukemia can find their match—and ultimately, their chance at life.

How You Can Help

If you’re interested in becoming a bone marrow or stem cell donor, I encourage you to visit the DKMS website or another reputable organization dedicated to this cause. It takes only a few minutes to register, and you could be the one to save a life. Whether you’re motivated by personal experiences or just the desire to help someone in need, your decision to donate can have a ripple effect that extends far beyond what you can imagine.

3DPT has partnered with DKMS to host a virtual drive!
Click HERE to register and request a free kit to see if you’re a match to save a life

Coming home to 3DPT Jenkintown

Over the next seven years, I committed myself fully to this path. I completed my undergraduate degree in Psychology at the University of Pittsburgh, where I deepened my understanding of the human mind. That background has proved invaluable in my clinical work, especially in addressing the psychological components of pain and rehabilitation. Before beginning my doctorate in Physical Therapy at Arcadia University, I spent a year abroad working with physical therapists and athletic trainers at both the international sports and clinical levels. This exposure to diverse patient populations with varying levels of physical ability profoundly shaped the way I approach patient care today.

While at Arcadia, I had the opportunity to complete a clinical rotation in the cardiothoracic ICU. Although my current focus is outpatient orthopedics, that experience gave me the knowledge and confidence to identify more serious medical conditions in the clinic and make appropriate referrals. It also helped me better understand the medical journeys many of my patients have gone through before arriving at physical therapy.

In January 2023, I began working at 3DPT in Haddon Township—what I affectionately call the “Jenkintown of New Jersey.” It’s a tight-knit, welcoming community where nearly every patient knew someone else in the clinic. Under the mentorship of an incredible clinic director and colleagues, I began growing into the physical therapist I had always hoped to become.

In August 2023, I enrolled in a sports residency through Arcadia University while continuing to work full time. Over the course of the year, I received advanced training from Arcadia’s residency team and athletic training staff. The residency sharpened my clinical skills and taught me to pay attention to the smallest details that can make the biggest difference in an athlete’s and or patient’s recovery. Topics ranged from imaging after acute trauma to developing treatment plans that keep athletes safely in play. After completing the residency, I dedicated an additional four months to studying for my board certification, and I’m proud to now be one of only about 3,500 Board-Certified Sports Physical Therapists in the country!

While sports Physical therapy is a huge part of what I enjoy, I also enjoy working with older adults preparing them for life ahead and ensuring that it is one with the  physical capacity to enjoy the activities they love. My education has equipped me with the tools and knowledge to discuss longevity and health living throughout the lifespan while helping implement programs to do so.

The past decade—from deciding to pursue physical therapy in high school to now opening a new 3DPT branch in the very area where I grew up—has been anything but easy. But I’m grateful to be part of a company that has supported my professional growth and shares my values. One of our core principles at 3DPT is community, and that resonates deeply with me. I’m honored to bring the skills, knowledge, and passion I’ve cultivated back home and to contribute meaningfully to the health and wellness of back home to Jenkintown and the surrounding neighborhoods.

3DPT Jenkintown
215-277-3526
The Pavilion
261 Old York Road, Suite 204
Jenkintown, PA 19046

3 Dimensional Physical AND Occupational Therapy

We’re excited to announce that 3 Dimensional Physical Therapy is now offering Occupational Therapy! Just like Physical Therapy, Occupational Therapy (OT) helps people perform at their best, however OT focuses more on improving fine and gross motor skills needed for everyday tasks. Some Occupational Therapists obtain advanced training to become Certified Hand Therapists. These OT’s specialize in helping patients gain optimal function and mobility that may be affected by:

• Arthritis of the hand, thumb, and wrist
• Carpal and Cubital Tunnel Syndrome
• Trigger Finger
• Tendonitis and Sprains
• Ligament Injuries
• Hand, Wrist, and Elbow Fractures
• Joint Arthroplasties
• Tendon Repairs
• Wound and Burn Care
• and more!

At 3DPT we are here to help you return to the activities you love and adding OT will allow us to help you more!

Our new Occupational Therapy service is led by Sasha Joseph, OTR/L, CHT, a Certified Hand Therapist specializing in upper extremity rehab. Sasha brings her CHT experience and expert care to help patients regain strength and function. Sasha grew up learning Indian dance that was heavily focused on intricate hand and arm motion. This drew her to the hand therapy field as she could imagine how each hand to shoulder diagnosis could have an effect on day to day life, leisure passions and work tasks.

Here’s what she says about her career as an Occupational and Hand Therapist and her future at 3DPT!

My interest in the OT profession began in my senior year of high school. I wanted to pursue a healthcare career and was exploring different options. I felt the OT profession tied together my academic and personal interests the best with its deep tie between art and science. I spent my college years preparing for this career path. It was during my freshman year of college, that I was first introduced to hand therapy.  I shadowed a certified hand therapist (CHT) and was highly interested in the variety and intricacies of hand to shoulder diagnosis and treatment methods. I also enjoyed the process of fabricating custom made splints.  From then, it became my professional goal to specialize in upper extremity therapy. 

When I graduated OT school, I started off with working in the skilled nursing facility for two years. This has built a deeper understanding of comorbidities and other factors that influence and affect upper extremity orthopedic care as well. In 2020, I received the opportunity to receive on-site mentorship and work in the hand therapy field full-time. After four years of working in outpatient hand therapy, I passed my hand therapy certification exam in the fall of 2024. 

I feel honored to work in this amazing profession. I still become incredibly happy watching patients achieve every small to big milestone. These achievements range from anything between forming a fist to grasp eating utensils, buttoning a shirt, being able to tie and style hair, or being able to pick up their child again. We use our arms and hands daily to participate in our activities and it’s a huge impact on our quality of life when we are not able to participate in tasks as we used to. 

I am excited to be joining the 3DPT team and provide upper extremity care to the community! I’m looking forward to meeting and working with each patient that enters our clinic. While therapy can be a difficult journey, my goal is to ease the process with compassion, warmth and the occasional smile or laugh.

Sasha is currently accepting patients at 3DPT Cherry Hill

Taking it to the Next Degree!

Over the years, we have had numerous 3DPT employees who worked as aides or at the front desk get accepted into graduate school for physical therapy and other healthcare graduate programs.  It is rewarding to be able to act as a stepping stone for all of these employees as they work their way towards their end goal of becoming healthcare providers.  We have 10 current employees that have been accepted into higher education programs and we want to take this chance to recognize them and wish them all the best!

Mary Kate
Aide, Medford

I recently graduated with my Master’s from Salisbury University. To further my education, I am now starting the accelerated BSN program at Thomas Jefferson University at the end of May. My time at 3DPT has allowed me to gain valuable experiences and meaningful professional connections. This has helped me develop a strong academic foundation and deepened my passion for patient care. I am committed to clinical care and feel 3DPT has helped me prepare for the next step in my healthcare journey.

Caroline
PT Aide, Medford

I will be attending Arcadia University’s DPT Program this fall in the hopes of graduating by Fall 2025.  I owe a lot to 3DPT for the knowledge, experience, and wisdom all of the therapists and patients have given me over the past 2 years.

Katie
PT Aide, Medford

I am graduating from Rowan University with a Bachelor of Science in Exercise Science. I will be attending Drexel University’s DPT program this upcoming fall! 3DPT has played an integral role in my education and decision in applying to PT school. Working as an aide has helped solidify my love for the profession and create meaningful connections. I am so grateful and can’t wait to begin DPT school! 

Luca
PT Aide, Cherry Hill & Cinnaminson

This summer, I will begin the Doctor of Physical Therapy program at Saint Joseph’s University. My time at 3 Dimensional Physical Therapy has provided me with valuable experience and a true understanding of the profession. As I take this next step toward becoming a clinician, I’m grateful to 3DPT for setting such a high standard of care and showing me what it means to serve patients with excellence.

McKenna
PT Aide, Cherry Hill & Cinnaminson

I will be attending Widener University’s Doctor of Physical Therapy program starting in June! Working at 3DPT for the past three years has prepared me for PT school in so many ways. Every physical therapist I have worked with has been incredibly supportive and has shown me endless examples of how to be an excellent PT myself one day. I am so grateful for everything I have learned through this experience and cannot wait to carry this knowledge with me throughout my career!

Emily
Front Desk, Cinnaminson

I will be attending Salus at Drexel University in their two year Occupational Therapy program. I am grateful to 3DPT for the opportunity to spend the last three years absorbing clinical knowledge and observing some stellar clinicians doing what they do best! Their practices will no doubt make me a better clinician myself one day!

Gianna
Front Desk, Haddon Township

Hello, I’m Gianna. I just graduated with my Bachelor’s in Exercise Science at Rowan University. I will be attending Widener, starting this summer, to earn my DPT. Upon graduation, I look forward to treating all populations of patients, especially the geriatric population. When I first started working at 3DPT about 3 years ago, I thought that I wanted to work with pediatric patients the most. Through my time with this company I have learned that I work very well with our older patient population. I love to listen to their stories as well as watch them gain confidence and increase their quality of life. It’s rewarding to help a grandparent be able to have the confidence to carry their grandkids, or to see them live independently. 

Tasha
PT Aide, Haddon Township

I have just finished my time at Temple University, graduating with my Bachelor’s of Science in Health Professions. Along with my studies, I have had the opportunity to work at 3DPT for the last two years as a PT aide, confirming my interest in the profession and giving me invaluable clinical experience. Through my day-to-day work, involvement with the company’s leadership program, and networking opportunities, I will be well prepared to continue my education, ultimately earning my Doctor of Physical Therapy degree. I am so excited for my next step in this journey, starting PT school at the George Washington University in Washington, DC this fall.

Lauren
PT Aide, Tabernacle

I am graduating from Stockton University with a Bachelor’s degree of Science in Health Science. Following graduation, this August I will be attending St. Joseph’s University to pursue a Master’s degree in Physician Assistant Studies! 3DPT has helped me gain quality patient care experience and interaction to add to my PA school application. I have also gained so many professional relationships at work to help me with things like letters of recommendation. I would not be in the position I am today without 3DPT! 

Congratulations to everyone! We know you are on your way to something great!

Diving in at the Deaflympics!

Flash forward to 2022, she was selected to Team USA again, this time as captain for the women’s swim team, for the Deaflympics. The games were held in Caxias de Sol, Brazil. The Deaflympics are an international competition, similar to the Olympics, that are held every 4 years for individuals deaf/ hearing loss in their better ear of <55dB. 

Kaitlyn was honored to be a part of the Opening Ceremony, walking closely behind the American flag in front of thousands of people. Coming out of retirement from collegiate swimming, her only expectations were to embrace every second of the experience and leave everything in the pool. This resulted in her coming home with 5 medals, 4 gold from relay performances and 1 individual bronze in the 200m breaststroke. It truly was a once in a lifetime, indescribable experience that showed that hard work, determination, and grit pay off. 

Introducing 3DPT Pelvic Health

… And it’s new owner, Dr. Kristin Cavorley!

Our mission at 3DPT is to Raise the standard for the healthcare and workplace experience to best serve our community. We achieve this by providing the best environment, physical therapy care and customer service to everyone that chooses 3DPT as a patient or team member; and perhaps more important, by committing to continuously improve how we can do that.

That’s why we’re excited to announce 3DPT Pelvic Health, our new specialty service sister company providing only pelvic floor physical therapy! 3DPT Pelvic Health expands our services so we can provide the best comprehensive care to our patients and the communities around us.

About 3DPT Pelvic Health

Pelvic health physical therapy works directly with the muscles of the pelvic floor. These muscles are important for controlling our bowel, bladder, and sexual function. They are also important for providing stability to our hips and lower back. Similar to working with other muscles in the body, a pelvic floor physical therapist assesses the flexibility, strength, and tone of the pelvic floor muscles, and then develops a plan to treat the impairments that are found.

Pelvic health physical therapy offers a wide range of benefits for individuals of all ages dealing with various pelvic floor disorders. 3DPT Pelvic Health physical therapists focus on strengthening and rehabilitating the pelvic floor muscles, which can lead to improved bladder and bowel control, significant pain reduction, and enhanced sexual function. It also provides crucial support during pregnancy and postpartum recovery, aids in the management of pelvic organ prolapse, and facilitates post-surgical rehabilitation for pelvic surgeries. 

Dr. Kristin Cavorley is the new owner of 3DPT Pelvic Health. She has been a physical therapist at 3DPT for the past year, offering pelvic floor and orthopedic PT. Moving forward Kristin will only be providing pelvic floor physical therapy through 3DPT Pelvic Health, allowing her to focus solely on the rehabilitation and care of those needing pelvic health services.

Here’s what she had to say about her journey and future with 3DPT Pelvic Health:

I always knew that I wanted to be a health care professional. During my middle school years, I had to go to physical therapy and I immediately fell in love with the profession. I attended Stockton University for undergraduate and graduate school. I graduated from Stockton University’s Doctor of Physical Therapy Program in Spring of 2020. 

I started my career as an acute care and an orthopedic physical therapist for the first three years of my professional career. I was introduced to pelvic floor physical therapy in 2021 where I was given the opportunity to shadow a pelvic floor therapist and learn the speciality. I developed a deep passion for the pelvic floor specialty as I continued to learn from my mentor and when I took the post graduate courses. I eventually migrated to solely an orthopedic and a pelvic floor practitioner with a goal and passion to become a full time pelvic floor therapist to be able to provide a service that is underserviced in our community. 

Becoming a pelvic floor physical therapist has been a fulfilling and purposeful journey that aligns with my passion for helping others and fostering holistic health. Over the years, I’ve witnessed firsthand the transformative impact that pelvic floor therapy can have on people’s lives. Whether it’s empowering women in their pregnancy journey, aiding in postpartum recovery, alleviating chronic pelvic pain, or improving the quality of life for individuals suffering from bowel and bladder disorders. The work I do directly empowers patients to regain their confidence and live without fear of physical limitations.

I am deeply excited and honored about the opportunity to become a partner of 3 Dimensional Physical Therapy and start the Pelvic Health division. I am committed to educating the community about pelvic floor and providing quality services. I’m truly honored and energized to embark on this new chapter! 

3DPT Pelvic Health is available at:

Why are ACL Tears More Common in Women than in Men?

Anterior cruciate ligament (ACL) tears are more common in women than in men, and several factors contribute to this difference. One reason is anatomical differences between men and women. Women typically have a wider pelvis, which can lead to a greater angle between the femur and tibia, known as the “Q angle.” This altered alignment places stress on the knee joint, particularly during activities that involve cutting, jumping, or pivoting, which are common causes of ACL injuries. A wider Q angle can cause increased strain on the ACL, making it more vulnerable to tears in women.

Another contributing factor is differences in muscle strength and neuromuscular control. Women generally have less muscle mass around the knee, particularly in the quadriceps and hamstrings, compared to men. This muscle imbalance can affect the stability of the knee joint, making it harder to absorb and control forces during high-impact activities. Additionally, women may have a less effective neuromuscular response to dynamic movements, which increases their risk of landing awkwardly or overstretching the ACL. This decreased strength and control contribute to the higher incidence of ACL tears among female athletes.

Hormonal fluctuations also play a role in the increased risk of ACL injuries in women. Research suggests that estrogen and other hormones can influence ligament laxity, making the ACL more prone to injury during certain phases of the menstrual cycle. Studies have shown that women may experience increased ligamentous looseness during the luteal phase (post-ovulation), which can lead to a higher likelihood of the ACL being torn during physical activities that involve sudden changes in direction or jumping.

Finally, differences in sport participation and injury prevention strategies contribute to the higher rate of ACL tears in women. Women tend to participate in sports that involve more cutting, pivoting, and jumping, such as soccer, basketball, and volleyball, which are known to increase the risk of ACL injury. In addition, female athletes may not always receive the same level of injury prevention training and conditioning as male athletes, particularly in terms of strengthening exercises and techniques that promote knee stability. As a result, women may not have the same protective mechanisms in place to avoid ACL tears, further increasing their vulnerability.

3 stages of ACL Rehab

Rehabilitation after ACL reconstruction surgery is typically broken down into three stages: the acute phase, the strengthening phase, and the return-to-sport phase. 

The acute phase, which lasts for the first few days to weeks after surgery, focuses on reducing pain, swelling, and inflammation while protecting the knee. During this stage, the main goals are to control swelling through rest, ice, compression, and elevation (R.I.C.E), and to restore range of motion, particularly in flexion and extension of the knee. Patients may begin gentle exercises such as quad sets, heel slides, and patellar mobilizations to prevent stiffness and promote blood flow to the injured area, but the emphasis is on limiting stress to the healing ACL and surrounding structures.

The strengthening phase begins once the knee has achieved a basic range of motion and pain and swelling have subsided. This phase typically lasts several weeks and focuses on rebuilding strength in the muscles around the knee, including the quadriceps, hamstrings, and calves. Strengthening exercises such as leg presses, lunges, and step-ups are introduced to increase muscle endurance and improve the stability of the knee joint. As strength improves, more dynamic exercises like resistance band work, leg extensions, and balance training are incorporated to further engage the knee and help restore proper movement patterns. Functional activities such as squatting and single-leg exercises are also introduced to simulate real-world motions and build confidence in the injured knee.

The final phase, the return-to-sport phase, focuses on preparing the athlete to safely return to their sport or high-intensity activities. This phase typically begins when the individual demonstrates adequate strength, flexibility, and stability in the knee. It emphasizes more sport-specific drills that involve cutting, pivoting, and jumping to mimic the demands of the activity. Plyometric exercises, agility drills, and cardiovascular conditioning are integrated to help improve the athlete’s performance and recondition the body for the stresses of their sport. Additionally, patients undergo functional testing, such as single-leg hops or agility tests, to ensure they can return to their sport with a reduced risk of re-injury. At the end of this phase, the individual is expected to have regained full confidence and functionality in their knee.

Injury Prevention

Injury prevention for ACL tears focuses on strengthening the muscles around the knee, improving neuromuscular control, and using proper technique during physical activity. Strengthening exercises that target the quadriceps, hamstrings, and calves help stabilize the knee joint, reducing the strain on the ACL. Additionally, exercises that focus on balance, proprioception, and agility, such as single-leg drills and plyometric training, improve neuromuscular control, allowing athletes to better absorb impact forces and change directions without compromising knee stability. Proper jumping, landing, and cutting techniques are also critical; athletes should be taught to land with their knees slightly bent and aligned with their toes, avoiding excessive inward movement (valgus collapse). In some cases, wearing a knee brace during high-risk activities may provide added support. Lastly, sports-specific injury prevention programs, such as the FIFA 11+ or the PEP program, have been shown to reduce ACL injury rates by incorporating these components into training routines.

High Stakes and High Strain… Mahomes’ Road to the Super Bowl

At a Glance:

Player: Patrick Mahomes
Position: Quarterback
Team: Chiefs
Injury: High Ankle Sprain
Projected Recovery Time: TBD

Week 21 Injury Report: High Stakes and High Strain… Mahomes’ Road to the Super Bowl

Patrick Mahomes sustained a high ankle strain during Week 14 against the Cleveland Browns. Despite the injury, Mahomes demonstrated resilience by playing through it in the subsequent two games, showing no apparent limitations in his performance.

Leading up to the Week 18 game, Mahomes was listed as limited in practice, an indication that the team was managing his workload to avoid aggravating the injury. The Kansas City Chiefs decided to rest their starters, including Mahomes, during the Week 18 game. This precautionary measure provided him additional recovery time and allowed backup quarterback Carson Wentz to start in his place. Wentz, who previously won a Super Bowl with the Philadelphia Eagles, brings valuable playoff experience to the Chiefs’ roster. 

Mahomes is expected to start in the Super Bowl against the Philadelphia Eagles. While he has had time to recover, the high ankle strain could still impact his mobility and overall performance. High ankle injuries often require extended recovery periods, and Mahomes’ ability to play effectively will likely hinge on pain management and adjustments in his play style.

A high ankle sprain is typically worse than the more common lateral ankle sprain, due to more tissues involved. The ankle joint is shaped like an arch with a dome (talus bone) underneath.

In a high ankle sprain that dome is forced upwards and with the rotation component seen with Barkley’s injury, the bones forming the arch are forced apart. Those bones, the fibula and tibia, are held together by ligaments and the interosseous membrane. The extent of ligament damage varies with each injury. There is also a risk of fracturing the fibula with this injury, but fortunately, the preliminary x-rays for Barkley were negative for a fracture.

The initial stage of recovery following a high ankle sprain involves protecting the ligaments to prevent further damage and trying to control pain and swelling. The patient may be non-weight bearing (on crutches) for several days to allow healing, but will progress to weight bearing as pain allows. Early treatment following the initial stage focuses on regaining motion through the joint and strengthening the muscles around to better protect the damaged structures. Ankle stability is especially important for an athlete like Mahomes and since the ligaments are affected, it is important to train the muscle to better stabilize the ankle. Balance is also a key component to work on as the ankle assists with maintaining balance. Once the patient is pain free and demonstrating improved stability, they can begin working towards more advanced drills to return to sport.

The Chiefs’ coaching staff may implement strategies to mitigate the effects of Mahomes’ limited mobility, such as focusing on quick-release passing plays, emphasizing the running game, and strengthening offensive line protection. Mahomes’ leadership and adaptability will remain crucial as he faces a formidable Eagles defense.

Source: https://www.nfl.com/news/chiefs-qb-patrick-mahomes-mild-high-ankle-sprain

Jalen Hurts… Braced but Unbroken!

At a Glance:

Player: Jalen Hurts
Position: Quarterback
Team: Eagles
Injury: Possible MCL Sprain
Projected Recovery Time: TBD

Week 20 Injury Report: Jalen Hurts… Braced but Unbroken!

During the Philadelphia Eagles’ win over the Los Angeles Rams on Sunday, quarterback Jalen Hurts sustained a potential knee injury in the third quarter after taking a sack. The injury occurred when his ankle got caught up, causing his knee to twist awkwardly.

The MCL is one of the main stabilizing structures of the knee. It is on the inside of the knee so when the knee is bent inwards it can be stretched or torn if there is enough force. The MCL is also often compromised when there is an ACL tear. When the MCL is torn there is less static stability of the knee joint requiring more muscle activity to control the joint movement. This can put more stress on the meniscus, so it is important to rest and allow full healing to prevent further damage.

An MCL sprain follows the same frame as all ligament injuries with 3 grades of injury. Brisset likely suffered a grade 1 sprain as he was able to walk around the sidelines after the injury, although he was unable to return to the game. He was also able to practice, but was not fully ready for the impact of game play. Grade 2 injuries typically take several weeks to fully heal, while grade 3 injuries can be upwards of 6-8 weeks for full healing.  There is a lot of blood supply to the MCL, so for most injuries, recovery can be non-operative. However it is important to properly rehabilitate to prevent complications.

Dr. Mark Schwartz, an orthopedic surgeon from Burlington County Orthopedic Specialists, suspects Hurts may have suffered a mild MCL sprain based on the fact that he did not miss any plays following the incident. The team medical staff applied a brace immediately after the play, suggesting they took precautionary measures to stabilize the knee. 

Hurts is expected to undergo an MRI this week to confirm the severity of the injury. Pending results, he will likely begin a rehabilitation program to ensure proper recovery. Additionally, his activity on the field, particularly running, may be limited to reduce the risk of aggravating the injury. 

Weather conditions could influence future risks for similar injuries. Players often wear cleats with more grip in snowy or wet conditions, which can increase the risk of knee twists. The team may consider a protective knee brace for Hurts in upcoming games to provide additional support.

Dr. Schwartz is optimistic that Hurts did not sustain a more serious injury, such as an MCL tear. However, the team is expected to exercise caution and prioritize his recovery to ensure long-term health. Despite the injury, Hurts has expressed confidence that he will be ready to play in the Eagles’ upcoming playoff game against the Washington Commanders. It’s likely that this week will be “all hands on deck” to manage his rehab and readiness for future games.

Source: https://www.audacy.com/94wip/sports/eagles/orthopedic-surgeon-eagles-qb-jalen-hurts-knee-injury-nfl

Dean’s Knee Knock… Eagles Soldier On 

At a Glance:

Player: Nakobe Dean
Position: Linebacker
Team: Eagles
Injury: Torn Patellar tendon
Projected Recovery Time: 8-12 months

Week 19 Injury Report: Dean’s Knee Knock… Eagles Soldier On 

Philadelphia Eagles linebacker Nakobe Dean suffered a devastating injury in the recent playoff game against the Green Bay Packers, tearing his patellar tendon—a rare but serious injury that requires surgery and an extensive rehabilitation process. This injury is a significant blow to the Eagles’ defense, as Dean has been a key leader and integral part of the team.

“It’s a tremendous loss,” veteran teammate Lane Johnson said. “He’s a guy that came in and battled. Last year was really a learning year for him, and I felt like he took full advantage of it and really became a key leader on the defense.”

The patellar tendon connects the kneecap to the tibia and is critical for performing activities like running, jumping, and walking. For a high-level athlete like Dean, this injury is particularly challenging. Surgery is often required to repair the tendon, followed by a rigorous rehab protocol. Post-surgery, weight-bearing is restricted for the first four weeks, and full knee bending is typically achieved around week 20. During the early stages of rehab, the focus is on limiting stress on the tendon while gradually strengthening the quadriceps to restore symmetry and avoid re-injury.

As the rehab process progresses—typically between months four to eight—efforts will shift to rebuilding strength, agility, and speed, critical attributes for Dean’s return to the field. Playing linebacker demands exceptional lower-body power to fend off opposing players, and Dean will need to demonstrate full functional recovery before he’s cleared to play.

The Eagles face their next playoff game against the LA Rams without Dean, a challenge that will test the depth of their defense. Despite his absence, Eagles fans remain hopeful that the team will rally and pull out the win. Philadelphia’s resilient fan base is no stranger to adversity, and the team’s “next man up” mentality will be key in their quest for another playoff victory.

Dean’s road to recovery is long, but with the support of the Eagles organization, his physical therapists, and his own determination, there’s hope he will return stronger than ever. Eagles fans eagerly await the day he can step back onto the field and lead the defense once again.

Source: 

Silver Linings… Cowboys’ Season Ends, But Edoga Gets a Toe-Up on Recovery

At a Glance:

Player: Chuma Edogo
Position: Offensive Tackle
Team: Cowboys
Injury: Toe Injury
Projected Recovery Time: 6-12 Weeks

Week 18 Injury Report: Silver Linings… Cowboys’ Season Ends, But Edoga Gets a Toe-Up on Recovery

The Dallas Cowboys’ elimination from playoff contention is undoubtedly a disappointment for the team and its fans. However, for offensive tackle Chuma Edoga, the early offseason presents a valuable opportunity to rest and recover from a lingering toe injury that has plagued him since Week 1.

Details on the specifics of Edoga’s injury have not been released, though it appears to be relatively mild, likely falling into the Grade I or II category. This indicates mild to moderate ligament damage that typically does not require surgical intervention. While the injury’s exact nature remains unspecified, it could be turf toe—a common and painful condition among athletes that occurs when the big toe is hyperextended.

If this is indeed the case, Edoga’s physical therapy team will be focused on managing his symptoms and ensuring a full recovery while minimizing the risk of re-aggravation. The early phase of recovery will follow the POLICE protocol (Protect, Optimal Loading, Ice, Compression, and Elevation) to reduce pain and inflammation. Proper footwear will also play a crucial role, as rigid shoes that limit toe joint movement will help offload stress on the injured area.

During this initial recovery period, Edoga will likely refrain from higher-level exercises to allow the ligament damage to heal while protecting the joint. As his symptoms improve, therapy will shift toward restoring joint range of motion, as stiffness in the toe joint can increase stress and the likelihood of re-injury. Additionally, strengthening exercises for the lower leg and foot muscles will be introduced to reduce the load on the toe joint and further support his recovery.

In this video, the 3DPT demonstrates a few exercises that could be incorporated into a rehab program for turf toe.

Early Stage: Resisted Plantar flexion with Big Toe Flexion 

Late Stage: Eccentric squat on toes

Return to Sport: Resisted Running

The Cowboys’ early exit from the postseason may be disappointing, but it provides Edoga with the necessary time to focus on his rehabilitation. With the help of his dedicated PT team, he’ll work to return to full strength and be ready for the next NFL season.

Tua’s Season in Pieces – From Head Hits to Hip Hassles

At a Glance:

Player: Tua Tagovailoa
Position: Quarterback
Team: Dolphins
Injury: Hip Injury
Projected Recovery Time: 2-8 weeks

Miami Dolphins quarterback Tua Tagovailoa has been ruled out for Week 18 after a lingering hip issue sidelined him during practices throughout the week. Initially listed as questionable, the team downgraded his status to doubtful before confirming he wouldn’t play. This marks another frustrating chapter in an injury-riddled season for Tagovailoa, who has already missed four games earlier this year due to a concussion.

The hip injury was first reported ahead of the Dolphins’ Week 16 matchup, but Tua managed to take the field. However, it seems the issue may have worsened, leading to his absence this week after a rough hit against the Cleveland Browns. The situation raises concerns, particularly as it may be reminiscent of the devastating hip dislocation he suffered in college during November 2019. That injury was significant and sidelined him for months, sparking questions about his durability heading into the NFL.

If the current injury mirrors his college hip dislocation, it could involve a potentially serious disruption to one of the body’s most stable joints. Unlike the shoulder, which is prone to frequent dislocations due to its design, the hip is tightly supported by the pelvis. This provides greater stability, but when an injury does occur, it often results in severe complications that require extensive recovery.

90% of hip dislocations happen posteriorly, the same that Tua experienced in college. This is when the knee or leg is driven backward. Falling off a ladder or the impact from the knees on a dashboard in a car accident are common causes. The reason this injury is such a big deal is due to the blood vessels and nerves that can be compromised. When the hip is dislocated these structures are stretched and in severe cases can be torn. This can lead to nerve damage which causes pain and weakness throughout the leg. If blood vessels are torn it can affect the blood supply to the top of the leg bone. When this happens, the bone will die which requires a hip replacement. For the average patient, this is not the worst thing due to how advanced hip replacement surgeries are, but for the athlete, it can be career-ending.

Tagovailoa has been battling through a season filled with physical setbacks, and this latest issue highlights the challenges he faces in staying healthy. With Miami in a tight playoff race, the Dolphins will need to make crucial adjustments to fill the void left by their star quarterback. For now, the focus remains on Tua’s health and long-term recovery.

Source: https://www.usatoday.com/story/sports/nfl/2024/12/30/tua-tagovailoa-injury-updates-return-date-week-18/77326925007/

Hurts vs. the Clock… Will He Face the Cowboys?

At a Glance:

Player: Jalen Hurts
Position: Quarterback
Team: Eagles
Injury: Concussion
Projected Recovery Time: TBD

Hurts vs. the Clock: Will He Face the Cowboys?

Philadelphia Eagles quarterback Jalen Hurts suffered a concussion during Sunday’s matchup against the Washington Commanders, casting doubt on his availability for this weekend’s critical game. The injury occurred early in the first quarter when Hurts was tackled at the end of an 11-yard run to Washington’s 21-yard line by Frankie Luvu and Bobby Wagner. Although Hurts initially appeared poised to return to the game, he was later escorted to the locker room for evaluation and subsequently ruled out for the remainder of the contest.

The Eagles’ coaching staff and medical team are closely monitoring Hurts’ progress as he undergoes the NFL’s concussion protocol, a multi-step process that prioritizes player safety. This includes baseline testing, gradual physical activity, and clearance by an independent neurologist before he can return to practice or game action. His status for Sunday remains uncertain, and the team is preparing for the possibility that backup quarterback Marcus Mariota may step in if Hurts is unavailable.

Hurts’ absence was keenly felt as the Eagles’ offense struggled to find its rhythm without their star signal-caller. Head coach Nick Sirianni emphasized the importance of caution, stating, “Jalen’s health is our top priority. We’re taking it day by day and will follow all protocols to ensure he’s fully ready before stepping back on the field.”

Typical symptoms of concussions include headaches, dizziness, and “feeling foggy”, and early interventions in Tua’s PT program will help him improve his tolerance to moving his head, standing, and performing daily activities. Jalen will also work on strengthening key muscle groups in the neck, as well as addressing vestibular impairments, which are very common with concussions. Vestibular (or inner ear) problems interfere with balance and coordination, and PTs have a variety of exercises to help Jalen improve his stability. As he progresses, the exercises will become more difficult to ensure he can tolerate the demands of professional football. His PTs will know the signs of a poor response to exercise to make sure he isn’t doing too much, and hopefully he will be able to make a full recovery.

Take a look and listen to this video for some of the movements that would be a part of the early, mid, and later phases of a comprehensive concussion rehabilitation program.

Adding to the stakes, the Eagles are set to face their arch-rivals, the Dallas Cowboys, in a high-stakes showdown this Sunday. With playoff positioning on the line, the team is hoping for Hurts’ return to lead them against one of the toughest opponents in their schedule. Fans and teammates alike will be eagerly watching for updates as Hurts works through his rehabilitation process, hoping the dynamic quarterback can lead the Eagles in their playoff push. For now, the team’s focus remains on supporting his recovery and ensuring he returns stronger than ever.

Source: https://www.newsweek.com/sports/nfl/eagles-jalen-hurts-receives-dissapointing-injury-update-division-decider-2006016

Hurts Keeps Flying Through the Pain

At a Glance:

Player: Jalen Hurts
Position: Quarterback
Team: Eagles
Injury: Broken Finger
Projected Recovery Time: TBD

Week 15 Injury Review: Hurts Keeps Flying Through the Pain

Philadelphia Eagles quarterback Jalen Hurts revealed that he played through a broken finger on his non-throwing hand during Sunday’s 27-13 victory over the Pittsburgh Steelers. Despite the injury, Hurts delivered an impressive performance, finishing the game with 290 passing yards, two touchdowns, and an additional rushing score.

Hurts indicated that the injury occurred during the Eagles’ previous matchup against the Carolina Panthers. He was listed on the injury report leading up to the Steelers game with a finger issue on his left hand, though its severity was not publicly disclosed until after Sunday’s contest.

“It’s broken, and it did impact my play,” Hurts stated postgame. The injury, while not affecting his throwing hand, may have influenced ball security and his comfort during runs and handoffs.

While Hurts admitted the injury was a factor, his numbers reflect his resilience and ability to adapt under adversity. His 290-yard, two-touchdown passing performance highlights his determination to lead the team while managing discomfort. Additionally, his rushing touchdown showcased his trademark mobility and toughness, key aspects of his game.

Rehabilitation for a broken finger on a non-throwing hand will likely involve rest, ice, and potentially stabilization through taping or a protective brace during games and practice. Given the Eagles’ playoff aspirations, managing Hurts’ workload and recovery will be essential to avoid aggravating the injury further. The Eagles’ medical staff will work to minimize swelling and discomfort while ensuring Hurts can continue to perform at a high level.

Jalen Hurt’s physical therapy program will likely be with a hand specialist and may include some of the exercises you can see in this video.

Hurts’ status will be something to monitor in the coming weeks, as even minor injuries can impact a quarterback’s performance, particularly during handoffs and read-option plays. His ability to push through the pain against Pittsburgh speaks volumes about his toughness, but the Eagles will need to strike a balance between maintaining Hurts’ health and preserving their postseason push.

Despite a broken finger, Jalen Hurts showcased grit and determination. Rehab will be crucial to keep the Eagles’ star quarterback on track for the remainder of the season, even as uncertainty remains around the need for surgery.

Source:

https://www.nbcphiladelphia.com/news/sports/nfl/philadelphia-eagles/eagles-jalen-hurts-finger-broken/4055021/#:~:text=Eagles%20quarterback%20Jalen%20Hurts%20said%20he%20played%20through%20a%20broken,also%20ran%20for%20a%20score.&text=%E2%80%9CIt’s%20broken%2C%20and%20it%20did,my%20play%2C%E2%80%9D%20Hurts%20said.

Carr’s Collapse, Saints QB’s Season on the Brink After Hand Injury

At a Glance:

Player: Derek Carr
Position: Quarterback
Team: Saints
Injury: Hand Fracture
Projected Recovery Time: TBD

Week 14 Injury Report: Carr’s Collapse, Saints QB’s Season on the Brink After Injury

New Orleans Saints quarterback Derek Carr is expected to miss significant time following a left hand fracture and concussion sustained on the same play during Sunday’s game. NFL Network Insiders Ian Rapoport and Tom Pelissero confirmed that Carr suffered a substantial fracture to his left, non-throwing hand. Saints special teams coordinator Darren Rizzi noted that if Carr is able to return this season, he will likely need to wear a protective device on his injured hand.

“It’s a good news-bad news situation,” Rizzi said Monday. “The good news is, it’s not his throwing hand. The bad news is we’re dealing with a significant injury that will require careful monitoring and a play-it-by-ear approach.” With only four weeks remaining in the regular season, Carr’s injury appears to be a likely season-ender unless his recovery progresses exceptionally quickly.

Carr’s Rehabilitation Plan

Carr’s rehabilitation program will focus on managing the fracture while restoring strength and mobility in his hand. Early stages of rehab may include pinching putty exercises to improve finger dexterity and control. As the healing process advances, late-stage activities such as farmer carries with dumbbells will help rebuild grip strength and hand endurance. In preparation for an eventual return to play, Carr would work on soft-tossing a football to gradually reintroduce game-like movements without compromising his recovery.

In this video, the 3DPT team demonstrates a few exercises that could be incorporated into a rehab program for a fracture of the hand.

While the Saints remain hopeful for Carr’s return, the team will likely prioritize his long-term health, especially given the timing of the injury late in the season.

Source: https://www.neworleanssaints.com/news/new-orleans-saints-quarterback-derek-carr-week-to-week-with-left-hand-injury

McCaffrey’s Season Hits a Snag, From Achilles Woes to PCL Blows

At a Glance:

Player: Christian McCaffrey
Position: Running Back
Team: 49ers
Injury: PCL Strain
Projected Recovery Time: TBD

Week 13 Injury Report: McCaffrey’s Achilles Woes to PCL Blows

San Francisco 49ers star running back Christian McCaffrey’s turbulent season took another hit this weekend in what has been described as a chaotic week in the NFL. McCaffrey sustained what is believed to be a PCL injury (knee) during a pivotal second-quarter sequence in the 49ers’ matchup against the Buffalo Bills.

The injury occurred during an 18-yard breakout run when McCaffrey was tackled low by Bills safety Taylor Rapp. Though McCaffrey initially popped up, three plays later, a toss from quarterback Brock Purdy to the All-Pro back ended in immediate trouble. McCaffrey crumpled to the turf in visible pain and quickly limped off the field. With 11:23 remaining in the second quarter, he disappeared into the 49ers’ blue medical tent, leaving fans and coaches alike holding their breath.

This latest injury compounds what has already been a difficult season for McCaffrey, who has battled Achilles tendinitis in recent weeks (Read about that injury in our Week 5 Injury Review!). While the full extent of the PCL injury has yet to be reported, early signs suggest he is unlikely to return for the remainder of the season, dealing a significant blow to San Francisco’s playoff aspirations.

The NFL was full of drama this weekend, but McCaffrey’s departure underscores the fragility of even the league’s most elite players. Fans will await further updates, hoping their star runner’s season isn’t over for good. As McCaffrey faces yet another setback, attention now turns to what his recovery and rehabilitation process might look like in the weeks and months ahead. 

With conservative treatment, he may be ready to return to game-like activities. However, if he gets surgery, he will have a longer recovery as it takes several months for the new PCL to be able to withstand game-like stresses, and he could miss the start of the next regular season. Regardless of what McCaffrey decides to do, his rehab will focus on improving knee stability and lower body strength. 

In this video, the 3DPT team demonstrates a few exercises that could be incorporated into a rehab program for a PCL sprain.

Early Stage: banded hamstring curl

Late Stage: Y slider lunges

Return to Sport: Resisted sprints

Source: https://www.usatoday.com/story/sports/nfl/2024/12/02/christian-mccaffrey-injury-update-49ers-rb-knee/76706148007/

Eagles’ Brandon Graham Out with Rare Torn Tricep, Is This the End of an Era?

At a Glance:

Player: Brandon Graham
Position: Defensive End
Team: Eagles
Injury: Torn Tricep
Projected Recovery Time: TBD

Week 12 Injury Report: Eagles’ Brandon Graham Out with Rare Torn Tricep, Is This the End of an Era?

Brandon Graham, a major contributor to the Eagles’ defense, suffered a torn tricep during Sunday night’s game, against the Rams. Per Graham’s report, he suffered the injury from a blow to the back of the elbow. The tricep muscle is located in the back of one’s arm. The tricep muscle is a powerful elbow extensor, and often gets injured when one falls on an straightened arm, or in football performing a block–the tricep muscle under so much stress can not take the load and ends up rupturing; in Brandon’s case, under that much load, a helmet leading to the increased tension, overstretching the tricep muscle-leading to a rupture. 

A torn tricep is a very rare injury that does not occur often, it often refers to the tearing of the tendon that attaches the tricep muscle to the back of the elbow. When injured it often requires prompt surgical repair (within 1-2 weeks of injury). After surgical repair, they may be placed in a cast up to 1-3 weeks, followed by a hinge brace and scheduled to begin physical therapy. 

Physical therapy will likely look similar to the following:

Phase 1: protected phase; athlete will be in a hinge brace following a specific protocol on improving range of motion gradually. During this phase athletes will focus on shoulder active motion, wrist active motion. Athletes should expect scar massage, soft tissue mobilization, cryotherapy to help improve swelling and healing. Strengthening will be gradual at this phase, shoulder isometric work, sidelying shoulder external rotation, standing shoulder scaption/abduction are some exercises that may be utilized during this phase.

Phase II: Reach full range of motion; discontinue brace. This phase will begin to focus on improving control of moving one’s arm through space, and begin strengthening the bicep and tricep musculature with light resistance. 

Phase III: Strengthening: athletes will begin to progress strengthening of the elbow flexors and extensors. They will begin plyometrics of the upper arms to challenge strength and stability. Some exercises that are important to help improve tricep strength and stability include: push-up, holding a plank, tricep extension, skull crushers. In this phase they will begin to initiate sport specific motions. To challenge exercises and challenge stability, they can perform them on an uneven surface for example, performing a push up on a bosu ball.

Phase IV: Return to sport/full activity; athlete should suspect around the 6 month mark to return to full activity/sport. 

With this being a critical point in his career, fans are optimistic that this injury won’t mark the end of his time in the NFL. Brandon has been a cornerstone of the Philadelphia Eagles’ defense for over a decade, known for his leadership, relentless motor, and clutch performances. Most notably, his strip-sack of Tom Brady in Super Bowl LII played a pivotal role in securing the Eagles’ first championship in franchise history. As one of the longest-tenured players on the team, Brandon’s resilience and impact both on and off the field have made him a beloved figure in Philadelphia, and fans are hopeful that he can overcome this setback and continue adding to his storied legacy.

Logan Lee’s Calf Conundrum

At a Glance:

Player: Logan Lee
Position: Defensive Tackle
Team: Steelers
Injury: Calf Injury
Projected Recovery Time: TBD

Week 11 Injury Report: Logan Lee’s Calf Conundrum

Logan Lee, a rookie defensive tackle selected in the sixth round of the 2024 NFL Draft, sustained a severe calf injury during the Steelers’ Week 1 matchup against the Falcons. The injury was significant enough to land him on Injured Reserve, requiring him to miss a minimum of four games. Initial reports were optimistic about his return by Week 5; however, complications in his recovery have delayed his comeback.

Logan Lee Injury Breakdown and Rehabilitation Process

The exact details of Logan Lee’s calf injury have not been disclosed, but it is likely he suffered a severe calf strain, similar to injuries commonly seen in his position. The calf is composed of two primary muscles: the soleus and the gastrocnemius. These muscles are critical for explosive movements like pushing off the line of scrimmage and generating power in tackles—essential skills for a defensive tackle. To return safely to the game, Lee must regain full functionality in his calf muscles through targeted physical therapy.

Early Rehabilitation Focus:

In the initial stages of rehabilitation, the primary goal is to allow healing while avoiding stress on the injured calf. Strengthening exercises will likely start in non-weight-bearing positions, ensuring the healing tissue is not overloaded prematurely. Additionally, any underlying factors contributing to the injury, such as ankle mobility issues, will be addressed. Therapists may use ankle mobilizations to restore range of motion and flexibility, paired with targeted gastrocnemius and soleus stretches to enhance ankle excursion. Improved mobility will reduce the likelihood of re-injury.

Progression of Rehab:

As Lee’s recovery progresses, his physical therapy will shift toward controlled loading of the calf muscles and tendons to prevent muscle atrophy and overuse injuries. A gradual progression of single-leg exercises will likely be included, emphasizing balance and stability. Specific exercises may involve single-leg heel raises and jumps to ensure Logan regains the explosive power needed for his position. These activities simulate the demands he will face during a game and help prepare him for a full-speed return.

Return to Play:

Before Logan Lee can return to the field, he must demonstrate the ability to participate in treatment sessions and practice with minimal pain or limitations. His physical therapist and team doctors will likely use objective markers, such as strength tests and functional assessments, to clear him for full contact.

In this video, the 3DPT team demonstrates a few exercises that could be incorporated into a rehab program for a calf injury.

Outlook:

If his rehab continues to progress as planned, Logan Lee could still return before the season ends, potentially in time to contribute during a playoff push. With the Steelers’ focus on recovery and long-term health, the team is taking a cautious approach to avoid setbacks. Lee’s return will be closely monitored to ensure he is fully prepared for the rigors of the defensive tackle position.

Lee’s absence has been a setback for the Steelers’ defensive line rotation. Despite being a rookie, he was expected to contribute as a run-stopper and provide depth to a unit that heavily relies on its interior presence to control the line of scrimmage. The delay in his recovery has limited his ability to gain on-field experience and contribute to the team’s season.

3DPT’s 1st Annual Oktoberfest 5k and 1 Mile Fun Run

On October 19, 2024, 3DPT hosted our 1st Annual 3DPT’s Oktoberfest 5k and 1 mile Fun Run!

This is exciting not only because we are big fans of running around here, but this event is especially meaningful because 100% of the funds raised were donated to the St. Christopher’s Hospital food pantry in honor of Danny Hill, 3DPT employee and legend, who died of osteosarcoma in 2021.

We had over 300 patients, friends and community members participate and through sponsorships, donations and race registrations, we were able to donate $20,000 to St. Christopher’s!

Of course, participants enjoyed a first-class event! The race ran though historic downtown Medford, NJ and all participants got the most comfortable race T-shirts, finish line giveaways, and quality prizes for the top runners in each age group!

Check out a snapshot of the event here:

Thank you to our amazing sponsors who helped make this event possible:

GOLD SPONSOR:  Liquid Lounge 

SILVER PLUS SPONSOR (1 mile Fun Run sponsor): Medford Youth Athletic Association (MYAA)

SILVER SPONSOR AND AGE GROUP PRIZES donated by:  The South Jersey Running Co

SILVER SPONSOR:
Always a Good Sign

SILVER SPONSOR:
Safeguard Business Solutions

BRONZE PLUS SPONSOR: 
Kazmierski Orthodontics

BRONZE SPONSOR:
Murphy’s Fresh Markets

BRONZE SPONSOR:
Pinelands Striders 

SUPPORTERS & DONATION PROVIDED BY:

La Faccia Bella

Anytime Fitness – Medford

The Coffee Nomad

STAY TUNED FOR NEXT YEAR’S RACE!

Seibert’s Hip Holdout

At a Glance:

Player: Austin Seibert
Position: Kicker
Team: Commanders
Injury: Hip Injury
Projected Recovery Time: TBD

Week 10: Seibert’s Hip Holdout – Commanders’ Kicking Game Faces Uncertainty

The Washington Commanders are facing continued uncertainty with kicker Austin Seibert, who has been ruled out for the second consecutive game due to a right hip injury. Seibert initially sustained the injury in Week 9, and he was unable to suit up for the Commanders’ Week 10 loss to the Pittsburgh Steelers. With the team conducting a walkthrough on Monday instead of a full practice, it appears Seibert’s chances of returning to action are slim, especially with the short turnaround ahead of Thursday’s divisional matchup against the Philadelphia Eagles. The right hip injury has kept Seibert sidelined for an extended period, and while the exact nature of the injury hasn’t been specified, hip flexor strains are common among football players and could be a factor in his absence.

Let’s talk about how we would address an injury like this in Physical Therapy! 

Exercises early on would consist of isometrics in a shortened position for the muscle since strains typically involve excess lengthening of the muscle. These isometrics build back strength and help reduce pain

As time goes on stretching can be introduced and strengthening can be progressed to lengthened positions for the hip flexor. Later in rehab coordination exercises focused on improving motor control of all of the hip muscles will be crucial. 

End Stage Rehab will consist of high force/velocity drills challenging the hip flexor as similarly to sport as possible to ensure the athlete is ready to return to play

In the video, 3DPT West Berlin’s Dr. Benjamin Harris demonstrates these types of exercises for hip flexor strains.

Prevalence:

Hip flexor strains are relatively prevalent, with various factors contributing to their occurrence:

• Sports and Exercise: Athletes and fitness enthusiasts engaged in activities that involve repetitive hip flexion movements are at a higher risk. This includes sports like football, soccer,  running, and dancing.
• Sedentary Lifestyle: On the other end of the spectrum, individuals leading sedentary lifestyles can also experience hip flexor strains. Prolonged sitting and lack of regular stretching can lead to tight hip flexor muscles, making them more susceptible to injury.
• Age: As individuals age, their muscles and tendons may become less flexible and more prone to injury, increasing the likelihood of hip flexor strains.

Symptoms:

Recognizing the symptoms of a hip flexor strain is essential for prompt diagnosis and proper treatment. Here are the typical signs and symptoms:

• Pain: The most common symptom is pain in the front of the hip or the upper thigh. This pain may range from mild to severe and can be sharp or a dull ache.
• Swelling: In some cases, swelling may occur around the injured area.
• Tenderness: The affected hip flexor muscles may become tender to the touch, especially when pressure is applied.
• Weakness: Individuals with a hip flexor strain may experience weakness in the affected leg, making it challenging to lift the knee or perform activities that involve hip flexion.
• Limited Range of Motion: Reduced flexibility and difficulty in moving the hip or lifting the knee are common complaints.

Physiology:

Understanding the physiology behind hip flexor strains can help individuals prevent and manage these injuries:

• Muscle Overuse or Overstretching: Hip flexor strains often occur when the muscles are stretched beyond their normal range of motion or subjected to repetitive stress. This can happen during activities that require sudden bursts of speed or excessive hip flexion.
• Tendon and Muscle Tear: A hip flexor strain typically involves a partial tear or stretching of the muscles or tendons responsible for flexing the hip joint. This tearing leads to pain and inflammation.
• Biomechanics: Poor posture, muscle imbalances, or abnormalities in hip alignment can increase the risk of hip flexor strains. These issues alter the mechanics of the hip joint, putting extra stress on the muscles.
• Inadequate Warm-up: Failing to properly warm up before engaging in strenuous activities can increase the likelihood of hip flexor strains. Cold muscles are less flexible and more susceptible to injury.

As the Commanders prepare for another critical game without Seibert, his continued absence adds another layer of complication to a special teams unit already dealing with challenges. Kickers, in particular, rely heavily on their hips for both power and accuracy, and any lingering issues with the hip flexors can significantly impair their ability to perform. If Seibert is unable to return to practice and regain full function of his hip before Thursday, it would mean a second straight missed game and potentially force Washington to turn to a backup kicker, further disrupting the team’s rhythm on special teams. With the added uncertainty surrounding long snapper Tyler Ott, who was recently added to the injury report due to illness, the Commanders will be hoping to avoid further complications as they prepare for the high-stakes matchup against their NFC East rivals.

CeeDee Lamb’s AC Joint Sprain

At a Glance:

Player: CeeDee Lamb
Position: Wide Receiver
Team: Cowboys
Injury: AC Joint Sprain
Projected Recovery Time: TBD

Week 9: The Cowboys’ Injury Crisis – Can They Overcome the Pain?

As the Cowboys brace for their Week 9 matchup with the Eagles, their injury report is packed with key players battling through pain. With quarterback Dak Prescott nursing a lingering hamstring issue and a host of other key players battling through injuries, it’s safe to say the Cowboys are shaking in their boots heading into Sunday’s game. However, the injury to star wide receiver CeeDee Lamb may be the most worrisome, as he’s now dealing with an AC joint sprain following a tough hit against the Falcons.

Football is a physically demanding sport that often exposes athletes to various injuries, including AC joint sprains. An AC joint sprain occurs when the ligaments supporting the acromioclavicular (AC) joint, located at the top of the shoulder, are stretched or torn.

Lamb, who has been one of Dak’s most reliable targets this season, described the injury as incredibly painful, but he’s not backing down. Despite needing an MRI to assess the damage fully, Lamb is adamant that he will suit up and play through the pain against the Eagles. “It’s tough, but I’ve been through worse,” Lamb said, showing his usual toughness. However, with the Cowboys already facing a banged-up roster, having one of their top offensive weapons playing at less than 100% could seriously affect their chances against a fierce Eagles defense.

As Lamb looks to power through the pain, the focus will also shift to his rehab process in the coming days. Managing an AC joint injury is no easy task, and finding the right balance between recovery and performance will be crucial not only for his individual success but for the team’s overall chances moving forward.

The key components of an effective rehabilitation program for AC Joint sprains includes:

1. Pain Management:
One of the primary goals of rehabilitation for AC joint sprains is to manage pain effectively. Through a combination of physical therapy techniques, such as ice and heat therapy, electrical stimulation, and manual therapy, athletes can experience reduced pain levels and improved comfort. Pain management is crucial not only for the athlete’s well-being but also for their motivation to actively participate in the rehabilitation process.

2. Restoring Range of Motion:
AC joint sprains can limit the range of motion in the shoulder, impacting an athlete’s ability to perform essential football movements. Rehabilitation focuses on gradually restoring the full range of motion through stretching exercises, joint mobilization techniques, and specific shoulder exercises. By regaining flexibility and mobility, football athletes can regain their agility and overall performance on the field.

3. Strengthening and Stability:
Rehabilitation programs for AC joint sprains emphasize strengthening the muscles surrounding the shoulder joint. Strengthening exercises, such as resistance training and weightlifting, help rebuild the muscles and improve stability. By targeting the rotator cuff muscles and the muscles around the shoulder blades, athletes can enhance their shoulder stability, reducing the risk of reinjury and improving their overall performance.

4. Functional Training:
Functional training is a vital component of AC joint sprain rehabilitation for football athletes. This type of training focuses on replicating football-specific movements to ensure a smooth transition back to the field. Exercises that mimic throwing, catching, tackling, and blocking movements are incorporated into the rehabilitation program. Functional training helps athletes regain their confidence and allows them to practice their sport-specific skills while gradually building strength and endurance.

5. Gradual Return to Play:
Returning to football too soon after an AC joint sprain can lead to reinjury and prolonged recovery time. A well-structured rehabilitation program ensures a gradual return to play, taking into account the athlete’s progress, pain levels, and overall readiness. This step-by-step approach minimizes the risk of setbacks and allows athletes to regain their competitive edge safely.

In this video 3DPT West Berlin’s Dr. Dan Deitz describes and demonstrates a few movements that would be included throughout a rehab program for AC Joint Sprains

Rehabilitation for AC joint sprains is of utmost importance for football athletes aiming to recover fully and return to the field at their best. By focusing on pain management, range of motion restoration, strengthening, functional training, and a gradual return to play, athletes can overcome the challenges posed by AC joint sprains. The question now is how effective Lamb can be with a compromised shoulder. Will he be able to maintain his usual explosive playmaking ability, or will the injury slow him down on the field? For the Cowboys, it’s a matter of grit over comfort as they try to hold it together against their NFC East rivals this Sunday. But with so many key players battling injuries, it’s clear that this team’s depth—and perhaps a little luck—will be tested to the max

Darius Slay’s Groin Injury

At a Glance:

Player: Darius Slay
Position: Cornerback
Team: Eagles
Injury: Groin Injury
Projected Recovery Time: 2-4 weeks

Darius Slay’s Groin Injury: What It Means for His Season

Darius Slay, the standout cornerback for the Philadelphia Eagles, recently suffered a groin injury during a pivotal game against the Giants. The injury occurred in the second half, as Slay was defending a pass, showcasing his explosive athleticism and agility—a hallmark of his playing style. Unfortunately, the intensity of the game and the demands of his position led to a strain of the adductor muscles, commonly referred to as groin muscles.

Groin injuries are prevalent in sports that involve running and jumping, and Slay’s situation underscores the physical toll these demands can take. The adductor muscles are crucial for stabilizing the pelvis and assisting with lateral movements, both essential for a cornerback tasked with covering speedy receivers. Slay’s injury resulted in significant pain, affecting his ability to walk and run, which raises concerns not only for his immediate performance but also for the rest of the season.

Injury Details and Treatment Plan

The specific nature of Slay’s injury—tightness and over-stressing of the adductor group—means that recovery must be approached cautiously. Adductor injuries often lead to high recurrence rates if not properly rehabilitated, which is why the Eagles’ medical staff will focus on a comprehensive treatment plan. This plan will address strength and flexibility impairments to ensure he can return to the field with minimal risk of re-injury.

Treatment will likely include manual therapy and various modalities aimed at reducing pain and improving mobility. Typical rehabilitation exercises may include slider lunges to enhance strength, targeted adductor stretches for flexibility, and adductor lifts to build endurance in the muscle group. These exercises, commonly referred to as “bulletproofing” the adductors, are designed to fortify the area and prevent future injuries.

Projected Recovery Timeline

While the exact timeline for Slay’s return will depend on the severity of the strain, groin injuries generally require anywhere from a few weeks to several months for complete recovery. Early indications suggest he could be sidelined for a few games, but the Eagles will likely lean towards the side of caution to ensure he is fully healed before returning to action.

As the Eagles navigate their schedule without one of their defensive leaders, fans and analysts alike will be keeping a close eye on Slay’s rehabilitation progress. His absence could impact the team’s performance, particularly in critical matchups, making his return a priority for both the player and the organization.

In summary, Darius Slay’s groin injury poses significant challenges not just for him, but for the entire Eagles’ defense. The focus now shifts to his recovery, with hopes that he will be back on the field sooner rather than later, ready to contribute to the team’s playoff aspirations.

Brandon Aiyuk’s ACL and MCL Tear

At a Glance:

Player: Brandon Aiyuk’s
Position: Wide Receiver
Team: 49ers
Injury: ACL & MCL Tear
Projected Recovery Time: 10 Months

Week 7 Injury Report: Brandon Aiyuk’s ACL and MCL Tear

The San Francisco 49ers have been plagued with injuries this season, a theme that has raised concerns among fans and analysts alike. The term “ACL tear” is among the most dreaded for athletes, as it typically signifies not only the end of their season but also the start of an arduous recovery journey. Brandon Aiyuk recently became the latest casualty in this grim narrative, suffering both an ACL and MCL tear during a crucial game, significantly impacting both his future and the team’s prospects.

The Injury Setting

Aiyuk’s injury occurred during a high-stakes matchup, where the 49ers were vying for a critical win. As he attempted to make a sharp cut after receiving a pass, he suddenly fell to the ground, clutching his knee in pain. The swift response from the medical team hinted at the severity of the situation, and the palpable tension in the stadium reflected the anxiety of fans and teammates alike. After thorough examinations, it was confirmed that Aiyuk had torn both his anterior cruciate ligament (ACL) and medial collateral ligament (MCL).

Understanding the MCL Tear

While the ACL often garners the most attention, the MCL tear is equally important in Aiyuk’s case. The MCL is a key ligament that stabilizes the inner part of the knee, protecting it from lateral forces. Injuries to this ligament typically result from direct contact or sudden twists, making them common in football. In Aiyuk’s situation, the combination of an ACL tear and MCL injury complicates his recovery process, as both ligaments are critical for maintaining knee stability.

The ACL is particularly vital; it prevents the forward movement of the tibia on the femur and ensures that surrounding structures can maintain stability during weight-bearing activities. Without the ACL, athletes face an increased risk of further knee injuries, which is why most NFL players choose to undergo ACL reconstruction surgery.

The Recovery Process

Recovery from Aiyuk’s injuries will be intensive and multifaceted. ACL reconstruction typically involves harvesting tissue from the quadriceps, hamstrings, or patellar tendon, which is then anchored to the tibia and femur. This graft aims to provide stability similar to that of the original ACL, but it can take up to two years for the new ligament to fully resemble a normal ACL in function and strength.

Following surgery, physical therapy (PT) becomes crucial for regaining strength, mobility, and knee function. Rehabilitation typically begins just days post-surgery, focusing on pain management, reducing swelling, and improving range of motion. In the early weeks, the emphasis will be on recovering quadriceps strength and stabilizing the knee.

Around the three-month mark, Aiyuk may be cleared to begin running, a significant milestone in his recovery. Physical therapy will prioritize strengthening the quadriceps, hamstrings, and glutes, aiming to address any muscle imbalances that contributed to the injury. As he progresses, the focus will shift to refining techniques for cutting, pivoting, and landing—activities crucial for a wide receiver’s performance.

Prioritizing Protection and Prevention

Unfortunately, re-injury rates can be high for athletes returning from ACL tears, making careful management essential. The later phases of rehab will involve dynamic balance exercises and drills that emphasize proper landing mechanics, further reinforcing knee stability.

In summary, Brandon Aiyuk’s injury is a significant blow not only to him but also to the 49ers’ overall strategy moving forward. As he embarks on this challenging recovery journey, both the team and fans will be watching closely, hoping for his swift and successful return to the field.

Bilal Nichols: Stinger

At a Glance:

Player: Bilal Nichols
Position: Defensive Lineman
Team: Cardinals
Injury: Stinger
Projected Recovery Time: 1+ weeks

Week 6 Injury Report: Bilal Nichols—Overcoming the Sting, Ready to Roar!

Bilal Nichols, the defensive lineman for the Arizona Cardinals, faced a challenging setback during Sunday’s game against the Green Bay Packers when he sustained a stinger injury. Nichols, known for his powerful presence on the field and crucial role in the Cardinals’ defensive line, experienced this injury, which is quite common in football. 

Stinger injuries, often referred to as burner injuries, occur due to a rapid stretch of the neck or shoulder, leading to tension or compression of nerve roots, peripheral nerves, or parts of the brachial plexus—a critical network of nerves that serves the upper extremities. Symptoms of a stinger include sharp, burning pain radiating down the arm, numbness or tingling, and discomfort in the neck or shoulder. This type of injury typically occurs during tackles, particularly when a player’s shoulder is forced one way while their head and neck are pulled in the opposite direction.

For Nichols, the implications of a stinger injury can be significant. While the immediate symptoms can be intense, they usually fall under the category of neurapraxia, the least severe form of nerve injury. Neurapraxia involves the compression of small nerve fibers without permanent damage, somewhat akin to the sensation of hitting your “funny bone.” Although symptoms may not last long, the recovery timeline can vary based on the extent of the injury. In some cases, if the injury escalates to axonotmesis or neurotmesis, the implications for Nichols could be more serious. Axonotmesis affects peripheral nerves while keeping deeper axons intact, while neurotmesis signifies complete severing of the nerve, resulting in a much longer recovery process.

As Nichols embarks on his rehabilitation journey, the early phase of treatment will focus on pain management through light postural strengthening exercises and nerve glides. These exercises gently stretch the affected nerve while relieving tension on the opposite end, aimed at reducing pain and promoting healing. Once Nichols begins to experience pain relief, therapists will introduce nerve tensioners that apply tension to both ends of the nerve, increasing its tolerance to stretching. In the later stages of rehab, higher-level upper body exercises will be essential for Nichols to build strength and stability, ensuring that he can safely return to the field without risking a recurrence of symptoms.

In a helpful video, Dr. Sarah Obuchowski from 3DPT West Berlin provides valuable insights and demonstrations of these rehabilitation techniques.

For athletes like Nichols, understanding the nature of stinger injuries and following a comprehensive rehab protocol will be crucial not only for recovery but also for a successful return to competitive play. With the right care and attention, Nichols can hope to bounce back quickly and continue to make an impact on the Cardinals’ defense.

Christian McCaffrey: Achilles Tendinitis

At a Glance:

Player: Christian McCaffrey
Position: Running Back
Team: 49ers
Injury: Achilles Tendinitis
Projected Recovery Time: 3+ weeks 

McCaffrey’s Comeback is Just Around the Corner!

Christian McCaffrey, the standout running back for the San Francisco 49ers, has been grappling with chronic Achilles tendinitis, an issue that has affected his performance and availability in past seasons and now currently in the 2024 season. The 49ers don’t anticipate McCaffrey returning until November. The positive news is that the team has started to intensify his rehabilitation, although the progress is gradual. McCaffrey took part in his first on-field activities this week, marking a promising development. 

Achilles tendonitis is not often a season-ender, but it can still have a high impact on an athlete’s performance and overall well-being. One often overlooked factor in the development and exacerbation of Achilles tendonitis is the playing surface. In this post, we will explore the symptoms, physiology, and the crucial role of playing surfaces in the occurrence of Achilles tendonitis in football players.

Symptoms of Achilles Tendonitis: Achilles tendonitis, also known as Achilles tendinopathy, typically manifests with a range of symptoms, including:

• Pain and stiffness: Football players with Achilles tendonitis often experience pain along the back of the heel and the lower leg, especially during or after physical activity.
• Swelling and tenderness: The Achilles tendon may become swollen and tender to the touch.
• Decreased range of motion: Players may notice a reduced ability to flex their foot or point their toes.
• Morning stiffness: Pain and stiffness can be particularly intense in the morning or after prolonged periods of rest.

Physiology of Achilles Tendonitis: Understanding the physiological aspects of Achilles tendonitis is crucial for managing and preventing this condition in football players.

• Overuse and repetitive stress: Football involves a significant amount of running, jumping, and sudden changes in direction. These movements place excessive stress on the Achilles tendon, causing microtears and inflammation over time.
• Poor biomechanics: Factors like improper footwear, inadequate stretching, and biomechanical imbalances (e.g., flat feet or overpronation) can contribute to increased strain on the Achilles tendon.
• Reduced blood supply: The Achilles tendon has a relatively poor blood supply compared to other tissues, making it more susceptible to injuries and slower to heal.

Impact of Playing Surface: The type of playing surface can have a profound impact on the development and severity of Achilles tendonitis in football players:

• Artificial turf vs. natural grass: Artificial turf is known for being harder and less forgiving than natural grass. The unyielding nature of turf can increase the risk of tendon injuries due to the increased shock absorption required by the Achilles tendon during running and sudden movements.
• Surface temperature: Hot artificial turf can amplify the risk of Achilles tendonitis, as high temperatures can reduce the tendon’s elasticity and increase the likelihood of injury.
• Cleat selection: The choice of cleats can affect the load and pressure on the Achilles tendon. Inadequate cleat selection can exacerbate biomechanical issues and contribute to tendonitis.

Prevention and Management: Preventing Achilles tendonitis and managing its symptoms are crucial for football players:

• Proper footwear: Choose well-fitting and appropriate cleats that support your foot’s biomechanics.
• Stretching and strengthening: Incorporate calf stretches and strengthening exercises into your training routine.
• Adequate rest and recovery: Allow time for your body to heal and recover between intense training sessions.
• Playing surface assessment: Be mindful of the playing surface and its conditions. Take precautions when playing on artificial turf, especially in hot weather.
• Seek professional help: If you experience Achilles tendonitis symptoms, consult a sports medicine specialist or physical therapist for a customized treatment plan.

In conclusion, Achilles tendonitis is a prevalent issue for football players that can significantly affect their performance and overall health. For athletes like Christian McCaffrey, recognizing the symptoms and understanding the physiological factors, along with how different playing surfaces can exacerbate the condition, is essential for both prevention and management. Players should focus on wearing appropriate footwear, incorporating stretching routines, and prioritizing recovery to reduce their risk of developing Achilles tendonitis, while also taking into account how the playing surface impacts their Achilles health.

In the video, 3DPT West Berlin’s Dr. Grant Silhanek demonstrates a few types of exercises that would be performed throughout a rehabilitation program for Achilles tendonitis. https://www.youtube.com/shorts/w47DP0u1QLk

David Njoku: Ankle Injury

At a Glance:

Player: David Njoku
Position: Tight End
Team: Cleveland Browns
Injury: Ankle Injury
Projected Recovery Time: 4+ weeks 

Bouncing Back: Njoku’s Injury and the Road to Recovery 

David Njoku, the talented tight end for the Cleveland Browns, suffered an ankle injury during the third quarter of the team’s Week 1 matchup against the Dallas Cowboys and remains out for the third straight week. As the Dallas game progressed, the severity of the injury remained uncertain, casting a shadow over the team’s offensive plans. Njoku, who had a breakout season last year and earned his first Pro Bowl selection, is a crucial player on the Browns’ roster, contributing significantly to both their passing game and blocking schemes. His absence has not only impacted the team’s overall performance but also places additional pressure on the backup tight end, further complicating Cleveland’s offensive strategies.

Ankle sprains are among the most prevalent injuries in football, affecting players from youth leagues to the professional level. The nature of the sport, with its fast-paced, high-contact environment, makes athletes particularly susceptible to such injuries. While Njoku’s specific case is still under evaluation, history shows that rehabilitation is vital for recovery. For football players, getting back on the field isn’t just about healing; it’s also about restoring confidence in their mobility and performance. Athletes like Njoku must work diligently through the rehabilitation process, focusing on regaining strength, stability, and range of motion to ensure they can perform at their peak.

The goals of PT for ankle sprains are:

1. Restoring Stability and Strength:
Rehabilitation after an ankle sprain focuses on restoring stability and strength to the injured joint. Football athletes heavily rely on their ankles for quick changes in direction, explosive movements, and maintaining balance. By following a structured rehab program, athletes can regain stability in their ankle joint, reducing the risk of reinjury and improving overall performance.

2. Enhancing Range of Motion:
Ankle sprains often lead to limited range of motion, making it difficult for football athletes to perform at their best. Rehab exercises, such as stretching and mobility drills, help regain flexibility and restore the full range of motion in the ankle joint. This increased range of motion not only aids in injury prevention but also allows athletes to execute complex maneuvers with greater ease and efficiency.

3. Preventing Chronic Ankle Instability:
Failure to properly rehabilitate an ankle sprain can lead to chronic ankle instability, a condition characterized by recurring sprains and a feeling of “giving way” in the ankle. This instability can significantly impact an athlete’s performance and increase the risk of future injuries. By diligently following a rehab program, football athletes can address the root causes of instability, strengthen the surrounding muscles, and minimize the chances of long-term complications.

4. Psychological Recovery:
Physical injuries often take a toll on an athlete’s mental well-being. The frustration of being sidelined, the fear of reinjury, and the uncertainty of returning to peak performance can be overwhelming. Rehab plays a vital role in the psychological recovery of football athletes by providing them with a structured plan, goals to work towards, and a sense of progress. This support system helps athletes stay motivated, maintain a positive mindset, and ultimately come back stronger mentally and physically.

5. Individualized Approach:
Rehabilitation following an ankle sprain should be tailored to the specific needs of each football athlete. Working closely with sports medicine professionals, such as physical therapists and athletic trainers, ensures that the rehab program addresses the athlete’s unique strengths, weaknesses, and goals. This individualized approach maximizes the effectiveness of the rehab process, allowing athletes to return to the field with confidence.

Rehabilitation is a transformative phase following an ankle sprain, often making the difference between a quick return and a prolonged absence from the game. Comprehensive rehab programs are designed not only to address the physical aspects of recovery but also to tackle the psychological hurdles athletes face after an injury. For those like Njoku, a tailored rehab regimen can prevent chronic instability and future injuries, allowing them to come back stronger than before. Ultimately, the journey to recovery may be fraught with challenges, but with determination and the right support, athletes can overcome these obstacles and continue to excel in the sport they are passionate about.

Click here to read more and see Dr. Alyssa McMinn demonstrate exercises in an ankle sprain rehab program

AJ Brown: Hamstring injury

At a Glance 
Player: AJ Brown
Position: Wide Receiver
Team: Philadelphia Eagles
Injury: Hamstring Injury
Projected Recovery Time: 2+ weeks

Week 3 and the Eagles are soaring through setbacks! 

Britain Covey suffered a shoulder injury and Devonta Smith and Lane Johnson both suffered concussions during Sunday’s game versus the Saints! We’ll have to wait and see if they will be sidelined for next week’s game against the Buccaneers.

All eyes are still on the Eagles’ sidelines where star wide receiver AJ Brown has been resting due to a hamstring strain. This common yet troublesome injury is a familiar concern among football players, often leading to extended time off the field and affecting overall team performance. For AJ, who has already been sidelined for two weeks, this situation is particularly frustrating as he aims to contribute to the Eagles’ success.

Hamstring strains typically occur due to overstretching or rapid muscle contractions, leading to microtears in the muscle fibers. Understanding the nature of these injuries is crucial for effective recovery. Strains are classified into three grades: Grade I involves mild stretching and microscopic tears, which can often heal relatively quickly. Grade II indicates partial tearing of the muscle fibers and requires more careful management, while Grade III represents a severe tear or complete rupture—an injury that can sideline an athlete for an extended period. AJ Brown’s current situation falls somewhere in this spectrum, and the team is taking every precaution to ensure he returns to peak performance.

Recognizing the symptoms of hamstring strains is essential for early intervention and optimal recovery. AJ reported feeling a tightness in his hamstring during practice, which prompted him to seek immediate evaluation. Symptoms can include sharp or aching pain in the back of the thigh, often near the buttocks or back of the knee. This pain may be sudden and severe, particularly during activities like sprinting or stretching. Swelling and bruising around the injured area are also common indicators, as are tenderness and discomfort when contracting the hamstring muscles. Furthermore, hamstring strains can lead to a reduced range of motion, making it challenging for players like AJ to fully extend their legs or bend at the knee. 

Effectively managing AJ Brown’s recovery requires a comprehensive approach that addresses both immediate care and long-term rehabilitation. The first step is ensuring adequate rest to allow the injured muscle to heal. Ice therapy applied within the first 48 hours is vital for reducing swelling and alleviating pain. In addition, using compression bandages can help control swelling, and elevating the leg during rest periods aids in minimizing fluid accumulation. For pain and inflammation, nonsteroidal anti-inflammatory drugs (NSAIDs) may be prescribed under medical supervision.

Physical therapy plays a crucial role in AJ’s recovery plan. A tailored rehabilitation program focused on restoring flexibility, strength, and proper function of the hamstring muscles will be key to his return. As AJ progresses, he will follow a structured return-to-play program that gradually reintroduces activities, all while monitoring for any signs of discomfort or risk of re-injury. This measured approach ensures that AJ Brown not only recovers but also prevents future hamstring strains.

With patience and perseverance, AJ Brown is on track to bounce back stronger than ever. The Eagles and their fans are rallying behind him, eagerly anticipating his return to the field. Together, they embody the spirit of resilience—ready to soar once again!

Click here to read more about hamstring injuries and see Dr. Alyssa McMinn demonstrate some of the movements that would be a part of the hamstring strain rehabilitation program.

Tua Tagovailoa: Concussion

At a Glance 
Player: Tua Tagovailoa
Position: Quarterback
Team: Miami Dolphins
Injury: Concussion
Projected Recovery Time: undetermined

Week 2 and injuries abound around the league – some in a few high profile players…

San Francisco’s star Running Back Christian McCaffrey is out for at least 3 weeks with calf issues. His team definitely felt his absence in their upset loss against the Vikings this week. And the Eagles are facing their Monday Night Football rivals, the Falcons, without top Wide Receiver, AJ Brown due to a hamstring injury.

But the injury that everyone is talking about this week is Miami Dolphins Quarterback, Tua Tagovailoa’s concussion from Thursday Night Football against the Buffalo Bills.

With the rough nature of the sport, concussions are fairly common in football. In fact concussions are the most common injury for football players! However this is Tua’s 3rd confirmed concussion since entering the NFL in 2021. He had 2 concussions back to back in 2022 and now a 3rd just this week. Concussions are a type of traumatic brain injury and even though at one time, they were not considered a serious injury, we now know that any brain injury can have lasting effects.

Concussions can be a difficult injury to treat as people present differently, depending on the severity of the concussion, but Tua will likely be working with a PT regardless of the severity of his injury. The biggest goal of Tua’s physical therapy program will be to re-introduce activities gradually. The concern around Tua returning to high level activities too quickly, is that a brain bleed can develop from excessive swelling, or he could develop post-concussive syndrome, in which symptoms last for several months. It is imperative that Tua be sidelined and treated by his healthcare team if he has symptoms.

Typical symptoms of concussions include headaches, dizziness, and “feeling foggy”, and early interventions in Tua’s PT program will help him improve his tolerance to moving his head, standing, and performing daily activities. Tua will also work on strengthening key muscle groups in the neck, as well as addressing vestibular impairments, which are very common with concussions. Vestibular (or inner ear) problems interfere with balance and coordination, and PTs have a variety of exercises to help Tua improve his stability. As he progresses, the exercises will become more difficult to ensure he can tolerate the demands of professional football. His PTs will know the signs of a poor response to exercise to make sure he isn’t doing too much, and hopefully he will be able to make a full recovery.

Recovering from a concussion requires time, patience, and proper care. Here are a few things PT’s focus on during concussion rehab:

1. Oculomotor Training: Concussions can affect the coordination and control of eye movements, leading to visual disturbances. Oculomotor training focuses on improving eye tracking, fixation, and other visual skills. This training helps individuals regain visual function, reduce dizziness, and enhance overall visual processing.

2. Balance Training: Balance is often compromised after a concussion due to the impact on the vestibular system and proprioception. Balance training involves specific exercises and techniques to restore stability and improve proprioceptive awareness. It helps individuals regain their balance, reduces dizziness, and prevents falls.

3. Cardiovascular Training: Concussion recovery also involves gradually reintroducing physical activity. Cardiovascular training helps improve endurance, cardiovascular health, and overall fitness. It is essential to start with low-intensity exercises and gradually increase intensity under the guidance of a healthcare professional.

As of now Tua has reported that he has no plans to retire from his football career. Hopefully Tua will take the time he needs to fully recuperate and he will not experience any additional concussions this season or his future in the NFL.

Click here to read more about concussions and see Dr. Dan Deitz demonstrate some of the movements that would be a part of the early, mid, and later phases of a comprehensive concussion rehabilitation program.

Jordan Love: MCL Sprain

At a Glance 
Player: Jordan Love
Position: Quarterback
Team: Green Bay Packers
Injury: MCL Sprain
Projected Recovery Time: 3-6 weeks

NFL Football is officially back! AND as promised, so is…3𝘿𝙋𝙏’𝙨 𝙉𝙁𝙇 𝙄𝙣𝙟𝙪𝙧𝙮 𝙧𝙚𝙫𝙞𝙚𝙬!
Each week of the 2024-25 NFL season we’ll cover a high profile injury that occurs in the NFL – describing the injury, the role of physical therapy in the recovery and projected recovery time. Make sure to check in each week!

Week 1 of the NFL regular season already plenty of injuries across the league
The first injury we’ll be talking about belongs to Green Bay Packer QB, Jordan Love, who suffered an MCL sprain in the Eagles / Packers game on Friday night in Sao Paulo Brazil

After a strong performance at the end of last season, the Packers had high expectations of their newer QB, Jordan Love. Unfortunately Week 1 did not go the way of Green Bay. The team lost to the Eagles 29-35 and with just 6 seconds left of the game, Love got wrapped up in a tackle from Eagles defenders Jalen Carter and Josh Sweat and went down awkwardly, with what was later reported as a sprained Medial Collateral Ligament, or MCL.

The MCL is one of the main stabilizing structures of the knee. It is on the inside of the knee so when the knee is bent inwards it can be stretched or torn if there is enough force. When the MCL is torn there is less static stability of the knee joint requiring more muscle activity to control the joint movement. This can put more stress on the meniscus, so it is important to rest and allow full healing to prevent further damage. MCL injuries often accompany ACL tears, but luckily for Love, his ACL is reportedly still intact.

While timing of his return is still undetermined, it’s reported that he will be out for 3-6 weeks and he will likely be spending lots of that time with his PT team to make sure he is fully able to return to high level play. ACL and MCL injuries are associated with the valgus position so a huge focus on Love’s rehab program will be injury prevention. Strengthening the hips by doing variations of bridges and hip abduction exercises helps a person maintain a healthier knee position to avoid that valgus, and a lot of time will be dedicated to Love maintaining that healthy knee position while performing dynamic activities.

The injury is a blow to the Packers’ season but at least its not a season-ender for the QB!

Click here to read more about ACL and MCL sprains

3DPT and MSC: Kicking off a new partnership!

Medford Soccer Club and 3 Dimensional Physical Therapy are excited to announce a new partnership to support Medford’s soccer community! 3DPT has worked with many MSC teams over the years to provide injury prevention sessions and tips for players to stay injury free and now they will join the MSC family as an official sponsor for the next 4 years!

“We are excited to join forces with 3DPT, a local company who is deeply committed to the Medford community,” said Jim Jackson, MSC President. “This partnership truly brings great benefits to our players and helps us deliver on our goal to provide players with the opportunity to develop a solid foundation of soccer skills while playing in a fun and supportive environment.” 

MSC recreational and travel players will see 3DPT logos on their uniforms but the partnership will go well beyond that! 3DPT will support players, coaches and parents with injury prevention training & education, sponsorships, support at events and more! 

Jim Jackson, president of MSC, said what drew them to 3DPT is their overall dedication and commitment to their entire Medford youth organization.

“They really have good core values and believe in helping out the kids,” he said. “What I like about 3DPT is what they do for our players within the program from the preventative treatment perspective from concussion baseline to situation awareness testing. They provide great PT (physical therapy) for kids who may unfortunately get injured.”

If not the largest, Medford Soccer Club is one of the largest with close to 1,500 athletes and well over 100 teams within the recreation and travel program from pre-K all the way up to the high school level, Jackson said.

“We probably rely on help of close to 200 volunteer coaches and trainers that give their time to help and develop [the kids] in the sport of soccer,” he said.  

MSC recreational and travel players will see 3DPT logos on their uniforms but the partnership will go well beyond that. 3DPT will support players, coaches and parents with injury prevention training and education, sponsorships, support at events and more.

3DPT co-founder, Jeff Sallade, said “Becoming a sponsor for MSC is kind of like coming full circle. I grew up playing soccer in Medford, my kids played for MSC, and I coached for MSC. Making the move to team up with MSC is an honor for us – we share the same values of wanting to make a difference in the community and positively impacting athletes, and will work together to do this for years to come.” 

Onward and Upward!

Over the years, we have had numerous 3DPT employees who worked as aides or at the front desk get accepted into graduate school for physical therapy and other healthcare graduate programs.  It is rewarding to be able to act as a stepping stone for all of these employees as they work their way towards their end goal of becoming licensed healthcare providers.  We have 5 current employees that have been accepted into post-grad programs and we want to take this chance to recognize them and wish them all the best!

Justin Kelly
PT Aide, Medford

I will be attending Arcadia’s Physical Therapy Program in the fall.  My fellow employees at 3DPT have pushed me to give my best effort in everything I do.  This has given me the opportunity to attend physical therapy school. 

Rebekah Barnhardt
PT Aide, Haddon Township

My name is Rebekah Barnhardt and I will be starting graduate school for Physical therapy at Widener University this June! I’ve been looking forward to PT school since I graduated high school, and then once I started working at 3DPT two years ago as an aide, my love for the profession has only increased! I’m excited for what lies ahead these next three years and I’m so glad I’ll have my 3DPT family by my side to help me along the way!

Krystal Daniels
PT Aide, Cherry Hill

My name is Kristal Daniels.  After spending over a year at 3DPT Cherry Hill, I will start my graduate studies at Temple University this fall, pursuing a degree in Speech-Language Pathology. My time at 3DPT has given me valuable insights into the human body’s complexities as an instrument, especially considering my interests in vocal production. I am deeply thankful for the support and knowledge I have acquired here, and I am eager to apply these experiences as I begin this new chapter.

Hayley Hartnett
PT Aide, Deptford

Hello I’m Hayley, my future plan is to get into the Physical Therapy Assistant Program at Rowan College of South Jersey to one day become a licensed PTA. 3DPT has helped me along this journey by guiding me into my future career path, that I was very indecisive about. I am very grateful to have such an amazing group of people helping me to accomplish my dreams!

Gianna Darcangelo
PT Aide, Williamstown

I will be attending Stockton’s PT program in the fall. 3DPT has given me the opportunity to learn from amazing physical therapists everyday which has helped me prepare for my future! 

Congratulations to everyone! We know you are on your way to something great!

A Balanced Diet-itian

Hello! My name is Hannah Maloney, and I’m thrilled to share a bit about my journey and aspirations in the realm of nutritional sciences. Graduating from Rutgers in 2023 with a Bachelor’s degree in Nutritional Sciences was just the beginning of my adventure into the world of dietetics and healthcare.

Throughout my academic journey, I’ve had the privilege of gaining diverse experiences in various aspects of nutrition and dietetics, from food service to clinical settings. These experiences have solidified my passion for promoting health and well-being through proper nutrition. Currently, I am pursuing my Master’s degree and Dietetic Internship in Nutritional Sciences at Saint Elizabeth’s University, with a particular focus on community and public health. This path allows me to delve deeper into understanding the broader impact of nutrition on individuals and communities alike.

For as long as I can remember, I’ve been drawn to the power of food to bring people together. As a former vegetarian for about five years, I’ve explored the vast landscape of culinary possibilities and discovered the joy of experimenting with new recipes and ingredients. Cooking dinners for my family and friends has become not only a hobby but also a way to nourish and connect with those I care about.

In addition to my academic pursuits, I’ve also ventured into the realm of healthcare operations, working at 3DPT in insurance verifications and operations. Since joining in June 2023, I’ve gained valuable insights into the foundational aspects of patient care and the crucial role that insurance verification plays in ensuring smooth and efficient healthcare delivery. It’s been eye-opening to witness firsthand how seamless coordination between clients and physical therapists can significantly impact patient outcomes.

Looking ahead, my ultimate goal is to become a registered dietitian, with a focus on maternal care or pediatrics, either clinically or in private practice. I’m eagerly anticipating my upcoming internship this fall, where I’ll have the opportunity to immerse myself in various fields within dietetics and gain invaluable real-life experience.

In essence, my journey in the field of nutrition and healthcare is driven by a deep-seated passion for making a positive difference in people’s lives. Whether it’s through advocating for better nutrition practices, fostering healthy eating habits, or facilitating access to quality healthcare, I am committed to contributing to a healthier, happier, and more vibrant community. Thank you for allowing me to share a glimpse of my story with you all. Here’s to the journey ahead!

Join Hannah on April 19, 2024 for a free Nutrition Seminar, “Increasing Protein Intake in Older Adults” at 3DPT Tabernacle. Click here for more information!

PT x Powerlifting = Purpose and possibilities in Old City

During physical therapy school at Arcadia, DPT students interviewed for clinical rotations to serve as our final experience to prepare us to enter the field. When I had my interview with Jessica Valloreo, the owner of 3DPT Haddon Heights, there was something about 3D that felt comforting and friendly that I couldn’t quite put words to. I had the same feeling when I visited 3DPT Deptford a few weeks before my clinical, and met Zach Friedman who had just opened his location and would serve as a mentor to me for 6 months. Zach encouraged me to apply to the other clinics in order to stay with the company long term. The feeling happened again when I met each of the founders, Jeff Sallade and Ken Guzzardo. It wasn’t very long until I was determined to land a job with 3DPT by the end of my clinical. 

I started working at 3DPT West Berlin the week my license was finalized, less than two weeks after I took the board exam. Something that stuck out to me as I entered the workforce was the difference between my experience compared to my peers. The structured mentorship at 3D, the monthly meetings of the entire company, or even the flexibility of purchasing equipment to better meet patient’s needs were all things my peers who took other jobs were not experiencing. 

The “Why” behind 3DPT’s growth

“There was an idea… to bring together a group of remarkable people to see if they could become something more” ~ Nick Fury, The Avengers

A lot has changed since Jeff and I first began 3DPT in a 200 square foot office (thanks, Eddie!) to just finishing our 10th location and nearly opening our 11th (stay tuned!). What started as Jeff and I carrying our table and exercise bands in and out of our subleased space at the Pinelands Sports Center each day has turned into a company with over 100 people who give their best every day to help their clients and coworkers have the best experience possible. Why have we grown and why do we keep growing? In one word, partnerships.

Every 3DPT office is owned by a clinician. We would not have 10 clinics (soon to be 11!) if we did not have 10 clinicians who wanted to partner with us. Rather than identify a location and find a clinician to work there, the growth plan of 3DPT has always been to find the partner first and develop an opportunity around their interests. Every 3DPT is an active part of our communities because this is where our partners live and where their children go to school and do activities. Our partners care the same about their office, their coworkers, their patients, and their communities as Jeff and I do.

Our goal for the future is to identify 40 clinicians who would like to be partners, and help them open their practices. This means potentially 40 communities that we can impact, numerous coworkers that can enjoy coming to work, and countless patients who can have an amazing healthcare experience and achieve their goals. When Jeff and I have fears of getting too big and losing our “why”, all we have to do is read our Google Reviews from each of our partners’ offices and see that 3D continues to provide the same level of care to our patients as when we started. 

So, when people ask me if I’m proud that we have grown to 10 locations, my answer is that I’m proud that I have 10 partners. Not only are all of my partners some of the smartest people I have ever been around, but they also have pushed 3DPT and myself, personally, further ahead than Jeff and I could have ever gotten on our own. By learning from each other, having open discussions and debating decisions, and focusing on best practices from each location, we have truly raised the workplace and healthcare experience for our coworkers and our patients. We would not be able to grow and have a true positive impact on our communities if 3DPT was not established on partnerships.

To learn more about our team and career opportunities at 3DPT click here

From student to partner – my journey to 3DPT Cinnaminson

Like many clinicians, I decided to pursue the field of physical therapy for a few personal reasons. After sustaining a shoulder injury that sidelined me from softball during the winter of my sophomore year of high school, I became interested in physical therapy as it quickly helped me return to the sport I loved. Around that time I began to think more about the field in general.

My grandfather who had a stroke before I was alive had always attributed his ability to walk again to the dedication of the physical therapists he had while he was recovering. As I completed my own rehab for my shoulder, I contemplated the profound impact these therapists had on my grandfather’s life; this was an impact so great that he was still talking about it eighteen years after the fact. Despite being enrolled in the Finance and Business Academy at Gloucester County Institute of Technology, I decided at that time that I wanted to pursue a career in physical therapy. The idea of helping people achieve mobility and function they previously thought was out of reach was inspiring to me. 

In 2019 I was completing my third and final year of physical therapy school at the University of the Sciences. As part of the curriculum and graduation requirements, we had to complete four rotations in various clinical settings. I realized that if I wanted to provide a high quality of care and make a true difference in the lives of my patients, I needed to find a company that saw value in individualized care, going above and beyond for their patients, and valued out of the box thinking. I believed the best way of finding this was seeking experiences with privately owned, small companies.  I completed three out of these four rotations at various privately owned outpatient clinics in South Jersey. My last rotation was at 3 Dimensional Physical Therapy in Cherry Hill, with Anthony Perrone as my instructor. 

This rotation began in October of 2019, only two months after the Cherry Hill clinic opened its doors. For four months, I spent countless hours learning new physical therapy skills, gaining confidence as a clinician, and just getting to know the people who made 3DPT a community. A really unique aspect of this rotation was getting to witness this clinic be built from the ground up. Unlike any of my friends at other clinics, I was going on marketing calls, discussing the trials and triumphs of a new business, and witnessing everyday decisions from a partner’s perspective. 

I graduated from University of Sciences in the spring of 2020, but COVID -19 threw a wrench in my plans that March. As a direct result of the pandemic, 3DPT was not in a position to hire me at that time. I was disappointed as I knew this was the type of company I wanted to build my career with, but knew there would likely be opportunities in the future to return. 

I moved to Philadelphia and took a job in an outpatient clinic there. I hold my time working in Philly with such value. I spent my first year as a clinician there and was exposed to many successes, failures, and learning experiences. The other therapists at this job provided me with invaluable training that I still use to this day. But despite having such a positive experience my first year, I knew deep down that 3DPT was home for me. 

In December 2021 I returned to 3DPT as a full time therapist in our Cherry Hill office. Stepping back into the office that rounded out my time as a student therapist was very rewarding for me. I came back more confident and eager to continue to learn. From the moment I returned, Anthony and Chuck began pitching me learning experiences and mentoring me. In less than a year, I knew I wanted to pursue a partnership with 3DPT. I feel very passionate about opening my own clinic as I’ll be able to help more patients reach their goals and provide opportunities for people who are in the same positions I used to be.

The reason I initially chose 3 Dimensional Physical Therapy as a student was for the core values they exemplify. Now, I’m choosing to open my own location and enter a partnership with the company for those very same reasons. I can’t wait to be immersed in the Cinnaminson community and continue to exemplify these values to the people I encounter everyday!

3DPT’s NFL Injury Review: Hamstring Strains

Hamstring strains are a common concern among football players, often sidelining athletes and impacting team performance. Last week alone there were 24 hamstring injuries in the NFL! That’s just in one week! 

Symptoms of Hamstring Strains:

Recognizing the symptoms of hamstring strains is crucial for early intervention and optimal recovery:

Pain – Sharp or aching pain in the back of the thigh, usually near the buttocks or the back of the knee which may be sudden and severe, often occurring during activities like sprinting or stretching.

Swelling and Bruising – Swelling and bruising may develop around the injured area, indicating damage to the muscle fibers.

Tenderness – The affected area may be tender to the touch, and athletes may experience discomfort when contracting the hamstring muscles.

Limited Range of Motion – Hamstring strains can lead to a reduced range of motion, making it challenging to fully extend the leg or bend at the knee.

Physiology of Hamstring Strains:

Hamstring strains often result from overstretching or rapid contraction of the muscle, causing microtears in the muscle fibers.

Strains are categorized into three grades:

Grade I involves mild stretching and microscopic tears, Grade II involves partial tearing of the muscle fibers, and Grade III is a severe tear or complete rupture of the muscle.

Risk Factors:

Factors such as inadequate warm-up, muscle imbalance, fatigue, and previous hamstring injuries can increase the risk of strains.

Treatment of Hamstring Strains:

Effectively managing hamstring strains involves a comprehensive approach, addressing both immediate care and long-term recovery:

• Rest and Ice: Rest is crucial to allow the injured muscle to heal. Applying ice in the first 48 hours helps reduce swelling and alleviate pain.
• Compression and Elevation: Compression bandages can aid in reducing swelling, and elevating the leg when resting helps minimize fluid accumulation.
• Anti-Inflammatory Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) can be used under medical supervision to manage pain and inflammation.
• Physical Therapy: Rehabilitation exercises are essential for restoring flexibility, strength, and proper function of the hamstring muscles.
• Gradual Return to Activity: Athletes should follow a structured return-to-play program, gradually reintroducing activities while monitoring for any signs of discomfort or re-injury.
• Preventive Measures: Implementing warm-up routines, incorporating strength and flexibility exercises, and addressing muscle imbalances can help prevent future hamstring strains.

Follow along as Dr. Alyssa McMinn takes you through some exercises you’d see in the rehab process for this injury!

3DPT’s NFL Injury Review: Stinger

The Buffalo Bills’ record is just 5-5 after their upset loss to the Denver Broncos during Monday Night Football. The team’s defense has been dealing with lots of injuries including Safety, Micah Hyde who suffered a Stinger injury in Week 9. Hyde, is a crucial part of the Bills’ defense but sitting out of the game was a prudent decision considering Hyde missed most of the 2022 season with a neck injury which resulted in cervical fusion surgery.

Burner or stinger injuries are common tackle injuries in football and result from a quick stretch of the neck or shoulder region leading to tension or compression of nerve roots, individual peripheral nerves, or parts of the brachial plexus, which is a major network of nerves that serve the upper extremities (see photo). Symptoms include sharp, burning pain radiating down the arm, numbness or tingling, and pain in the neck or shoulder. This injury almost always occurs during tackling, when the tackler gets his shoulder forced one way while his head and neck the other.

Similar to muscle/tendon injuries, nerves have 3 grades of injuries. Instead of “grade 1, 2 or 3,” the injuries are called neurapraxia, axonotmesis and neurotmesis. Neurapraxia is the least intense injury and occurs when the small nerve fibers are compressed but are not permanently damaged. A stinger would fit into this category.  It is similar to hitting your “funny bone,” which is actually compressing your ulnar nerve at your elbow. The symptoms typically don’t last long, but can take longer to heal depending on damage. Axonotmesis is more intense with the peripheral nerves being affected, but the deeper axons remain intact. Neurotmesis is the most severe which happens when the nerve is severed at any point along the path. Nerves regenerate much slower than soft tissue or bone injuries. On average they heal around 1 inch per month, so the extent of nerve injured will determine the length of recovery.

For early phase treatment, focus is on decreasing pain levels with light postural strengthening and nerve glides, which gently stretch the affected nerve on one end while relieving tension on the opposite. As pain decreases, nerve tensioners are introduced, with tension on both ends of the affected nerve, increasing the nerve’s tolerance to being stretched. Late phase rehab includes higher level upper body exercises that challenge the nerve’s tolerance to tension and upper extremity stability to ensure the athlete won’t have recurrence of symptoms and can return to play safely

In this video 3DPT West Berlin’s Dr. Sarah Obuchowski describes and demonstrates a few movements that would be included throughout a rehab program for a Stinger/Burner.

So far Hyde has missed 2 games with the Stinger injury. He had limited participation in practice this week but it’s yet to be determined if he will play in the Bills’ vs. Jets game this Sunday.

Honored to Serve

𝐃𝐫. 𝐊𝐞𝐢𝐭𝐡 𝐃𝐚𝐧𝐢𝐞𝐥𝐬 𝐈𝐈𝐈 of the 3DPT Cherry Hill team is for all intents and purposes a South Jersey local. He went to high school right around the corner from the clinic at Cherry Hill High School West, graduated from Drexel University for undergrad and Rutgers University for PT school, but he actually spent most of his elementary and middle school years living in Germany while his father was in the military.

Keith’s dad conducted maintenance activities on the C-130 then led the flight crew later on in his career.

Keith in a C-130 cock-pit in 2004.

Hanging on a sign of the Edelweiss – Lodge and Resort, Garmisch-Partenkirchen, Germany. The mountains are the Zugspitze, highest peak in Germany

Keith is now too a service member and an active Army Reservist in addition to being a physical therapist. Keith was inspired to become a PT by his mother who spent her career helping others regain their functional abilities and independence but he especially has a passion for working with fellow military members and other first responders.

For this reason, Keith is the driving force behind 3DPT’s new Tactical Athlete rehabilitation program. Tactical Athletes are personnel in military, law enforcement and rescue professions with the physical ability, stamina and strength to function on the battlefield. Similar to athletes who participate in regular sports, tactical athletes must be strong, fast and agile—but also have the endurance to perform repeatedly. 3DPT’s Tactical Athlete rehabilitation program is designed to help first responders in high-stress professions recover from injuries sustained in the line of duty, optimize physical capabilities, and reduce the risk of future injuries.

Here’s what Keith says about his commitment to developing a program for tactical athletes at 3DPT:

In life, there are moments that profoundly shape our perspective, guiding us toward a purpose we may not have initially foreseen. For me, the journey toward developing a Tactical Athlete Program was ignited by a combination of experiences and a deep-rooted commitment to making a difference in the lives of those who serve our country.

A Personal Connection: Growing up as a military brat, I witnessed the incredible dedication and sacrifices made by my family members in uniform, particularly my father, an active-duty Air Force C-130 mechanic. These experiences provided me with a unique insight into the lives of military families and the physical and mental demands placed on our service members.

Adaptability and Resilience: My upbringing, marked by frequent relocations and ever-changing environments, taught me the art of adaptability and resilience. Adapting to new schools, making friends, and thriving in diverse settings was not just a choice but a necessity. It instilled in me the belief that individuals in uniform deserve specialized support to excel in their roles.

The Call to Serve: Inspired by my father’s example and a deep-seated desire to contribute to the greater good, I embarked on a journey to serve our nation. This calling led me to Drexel University, where I enthusiastically joined the ROTC program, aiming to learn not only how to be a soldier but also how to lead them.

Commissioning into the United States Army Chemical Corps: In 2017, I proudly commissioned into the Chemical Corps through the Drexel University ROTC program. My transition from a dedicated student to a commissioned officer was a defining moment in my life, reinforcing my commitment to support those who serve our country.

Drexel Commissioning Ceremony 2017 – Independence Hall
During an Army Commissioning Ceremony, the officer candidate selects a Non-Commissioned Officer to give the “First Salute”. My Father, MSgt (R) Keith E. Daniels Jr., giving me my first salute!

During a commissioning ceremony, the officer candidate selects a women who play a pivotal role in the life of the Officer-to-be. Depicted here is my Mother, Janet M. Daniels receiving a yellow rose. Yellow is a sign of welcome and new beginnings. The budding flowers represents the anticipation of things to come. 

Leadership and Specialization: Throughout my military career, I have had the privilege of serving as a Platoon Leader, leading highly specialized chemical soldiers. This experience deepened my understanding of the unique requirements and challenges faced by tactical athletes.

The Birth of the Tactical Athlete Program: My journey from being a military brat to a leader in the Chemical Corps crystallized the need for a specialized program that caters to the physical and mental demands of tactical athletes. It became evident that these heroes required a dedicated support system to enhance their performance, prevent injuries, and nurture their mental resilience.

My Driving Force: My compelling desire to develop the Tactical Athlete Program is fueled by a profound commitment to those who serve, a firsthand understanding of their challenges, and a belief in their unwavering dedication. This program is a tribute to their sacrifices, a way to empower them to excel in their roles, and a testament to the unbreakable spirit of our military, law enforcement, and first responder communities.

In the end, it’s about giving back to those who have given so much. The Tactical Athlete Program is my way of saying “thank you” to the true heroes among us.

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As a tactical athlete myself, I have experienced the benefits of physical therapy.

Several months ago, I was feeling the strain of the physical demands of military life catching up to me. For months, I was grappling with a persistent knee issue while diligently preparing for the annual Army Combat Physical Fitness Test (ACFT), a rigorous examination that assesses muscular strength and cardiovascular endurance through various events.

Dealing with my chronic knee condition was making it increasingly challenging to ready myself for this test. At some point, I humbled myself and sought the expertise of Dr. Sophia Wang at 3-Dimensional Physical Therapy in Cherry Hill. Dr. Wang, without hesitation, assessed my condition, taking into consideration the demands of my physically intensive lifestyle. She then devised a comprehensive rehabilitation program to address my specific areas of deficit while ensuring that I remained on course to meet my ACFT goals.

Since incorporating these physical therapy techniques into my strength training regimen, I’ve not only surpassed my initial expectations during the assessment but also experienced a significant improvement in my overall well-being.

The mission of the Tactical Athlete Program at 3-Dimensional Physical Therapy is to deliver the gold standard of personalized care to our local police, firefighters, EMS personnel, and dedicated service members (active duty, national guard, and reserves). Our intent is to be the primary destination for our community’s heroes.

Irrespective of their roles or the physical demands they face, our clinic’s physical therapists are well-equipped to attend to any issues that may arise, offering the necessary resources when required. The clinic’s services are a unique blend of physical therapy and strength and conditioning, designed to guide tactical athletes on their journey to peak performance.

3DPT’s NFL Injury Review: ACL tear

“ACL Tear” are among the most dreaded words for an athlete to hear, because it most likely means it’s the end of their season and the beginning of lots of hard work in recovery. Just this past week, Grady Jarrett, Defensive Tackle for the Atlanta Falcons, became another player added to the the IR with an ACL tear. At this point half or more of the league’s team have at least 1 player out for the season because of this injury. Jarret is actually the second for the Falcons, with Running Back Avery Williams also out. The Cowboys lost star cornerback Trevon Diggs earlier this season and the Cardinals are without their Quarterback, Kyler Murray because of an ACL tear. Unfortunately the list goes on and on.

Obviously ACL tears are very common among football players. This injury results from rotational stresses, sudden changes of direction, and/or poor landing mechanics, and the recovery requires surgery and months of physical therapy. The ACL, or anterior cruciate ligament, is a key stabilizing structure in the knee that limits the forward movement of the tibia on the femur, and without the ACL, it is much more difficult for the surrounding structures to maintain knee stability, especially in weight bearing. NFL players are elite athletes that have to be able to withstand crazy physical stresses on the body, meaning knee stability is essential to perform well and avoid further injury, and for this reason, most NFL players opt to get ACL reconstruction surgery.

During the ACL reconstruction surgery, tissue is taken from the tendon of the quadriceps, hamstrings, or patella and anchored to the tibia and femur, providing similar stability as the original ACL. However, it takes up to two years for the new “ligament”, or graft, to fully resemble a normal ACL.

After ACL reconstruction surgery, Physical Therapy is essential to helping regain strength, mobility, flexibility and flexion for everyone. PT starts just days after ACL reconstruction surgery. The first few weeks of rehab will focus on improving pain levels, decreasing swelling, and recovering range of motion and quad muscle strength, and around the 3-month mark, a person can finally be cleared to run. Strengthening of the quad, glutes, and hamstrings will be prioritized during sessions to improve lower body control and eliminate any muscle imbalances that may have contributed to the initial injury. The later phases of rehab will focus on proper technique with cutting, pivoting, and single-leg activities, with an emphasis on proper landing mechanics and dynamic balance. Protection of the graft is the biggest priority throughout rehab, as well as decreasing the risk of re-injury, which unfortunately can be common after the initial injury.

In this video 3DPT West Berlin’s Dr. Sarah Obuchowski describes and demonstrates a few movements that would be included throughout a rehab program for ACL tears

Though NFL players are outstanding athletes, recovery after ACL reconstruction will take at least 6 months because the healing and remodeling of the graft will follow that 2-year timeline despite any strengthening or balance training efforts. Oftentimes, ACL tears are accompanied by damage to other structures in the knee that may not be reported, and if this is the case, recovery will be prolonged.

3DPT’s NFL Injury Review: AC Joint Sprain

Football is a physically demanding sport that often exposes athletes to various injuries, including AC joint sprains. An AC joint sprain occurs when the ligaments supporting the acromioclavicular (AC) joint, located at the top of the shoulder, are stretched or torn.

In Week 5 Indianapolis Colts’ Quarterback, Anthony Richardson, suffered a right shoulder injury in the second quarter against the Tennessee Titans. The rookie QB did not return to the field, and it was later confirmed that he suffered a Grade 3 AC joint sprain and will be out for an undetermined amount of time. Without a doubt proper rehabilitation will play a vital role in helping Richardson recover and return to peak performance.

The key components of an effective rehabilitation program for AC Joint sprains includes:

1. Pain Management:
One of the primary goals of rehabilitation for AC joint sprains is to manage pain effectively. Through a combination of physical therapy techniques, such as ice and heat therapy, electrical stimulation, and manual therapy, athletes can experience reduced pain levels and improved comfort. Pain management is crucial not only for the athlete’s well-being but also for their motivation to actively participate in the rehabilitation process.

2. Restoring Range of Motion:
AC joint sprains can limit the range of motion in the shoulder, impacting an athlete’s ability to perform essential football movements. Rehabilitation focuses on gradually restoring the full range of motion through stretching exercises, joint mobilization techniques, and specific shoulder exercises. By regaining flexibility and mobility, football athletes can regain their agility and overall performance on the field.

3. Strengthening and Stability:
Rehabilitation programs for AC joint sprains emphasize strengthening the muscles surrounding the shoulder joint. Strengthening exercises, such as resistance training and weightlifting, help rebuild the muscles and improve stability. By targeting the rotator cuff muscles and the muscles around the shoulder blades, athletes can enhance their shoulder stability, reducing the risk of reinjury and improving their overall performance.

4. Functional Training:
Functional training is a vital component of AC joint sprain rehabilitation for football athletes. This type of training focuses on replicating football-specific movements to ensure a smooth transition back to the field. Exercises that mimic throwing, catching, tackling, and blocking movements are incorporated into the rehabilitation program. Functional training helps athletes regain their confidence and allows them to practice their sport-specific skills while gradually building strength and endurance.

5. Gradual Return to Play:
Returning to football too soon after an AC joint sprain can lead to reinjury and prolonged recovery time. A well-structured rehabilitation program ensures a gradual return to play, taking into account the athlete’s progress, pain levels, and overall readiness. This step-by-step approach minimizes the risk of setbacks and allows athletes to regain their competitive edge safely.

In this video 3DPT West Berlin’s Dr. Dan Deitz describes and demonstrates a few movements that would be included throughout a rehab program for AC Joint Sprains

Rehabilitation for AC joint sprains is of utmost importance for football athletes aiming to recover fully and return to the field at their best. By focusing on pain management, range of motion restoration, strengthening, functional training, and a gradual return to play, athletes can overcome the challenges posed by AC joint sprains. With the guidance of skilled professionals and a commitment to the rehabilitation process, football athletes can make a successful comeback and continue to excel in their sport.

3DPT’s NFL Injury Review: Ankle Sprains

The Philadelphia Eagles lost their first game of the 2023 season this past week to the Jets. What’s worse, it that it was the first time in franchise history that the team had lost to the Jets! Four turnovers and a missed field goal definitely hurt the Eagles but so did the 5 sacks on QB, Jalen Hurts. The Eagles Offensive Line is one of the best in the league, giving Hurts lots of pass protection, but in the first quarter, All-pro Offensive Tackle, Lane Johnson left the game with a lateral ankle sprain and the Jets took advantage of the opportunity.

Ankle sprains are one of the most common injuries in football, affecting players at all levels of the game. Whether you’re a professional athlete or a weekend warrior, the road to recovery after an ankle sprain can be challenging. Rehab is crucial for football athletes following an ankle sprain to help them get back on the field stronger than ever.

The goals of PT for ankle sprains are:

1. Restoring Stability and Strength:
Rehabilitation after an ankle sprain focuses on restoring stability and strength to the injured joint. Football athletes heavily rely on their ankles for quick changes in direction, explosive movements, and maintaining balance. By following a structured rehab program, athletes can regain stability in their ankle joint, reducing the risk of reinjury and improving overall performance.

2. Enhancing Range of Motion:
Ankle sprains often lead to limited range of motion, making it difficult for football athletes to perform at their best. Rehab exercises, such as stretching and mobility drills, help regain flexibility and restore the full range of motion in the ankle joint. This increased range of motion not only aids in injury prevention but also allows athletes to execute complex maneuvers with greater ease and efficiency.

3. Preventing Chronic Ankle Instability:
Failure to properly rehabilitate an ankle sprain can lead to chronic ankle instability, a condition characterized by recurring sprains and a feeling of “giving way” in the ankle. This instability can significantly impact an athlete’s performance and increase the risk of future injuries. By diligently following a rehab program, football athletes can address the root causes of instability, strengthen the surrounding muscles, and minimize the chances of long-term complications.

4. Psychological Recovery:
Physical injuries often take a toll on an athlete’s mental well-being. The frustration of being sidelined, the fear of reinjury, and the uncertainty of returning to peak performance can be overwhelming. Rehab plays a vital role in the psychological recovery of football athletes by providing them with a structured plan, goals to work towards, and a sense of progress. This support system helps athletes stay motivated, maintain a positive mindset, and ultimately come back stronger mentally and physically.

5. Individualized Approach:
Rehabilitation following an ankle sprain should be tailored to the specific needs of each football athlete. Working closely with sports medicine professionals, such as physical therapists and athletic trainers, ensures that the rehab program addresses the athlete’s unique strengths, weaknesses, and goals. This individualized approach maximizes the effectiveness of the rehab process, allowing athletes to return to the field with confidence.

In this video, 3DPT West Berlin’s Dr. Alyssa McMinn describes and demonstrates a few movements that would be included throughout a rehab program for ankle sprains

Rehabilitation is not just a necessary step in recovering from an ankle sprain; it is a game-changer for football athletes. By prioritizing rehab, athletes can restore stability, enhance range of motion, prevent chronic instability, and achieve psychological recovery. So, if you find yourself facing an ankle sprain, remember that the road to recovery may be challenging, but with the right rehab program, you can bounce back stronger and continue to excel in the game you love.

The Pickleball Phenomenon: A Guide to the Hottest Game in Town

In recent years, a new sport has taken the senior community by storm, and it goes by the name of pickleball. This intriguing blend of tennis, badminton, and table tennis has captivated players of all ages, but it has found a particularly devoted following among seniors. The game’s popularity can be attributed to its accessibility, low-impact nature, and the sense of camaraderie it fosters. In this article, we’ll provide some information on what pickleball is, as well as how to play.

What is pickleball?

Pickleball’s surge in popularity among seniors can be attributed to several key factors. Firstly, the game is relatively easy to learn, making it accessible for individuals of various skill levels and physical abilities. The court is smaller than a traditional tennis court, which means less ground to cover, making it less physically demanding. Additionally, pickleball employs a lightweight paddle and a slower-moving ball (sort of like a wiffleball), reducing the risk of strain or injury. 

Getting Started:

1. Equipment: To start playing pickleball, you’ll need a few basic items – a pickleball paddle, a set of pickleballs, and a pair of comfortable court shoes. These items are readily available at most sporting goods stores or online retailers.

2. Learn the Rules: Familiarize yourself with the basic rules of the game. Pickleball shares some similarities with tennis, badminton, and table tennis, but it has its unique set of rules that govern gameplay.

3. Find a Court: Locate a local pickleball court in your area. Many community centers, parks, and recreational facilities have dedicated pickleball courts. You can check with local clubs or online directories to find one near you. The Berlin Park is a popular spot for local players. 

4. Join a Group: Connect with a local pickleball group or club. This is an excellent way to meet fellow players, receive tips, and participate in organized matches or tournaments. The pickleball community is known for its welcoming and inclusive nature, making it easy for newcomers to get involved.

By following these basic steps, you can dive into the world of pickleball and discover the joy it brings to players of all ages, especially seniors. So grab a paddle, head to the court, and join in on the fun!

Click on the photo below for a free download of great exercises for pickleball players!

Does Running Cause Arthritis?

A review of the most recent running research Osteoarthritis (OA), also referred to as degenerative joint disease, is one of the most prevalent medical conditions in the United States. Osteoarthritis is the breakdown and stiffening of protective tissue in a joint that can lead to pain and impaired function 1,2. This can occur in any joint throughout the body but is most commonly found in the joints of the hand, hips, and knees 1,2. According to the Center of Disease Control, about 1 in 4 US adults are diagnosed by a physician with OA 3. Historically, it had been thought that OA was a disease caused by “wear and tear” or excessive mechanical loading of the joint, however, recent research has shown that osteoarthritis is an intricate multifactorial disease 1,2,4. Factors such as genetics, obesity, metabolic disease, ethnicity, activity level, and previous joint injury are all associated with the development of OA 1,2. Due to the previous belief that osteoarthritis was a disease caused by
excessive mechanical loading, it has been long believed that participation in long distance running would increase the risk for developing osteoarthritis in the weight-bearing joints of the hips, knees, and ankles.

Many researchers have sought to explore the relationship between long distance running and its effect on joint health. Numerous in vitro studies have been performed to understand the response of joint cartilage when exposed to mechanical loading. These studies have demonstrated that cyclic compression of cartilage actually increases the synthesis of specific biomarkers important for cartilage health 4,5. This cyclic mechanical loading will also facilitate the transfer of nutrition from synovial fluid to the cartilage and meniscus 4,5. Other studies have also shown that specific markers for joint lubrication are increased in high level runners 4,6. These in vitro findings suggest that recreational running, and its inherent cyclic mechanical loading, may provide a protective effect and long term benefits for joints.

Other researchers have explored the association between long distance runners and the prevalence of hip and knee OA. A recent study performed by Ponzio et. al. 2018 aimed to describe hip and knee health in marathon runners compared to the general US population 7. The study included a group of 675 adult active marathoners from over 31 countries. Their inclusion criteria included a completion of over 5 marathons and running a minimum of 10 miles per week. The group that was included had a mean age of 47.9 years old and a mean weekly running distance of 36.4 miles per week. The analysis found that this group of 675 active marathoners showed a rate of arthritis that was significantly below the rate of arthritis found in the matched general US population (8.8% versus 17.9%). The study also found that there was no significant risk of developing OA associated with running duration, mileage, intensity, or number of marathons completed. These findings are supported by a recent meta-analysis performed in 2023 by Burfield et. al. The analysis reviewed 9 research studies and also concluded that there was no difference in knee OA prevalence in runners undertaking varying weekly running mileage when compared to controls 4.

A meta-analysis performed by Alentorn-Geli et. al. 2017 reviewed 17 studies aiming to review the association between hip and knee OA and distance running 8. The meta-analysis also aimed to review the prevalence of knee OA in runners completing increasing levels of weekly running. The authors found that recreational running was not associated with the development of OA. In this analysis, recreational runners were classified as non professional, non elite runners. Furthermore, the study found that recreational runners had lower odds of hip/knee OA when compared to sedentary non-running individuals (3.3% prevalence in recreational runners vs 10.23% prevalence in control individuals). The authors state “these systematic reviews and meta-analyses have not been able to demonstrate an association between running and hip and knee OA… In fact, running at a recreational level was even found to have a protective effect on hip and/or knee OA.” The authors did find that competitive runners (professional, elite, or ex-elite runners) had a higher likelihood of developing OA when compared to sedentary non-runner counterparts (13.3% prevalence of OA in competitive runners vs 10.23% prevalence in control individuals). The authors conclude that while recreational running may have a protective effect on joint health, higher mileage and more exposure to running may very likely be correlated to the development of knee and hip OA, however, more studies need to be completed to further understand the relationship between weekly mileage, running intensity, and OA.

The principal finding in the most recent literature was that participation in recreational distance running was not associated with an increased likelihood of developing knee or hip osteoarthritis. In fact, most studies have found that recreational running actually provides a protective effect and may even help reduce the risk of developing OA when compared to non-runner sedentary individuals. These studies are further back by in vitro studies that show positive cartilage response to cyclic mechanical loading. Other factors, such as running intensity and weekly running mileage, seem to have more inconclusive findings in the literature. Some studies found an increased prevalence for hip and knee OA in professional and elite runners (individuals inherently running significantly higher and more intense weekly mileage) while other studies have found no association between weekly mileage, running intensity, and the development of hip or knee OA. These specific factors can be difficult to isolate since osteoarthritis is a complex and multifactorial disease. Numerous factors such as genetics, diet, and previous joint injury are hard to control during research studies. More research is required to fully understand the association between these factors of volume and intensity and the development of hip and knee OA in runners. While we may not fully understand how weekly mileage and intensity impacts long-term joint health in runners, it seems that we can be very confident that participation in long-distance running has a beneficial effect on joint health for the vast majority of the population. These findings are crucial in how we talk about the effects of running to other individuals. Many individuals seem to continue to have fear avoidant behaviors
against recreational running because of the fear of potentially causing long-term joint damage. As fellow distance runners and coaches, we can use this knowledge to educate other individuals and motivate others to engage in recreational running to promote better health and wellness in our communities.

References:

• Johnson, Victoria and Hunter, David. (February 2014). The Epidemiology of
  Osteoarthritis. Best Practice and Research Clinic Rheumatology.
  https://www.sciencedirect.com/science/article/pii/S1521694214000059
• Vina, Ernest and Kwoh, Kent. (March 2018). Epidemiology of Osteoarthritis: Literature
  Update. Current Opinion in Rheumatology.
  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5832048/
• Centers of Disease Control. National Statistics.
  https://www.cdc.gov/arthritis/data_statistics/national-statistics.html
• Burfield, M, Sayers, M and Buhmann R. (May 2023) The association between running
  volume and knee osteoarthritis prevalence: A systematic review and meta-analysis.
  Physical Therapy in Sport.
  https://www.sciencedirect.com/science/article/abs/pii/S1466853X23000238#preview-sect
  ion-references
• Griffin Timothy and Guilak, Farsid. (October 2005). The role of mechanical loading in the
  onset and progression of osteoarthritis. Exercise and Sport Sciences Reviews
  https://pubmed.ncbi.nlm.nih.gov/16239837/
• Tiderus, Carl, Svensson, Jonas et. al. (January 2004). dGEMRIC (delayed
  gadolinium-enhanced MRI of cartilage) indicates adaptive capacity of human knee
  cartilage. Magnetic Resonance in Medicine.
  https://onlinelibrary.wiley.com/doi/full/10.1002/mrm.10714
• Ponzio, Danielle et. al. (January 2018). Low Prevalence of Hip and K.ee Arthritis in
  Active Marathon Runners. The journal of bone and joint surgery.
  https://journals.lww.com/jbjsjournal/abstract/2018/01170/low_prevalence_of_hip_and_kn
  ee_arthritis_in_active.6.aspx
• Alentorn-Geli, Eduard et. al. (May 2017). The Association of Recreational and
  Competitive Running with Hip and Knee Osteoarthritis: A Systematic Review and
  Meta-Analysis. Journal of Orthopedic and Sports Physical Therapy.
  https://www.jospt.org/doi/10.2519/jospt.2017.7137?url_ver=Z39.88-2003&rfr_id=ori:rid:cr
  ossref.org&rfr_dat=cr_pub%20%200pubmed#table-popup-tbl4

3DPT’s NFL Injury Review: Achilles Tendonitis

Achilles injuries are common amongst football players, as we’ve seen with some significant season-ending injuries to New York Jets quarterback Aaron Rodgers and Baltimore Ravens star running back J.K. Dobbins. Achilles tendonitis is not often a season-ender, but it can still have a high impact on an athlete’s performance and overall well-being. One often overlooked factor in the development and exacerbation of Achilles tendonitis is the playing surface. In this post, we will explore the symptoms, physiology, and the crucial role of playing surfaces in the occurrence of Achilles tendonitis in football players.

Symptoms of Achilles Tendonitis: Achilles tendonitis, also known as Achilles tendinopathy, typically manifests with a range of symptoms, including:

• Pain and stiffness: Football players with Achilles tendonitis often experience pain along the back of the heel and the lower leg, especially during or after physical activity.
• Swelling and tenderness: The Achilles tendon may become swollen and tender to the touch.
• Decreased range of motion: Players may notice a reduced ability to flex their foot or point their toes.
• Morning stiffness: Pain and stiffness can be particularly intense in the morning or after prolonged periods of rest.

Physiology of Achilles Tendonitis: Understanding the physiological aspects of Achilles tendonitis is crucial for managing and preventing this condition in football players.

• Overuse and repetitive stress: Football involves a significant amount of running, jumping, and sudden changes in direction. These movements place excessive stress on the Achilles tendon, causing microtears and inflammation over time.
• Poor biomechanics: Factors like improper footwear, inadequate stretching, and biomechanical imbalances (e.g., flat feet or overpronation) can contribute to increased strain on the Achilles tendon.
• Reduced blood supply: The Achilles tendon has a relatively poor blood supply compared to other tissues, making it more susceptible to injuries and slower to heal.

Impact of Playing Surface: The type of playing surface can have a profound impact on the development and severity of Achilles tendonitis in football players:

• Artificial turf vs. natural grass: Artificial turf is known for being harder and less forgiving than natural grass. The unyielding nature of turf can increase the risk of tendon injuries due to the increased shock absorption required by the Achilles tendon during running and sudden movements.
• Surface temperature: Hot artificial turf can amplify the risk of Achilles tendonitis, as high temperatures can reduce the tendon’s elasticity and increase the likelihood of injury.
• Cleat selection: The choice of cleats can affect the load and pressure on the Achilles tendon. Inadequate cleat selection can exacerbate biomechanical issues and contribute to tendonitis.

Prevention and Management: Preventing Achilles tendonitis and managing its symptoms are crucial for football players:

• Proper footwear: Choose well-fitting and appropriate cleats that support your foot’s biomechanics.
• Stretching and strengthening: Incorporate calf stretches and strengthening exercises into your training routine.
• Adequate rest and recovery: Allow time for your body to heal and recover between intense training sessions.
• Playing surface assessment: Be mindful of the playing surface and its conditions. Take precautions when playing on artificial turf, especially in hot weather.
• Seek professional help: If you experience Achilles tendonitis symptoms, consult a sports medicine specialist or physical therapist for a customized treatment plan.

Conclusion: Achilles tendonitis is a common ailment among football players, impacting their performance and overall well-being. Understanding the symptoms, physiology, and the influence of playing surfaces on this condition is vital for prevention and effective management. Football players should prioritize proper footwear, stretching, and recovery to minimize their risk of Achilles tendonitis, while also considering the impact of the playing surface on their Achilles health.

In the video 3DPT West Berlin’s Dr. Grant Silhanek demonstrates a few types of exercises that would be performed throughout a rehabilitation program for Achilles tendonitis.

3DPT’s NFL Injury Review: Hip Flexor Strains

Hip flexor strains are a common issue that can affect individuals of all activity levels, from sedentary individuals to elite athletes. In week 4 of the 2023 NFL season, Broncos running back Javonte Williams suffered a hip flexor strain in a 31-28 win over the Bears. He isn’t expected to miss much time, but let’s talk about how we would address an injury like this in Physical Therapy! 

Exercises early on would consist of isometrics in a shortened position for the muscle since strains typically involve excess lengthening of the muscle. These isometrics build back strength and help reduce pain

As time goes on stretching can be introduced and strengthening can be progressed to lengthened positions for the hip flexor. Later in rehab coordination exercises focused on improving motor control of all of the hip muscles will be crucial. 

End Stage Rehab will consist of high force/velocity drills challenging the hip flexor as similarly to sport as possible to ensure the athlete is ready to return to play

In the video 3DPT West Berlin’s Dr. Benjamin Harris demonstrates these types of exercises for a hip flexor strain

Prevalence:

Hip flexor strains are relatively prevalent, with various factors contributing to their occurrence:

• Sports and Exercise: Athletes and fitness enthusiasts engaged in activities that involve repetitive hip flexion movements are at a higher risk. This includes sports like football, soccer,  running, and dancing.
• Sedentary Lifestyle: On the other end of the spectrum, individuals leading sedentary lifestyles can also experience hip flexor strains. Prolonged sitting and lack of regular stretching can lead to tight hip flexor muscles, making them more susceptible to injury.
• Age: As individuals age, their muscles and tendons may become less flexible and more prone to injury, increasing the likelihood of hip flexor strains.

Symptoms:

Recognizing the symptoms of a hip flexor strain is essential for prompt diagnosis and proper treatment. Here are the typical signs and symptoms:

• Pain: The most common symptom is pain in the front of the hip or the upper thigh. This pain may range from mild to severe and can be sharp or a dull ache.
• Swelling: In some cases, swelling may occur around the injured area.
• Tenderness: The affected hip flexor muscles may become tender to the touch, especially when pressure is applied.
• Weakness: Individuals with a hip flexor strain may experience weakness in the affected leg, making it challenging to lift the knee or perform activities that involve hip flexion.
• Limited Range of Motion: Reduced flexibility and difficulty in moving the hip or lifting the knee are common complaints.

Physiology:

Understanding the physiology behind hip flexor strains can help individuals prevent and manage these injuries:

• Muscle Overuse or Overstretching: Hip flexor strains often occur when the muscles are stretched beyond their normal range of motion or subjected to repetitive stress. This can happen during activities that require sudden bursts of speed or excessive hip flexion.
• Tendon and Muscle Tear: A hip flexor strain typically involves a partial tear or stretching of the muscles or tendons responsible for flexing the hip joint. This tearing leads to pain and inflammation.
• Biomechanics: Poor posture, muscle imbalances, or abnormalities in hip alignment can increase the risk of hip flexor strains. These issues alter the mechanics of the hip joint, putting extra stress on the muscles.
• Inadequate Warm-up: Failing to properly warm up before engaging in strenuous activities can increase the likelihood of hip flexor strains. Cold muscles are less flexible and more susceptible to injury. 

3DPT’s NFL Injury Review: Rotator Cuff injuries

Shoulder injuries are pretty common in the NFL. In fact, last season 2 Philadelphia Eagles players, QB, Jalen Hurts and Tight End, Dallas Goedert, missed multiple games due to injuries to the shoulder. One of the most common injuries seen during the football season is a rotator cuff injury. This kind of injury usually occurs with overuse. It is common with quarterbacks who throw the football frequently, but it can also happen due to a fall or by getting tackled by another player.

So what’s a player to do for a Rotator cuff injury?

One of the key goals in rehabbing a rotator cuff injury is to regain strength and stability in the shoulder joint. Why? Because strong and stable muscles around the shoulder help support and protect the injured area, preventing future issues and allowing you to return to your normal activities with confidence.

Stability training focuses on improving the control and coordination of your shoulder joint. By challenging your balance and control, stability exercises help retrain your muscles to work together harmoniously, reducing the risk of re-injury and improving your shoulder’s functional stability.

A Physical Therapy program will include a range of exercises targeting both strength and stability. These exercises may include resistance band exercises, dumbbell exercises, shoulder rotations, scapular stabilization exercises, and more. Each exercise is carefully designed to progressively challenge your shoulder, helping it get stronger and more stable over time

In this video, 3DPT West Berlin’s Dr. Grant Silhanek demonstrates a few exercises designed to help build strength and stability after a rotator cuff injury

Remember, patience and consistency are key when rehabbing a rotator cuff injury. It’s a journey, but with the right exercises and guidance from your physical therapist, you’ll be well on your way to regaining strength, stability, and full functionality in your shoulder. Don’t underestimate the power of strength and stability training – they’re your best allies in the road to recovery! 

3DPT’s NFL Injury Review: Patellar Tendonitis (Jumper’s Knee)

It’s week two of 3DPT’s football injury series and this week’s topic is Jumper’s Knee, medically known as patellar tendonitis.  This condition might sound like a mere inconvenience, but it’s essential to recognize its prevalence, symptoms, and what’s happening under the hood.

 Prevalence: Studies show that up to 20% of jumping athletes could experience Jumper’s Knee at some point in their careers. While volleyball players and basketball players are most at risk for jumper’s knee, football players are also at risk because of the explosive movements required in the sport.

Symptoms: Jumper’s Knee typically manifests as localized pain just below the kneecap, which can be aggravated during activities like jumping, running, or squatting. Over time, the pain might become more persistent and affect daily activities. Swelling and tenderness around the patellar tendon area can also accompany the discomfort.

Physiology: So, what’s going on physiologically? Jumper’s Knee primarily involves the patellar tendon – the tough band of tissue connecting the kneecap to the shinbone. The repeated stress placed on this tendon from activities involving jumping can lead to micro-tears and inflammation. As a result, the body initiates a healing response, which can cause the tendon to thicken. While this might sound like a protective mechanism, the increased thickness can further impede proper healing and contribute to ongoing pain.
Furthermore chronic inflammation can increase the likelihood of a tendon rupture. Last year, we covered Kansas City Chiefs Offensive Tackle, Lucas Niang’s Patellar Tendon rupture. This injury typically takes at east 6 months to heal from. Click here to read more about Niang’s injury.

Managing and Preventing: If you’re dealing with Jumper’s Knee, here are a few strategies:

• POLICE Protocol: Protect, Optimally Load, Ice, Compression, and Elevation can help reduce pain and inflammation.
• Strengthening Exercises: Targeting the quadriceps, hamstrings, and calf muscles can provide better support to the knee joint.
• Proper Technique: Ensuring proper jumping and landing mechanics can reduce unnecessary stress on the patellar tendon.
• Gradual Progression: Avoid sudden increases in training intensity or volume, giving your body ample time to adapt.
• Consult a Professional: If the pain persists or worsens, seek guidance from a sports medicine professional or physical therapist.

In this video, Dr. Benjamin Harris demonstrates a few exercises to help Jumper’s knee.

3DPT’s NFL Injury Review: Concussions

NFL Football is officially back! AND as promised, so is…3𝘿𝙋𝙏’𝙨 𝙉𝙁𝙇 𝙄𝙣𝙟𝙪𝙧𝙮 𝙧𝙚𝙫𝙞𝙚𝙬!

Each week of the NFL season, the 3DPT West Berlin team will cover a common football injury and the role of physical therapy in the recovery, including demonstrations of exercises that could be a part of a PT program for that injury. Make sure to check in each week

September 15th, is 𝑵𝒂𝒕𝒊𝒐𝒏𝒂𝒍 𝑪𝒐𝒏𝒄𝒖𝒔𝒔𝒊𝒐𝒏 𝑨𝒘𝒂𝒓𝒆𝒏𝒆𝒔𝒔 𝑫𝒂𝒚

Concussions are a type of traumatic brain injury that can occur when the head experiences a sudden impact or jolt. They can happen during sports activities, falls, or accidents. They are also the 𝐦𝐨𝐬𝐭 𝐜𝐨𝐦𝐦𝐨𝐧 𝐢𝐧𝐣𝐮𝐫𝐲 𝐟𝐨𝐫 𝐟𝐨𝐨𝐭𝐛𝐚𝐥𝐥 𝐩𝐥𝐚𝐲𝐞𝐫𝐬

Recovering from a concussion requires time, patience, and proper care. Physical Therapy is the best treatment to address the symptoms of a concussion, like visual impairment, dizziness and headaches. Here are a few things PT’s focus on during concussion rehab:

1. Oculomotor Training: Concussions can affect the coordination and control of eye movements, leading to visual disturbances. Oculomotor training focuses on improving eye tracking, fixation, and other visual skills. This training helps individuals regain visual function, reduce dizziness, and enhance overall visual processing.

2. Balance Training: Balance is often compromised after a concussion due to the impact on the vestibular system and proprioception. Balance training involves specific exercises and techniques to restore stability and improve proprioceptive awareness. It helps individuals regain their balance, reduces dizziness, and prevents falls.

3. Cardiovascular Training: Concussion recovery also involves gradually reintroducing physical activity. Cardiovascular training helps improve endurance, cardiovascular health, and overall fitness. It is essential to start with low-intensity exercises and gradually increase intensity under the guidance of a healthcare professional.

Take a look and listen to this video for some of the movements that would be a part of the early, mid, and later phases of a comprehensive concussion rehabilitation program.

1 determined PT + 2 new hips = 3rd time IronMan

When I last did an Ironman in 2017, I thought for sure that was my last time doing the race. I knew I needed to get both of my hips replaced and figured my days of doing long runs were over.  I was OK with that and had accepted that racing an Ironman just wasn’t going to happen.

Fast forward to summer of 2022. I was 2 years clear of my last hip replacement surgery (one in 2018 and the other in 2020) and I just wasn’t doing as well physically as I thought I would be doing. If I tried to run 3-4 miles I would end up sore and limping around for a few days. I wanted to be able to do all of the running I used to be able to do, but I just couldn’t. The truth was  this – I hadn’t put as much effort as I should have into my recovery. That was something that I could control and I had come up short. That bothered me.

Around that time I had a good friend who was doing the Lake Placid Ironman in July 2022 and I decided to track his progress during the race. I watched the livestream of him crossing the finish line. In my opinion, the finish line of an Ironman is one of the most powerful moments in sports and it got me pumped up to see my friend finish. The next day I signed up for the 2023 Lake Placid Ironman.

I had no plan for how I was going to finish this race that consists of a 2.4 mile swim, 112 mile bike up and down crazy Adirondack mountains, and 26.2 mile run. In my head, my goal was to get to the starting line healthy and just finish the race. The smartest thing I did was hire a triathlon coach – something I had never done before. He guided me through all of my workouts and added a component of accountability – I had to report to him how my training sessions went so bailing on a workout wasn’t really an option.

My training didn’t include much running at first – it was mostly swimming and biking with short runs mixed in. Eventually, I had to start running longer distances and when I did I was just waiting for my hips to start to hurt. The amazing thing is the pain in my hips never surfaced. I could run for close to 3 hours and felt pretty good the next day. As the race got closer, my goal changed from just finishing the race to being close to what my time was on my Ironman races before my surgeries. I knew I was in really good shape and had trained better than I had for my previous races.

Finally, race day came and with a combination of nervousness and excitement I jumped in the water and off I went. Even though the actual race takes most of an entire day it goes by surprisingly fast. I had a bunch of family and friends supporting me and cheering me on which really helps, especially when I was climbing some of those hills on the bike and when my legs were cramping during the run.

The best part of doing Ironman is the finish line, not just because you are finally done with the race but also because they make the last 200 yards a truly memorable experience. My wife and kids were right there screaming for me and it felt so good to finally be done running. My hips were not an issue the whole race – something I consider a miracle.

I’ve had a good number of people ask me before and after the race why I decided to do it. There are a bunch of reasons but I’m going to use a simple quote from David Goggins for my best answer.

“My biggest fear in my life is knowing that I could have done something but didn’t.”

When I signed up for the race I didn’t know if I was going to be able to do another Ironman. I knew I wanted to try and would have a hard time living with myself if I didn’t.

I finished about an hour and 15 minutes slower than my previous Ironman. I’m fairly happy with that. I’m doing another Ironman in November and I know I can go faster.

Taking 3DPT’s Haddon clinics to new Heights

Congratulations to 2 3DPT Physical Therapists who recently got promoted to Clinic Director. Dr. Lauren Wagner is now the Clinic Director of 3DPT Haddon Heights and Dr. Mark Frasco is now the Clinic Director of 3DPT Haddon Township. Here’s more on what makes them great PTs and leaders at 3DPT!

Lauren Wagner – Clinic Director, Haddon Heights

Dr. Lauren Wagner started with 3DPT as a student at the Haddon Township clinic back in 2019 and then became a full time PT there after graduation. In the years since, Lauren has gone above and beyond for her patients and co-workers! She’s created programs like our Senior Exercise class series & the 3DPT Couch to 5k program, led workshops and educational seminars and has captured the hearts of many patients along the way. She’s also committed herself to becoming the best PT she can by earning certifications in Dry Needling and recently became Board Certified as an Orthopedic Clinical Specialist, which is no easy task! Lauren had to complete a one year residency program, or 𝟮,𝟬𝟬𝟬 𝗵𝗼𝘂𝗿𝘀 of hands on work before taking and PASSING a rigorous board examination!

Lauren moved to 3DPT Haddon Heights in 2021 and has now become the Clinic Director there! She’s been a great leader to the team there and continues to be an amazing resource to her patients! Here’s what she had to say about her time at 3DPT so far:

My journey with 3DPT began back in April 2019 when I was still a physical therapy student. I was placed on my final clinical rotation at the Haddon Township location. I immediately fell in love with the atmosphere at 3DPT, from the camaraderie amongst the therapists and staff, the high quality of patient care and interaction, and the company’s values as a whole. This final clinical experience made me become even more passionate about physical therapy, and I was grateful for that in itself. As I was nearing the end of my rotation, I was lucky enough to have the opportunity to be offered a job in the Haddon Township office beginning that fall. 

It was six months into my career when we found ourselves in a global pandemic. Despite all the stress and uncertainty that this caused, one thing was for sure: I only became more passionate about finding different and unique ways to help my patients and more thankful to work for such an awesome company. I worked for 2 and a half years in our Haddon Township office where I had the opportunity to form amazing friendships with my coworkers, develop my skills as a clinician, work with a lot of amazing patients to reach their goals, and mentor 2 clinical students (one of which – Sophia Wang – you can find in our Cherry Hill office!)

In May of 2022, I transitioned to our Haddon Heights office where I had the opportunity to make an impact on a new community and even more amazing patients. I was super excited for this transition, because it meant that I would get to work with Jess Jennings again. Jess was one of my clinical instructors as a student here and then as my boss while we both worked in Haddon Township. She has had a monumental impact on my career through her mentorship and constant support for me to work toward my goals. This only made it all the more exciting for me when she offered me a position as clinic director for her office in Haddon Heights. I definitely did not take the transition from clinician to clinical director lightly as I knew I had big shoes to fill and a lot to learn. I have been in this position for 7 months now, and in that time we have reached some awesome goals in our clinic as we become busier than ever and continue to add to our amazing team. I can’t wait to see all that we accomplish in the years to come! In addition to becoming clinic director this year, I have also studied and passed a board exam to become an orthopedic clinical specialist, become certified in dry needling, and mentored another clinical student. One key thing I have learned over the past 4 years as I reflect on these achievements is that none of this would have been possible without the endless support from my peers and mentors as well as the overall encouragement from 3DPT as a company to continue to set goals while providing resources to achieve them.

The past 4 years have been pretty busy in my personal life, as well. Since starting with 3DPT, I have bought a house, gotten engaged and married, celebrated the love and marriages of a lot of my friends and family, and taken several awesome vacations. In my free time, you can find me on the beach whenever possible, hanging with my husband and our dog – Riley, listening to country music at home or in concert, and watching any and all Philly sports events. 

I truly believe that the saying “love what you do and you’ll never work a day in your life” is absolutely true. Every day I get to go into work to be greeted by the smiles and positive attitudes of the 3DPT Heights team, and then spend the day working with patients to overcome their individual injuries or adversities to improve their overall quality of life. I think it is a common consideration that we as PT’s inflict a positive change in the lives of our patients, but in reality I feel that they are helping to improve our lives, as well. Every single day, I get to form a great connection with each of my patients, and helping them reach their goals only helps me to feel even more fulfilled. I can only hope that now as a clinical director, I can be a positive influence for our team of therapists and staff in helping them to reach their highest potential and goals while enjoying their experience along the way.

Mark Frasco – Clinic Director, 3DPT Haddon Township

Dr. Mark Frasco joined 3DPT just over a year ago but has already made a big impact at 3DPT and the Haddon Township clinic! Mark grew up in Haddon Township and he has a deep connection to the community. He is also an avid runner (cross country star and marathon runner!) and uses his own experience and passion to help his patients heal and thrive in their own activities. Mark was recently promoted to Clinic Director at 3DPT Haddon Township and has been a wonderful mentor to the team there. Here’s what Mark had to say about his time at 3DPT so far:

It’s hard to believe that my physical therapy career started over 4 years ago. It seems like yesterday that I was just starting my cadaver dissection lab in graduate school!

After graduating from the University of the Sciences in 2019, my fiance and I moved to Salt Lake City, UT to travel and explore the wild west. I began my physical therapy career working 40 miles west of Salt Lake City in rural Tooele county for an outpatient orthopedic PT clinic. 

I learned a lot during my time spent working in Tooele, UT. Believe it or not, I saw almost 30 patients a day- and sometimes up to 45! The most important lesson I learned was the value of having 1 one 1 time with your patients. You can’t possibly give quality patient care seeing 5 people at the same time! 

After 3 years, my fiance and I decided to move back to South Jersey to reconnect with family and friends. As I was preparing for the move back east, I also had to find a new place to work. 

I set my eyes on the one physical therapy company that kept popping up on “best places to work” lists; 3 Dimensional Physical Therapy. And as an added bonus, they had a clinic right in my hometown of Haddon Township. 

I was more than grateful to have the opportunity to join the 3DPT Haddon Township team in 2022 and I could not have asked for a better company to work for. 3DPT is the only physical therapy company that puts patient care over profit and gives its physical therapists the time to give the best care possible. It has been incredible to be able to connect with and treat people of my hometown community. 

I am also more than grateful that I now have the opportunity to step in as the new clinic director of the Haddon Township office! I am excited to continue to give the best possible care to Haddon Township and our surrounding communities. 

I am looking forward to working in HT for many years to come. If you don’t see me in the clinic, I hope you’ll find me running around town or grabbing a beer at the square!

Onward and Upward!

Over the years, we have had numerous 3DPT employees who worked as aides or at the front desk get accepted into graduate school for physical therapy and other healthcare graduate programs.  It is rewarding to be able to act as a stepping stone for all of these employees as they work their way towards their end goal of becoming licensed healthcare providers.  We have 15 current employees that have been accepted into graduate school and will be leaving us over the next few months. We want to take this chance to recognize them and wish them all the best!

Morgan Roth
Front Desk, Medford

I am currently in a nursing program at Chamberlain College of Nursing, wrapping up my first semester. My goal is to work in pediatrics one day. I am very excited to see what my future is in the nursing career!

Mario Ortiz
PT Aide, Medford

I will be attending Arcadia University’s DPT Program this fall in the hopes of graduating by Fall 2025.  I owe a lot to 3DPT for the knowledge, experience, and wisdom all of the therapists and patients have given me over the past 2 years.

Drew Stein
PT Aide, Medford

I will be starting an accelerated Nursing program in the Fall at Thomas Edison State University to obtain my BSN.  3DPT has taught me so much about the value of building relationships with patients and how significantly positive attitudes can influence the rehabilitation experience. Forever grateful for my time with 3D Medford!

Dominique Adornetto
PT Aide, Medford

After incredible learning and work experiences gained at 3DPT, I am headed back to Seton Hall for their PT program starting in July.

Danielle Dwyer
PT Aide, West Berlin

I will be attending Drexel’s Doctor of Physical Therapy program this fall. 3DPT has been by my side since my junior year of high school and has provided amazing mentorship to aide me in reaching my goal. The lessons that I have learned over the past years at the clinic as well as their constant support is why I am where I am today.

Drew Liszewski
PT Aide, West Berlin

I recently started a Masters of Business Administration program at Stockton University and am finishing up my first semester!

Alex Soumilas
PT Aide, Haddon Township

Come the fall I will attend the University of Pittsburgh to study rehabilitation science with guaranteed admissions to Pitt’s Physical Therapy school as well! I have been working at 3DPT for over two years now, during which I have been provided with a number of mentorship opportunities as well as knowledge on clinical techniques and practices, different styles of treatment and management, the goals of a private practice, and lots of science! Most of all, I appreciate the connections and friends that 3DPT has given me along the way! 

Kennedy Coleman
PT Aide, Haddon Township

I will be attending the Physical therapy program at Widener University beginning in the fall. I’ve been working at 3DPT for about a year now. Throughout the past year 3DPT has not only provided me help through my own rehabilitation, but this company has also taught me many different treatment methods and what being a PT actually means. 

Gianna Iuliucci
Front Desk, Haddon Township

I will be attending Rowan University to pursue a degree in Exercise Science.

Jack Brady
PT Aide, Cherry Hill

I recently graduated from Temple University and will attend Arcadia University to pursue my Doctorate in Physical Therapy in the fall. 3DPT has helped me throughout this process in a number of ways. Working here has confirmed to me that physical therapy is something that I am passionate about. In addition, the knowledge I have gained and the relationships I have made at 3DPT will set me up for success as I continue my physical therapy journey!

Kelli O’Keefe
PT Aide, Tabernacle

I will be starting PT school in the upcoming fall at Stockton University. The support and mentorship from all my 3DPT teammates has gotten me to where I am today! From teaching me exercises to helping me think of crazy mnemonic devices while studying, they have helped me through it all.

Lindsey Hough
PT Aide, Tabernacle

In the fall I am going to be attending Villanova University and majoring in nursing! Being a part of the 3DPT team has allowed me to become comfortable working in a healthcare environment and really learn to interact with patients. 

Riley Gardner
PT Aide, Tabernacle

I will be attending Stockton University and majoring in health science for the PT pathway! Along the way 3DPT has put me in the direction of wanting to become a physical therapist and the want to help others achieve their goals to be the best of their ability!

Abbey Gifford
Front Desk, Haddon Heights

I will be attending Jefferson University’s Radiology program starting in the fall.

Liz Olesky
Operations

In the Fall I will be attending Stockton University’s speech-language pathology program to become a certified speech-language pathologist. The team at 3DPT (especially Sam Gardner!) encouraged me to foster this dream and work hard to make it a reality. I wouldn’t have been able to do this without you all cheering me on

Congratulations to everyone! We know you are on your way to something great!

Strength Training for Dancers

Dancers go through intensive training, with little rest and a season that is year round. It is important for competition dancers, recreational dancers, and professional dancers to take care of their bodies to avoid injury and keep their performance at its best. Strength training is an effective way to improve technique and decrease injury risk, yet it is often under utilized in traditional dance education. 

Due to the repetitive nature of traditional dance training, dancers are at risk for overuse injuries such as achilles tendinitis, hip labral tears, patellofemoral pain, and stress fractures. Lower extremity and core strengthening has been shown to reduce injury risk in professional ballet dancers, and is something that should be included in any dancer’s training.  In a study performed by Houston Methodist Hospital looked at how a 30 minute dance specific strengthening program, performed 3 times a week, affected professional ballerinas risk of injury over 1 year. They found that the injury rate was 82% less in the dancers that were completing the strength training program. 

American Ballet Theatre soloist, Roman Zhurbin, promotes strength training for dancers and emphasizes the importance of training in parallel. Working in parallel allows dancers to use their hip abductors and hip extensors, which are often neglected when working repetitively in a turned out position.  Dancers often overuse certain muscles, such as their hip flexors, which can lead to painful and tight muscles and tendons. In addition to completing proper warm ups, stretching, and having proper nutrition, strength training can help dancers maintain more balance throughout the muscles in their body and limit the likelihood of injury. 

Strength training is a great way for dancers to take care of their body and take their technique to the next level. 

The videos below demonstrate a few exercises to improve hip and ankle strength

Hip Strength:

In traditional dance styles, dancers frequently work in a turned out position, which causes their hip flexors and adductors to do most of the work when we do a 𝑗𝑒𝑡𝑒́ or battement. Increasing the strength of your gluteus maximus (a hip extensor) and gluteus medius (a hip abductor), can help add power to your leaps and turns, improve your balance, and decrease back or hip pain!

Dr. Elena Markoulis demonstrates four exercises to improve your hip strength:
2. Clamshell in side plank
3. Lateral band walk
4. Single leg RDL with band

Ankle Strength:

In ballet, dancers are constantly using their calf muscles when going on releve and pointe.  Dancers can frequently experience achilles tendinitis and are at risk for ankle sprains due to the extreme positions they have to achieve on pointe and the amount of jumping that they perform. It is important for dancers to make sure they are working on their calf flexibility, and making sure ALL muscles in their foot and ankle are strong so that they can prevent injury.

Here are four exercises that you can do to improve your ankle and foot strength to become a stronger dancer:
– Resisted ankle eversion/inversion in a point and flexed position 
– Toe walking with ball squeeze in parallel 
– Developpes on dyna disk
– Jetés on airex pad

Click here for a download that demonstrates 6 strengthening exercises for dancers

Sources

Frontiers | The Effect of 16 Weeks of Lower-Limb Strength Training in Jumping Performance of Ballet Dancers (frontiersin.org) – 

The Rules of Conditioning: Roman Zhurbin’s Guidelines for Ballet Dancers (pointemagazine.com) 

An Injury Prevention Program for Professional Ballet: A Randomized Controlled Investigation – Angelina M. Vera, Bene D. Barrera, Leif E. Peterson, Thomas R. Yetter, David Dong, Domenica A. Delgado, Patrick C. McCulloch, Kevin E. Varner, Joshua D. Harris, 2020 (sagepub.com) – 

The Importance of Strength Training for Runners

If there’s anything that all runners share in common, it’s our desire to improve our performance and run injury-free. Our downfall, however, is our reluctance to do anything but run!!

Although I often lack the motivation to add additional exercise (other than distance running) to my weekly routine, there is no doubt that strength training (also referred to as resistance training or weight lifting) has numerous benefits for all runners. These benefits include what we are all striving for; improving performance and reducing the risk for injury. 

A majority of distance runners are afraid of starting resistance training for many different reasons including the fear of “bulking” on too much muscle and/or not wanting to be too sore for the following day’s run. Many common fears and myths have been debunked by strength training professionals and recent studies. If you find yourself fearful of adding strength training to your routine,  this great article debunks the top 5 myths about strength training for runners. 

If you’re still not convinced, look to the professionals in the sport. Almost every professional and elite distance runner has added strength training to their overall training plans, including marathon runners. Here is a great insight on how the professional team NAZ elite utilize strength training in their programs. 

How Exactly Does Strength Training Improve Distance Running?

As I mentioned previously, strength training has numerous benefits for runners. By definition, strength training involves contracting your muscles against an external resistance such as resistance bands, weights, machines, etc. In response to this type of exercise, the body will increase muscle fiber size, muscle and tendon fiber strength, improve bone density, and neuromuscular activation of the targeted muscles. 

For runners, these adaptations will help improve a person’s running economy (the energy needed to run at a certain pace for a certain distance). Simply put, improving your muscular strength will allow you to use less energy to run at the speeds that you are currently running now. Distance runners have shown up to an 8% improvement in running economy following a period of resistance training. Other literature has even shown improvements in 5k times following a period of resistance training. 

Even more, improving the tensile strength of your muscles, tendons, and even bones can lead to reduced rates of injury. A 2014 study showed that strength training was effective in reducing overuse injuries by almost a third! It has even been shown that women with “runners knee” have weaker hips when compared to healthy counterparts. 

It is believed that stronger muscles and tendons are better able to tolerate the repetitive forces of distance running before breaking down. Less soft-tissue breakdown = less injuries. 

How much resistance training is needed and what to do?

A common mistake most runners make when strength training is simply not lifting heavy enough. Most individuals tend to lift lighter weights for higher repetitions. This type of stimulus will improve the body’s muscular endurance and will promote an increase in muscle fiber size- not necessarily muscle fiber strength. 

In order to promote proper muscle strength adaptations, resistance exercises should be completed at much higher weight and lower repetition. The National Strength and Conditioning Association recommends performing exercises at 3-5 sets for 4-8 repetitions at 80-90% of your 1 repetition maximum. However, if you are brand new into the world of weight lifting, it is recommended to start with lighter weights in order to focus on form and technique.

It is recommended that individuals perform resistance training 2-3 per week in order to improve and maintain muscle strength. You want to also make sure to vary up the style of external resistance frequently in order to promote further improvement. This can be as simple as switching from machine resistance to dumbbell resistance for a given workout. 

Plyometrics can also be used to improve muscle strength and power. Plyometrics are exercises in which muscles exert almost maximal force at fast speeds. For example, these exercises can include box jumps, hopping, and broad jumps. These can be used during resistance training sessions to maximize your muscle strength gains. A 2002 study showed that plyometric training improved 3K times in distance runners. 

We teamed up again with Dave Welsh (owner of the Haddonfield Running Co. and former US indoor masters mile champion) to show our top 4 favorite strength exercises for runners. Check out the video below!

Mark and Dave’s Top 4 Strengthening Exercises for Runners:

• Barbell Squat:
  • Set up the barbell rack with the bar at shoulder height. Stand facing the bar with your feet slightly wider than shoulder width apart and with your toes slightly pointed out. Next, place your hands slightly wider than shoulder width, step under the bar and bring your head under the bar, and position the bar on your upper back. Begin the squat by bending at your knees and hips while bringing your bottom down and back. Remember to keep your chest up tall during the movement. Descend until your thighs are about parallel to the ground and make sure your knees are aligned over your feet. Push through the ground and extend your legs to return to the starting position. 

• Barbell Deadlift:
  • Start by standing with your feet shoulder-width apart, with the barbell on the ground in front of you. Bend down and grip the bar with your hands shoulder width apart. Brace your core and make sure to keep your lower back flat. Push through the ground and extend your legs to stand up tall. The bar should stay close to your body and your arms straight throughout the entire movement. Lower the bar back to the ground making sure to keep your core engaged and lower back flat during the entire movement. 

• Rear Foot Elevated Split Squats:
  • Start by placing one foot forward and the opposite foot on a chair behind you. Keep your chest up tall and bend your front knee and hip allowing your body to slowly descend towards the ground until your front thigh is parallel to the ground. Make sure to not allow your knee to cave inward. Straighten your leg and return to the starting position. 

• Deadbug:
  • Start by laying on the ground. Engage your core and flatten your lower back against the ground. Bring both of your arms straight upwards facing the ceiling along with both of your legs bent at the hips and knees. Slowly lower one arm and the opposite leg to just above the ground and then return to the starting position. Remember to keep your core engaged and lower back pressed against the floor during the entire movement!

References:

Jung AP 2003; The impact of resistance training on distance running performance. 

Suc A, et al. 2022. Resistance Exercise for Improving Running Economy and Running Biomechanics and Decreasing Running-Related Injury Risk: A Narrative Review

Spurrs RW et. al. 2002. The effect of plyometric training on distance running performance. https://pubmed.ncbi.nlm.nih.gov/12627298/

Balsalobre-Fernández C et. al. 2016. Effects of Strength Training on Running Economy in Highly Trained Runners: A Systematic Review With Meta-Analysis of Controlled Trials

Baechle, T. (1989). Essentials of strength training and conditioning (4th ed.). Human Kinetics. 

Paavolainen et. al. 1999. Explosive-strength training improves 5-km running time by improving running economy and muscle power

Running Gait Analysis

A running gait analysis is a process of analyzing an individual’s technique, form, and mechanics while running. The process is typically performed on a treadmill and involves assessing various parts of a runner’s stride including foot strike, foot pronation, cadence, posture, and vertical oscillation along with numerous other factors. 

You may have had a running form analysis in the past without realizing. The process is performed by trained specialists, coaches, and is even performed in numerous running stores to help assess proper shoe fitting. 

The analysis is either performed in a 2 dimensional or 3 dimensional variation. A 2D gait assessment involves analyzing the individual’s running form in a 2 dimensional perspective. This requires the specialist to take videos of your form in each plane of motion. The videos can be used to assess each part of the running gait in each specific plane of motion. 

A 3 dimensional gait assessment involves analyzing a runner’s movements from a three-dimensional perspective, typically using multiple high-speed cameras and specialized software. This analysis can break down each plane of motion all at once during the recording and will provide a greater level of detail. 

Why Would Someone Get a Running Gait Analysis?

A running gait analysis can be beneficial to almost all runners. If we think about other athletes across various sports, many athletes spent a majority of their training time perfecting technique and form. This includes shooting a free throw in basketball, pitching/throwing in baseball, or even serving in tennis. 

With distance runners, most of us were never taught how to properly run! Think about the last time you saw a video of yourself running. Probably most of you never have or haven’t in a few years! I can even guarantee that we all look much different than we think we do when we’re running! Have you ever looked at race photos and wondered why you look so weird? 

If you are new to running, you may be the best candidate to have a running gait analysis. Research has shown that novice runners show larger kinematic movement and kinetic parameters in the ankle and hip when compared to experienced runners. Additionally, having 0-2 years of running experience was found to be a strong risk factor for a greater risk of injury. 

What are the Benefits to Having a Running Gait Analysis?

The goal of a running gait analysis is to identify any issues or inefficiencies in a runner’s form that may be contributing to pain, injury, or reduced performance. Based on the results of the analysis, the specialist or coach may recommend specific exercises or adjustments to the runner’s form to improve their technique and prevent future problems.

These “issues or inefficiencies” are any extra movements in your running form that go against forward motion. These extra movements mean that you are wasting energy (reducing performance potential) and adding extra load onto certain muscles and tissue (increasing the risk for future injury). 

For example, studies have shown that for every 1 degree increase in a “pelvic drop” there was an 80% increase in the likelihood for an injury. As I mentioned previously, extra and unnecessary movements can overload surrounding tissues and eventually lead to tissue breakdown. 

What is the Specialist Looking for During an Analysis?

There are numerous aspects that a specialist or coach is analyzing during the running gait assessment including joint angles, vertical oscillation, stride length, cadence, etc. The amount of information you can gather from an analysis can be overwhelming. 

I want to share with you the top parameters that I look for when I perform a running gait analysis on patients. 

• Pelvic Drop: When looking at a runner from behind, you want to look at the level of the hips. Ideally the right and left hip should be almost parallel to the ground when a runner is standing on one leg. A significant angle of drop between the hips while a runner is standing on one leg would indicate a pelvic drop. As mentioned before, a pelvic drop increases the likelihood of injury and reduces running efficiency

• Foot Placement: When looking at a runner from the side, it is important to look at the placement of your foot when it hits the ground. There is a lot of current debate on the difference between heel striking and forefoot striking. Regardless of foot strike, runners need to be careful of not overstriding. Overstriding places a significant amount of extra force throughout the legs. If you are landing with your foot too far out in front of your center of mass, you are breaking your forward momentum!

• Trunk Lean: When looking from the side, every runner should have a few degrees of a forward lean while running.  This forward lean allows us to use gravity to help propel us forward. Running up too upright and tall means that you are not using free potential energy and you are having to use more muscle energy to propel yourself forward. 

• Knee Drive: When looking at a runner from the side,  every runner should be bringing their knees up and forward to help engage their glutes. The glutes are the biggest muscles in our legs and are crucial in helping us move forward efficiently. A low knee drive means that you are not using free elastic return of the glute muscles and therefore will have to use more energy with each step. 

If you think you may be struggling with any of these aspects of your running form, check out the video below on the top 3 running form mistakes that I’ve found in the clinic with drills you can try at home. 

To see more running videos, including what a Running Analysis looks like, visit our YouTube channel here.

References

van der Worp MP, ten Haaf DS, van Cingel R, de Wijer A, Nijhuis-van der Sanden MW, Staal JB. Injuries in runners; a systematic review on risk factors and sex differences. PLoS One. 2015 Feb 23;10(2):e0114937. doi: 10.1371/journal.pone.0114937. PMID: 25706955; PMCID: PMC4338213.

Quan W, Ren F, Sun D, Fekete G, He Y. Do Novice Runners Show Greater Changes in Biomechanical Parameters? Appl Bionics Biomech. 2021 Jan 4;2021:8894636. doi: 10.1155/2021/8894636. PMID: 33488769; PMCID: PMC7801088.

Bramah C, Preece SJ, Gill N, Herrington L. Is There a Pathological Gait Associated With Common Soft Tissue Running Injuries? Am J Sports Med. 2018 Oct;46(12):3023-3031. doi: 10.1177/0363546518793657. Epub 2018 Sep 7. PMID: 30193080.

Conference Championship – Brock Purdy

At a Glance
Player: Brock Purdy
Position: Quarterback
Team: San Francisco 49ers
Injury: UCL Sprain
Projected Recovery Time: 6 months

Brock Purdy had an incredible run as a rookie during this year’s football season. Unfortunately, this run was cut short after facing the Eagles in the NFC Championship. What’s even worse is that Purdy sustained a pretty serious elbow injury that is going to require time and rehab to return to play next season.

The UCL (ulnar collateral ligament) is a major stabilizer of the elbow. It limits the elbow when it is under valgus stresses, and it stabilizes during the throwing motion. UCL injuries are very common in throwers, and injury to the UCL, in which the UCL is completely torn, typically requires surgery (known as Tommy John surgery) as that stability is essential for throwing. With a UCL repair, recovery from surgery typically takes 6-9 months, depending on a person’s progress. If the UCL is not completely torn, conservative management is possible – however, with Purdy’s injury specifically, he is undergoing surgery, suggesting a complete tear of the UCL. 

After surgery Purdy will without a doubt be working on building up both forearm and shoulder strength to better protect the UCL and stabilize the elbow, and efforts will eventually focus on that throwing motion and ensuring the UCL can withstand the stresses that throwing puts on it. Elbow range of motion will also be addressed, as full straightening and bending of the elbow can be lost, leading to difficulty with not only throwing but everyday tasks. Towards the end of rehab, there will be an emphasis on perturbation training to continue to promote stability and improve Purdy’s ability to react to unexpected movements during play. Purdy should be ready to return to play for the regular season – the question is, will he be QB1 for the Niners?

In this video, the 3DPT team demonstrates a few exercises that could be incorporated into a rehab program for a UCL sprain.

Early Stage: Forearm Pronation and Supination with kettlebell

Late Stage: Modified Chin Up off Barbell

Return to Sport: Repeated Medicine Ball Throws

Source: https://www.latimes.com/sports/story/2023-01-29/brock-purdy-injury

Divisional Round – Patrick Mahomes

At a Glance 
Player: Patrick Mahomes
Position: Quarterback
Team: Kansas City Chiefs
Injury: High ankle sprain
Projected Recovery Time: 6-8 weeks

The Kansas City Chiefs had quite the scare this weekend when facing the Jacksonville Jaguars in the Divisional Round – their star QB, Patrick Mahomes, went down with an ankle injury. The extent of the injury was unknown at the time, but it was significant enough that Mahomes had to miss part of the game. Reports later confirmed that Mahomes suffered a high ankle sprain, which he will be dealing with as the playoffs progress.

A high ankle sprain involves the connective tissue between the tibia and fibula, known as the syndesmosis. It typically occurs from a twisting/rotation injury and is very common in football. It is very likely that Mahomes will be playing in the AFC championship against the Bengals, but he will be dealing with this injury and working with his rehab team to make sure that he has as little limitation as possible. Early focus will be on decreasing pain levels and improving tolerance to movement in the ankle, which can be irritating, especially in weight bearing. Mahomes may even get a brace he can play in. As his pain levels improve, exercises will include maintaining balance on unsteady surfaces, on one leg, and with eyes closed. Additionally, landing and running mechanics will be addressed to ensure that Mahomes can play as safely as possible. Hopefully, with the help of Mahomes’ PT team, he will be able to lead the Chiefs to another Super Bowl showing.

In this video, the 3DPT team demonstrates a few exercises that could be incorporated into a rehab program for a high ankle sprain.

Early Stage: Ankle 4-way

Late Stage: Y-balance cone taps

Return to Sport: Reaction Agility Drills

Source: https://www.espn.com/nfl/story/_/id/35503740/patrick-mahomes-ankle-injury-means-kansas-city-chiefs

Home Sweet Home

For us at 3DPT, one of the best parts of being a small business is being a part of wonderful communities alongside our patients, friends and other partner businesses.  We truly value participating in community events and supporting local organizations. In the 11 years since we opened 3DPT our commitment to the communities we’re a part of continues to be one of the most important things to us. In fact it’s one of our Core Values!

What does that mean exactly…?

It means we want to actively bring value to our communities and to support our towns, neighbors and partner businesses however we can. We do this by hosting annual blood drives at each of our clinics, donating to various organizations throughout the year, sponsoring local sports teams & school events, and getting involved in and supporting community events. And for the 10th year, we will again be offering scholarships to graduating seniors of our local high schools!

Our Core Values and being involved in our communities are a big part of what we do as a company, but for a few 3DPT employees, the community they work in means just a little bit more… it means home. Eight 3D physical therapists actually work in the towns that they grew up in! Here’s what everyone had to say about what it means to work in the town they call home:

Jeff Sallade, Co-owner 3DPT
Hometown: Medford, NJ

One of the best parts about working in the town I grew up in is re-connecting with people I knew while I was growing up in Medford. I have treated many of my old teachers, coaches and even children and parents of some of my best childhood friends. When I am out somewhere local with a group of friends, they always make fun of me because I can’t go anywhere without running into someone I know through 3DPT. 

One of my favorite days of the year is when I go back to Shawnee High School and lecture in Tim Welsh’s Sports Medicine class and talk to the seniors about physical therapy as a career. I have been doing this for 15 years and look forward to it every year.

Carlie Strazzullo, Owner 3DPT Tabernacle
Hometown: Tabernacle, NJ

I have always felt like Tabernacle was my place. I lived, went to school, played sports, and even got married in Tabernacle, but working here has been what made me a part of this community most ! I have met so many amazing people that live right next door and immediately make you feel like family! There is something so special about our area that has me here for good! 

PS Carlie recently worked with Tabernacle Arts and Design to paint a mural inside 3DPT that represents the beauty of Tabernacle. Check it out!

Colin Fort, 3DPT Tabernacle
Hometown: Tabernacle, NJ

I love working in the community that I grew up in because the community that we live in and around are the people, companies, and businesses that become part of our own story. I am eager to pour time and effort into those places because I am proud to be a part of it. We all are a part of the same family in a sense, and I want to help my family live full and happy lives.

Dan Deitz, 3DPT West Berlin
Hometown: Berlin, NJ

Working in my hometown has been so special to me. It’s allowed me to reconnect with old friends and teachers. To recall some forgotten memories and give back to the people that have helped me reach this point in my career

Mark Frasco, 3DPT Haddon Township
Hometown: Haddon Township

I am beyond excited to be able to work in Haddon Township. This rare opportunity gives me the chance to give back to the same community that helped shape the person who I am today.

Kyle McLeod, 3DPT Cherry Hill
Hometown: Cherry Hill, NJ

Working in the area I grew up in allows me to more closely connect with my patients.  It gives me an insight into the community that I otherwise would not have!

Keith Daniels III, 3DPT Cherry Hill
Hometown: Cherry Hill, NJ

Working in my home town has been both an amazing and humbling opportunity. Building connections and sharing experiences with the locals is probably my most favorite aspect of the job!

Sophia Wang, 3DPT Cherry Hill
Hometown: Cherry Hill, NJ

To work in the town that I grew up in means that I get to give back to a place where my roots started. I am able to connect with old and new faces, and it is great to be able to do that where it all started.

As for the rest of the 3DPT team, the best part about being in great communities is that even if we didn’t grow up in the town we work, the patients and friends we’ve made along the way help make us feel right at home!

Super Wildcard Weekend – Lamar Jackson

At a Glance 
Player: Lamar Jackson
Position: Quarterback
Team: Baltimore Ravens
Injury: Knee sprain
Projected Recovery Time: 8 weeks – 9 +months

Fans were completely enthralled with this weekend’s game between the Ravens and Bengals. The Ravens almost pulled it off (we don’t have to talk about it), and what is even more impressive is that they had a great game without their star QB, Lamar Jackson. Jackson was injured during Week 13 against the Broncos and hasn’t played since. Details of the injury have recently been disclosed thanks to Lamar, and apparently, he has suffered a pretty significant PCL sprain (grade 2-3) that has led to significant instability and swelling of the knee, preventing him from being able to participate in any capacity in this weekend’s game. With the Raven’s season-ending loss, Lamar will have plenty of time to recover, though he has a decision to make: to continue to treat his knee conservatively or opt to get surgery to reconstruct the PCL.

This decision significantly affects Lamar’s recovery time. With conservative treatment, he may be ready to return to game-like activities. However, if he gets surgery, he will have a longer recovery as it takes several months for the new PCL to be able to withstand game-like stresses, and he could miss the start of the regular season. Regardless of what Lamar decides to do, his rehab will focus on improving knee stability and lower body strength. Hopefully he will be healthy by the time the Ravens start camp to help them with their comeback season.

In this video, the 3DPT team demonstrates a few exercises that could be incorporated into a rehab program for a knee sprain.

Early Stage: banded hamstring curl

Late Stage: Y slider lunges

Return to Sport: Resisted sprints

Source: https://andscape.com/features/lamar-jacksons-contract-fight-could-impact-future-generations-of-nfl-players/

Week 18 – Mike Williams

At a Glance 
Player: Mike Williams
Position: Wide Receiver
Team: LA Chargers
Injury: back contusion
Projected Recovery Time: 1-6 weeks

The LA Chargers clinched the number 5 seed in the playoffs… last week. However, during this week’s matchup against the Broncos, the LA Chargers saw an injury of a player who certainly makes a difference on the field. Mike Williams, a key player to the Chargers offense, suffered a back injury during the game and was carted to the locker room and did not return to play. Reports feared that Williams suffered a back fracture, which would likely sideline him during the Chargers’ playoff run. Luckily, reports indicate that Williams suffered a back contusion and that imaging was clear of more severe injuries of the back. It is likely that Williams will be able to play in the Chargers’ upcoming playoff match.

A back contusion is essentially a bruised back, and it is a very common injury in football as it usually results from a direct blow to the back, which can happen from falling or getting tackled. Though it is not a severe injury, it can be pretty painful, and Williams will likely be rehabbing to get back to the field sooner. Focus of treatment sessions will be on decreasing pain via manual techniques and icing, as well as restoring any lack of motion in the spine. Further emphasis will be on building core strength and stability to prevent progression of the injury. Luckily, with the help of his rehab team, Williams will be back on the field and ready to face the Jaguars with his team on Wildcard Weekend.

In this video, the 3DPT team demonstrates a few exercises that could be incorporated into a rehab program for back contusion.

Early Stage: Hamstring stretch

Late Stage: Core twists kneeling on a physioball

Return to Sport:  Deadlifts

Source: https://www.boltsfromtheblue.com/2022/3/8/22967598/chargers-news-nfl-mike-williams

Week 17 – Jalen Hurts

At a Glance 
Player: Jalen Hurts
Position: Quarterback
Team: Philadelphia Eagles
Injury: shoulder sprain
Projected Recovery Time: 2-6 weeks.

The Eagles are currently sitting in the one seed position for the NFC. However, without their quarterback, Jalen Hurts, the Eagles have lost the past two games, meaning they need to win this weekend to maintain that position for playoffs and obtain that coveted first round bye. Hurts has missed the past two weeks after sustaining a pretty significant hit, leading to a sprain of his shoulder, during the Eagles’ game against the Chicago Bears. Hurts has since missed the following games, but reports suggest that he may be ready to play in the last game of the season.

Hurts has undoubtedly been working with his PT to return to the field as quickly as possible. A shoulder sprain is pretty unspecific in terms of what tissues of the shoulder are involved, but rehab will focus on restoring Hurt’s shoulder motion, which is likely limited due to pain. Building up the stability of the shoulder will also be the focus, meaning the rotator cuff will be targeted by several of the exercises, especially since Hurts’ throwing shoulder is the one involved. Since he is likely to be back this week, it is likely a Grade I or II sprain, meaning mild to moderate tissue damage, so even when Hurts does return, he will likely continue working with his rehab team as the Eagles make their way through the playoffs. Hopefully he will see a lot of use of that shoulder in the next month!

In this video, the 3DPT team demonstrates a few exercises that could be incorporated into a rehab program for a shoulder sprain.

Early Stage: Sidelying External Rotation

Late Stage: Plank pull-thru twists with kettlebell

Return to Sport: Body Blade Cross body chops

Source: https://www.phillyvoice.com/eagles-news-jalen-hurts-start-week-18-injury-update-shoulder-sprain-giants-nfc-east-first-seed/

Week 15 – Sam Hubbard

At a Glance –
Player: Sam Hubbar
Position: Edge Rusher
Team: Cincinnati Bengals
Injury: calf injury
Projected Recovery Time: 2-6 weeks.

The Cincinnati Bengals are first in the AFC North, and fans are hopeful for a long playoff run to potentially (and finally) grab a hold of that Lombardi Trophy. However, they recently suffered an injury on the defensive end that will span to the end of the season. During Sunday’s game against the Bucs, Sam Hubbard, an edge rusher that has started all of the games this season for the Bengals, suffered a calf injury. Reports confirm that he is likely to miss a few upcoming games, though there is hope that he will return come postseason.

The details of the injury have not been disclosed, but it is likely that Hubbard suffered a calf strain. The calf itself is made up of two muscles: the soleus and gastrocnemius. These muscles are largely responsible for propulsion with running, and Hubbard needs them to be fully functioning to fulfill the demands of the position; participating in PT will help him return safely. In the earlier phases of rehab, focus will be on strengthening in non-weight bearing positions to avoid putting too much stress on the healing calf, as well as addressing any ankle deficits that may have contributed to the initial injury. His therapist can perform ankle mobilizations to promote improved range-of-motion of the ankle, and coupled with targeted gastroc/soleus stretch, Hubbard will see improved ankle excursion that will help him avoid re-aggravation of the strain. As the healing process progresses, his PT will design a program to allow him to gradually load the muscle and tendon to prevent both atrophy and overuse, as both of those outcomes can delay his recovery even more. This program will include several single leg exercises, specifically focusing on single leg calf activation via heel raises and single leg jumps, to ensure that Hubbard will be able to perform all required of him during the game. Once Hubbard can participate in treatment sessions and practice with minimal limitations or pain, he will be able to return to play. If all goes well, Hubbard should make it back in time for playoffs, and with how the Bengals have been playing, it is pretty likely he will still be needed. 

In this video, the 3DPT team demonstrates a few exercises that could be incorporated into a rehab program for a calf injury.

Early Stage: Toe walking with ball

Late Stage: Reciprocal skips for height

Return to Sport: Bear crawls with furniture sliders 

Week 14 – Jeff Wilson Jr.

At a Glance –
Player: Jeff Wilson Jr.
Position: Running back
Team: Miami Dolphins
Injury: hip injury
Projected Recovery Time: Week to week.

The Dolphins have been plagued by a string of injuries this season, and this past week, the team had to do without a key player on the offense, Jeff Wilson Jr. Wilson Jr left the first half of the Dolphins’ game against the Chargers, and reports have surfaced that he is dealing with a hip injury that is not a worse-case-scenario. However, the Dolphins are dealing with the injury of another notable player, Tyreek Hill, so Wilson Jr’s absence has been even more apparent. His status is being monitored, and there is a chance he could return to play against the Dolphins’ upcoming matchup against the Bills.

Wilson Jr will be spending time with his rehab team to get back on the field as quickly as possible. The specifics of his injury have not been disclosed, but focus early on will be pain reduction and restoring any range of motion loss. A major portion of rehab for the hip centers around core stabilization, as a stable core reduces stress and demands on the hips, as well as addressing any strength deficits on the injured side. The glute and hamstring muscles play a major role in running so restoring strength in those muscles will also be emphasized during sessions as well. Wilson Jr’s injury is going to be monitored on a week to week basis, and hopefully he will be healthy and ready to come back in the week’s much anticipated matchup versus the Bills.

In this video, the 3DPT demonstrates a few exercises that could be incorporated into a rehab program for a hip injury.

Early Stage: Quadruped Controlled Articular Rotations (CARs)

Late Stage: Resisted Standing Fire Hydrant on BOSU

Return to Sport: Repeated Broad Jumps

Source: https://dolphinswire.usatoday.com/2022/11/27/jeff-wilson-jr-injury-vs-texans/

What is Occupational Therapy?

Nicole Matyas, MS, OTR/L, CBIS


Occupational therapy (OT) is a type of rehabilitative therapy that aids individuals in achieving independence in activities of daily living. OT addresses individuals’ physical, sensory, and cognitive deficits through the practice of everyday activities. For children specifically, this can look like a variety of things, such as: strengthening fine and visual-motor skills needed for grasp and release of toys, working on eye-hand coordination for improved ability to use a fork to self-feed, addressing functional visual deficits to improve handwriting skills, or mastering one’s age-appropriate self-help skills such as getting dressed or brushing teeth.

There is a variety of diagnoses that may lead to limitations that impact a child’s ability to perform the above age-appropriate tasks. To name a few: developmental delays, hand injuries, brain injuries, or developmental coordination disorder.

As far as an OT’s educational background, they obtain a Master of Science degree in Occupational Therapy through a 2-year Master’s program following a Bachelor’s degree, complete at least two 12-week clinical rotations, and then go on to pass a national certification exam and state licensure. In the state of New Jersey, occupational therapists must also maintain a certain number of continuing education hours every 2 years. Once licensed, pediatric OT’s can be found in rehabilitation or acute care hospitals, school, practice practices, outpatient clinics, mental health facilities, or in the home through early intervention services.

What can I expect at my child’s initial evaluation at 3DPT?

Depending on what your child is getting evaluated for, your first day in OT at 3D might look a little different from one patient to the next. Most evaluations will consist of a parent/child interview to get a history and background regarding your reason for seeking out services, and clinical observation portion in which your OT will examine your child completing a variety of tasks and activities to determine functional deficits. An additional part of the evaluation could also involve a standardized test, if appropriate, to determine percentiles in specific areas, such as fine motor skills, as a means of getting a baseline score, and then using this information to reassess throughout their plan of care. Once the evaluation is complete, your child’s treatment plan will be individualized to best fit their needs, with incorporating your child’s interests and favored activities within therapeutic activities. The reason for this is because evidence has shown more favorable outcomes when skills are addressed directly through meaningful activities. Your OT will also be in constant communication with you about how to implement a home program to ensure carryover of gains made in therapy to all other environments your child participates in, because after all, everywhere else, whether it be home, school, practice, etc., is where their performance truly matters!

Week 13 – Lamar Jackson

At a Glance –
Player: Lamar Jackson
Position: Quarterback
Team: Baltimore Ravens
Injury: Non-Specific Knee Injury
Projected Recovery Time: week by week.

The Ravens are currently first in the AFC North, but in order to maintain that standing, the Ravens will have to get by without the help of their quarterback, Lamar Jackson, at least for this upcoming week. During the Ravens’ game against the Broncos, Jackson was sacked at the end of the quarter and left the field limping. Reports confirmed a knee injury, but the extent of the injury has not been disclosed. Recently, Jim Harbaugh, the Ravens’ coach, has said that Lamar is “week to week” and likely not missing the remainder of the season, which is promising news for the Ravens. However, it is likely he will miss some time, starting with this week’s upcoming game against the Steelers. 

Lamar will be spending the majority of his time with his physical therapist in an effort to return to play as quickly (and safely) as possible. It is likely that Jackson is experiencing a good deal of pain, and early strategies will focus on reducing inflammation and pain levels. Ice, electrical stim, and manual techniques are some of the many tools his physical therapist will likely utilize to reduce those higher pain levels so that Lamar can return to activity with improved tolerance. Once Lamar’s pain levels are lower, there will be a return to sport program he will participate in to ensure that, upon return to playing QB, he will not sustain further injury, which unfortunately is very common when returning after a lower extremity injury. His physical therapy will likely include glute strengthening exercises, which will help stabilize the knee, as well as focusing on quad strength, which is often diminished post-injury. Single leg stability and power will be targeted as soon as possible, as Lamar requires stability and power to perform his duties as a mobile quarterback. It is unknown just when he will be ready to return, but for the time being, the Ravens will have to rely on a backup to keep their playoff dreams alive.

In this video, the 3DPT demonstrates a few exercises that could be incorporated into a rehab program for an un-specific knee injury.

Early Stage: Weighted wall sit

Late Stage: Reverse nordic curl

Return to Sport: Lateral movement/sprint over hurdles

Source: https://www.usatoday.com/story/sports/nfl/ravens/2022/12/04/lamar-jackson-knee-injury-ravens-broncos/10833665002/

Week 12 – Aaron Rodgers

At a Glance –
Player: Aaron Rodgers
Position: Quarterback
Team: Green Bay Packers
Injury: Avulsion Fracture of Thumb
Projected Recovery Time: 2-8 weeks.

The Green Bay Packers have had a very disappointing year, to say the least. The reigning NFC North Champions have struggled on both offensive and defensive ends of the ball, and an injury to their star QB, Aaron Rodgers, has only made matters worse. Rodgers apparently suffered a thumb injury during Week 5 of this season but has opted to continue playing despite that injury, though many reports suggest that this injury will likely require surgery to correct. Rodgers did leave during this past week’s game against the Eagles but is expected to continue to play in the upcoming weeks.

Rodgers supposedly sustained an avulsion fracture of his thumb, meaning that with this injury, the ligament in the thumb actually pulls a piece of the bone away. Again, surgery is almost always recommended, especially with returning to such a high level of activity. As of right now, Rodgers is opting to undergo conservative management, and he is likely working with his PT to make it through each week. A lot of time will be dedicated to pain management, as Rodgers himself has admitted he has been dealing with thumb pain. Exercises will also be geared towards building and maintaining grip strength, as well as the general dexterity of the thumb. If Rodgers is able to make it through the regular season without surgery, he may opt for conservative management if the fracture is healing correctly. However, if there are any issues with healing, Rodgers will likely have to undergo surgery to repair the fracture, which usually takes about 6-8 weeks to heal post-op. Whether the Packers make the Wild Card or miss playoffs, Rodgers has quite a few games to get through before the end of the season, and his PT is essential in helping him get there successfully.

In this video, the 3DPT demonstrates a few exercises that could be incorporated into a rehab program for an avulsion fracture of thumb.

Early Stage: Pinches down putty

Late Stage: Farmer Carries with dumbbells

Return to Sport: Soft tossing with football

Source: https://packerswire.usatoday.com/2022/11/10/how-much-is-a-thumb-injury-hurting-packers-qb-aaron-rodgers/

Welcome to 3DPT Williamstown!

It all started back in 2011 when Ken Guzzardo was a teaching assistant in my lab when I was in my 1st year of PT school. We hit it off and stayed in contact, and when it was time to set up my final clinical rotation, I did it at 3DPT. I was the first official PT student at 3DPT back in 2013 and even then I knew this was my second home! After graduation I worked in the Medford office for about 2 years before partnering with Jeff and Ken to open up the second 3D location in West Berlin.

With the mentorship and framework from Jeff and Ken, 3DPT West Berlin took off and remains one of our busiest clinics. I still can’t believe we just celebrated our 7th birthday! Our team has grown and this year we expanded the clinic even more with a turf area and a lot of new equipment.
Berlin is a great town filled with great people that have embraced 3DPT as their “go to” PT facility. For the past year, Dr. Sarah Obuchowski has taken over as Clinic Director in Berlin and I have full confidence that the clinic will continue to thrive under her leadership!

So with all this success and happiness, why would I leave and go open another office?

Well, over the years the West Berlin office has had a good amount of patients come from the Williamstown area, and they all told me “there’s not much out there.” I started to search for spaces in that area which lead me to reach out to an old friend, Joe D’Allesandro. I went to high school with Joes’ brother and remained close with him. He told me there was space next to Joe’s gym and baseball facility which would be a perfect fit for 3DPT. Between my familiarity with Joe and the family feel that comes with Williamstown, I knew this would be the perfect location.

The new 3DPT Williamstown looks great and has everything our patients need – a nice open area, 2 treatment rooms and all new equipment! Check out a video of the new place

Our new neighbors are Rush Fitness and All Pro Baseball and Softball Academy, both well known in the Williamstown community!
Rush Fitness is a full service fitness center and gym with a great variety of free weights and cardio equipment. They also have an outdoor fitness area, turf and one of the largest functional training areas in South Jersey. This is great for 3DPT patients because we are able to demonstrate exercises on equipment we may not have in the clinic and can help patients transition from their physical therapy program back to exercising.

All Pro Baseball Academy is a well known baseball training center in the area and many 3DPT baseball players are already very familiar with them! All Pro is open to the public and offers individual rentals, team rentals, strength & conditioning, group lessons, and private lessons with professional instructors. Their goal is to provide players with all the tools to take their game to the next level and they do! They’ve have had exponential growth over the last 20 years with players getting drafted and D1 scholarships.

I am looking forward to partnering with both Rush and All Pro Academy to offer 3DPT patients new opportunities and be a resource for their customers who may encounter injuries or want insight on how to prevent them. Most of all I’m grateful for this new opportunity and am excited to bring the my love of PT and 3DPT’s commitment to excellent customer care to Williamstown and the surrounding communities!

Click here to learn more about 3DPT Williamstown and to make an appointment or call us at 856-513-3871

3DPT Williamstown
Williamstown Shopping Center
1155 S. Black Horse Pike
Williamstown, NJ 08094
856-513-3869

Week 11 – Dallas Goedert

At a Glance –
Player: Dallas Goedert
Position: Tight End
Team: Philadelphia Eagles
Injury: Unspecified Shoulder Injury
Projected Recovery Time: 4-8 weeks.

The Philadelphia Eagles have certainly been making a run this season. However, after their game versus the Washington Commanders, their aspirations for a perfect season have come to an end, and a controversial facemask call has led to an injury of one of their key players, Dallas Goedert. Goedert has been placed on the IR for an unspecified shoulder injury, but reports confirm that he should be able to return to play before the end of the regular season.

The shoulder is a very complex part of the body, composed of 4 different joints, meaning an unspecified shoulder injury could be anything. Sprains of ligaments that range from mild to severe can take a few weeks to months, and the more severe ligament sprains can require surgery to correct. Muscle strains usually heal quicker than injuries involving ligaments. Because Goedert is likely to return by the end of the season, whatever the injury may be, he likely does not require a major surgery, as recovery after ligament or muscle repairs usually takes several months rather than several weeks. Regardless of the muscle/joint involved, Goedert is without a doubt participating in physical therapy. For shoulder injuries, the major goal is maintaining mobility and promoting stability. The shoulder joint requires a lot of motion, and if it’s lacking it in one place, it will compensate in others, leading to greater risk of injury in the future. For strength and stability, focus will be on building up the muscles of the rotator cuff muscles throughout the shoulder’s range of motion to prevent re-injury upon return. Strength gains typically take about 6-8 weeks to see meaningful improvements so it may take several weeks for Goedert to be back, but it is likely that he will return in time for the Birds to make their playoff run!

In this video, the 3DPT demonstrates a few exercises that could be incorporated into a rehab program for a shoulder injury.

Early Stage: Prone swimmers

Late Stage: Single arm KB snatch

Return to Sport: Medicine ball chest pass

Source: https://dknation.draftkings.com/2022/11/14/23459526/dallas-goedert-injury-updates-week-10-eagles-vs-commanders-how-long-out-fantasy-football-depth-chart

What is Dry Needling?

By: Dr. Ryan McDevitt, PT, DPT

Trigger point dry needling is a physical therapy technique that decreases pain in your muscles. Our goal, as PTs and musculoskeletal specialists, is to restore normal muscle and joint function. The dry needling technique is used in conjunction with a comprehensive evaluation that complements other treatment techniques to decrease pain and restore function.

Dry needling physical therapy uses a solid filament needle to treat muscle trigger points. These points are a highly localized, hyper-irritable spot in a taught band of skeletal muscle fibers. Many people know them by their more common name—the infamous “knot.” These muscle trigger points play a role in producing and maintaining the pain cycle. They can alter muscle performance, as well as generate pain along common referral patterns. These points develop in muscle for various reasons, including referred or local pain, inflammation, athletic injury or other causes.

How Does Dry Needling work?

The intramuscular stimulation produces a local twitch response or rapid depolarization of muscle fibers. After this process, the muscle activity dramatically reduces, which results in relaxation and decreased pain and dysfunction. This decrease in pain is related to the removal of muscular compression on your joint, nerve, and vascular tissue. Sometimes, the insertion of the needle also reproduces “referred pain” symptoms. This is a positive sign confirming the trigger point as the source of the pain. Dry needling is highly effective for chronic muscle and repetitive sport injuries.

What type of problems can be treated with dry needling?

Dry needling can be used for a variety of musculoskeletal problems. Muscles are thought to be a primary contributing factor to the symptoms. Such conditions include, but are not limited to: 

• neck/back/shoulder pain

• tennis elbow

• carpal tunnel

• golfer’s elbow

• tension headaches and migraines

• jaw pain

• sciatica

• hamstrings strains

• calf tightness/spasms

Is the procedure painful?

Most patients do not feel the insertion of the needle. The local twitch response elicits a very brief painful response. Some patients describe this as a little electrical shock; others feel it more like a cramping sensation. Again, the therapeutic response occurs with the elicitation of local twitch responses and that is a good and desirable reaction.

What is the difference between dry needling and acupuncture?

The dry needling technique uses the same size needle that acupuncture uses, but with a different theoretical purpose. Traditional Chinese medicine practitioners use the holistic treatment of acupuncture to normalize energy, or Chi, in the body to cure syndromes. Although an acupuncture needle is used in dry needling, dry needling is based on traditional reasoning of Western medicine. The sites for the needle insertion are located in specific myofascial trigger points in skeletal muscle, which can differ from acupuncture.

http://ptpluslouisville.com/dry-needling/

How is Dry Needling Different from Trigger Point Injection?

Trigger point dry needling does not deliver any medication, hence the term “dry”. Therefore, the treatments can be done more frequently with no adverse side effects. Traditional trigger point injections use a hollow, hypodermic needle to inject substances such as saline, Botox or corticosteroids. The theory suggests that the “needling effect” is the most important part of the process rather than the chemicals injected. This does not mean that certain patients will not have greater benefits with injections rather than dry needling and vice-versa.

Why is my doctor not familiar with dry needling?

In the US, dry needling is a relatively new method for treating myofascial pain and not everyone is already aware of this effective modality. Feel free to inform your doctor about this treatment option. It is upon all of us to educate others about new and innovative ways to treat pain.

Here is a video demonstrating Dry Needling for Carpal Tunnel Syndrome. To see 3DPT physical therapists performing dry needling, click here to see a full playlist of dry needling videos on our YouTube channel!

Click here to schedule an appointment with a 3DPT physical therapist to see if Dry Needling can benefit you!

Week 10 – Tremaine Edmunds

At a Glance –
Player: Tremaine Edmunds
Position: Linebacker
Team: Buffalo Bills
Injury: Adductor injury
Projected Recovery Time: 2-8 weeks.

The Bills played in what many have been calling the “Game of the Year” this past weekend against the Minnesota Vikings. The Bills defense was key in the first half of the game, holding the Vikings to 10 points. However, the Bills offense made some key errors that changed the outcome of the game, and the Bills lost a key player on the defensive end, Tremaine Edmunds, to an adductor injury. It has not yet been disclosed as to what the extent of the injury was, nor has Edmunds’ return to play been discussed.

Injury to the muscles of the groin, also known as the adductors, is common in sports that require running and jumping. This type of injury often occurs due to tightness and over-stressing of the adductor muscle group, leading to a good bit of pain when walking or running. Sample’s return will be likely dependent on the grade of the strain, which can be mild (Grade I) to severe (Grade III). If the strain is less than a grade 3, which is a complete tear to the muscle or tendon, Edmunds will likely be ready to play in the upcoming game vs the Browns. However, he will be putting the time in with his physical therapist to ensure that he is ready (and safe) to return. Edmunds’s treatment plan will focus on addressing strength and flexibility impairments so he can return to sport with minimal risk of re-injury, as recurrence rates are high, and manual therapy and other modalities will be used to improve pain level so he can make a quicker return. Typical exercises to “bulletproof” the adductor muscles are slider lunges, adductor stretches, and adductor lifts. Edmunds may be able to return as early as this week to football, but he is going to continue rehabbing those adductors for the remainder of the season. The Bills’ Defense could use him in the upcoming game against the Browns.

In this video, the 3DPT demonstrates a few exercises that could be incorporated into a rehab program for an adductor injury.

Early Stage: Lateral Slider lunge

Late Stage: Copenhagen Plank

Return to Sport: Carioca shuffle with hip drive

Source: https://sports.yahoo.com/bills-lb-tremaine-edmunds-injury-230044269.html?src=rss

Week 9 – Josh Allen

At a Glance –
Player: Josh Allen
Position: Quarterback
Team: Buffalo Bills
Injury: UCL sprain
Projected Recovery Time: 6-12 weeks (if non-op), 6-12 months (if operative) 

Josh Allen has been a very popular and consistent Fantasy QB this year. Unfortunately, Allen’s ability to play has been called into question after suffering an elbow injury during this past week’s loss against the New York Jets. During the final drive of the game, Allen got hit as he attempted to make a pass, and he had significant pain in his elbow when attempting to throw after. Reports suggest a potential UCL injury but have not confirmed the extent of such injury.

The UCL (ulnar collateral ligament) is a major stabilizer of the elbow. It limits the elbow when it is under valgus stresses, and it stabilizes during the throwing motion. UCL injuries are very common in throwers, and injury to the UCL, in which the UCL is completely torn, typically requires surgery as that stability is essential for throwing. With a UCL repair, recovery from surgery typically takes 6-12 months, depending on a person’s progress. If the UCL is not completely torn, conservative management is possible. Regardless of severity, Allen will be participating in PT. Focus of sessions will be in building up both forearm and shoulder strength

to better protect the UCL and stabilize the elbow, and efforts will eventually focus on that throwing motion and ensuring the UCL can withstand the stresses that throwing puts on it. Elbow range of motion will also be addressed, as full straightening and bending of the elbow can be lost, leading to difficulty with not only throwing but everyday tasks. Towards the end of rehab, there will be an emphasis on perturbation training to continue to promote stability and improve Allen’s ability to react to unexpected movements during play. If Allen is able to avoid surgery with a mild to moderate sprain, he may play on a week to week basis. However, recovery after surgery takes 6 months minimum, meaning someone else will have to lead the

Bills to playoffs. Bills’ fans have had enough heartache – hopefully Josh will be cleared to play after further imaging is performed this week.

In this video, the 3DPT demonstrates a few exercises that could be incorporated into a rehab program for UCL sprain.

Early Stage: Eccentric Biceps and Hammer curls with Kettlebell

Late Stage: Repeated weighted ball throws @90* of abduction 

Return to Sport: Eccentric Weighted Ball Throws

Source: https://billswire.usatoday.com/2022/11/06/buffalo-bills-josh-allen-slight-pain-arm-injury-jets/

Week 8 – Nick Williams

At a Glance –
Player: Nick Williams
Position: Defensive Lineman
Team: New York Giants
Injury: Bicep strain
Projected Recovery Time: 1-8 weeks

The Giants have been consistently surprising the NFC, with a winning record as we approach the halfway mark of the season. This team has seen a string of injuries this season, and this week, they have seen the loss of a defensive player this week, Nick Williams.

Williams is dealing with a bicep strain, which can pose an issue with any activity requiring elbow bending and wrist turning, which, as you can imagine, is very prominent on the defensive side of the ball. Muscle strains require varying times of recovery, depending on the extent of the damage. It is likely that Williams sustained a grade I or II strain, in which there is mild to moderate tissue damage, since he is out on a week by week basis. If it were a grade III strain, Williams would likely be out for the season since that type of strain is a complete tear of the tissue fibers. Regardless of the degree of strain, Williams is likely already working with his rehab team. The biceps brachii (or more commonly referred to as just the biceps) works at the elbow and the shoulder, so rehab will engage most of the upper extremity. William’s rehab team will take care to ensure his biceps is ready to return to play to avoid re-aggravation or worsening of injury, such as sustaining a complete biceps tear, which requires surgical correction and a much longer time in rehab. Low grade strains can take anywhere from 1 to 8 weeks to resolve, so it is unclear when Williams will be back, but hopefully in the next few weeks, he will return to help the Giants to continue to make their run.

In this video, the 3DPT demonstrates a few exercises that could be incorporated into a rehab program for bicep strain.

Early Stage: weighted pronation/supination

Late Stage: single arm eccentric TRX curl

Return to Sport: BOSU push-ups with lacrosse ball balance

Source: https://www.bigblueview.com/2022/10/30/23431692/2022-week-8-ny-giants-injury-news-nick-williams-out-biceps-news

Week 7 – JC Jackson

At a Glance –
Player: JC Jackson
Position: Cornerback
Team: Los Angeles Chargers
Injury: Patellar (kneecap) dislocation
Projected Recovery Time: 6-8 months

The Chargers have had a bit of a lackluster season compared to last year’s. Injury has not helped this situation, and the Chargers saw the loss of a valuable defensive player this week. During the second quarter of the Chargers vs Seahawks, a key divisional game, cornerback JC Jackson suffered a non-contact knee injury and did not return to play. Reports confirm he is dealing with a dislocated kneecap, and this injury is season-ending. Jackson will likely be undergoing surgery to repair the damaged tissue, likely the MPFL, in the upcoming weeks.

The medial patellofemoral ligament (MPFL) connects the kneecap to the femur, and it is a primary stabilizer of the kneecap. With patellar dislocations, the MPFL can be damaged, even torn completely, which often requires surgery to correct if a person does higher level activities such as running and jumping. A person can expect to spend several months in rehab before he or she can return to normal activities. Whether the person is a high-level athlete or someone who just wants to walk normally again, there is a protocol that limits bending and weight-bearing post-op to allow the ligament to heal. Knee bending will be gradually introduced in the first 6 weeks post-op, and traditional strengthening will become the focus of treatment

sessions at ~7 weeks post-op. The quad muscle itself will be much weaker from the initial trauma to the knee, as well as the surgery, and early efforts will focus on building the quad strength up to assist with functional activities, such as walking, as well as to avoid asymmetry between sides which can contribute to re-injury down the line. Jackson will have plenty of time to work on agility and higher level tasks, as his position requires quick changes of direction, which put the stability of the kneecap at risk, but he should be ready for next season. The Chargers have a tough road ahead – hopefully, they will be able to make some roster moves to fill Jackson’s position.

In this video, the 3DPT demonstrates a few exercises that could be incorporated into a rehab program for patellar (kneecap) dislocation.

Early Stage: long arc quad with ankle weight and band

Late Stage: box step up with terminal knee extension

Return to Sport: single leg hops with foot elevated

Source: https://profootballtalk.nbcsports.com/2022/10/23/chargers-j-c-jackson-suffers-dislocated-kneecap-brandon-staley-calls-injury-significant/

Week 6 – Kendrick Bourne

At a Glance –
Player: Kendrick Bourne
Position: Wide receiver
Team: New England Patriots
Injury: Turf Toe
Projected Recovery Time: 1-4 weeks.

The Pats have had a bit of a slow start this year, struggling in their division and suffering losses in some close games. Their offense was able to get something going yesterday with their win over the Browns, but one of their more notable playmakers, Kendrick Bourne, left the game after a few snaps. Reports confirmed Bourne sustained “turf toe”, an injury to the ligaments of the toe joint caused by hyperextension of the big toe during push off. This injury got its name because of its increase in frequency as artificial turf became more popular and preferable to typical grass fields, and it is very common in the NFL. Turf toe can develop gradually or result from a sudden injury, and symptoms include limited toe range of motion, joint swelling, and pain. The ligaments are essential for weight transfer on your foot, allowing you to propel yourself forward during walking, running, and jumping. The severity of the ligament sprains dictates a person’s activity levels, and a complete rupture often requires surgical correction.

Details have not been released on the severity of Bourne’s injury, though it does not seem to be severe. It is likely he sustained a Grade I or II injury, meaning mild to moderate ligament damage, and does not require surgery. Bourne’s PT team will be working closely with him to monitor his symptoms and help him return to play without reaggravating his symptoms. Bourne will likely have high pain levels immediately after injury, and he will follow POLICE guidelines (Protect, Optimal Loading, Ice, Compression, and Elevation) to help decrease those pain levels. Symptoms can easily be re-aggravated so great care will be taken to offload Bourne’s foot with proper footwear; more flexible shoes put more stress on the ligaments vs

rigid shoes that do not allow for as much movement at the toe joint. Higher level exercises will be held to allow for the injury to heal and to protect the joint, and ice, compression, and elevation will help with inflammation and pain control. After symptoms improve, Bourne will work with his PT team to improve toe joint range of motion. If the joint itself is stiff, it has to sustain greater stress as there is less range for a force to disperse through, and correcting that limitation will help prevent re-injury. Lower leg and foot muscle strengthening will also help offload the toe joint. It is unclear whether Bourne will be able to play this upcoming week – the Pats are playing under Monday’s lights, so he has one extra day to get ready.

In this video, the 3DPT demonstrates a few exercises that could be incorporated into a rehab program for turf toe.

Early Stage: Resisted Plantar flexion with Big Toe Flexion 

Late Stage: Eccentric squat on toes

Return to Sport: Resisted Running

Source: https://985thesportshub.com/listicle/kendrick-bourne-injury-situation-comes-into-focus-with-new-report/

Week 5 – Darren Waller

At a Glance –
Player: Darren Waller
Position: Tight End
Team: Las Vegas Raiders
Injury: Hamstring Strain
Projected Recovery Time: 1-6 weeks

The Raiders put up an impressive first half against the Kansas City Chiefs during Monday night’s game. However, they ran into a bit of a tight end issue, as their starting tight end, Darren Waller, left the game after the first play. Waller remained questionable for most of the game with a hamstring injury. Unfortunately for the Raiders, Waller did not return for the game, and unfortunately for Waller, hamstring strains tend to be very nagging injuries, and he may be dealing with this injury for several weeks, depending on the grade of strain. Low-grade strains are classified as mild, with minor damage to individual muscle fibers but preservation of the muscle as a whole. Strength and flexibility may be impacted but minimally, whereas with higher grade strains, you can expect to have significant loss of function. 

Regardless of the severity, hamstring strains have high recurrence rates, meaning that re-injury is likely. Wallers’s ability to return, especially without having a re-aggravation of that injury, will be largely dependent on his work with his physical therapy team. His treatment plan will focus on addressing strength and flexibility impairments so he can return to sport with minimal risk of re-injury, and manual therapy and other modalities will be used to improve pain level so he can make a quicker return. Emphasis of his program will be on improving eccentric hamstring strength, which is essential for his position as a tight end. Waller is running during the majority of his time on the field, and running requires a LOT of eccentric hamstring strength as your hamstring is used to control your leg as you swing it forward. The recovering hamstring muscle will be put to the test constantly during Waller’s routes so it is crucial for him to work with his rehab team to avoid being sidelined by this injury again. Typical exercises to “bulletproof” the hamstrings include hamstring bridges, hamstring curls, and nordic leg curls. Waller may be able to return as early as this week to football, but he is going to continue rehabbing that hamstring for much (if not the remainder) of the season. Hopefully he’s back sooner rather than later –the Raiders could certainly use him!

In this video, the 3DPT demonstrates a few exercises that could be incorporated into a rehab program for a hamstring strain.

Early Stage: Single leg bridge with foot elevated 

Late Stage: Eccentric nordic hamstring curl

Return to Sport: Barbell RDL into a hang clean

Source: https://justblogbaby.com/2021/05/30/raiders-darren-waller-best-te-nfl-2021/

My MRI showed…

Patients are often discouraged by the findings of an MRI, and we often hear patients say something along the lines of  “The MRI showed I have a herniated disc and the only way to fix it is surgery, but my doctor wanted me to try Physical Therapy first” or “my insurance company will not cover the surgery unless I do Physical Therapy first”.  As Physical Therapists we actually love to hear this because that means we have the opportunity to change the way this person thinks about their condition and about Physical Therapy. There is nothing more satisfying than seeing that same person walk out the door pain free and fully functional without the need to have surgery. 

Diagnostic imaging such as MRI’s, CT-Scans, and X-rays can be extremely useful in identifying anatomical abnormalities. They can show us broken bones, torn ligaments and tendons, herniated discs, degenerative joint disease, arthritis, spinal stenosis, spondylolysis, spondylolisthesis, and a host of other conditions. But, do these imaging studies tell us the cause of your pain or what treatment you will respond best to? The answer may surprise you……

In order to answer that question, let’s look at the MRIs, X-Rays and CT-Scans of people who do NOT have low back pain and see what we find. Fortunately, there are several academic journal articles that have answered this question for us. (1,2,3)

These researchers took MRIs, CT-Scans and X-rays of people who are not in pain and found that “degenerative joint disease, disk bulging, disk protrusion, disk herniation, foraminal stenosis are common MRI findings in people WITHOUT back problems”. Additionally, as we age the percentage of people with these conditions increases.

This might not sound like good news, but it is!  This means that a lot of people have herniated discs, bulging discs, degenerative disc disease and a host of other conditions without having pain or dysfunction. The body has an amazing ability to compensate for deficits.  

So, do imaging studies tell us the cause of pain? Well, an imaging study, on its own, will not necessarily tell us the cause of pain. Will an MRI tell us if we need surgery? Well, again, not always. Sometimes people will present with a pattern of pain or disability and display signs and symptoms that are consistent with anatomical findings on MRIs, CT-Scans or X-rays, and sometimes they don’t. This is where a thorough physical exam comes into play.

In Physical Therapy, we cannot “un-herniate” or “un-bulge” a disc, we cannot reverse osteoarthritis or foraminal stenosis. But what Physical Therapists are expert at is improving function and reducing pain. We have a specialized skill set that allows us to help you improve your mobility, strength, endurance, and function while reducing disability and pain through a patient centered approach, and we are very good at it.

Diagnostic imaging can be extremely valuable, but don’t let the results alone discourage you, or make you feel like there is nothing you can do. Be an active participant in your recovery. With very few exceptions, you can improve your strength, mobility, endurance, and functional tolerance while reducing disability and pain.

Sources:

• Boden S. et. al, Journal of Bone Joint Surgery Am. 1990 March;72(3):403-408
• Boden S. et. al, Journal of Bone Joint Surgery Am. 1990 September;72(8):1178-1184
• Jensen M. et. al, New England Journal of Medicine. 1994 July 14;331)2):69-73

Week 4 – Sterling Shepard

At a Glance –
Player: Sterling Shepard
Position: Wide Receiver
Team: New York Giants
Injury: ACL tear
Projected Recovery Time: 6-12+ months (out for the season).

The Giants have been somewhat surprising this season, and though it’s only week 4, a winning record is a winning record. The Giants did suffer a big loss during last week’s game against Dallas, and I don’t just mean losing against the Cowboys. During the last minutes of the game, the Giants wideout, Sterling Shepard, was running down the field and then was suddenly on the ground – without any clear mechanism of injury. Reports later confirmed that Shepard suffered a non-contact ACL tear, meaning he is facing another season-ending injury. He will be getting surgery in the upcoming weeks. ACL tears are very common among football players, resulting from rotational stresses, sudden changes of direction, and/or poor landing mechanics, and the recovery requires surgery and months of physical therapy. The ACL, or anterior cruciate ligament, is a key stabilizing structure in the knee that limits the forward movement of the tibia on the femur, and without the ACL, it is much more difficult for the surrounding structures to maintain knee stability, especially in weight bearing. NFL players are elite athletes that have to be able to withstand crazy physical stresses on the body, meaning knee stability is essential to perform well and avoid further injury, and for this reason, most NFL players opt to get ACL reconstruction surgery. This surgery, however, takes months to recover from (and a lot of rehab), meaning the Giants will have to make do without Shepard.

During the ACL reconstruction surgery, tissue is taken from the tendon of the quadriceps, hamstrings, or patella and anchored to the tibia and femur, providing similar stability as the original ACL. However, it takes up to two years for the new “ligament”, or graft, to fully resemble a normal ACL. Physical therapy starts just days after surgery. The first few weeks of rehab will focus on improving pain levels, decreasing swelling, and recovering range of motion and quad muscle strength, and around the 3-month mark, a person can finally be cleared to run. Strengthening of the quad, glutes, and hamstrings will be prioritized during sessions to improve lower body control and eliminate any muscle imbalances that may have contributed to the initial injury. The later phases of rehab will focus on proper technique with cutting, pivoting, and single-leg activities, with an emphasis on proper landing mechanics and dynamic balance. Protection of the graft is the biggest priority throughout rehab, as well as decreasing the risk of re-injury, which unfortunately can be common after the initial injury. Though NFL players are outstanding athletes, recovery after ACL reconstruction will take at least 6 months because the healing and remodeling of the graft will follow that 2-year timeline despite any strengthening or balance training efforts. Therefore, if Shepard has no complications post-op, he will likely be ready to participate on a limited basis in OTAs and camp in anticipation of the 2023 season. Oftentimes, ACL tears are accompanied by damage to other structures in the knee that may not be reported, and if this is the case, recovery will be prolonged. Whether he is back in 6 or even 12 months, it is clear that the 2022 season is finished for him, and he will spend a good amount of time with his PT to get back on the field. In the meantime, the Giants can continue their efforts in maintaining this winning record, which might be a little tough with the Eagles being in their division.

In this video, the 3DPT demonstrates a few exercises that could be incorporated into a rehab program for an ACL tear.

Early Stage: Standing terminal knee extension with alternating leg extension 

Late Stage: Single leg assisted pistol squat

Return to Sport: T-test Drill

Source: https://profootballtalk.nbcsports.com/2022/09/27/sterling-shepard-tore-his-acl/

Week 3 – Tua Tagovailoa

At a Glance –
Player: Tua Tagovailoa
Position: Quarterback
Team: Miami Dolphins
Injury: Possible Concussion, head injury
Projected Recovery Time: 2-4 weeks.

The Dolphins had an impressive win over the Buffalo Bill on Sunday, but not without controversy. At the end of the first half, the Dolphin’s quarterback, Tua, left the game after suffering an apparent head injury. To the surprise of many, especially after a pretty scary sway from Tua after getting up, Tua returned to finish the game. Because of the severity of the hit, many speculated that Tua had a concussion that was potentially mishandled, and there is now an official investigation into the apparent head injury to determine if Tua was wrongly cleared to return to the game. It is unclear whether Tua will be ready to play on Thursday, when the Dolphins face the Bengals.

Concussions are a difficult injury to treat as people present differently, depending on the severity of the concussion, but Tua will likely be working with a PT regardless of the severity of his injury. The biggest goal of Tua’s physical therapy program will be to re-introduce activities gradually. The concern of Tua being cleared despite having a concussion is completely justified -If someone returns to higher level activities too quickly, a brain bleed can develop from excessive swelling, or a person may develop post-concussive syndrome, in which symptoms last for several months. It is imperative that Tua be sidelined and treated by his healthcare team if he has symptoms. Typical symptoms include headaches, dizziness, and “feeling foggy”, and early interventions in Tua’s PT program will help him improve his tolerance to moving his head,standing, and performing daily activities. Tua will also work on strengthening key muscle groups in the neck, as well as addressing vestibular impairments, which are very common with concussions. Vestibular (or inner ear) problems interfere with balance and coordination, and PTs have a variety of exercises to help Tua improve his stability. As he progresses, the exercises will become more difficult to ensure he can tolerate the demands of professional football. There is even a formal treadmill program that measures heart rate and symptoms that Tua will likely participate in to make sure he can return to football safely. His PTs will know the signs of a poor response to exercise to make sure he isn’t doing too much, and hopefully in the next 2-4 weeks, he will be able to make a full recovery and return to football when appropriate.

Take a look at this video to see the 3DPT team demonstrating some of the exercises that Tua may see in early, mid and late-stages of his rehab

Early Phase: 3 gaze stabilization exercises while standing on foam:

• Pencil pushups
• Saccades
• VOR

Mid-Phase: Tennis ball reaction drill on terracore

Late Phase / Return to sport: box agility with blaze pods

Source: https://www.cnn.com/2022/09/26/sport/tua-tagovailoa-miami-dolphins-buffalo-bills-spt-intl/index.html

Week 2 – Trey Lance

At a Glance –
Player: Trey Lance
Position: Quarterback
Team: San Francisco 49ers
Injury:  Fibular fracture, ligament disruption
Projected Recovery Time: 6-9 months (out for the season).

Since this past offseason, Trey Lance has been the guy for the 49ers QB position, despite the 49ers still having Jimmy G on the roster. Many speculated that Jimmy G would have gone to a different team since he lost the starting position, but after Sunday’s game against the Seahawks, Garoppolo won’t be going anywhere. Lance left the game after suffering a severe ankle injury, and reports confirm he won’t be back this season. Lance has already undergone surgery to address a fractured fibula and ligament disruption in his ankle, and he has released a statement that he intends to be back in time for the 2023 season. In the meantime, he has a lot of rehab to do.

Immediately after surgery, Lance will go through a phase of limited-to-no-weight bearing to allow the damaged tissues to heal. Ligament healing typically means the period of immobilization can last even longer. During this time, Lance will be working regularly with his PT to work on strength and mobility of the unaffected joints of the affected leg, as well as to help manage pain and swelling post-op. After about 4-6 weeks, Lance will finally start some weight bearing activity. During these early healing phases, Lance will likely be utilizing blood flow restriction training (BFRT), as this training technique allows him to gain more strength without breaking weightbearing or strength training restrictions. BFRT works by partially occluding blood flow to an extremity, which triggers specific pathways that cause the body to build muscle faster. Essentially, you feel like you did a high intensity workout without having to use much weight at all! It won’t be until 12 weeks or more that Lance will be able to start football-related drills, and this will only happen once he has minimal pain and regained full strength and flexibility. Balance and stability will also be emphasized in his rehab journey, as ligament involvement can often lead to an unsteady ankle, and targeting balance and stability can help Lance avoid re-injury down the line. As unfortunate as this injury is, Lance has plenty of time to get back on his feet and prepare for the 2023 season. In the meantime, the 49ers are lucky that they still have a quality backup in Jimmy G. 

Take a look at this video to see the 3DPT team demonstrating some of the exercises that Lance may see in early, mid and late-stages of his rehab

Early Phase: Banded dorsiflexion mobilization

Mid-Phase: Single leg calf raise

Late Phase / Return to sport: Single leg landing with lateral hop

Source: https://www.espn.com/nfl/story/_/id/34625493/san-francisco-49ers-qb-trey-lance-surgery-repair-two-injuries-ankle

Week 1 – TJ Watt

At a Glance –
Player: TJ Watt
Position: Defensive End
Team: Pittsburgh Steelers
Injury:  Pec Muscle Strain (full extent unknown)
Projected Recovery Time: 6 weeks – 4+ months.

The Pittsburgh Steelers had an electrifying divisional win against the Bengals during Week 1 of the NFL season. This unexpected victory had much to do with the Steelers’ defense, who kept Joe Burrow in check with 4 picks during the game, but during the 4^th quarter, this unit lost a key player: TJ Watt. Watt, who had both a sack and interception, exited the game with a pec injury. Following tests confirmed a torn pec, but the severity of the tear is yet to be known, as Watt is seeking second and third opinions from specialists. The fact that Watt has not been ruled out for the season yet is promising – there may be a chance that this injury may not be so severe that it requires surgical correction. If the injury can be managed conservatively, Watt will still miss time on the field, but he may make it back with plenty of the season left.

Regardless of whether or not Watt requires surgery, he will certainly be working with his physical therapy team. The pectoralis major muscle, a huge muscle on either side of the chest that provides dynamic shoulder stability, and strength and flexibility of this muscle is absolutely essential to perform the demands of professional football. In conservative treatment, early efforts will be dedicated to reducing pain and irritability of the involved muscle. Ice and gentle passive motion will be utilized often. Isometric exercises, in which the muscle activates but the joint itself does not move, will be utilized to slowly restore strength and prevent further atrophy. As time goes on, concentric movement (strengthening with joint movement) will be added into his strength program, and when Watt has that essential stability, he will progress to football-related exercise to ensure that he will not re-injure that muscle when he goes to tackle the quarterback or braces himself when hitting the ground.  

Take a look at this video to see the 3DPT team demonstrate a few of the moves that could be incorporated into Watt’s rehab program for a pec muscle strain.

If TJ undergoes surgery, his recovery and rehab process will be delayed by time spent with immobilization, to allow the repaired tendon to heal, and progress is generally slower to protect that healing tendon. Undergoing surgery also means a missed season. The verdict has yet to be delivered regarding whether TJ Watt will return this season, but if you took the Steelers D for your fantasy team, there’s still hope.

Source: https://www.sportingnews.com/us/nfl/news/tj-watt-injury-update-steelers-pec-injury-bengals/s8qktqi5glkbwcgog6qwekho

Get to know 3DPT Tabernacle’s Dr. Katy Loughran!

My journey with 3DPT started in December of 2019. I was already working as a physical therapist at the time and I first heard about 3DPT from other PTs in the area. Early on after joining the team, I noticed that 3DPT was a PT company like no other I had worked for before. The employees were so welcoming and the patients were a joy to work with. I knew within a week that 3DPT was a perfect fit for me!

When I first started in 2019, I worked in the 3DPT Medford office, but within a few months I transitioned to the new 3DPT Tabernacle office when the clinic opened in early 2020. Little did anyone know that 2020 would be a year like no other! After being closed for a short time that year due to COVID restrictions, we were able to open our doors again and also started doing telehealth visits, which  allowed me to work with patients in a whole new way!

I also took some time in 2020 to earn a few new certifications that would help me as a PT.  First, I obtained a Clinical Strength and Conditioning Specialist (CSCS) certification, which allows me to apply scientific knowledge to train athletes and adults to improve their athletic performance, and I also got certified as a nutrition coach.

I have loved my time at 3DPT so far and have had the opportunity to work with amazing patients, athletes and colleagues. Recently, Carlie (Strazzullo) asked if I would take over as the clinic director of the Tabernacle office while she is out on maternity leave. Of course the answer was yes!  I am excited to take on the role as clinical director of the Tabernacle office and very fortunate to work with the best employees and patients!

Outside of work, I have also been pretty busy, as I am currently planning my wedding! I am getting married this October to my partner of 9 years, DJ. My fiancé is also a Physical Therapist – we met in PT school at Thomas Jefferson!

For fun, I enjoy going to baseball games, watching sports, and going to the beach. I am a big Philadelphia sports fan and you can catch me wearing my sports shirt in the office on Fridays.

I grew up in a small town located in Delaware County, PA so I am still learning all of the Jersey towns. I went to Strath Haven High School before transitioning to the University of Delaware for college. At Delaware, I studied Health Sciences and ran cross country for 2 years. I had to stop running due to injuries but my injuries led me to the field of PT! Although I missed running, I was happy that my injuries introduced me to my passion of being a PT.

I feel incredibly blessed to be doing a job that I love and helping 3DPT patients move and feel better everyday!

One of 3DPT’s first employees now the newest 3DPT partner!

My journey with 3DPT actually started before 3D even existed! I was a high school student trying to figure out what career path I was going to choose. My mom was going to physical therapy at the time and thought I would really like her PT (who was Ken Guzzardo!), and that I should reach out to shadow him. I did end up shadowing Ken over the summer until he left that company to start up his own that would be called 3 Dimensional Physical Therapy.

Fast forward to 2012, I was a sophomore at Northeastern University in the 6-year Doctorate of Physical Therapy Program.  I was ready to start my first co-op experience and I found my way back to 3DPT. At the time Ken and Jeff had just opened in Medford and I would be their 2nd employee to work the front desk and aide. Then in 2014 I did another co-op rotation with 3DPT because I truly felt like I learned the most from being there.

Following graduation I lived in Arizona, New York City, and Michigan treating in various outpatient and inpatient facilities before settling back in NJ with my husband. Over the countless jobs I had worked, nothing was quite like 3DPT and I was lucky enough to come on board at 3D full time starting in 2018. Now I’m about to start a new PT adventure – becoming an owner of 3DPT Hainesport – and in just a few weeks!

Those early co-op experiences at 3DPT really shaped who I am today as a physical therapist. I learned a solid foundation of the way people and employees should experience physical therapy! Those core values (posted on our walls at every 3D clinic!) have become important to me as a clinician and now as a business owner. From being an aide at 19 years old, to getting married at the same time as a few of my coworkers in 2019, and then having a baby in 2021, some of my life’s biggest moments have happened at 3DPT, alongside the people who are now like family.

I’m so excited to continue 3DPT’s commitment to excellent physical therapy and patient care in Hainesport and its local communities!

If I’m not at 3D, you can find me spending time with my husband Gary, our 1 year old son Baker, and 2 dogs Birdie and Rory. We love to travel and all things Disney! Becoming a mom has really given me an appreciation for the human body and its incredible abilities. This new adventure has challenged me in the best ways and has certainly kept me on my toes this past year and I’m looking forward to all the new challenges of toddler life!

Onward and Upward! These 3DPT employees are heading to grad school!

Over the years, we have had numerous 3DPT employees who worked as aides or at the front desk get accepted into graduate school for physical therapy and other healthcare graduate programs.  It is rewarding to be able to act as a stepping stone for all of these employees as they work their way towards their end goal of becoming licensed healthcare providers.  We have 6 current employees that have been accepted into graduate school and will be leaving us over the next few months. We want to take this chance to recognize them and wish them all the best!

Alina Olesky, front desk at 3DPT Haddon Heights

I will be attending Arcadia University for Physical Therapy this upcoming August. After having graduated from Rowan University and taking a year off from school, I am eager to start this next chapter of my life! I’ve always known that I wanted to be a physical therapist since high school, and after working at 3DPT for the past 3 years, it’s made me more excited for this next step. The time I’ve spent working at 3DPT has been such an unforgettable experience for me. Being surrounded by coworkers and patients that care about you, support your goals, and push you to grow is a great feeling. Whenever I needed advice on interview questions, application processes with PTCAS, or personal experiences with PT school, I always knew that I could ask any of the PT’s for help. I have to thank 3DPT for all they’ve done for me these past few years. Once these next two years at Arcadia University fly by, I am looking forward to starting my career as a physical therapist. I aspire to continue growing as a PT in both personal education and leadership positions. I am grateful to have had the opportunity to work with 3DPT, and I can’t thank everyone enough!

Seth Csaszar, aide 3DPT Medford

I was first acquainted with 3 Dimensional Physical Therapy as a patient in 2020.  I had recently left active-duty military to go back to school and start my journey of becoming a Physical Therapist. At 3DPT I was instantly set up for success with a great PT, Jeff Sallade. I can remember in my first session with Jeff asking if I could come in and shadow him for PT school observation hours. Jeff said, “Of course! but first let’s get you taken care of.”  It was that instant feeling of acceptance and security that I loved most about 3D, and from that point on, they welcomed me into their family. Fast forward a couple years, I went on to complete an Exercise Science internship that led into a job with 3DPT.  Throughout my time at 3D, I was fortunate to be able to work alongside exceptional therapists and colleagues that continuously showed me how their passion and continuation of expertise sets the standard for care and workplace atmosphere. I also have to mention the patients at 3D who always inspire me! I am thankful to get to know the coolest, most extraordinary people, to help them out, and to learn about their personal journey and progress.

From patient, to intern, from letters of recommendations to the daily interactions with co-workers, 3D has had the biggest professional influence on me. Their leadership and care have been invaluable to learn from and experience.

I am excited to say that in the Fall I will be a Drexel Dragon and begin my last leg of accomplishing my goal of becoming a PT. In the future, I would love to specialize in sports therapy, but I have a lot of interest in working with older populations and veterans. Maybe one day, I can combine all of them and come back to work at the place where it all started. I can’t say thank you enough to ALL my 3D family!

Alexa Brown, aide 3DPT Medford and Tabernacle

I am excited to be starting my PT school journey this fall at Drexel University! I am so thankful for my time as both a patient and employee at 3DPT and could not have gotten to where I am today without them. Being a patient, I developed a love for physical therapy. I always looked forward to my appointments because of the environment the staff at 3D created. I always knew I wanted to work in healthcare, but seeing the way that physical therapy can have an impact on so many different individuals and diagnoses solidified my career choice. As an employee at 3DPT both in the Medford and Tabernacle offices, I gained so much knowledge and experience in the field and felt constantly supported by all of the physical therapists and staff I worked with. They were always willing to take the time to explain to me what they were doing and why, and offered support and advice during my application process to PT school. I could never thank all of them enough!

Mana Patel, front desk 3DPT Cherry Hill

I just graduated from Rowan University in May with a Bachelors in Health and Exercise Science and a minor in Sport and Exercise Psychology. I will be attending Thomas Jefferson University for Physical Therapy School this fall. I would like to one day specialize in pelvic floor physical therapy and hope to eventually earn my OCS and SCS board certifications.

Working at 3DPT has given me the opportunity to learn more about my future career. It has not only reinforced my dream to become a physical therapist but it has allowed me to build a network of people whom I can rely on.

Lily Ngo, aide at 3DPT Cherry Hill

I recently graduated from Rowan University and am so excited to have been accepted into the Physical Therapy Doctorate program at Thomas Jefferson University!

My time at 3DPT has helped me so much along my journey to becoming a PT. Everyone at 3DPT truly embodies our core values. The one that stand out for me is Accountability – that is the core value that I will carry with me to graduate school. Working at 3D, I saw that patients were more than just a statistic, and the more I worked at 3D, the more I saw myself grow as an aide and develop a love for physical therapy. Not only was I gaining experience in patient care in preparation for graduate school, but I was developing relationships with both my patients and coworkers. The word accountability means responsibility, or obligation. However, during my time here at 3D, I’ve come to realize a different definition of accountability. Patients here are not seen as just an obligation. Accountability, to me, is the privilege of being able to help them feel 100% in all dimensions of their life. This is the value I will take with me to graduate school, and this is the value that I will forever thank 3D for giving me. As a bonus, I also met my very best friend while working here, Samantha Gardner!

Megan Glenn, aide 3DPT Tabernacle 

After completing my Bachelors of Science in Health Sciences, I will be continuing my education at Stockton University to receive my Master of Science in Communication Disorders. Although I will have only worked at 3DPT for a year before moving on to graduate school, I can confidently say that I have gained so many great qualities from working with the amazing people in this company. I feel that I am now much more confident and prepared to work in a clinical healthcare setting. After graduate school, I plan to be a speech-language pathologist in the outpatient or medical setting, in hopes to open my own swallowing clinic one day!

March is National Athletic Training Month

March is National Athletic Training Month! 

National Athletic Training Month is held every March in order to spread awareness about the important work of athletic trainers. This year’s slogan is “Providing Health Care Everywhere”, and I’m going to explain a little bit about what that means. With all of the different healthcare providers out there, it can be a little confusing to know who does what and where you can find them. A large majority of athletic trainers work at high schools and colleges to provide sports medicine to athlete; however, that is not the only place you will find athletic trainers!

First, let’s talk about who athletic trainers are. Athletic trainers are healthcare professionals who collaborate with physicians to provide preventative services, emergency care, clinical diagnosis, therapeutic intervention, and rehabilitation of injuries and medical conditions. Athletic trainers function as an integral member of the healthcare team in clinics, secondary schools, colleges and universities, professional sports programs, and other athletic healthcare settings. A few other places you may find athletic trainers include physicians’ offices, industrial settings, professional sports such as NASCAR or Rodeo, performing arts, health clubs, law enforcements, the military, and even NASA! The role of an athletic trainer varies based on the setting they work in, but their most important job is prevention of injuries.

Now that we know who athletic trainers are, what distinguishes them from physical therapists? Although physical injury is the focus for both athletic trainers and physical therapists, athletic trainers work specifically with physically active people and are under the direct supervision of a physician. Physical therapists on the other hand may work independently with any patient who has been injured or is dealing with an illness that impacts their physical wellbeing. Another key difference is that athletic trainers work to primarily prevent future injury and are on the field or court during an injury to provide immediate medical care whereas physical therapists are focused on recovery and may not be with a patient during their initial injury.

As an athletic trainer and a physical therapist myself, I love when these two healthcare professionals can work hand in hand to help a patient from the time of injury to returning back to function.  With good communication and a network of health professionals, patients can have an easier, more fluid recovery process and have more fun along the way!

Sarah Obuchowski – PT, Professor and now Partner!

My career with 3DPT began in 2019, when I was placed at the West Berlin clinic for my final clinical rotation of PT school. After my first week there, I told my family, “this is where I’m going to work.” I wasn’t sure if there was an opening for a PT at that time, or even what life would look like after graduation, but I was adamant that 3DPT West Berlin would be the place my career started. Luckily, everything worked out the way I had hoped, and I was hired after graduating in January 2020.

My time with 3DPT so far has been incomparable (including my first official day as a PT –  the day New Jersey shut down because of the pandemic!) I have grown as a clinician, formed connections with patients that have made a positive impact on my life, and made memories with the best coworkers imaginable. Practicing as a PT in this clinic has given me the opportunity to hone my skills as a clinician and determine what type of injuries I treat best.  In the past few years, I really have excelled at treating patients coming in with lower extremity injuries, especially post-op knee or ankle surgeries, and those coming in for anything running related. It has been the best experience getting to know my patients and to work with them to achieve their goals; I just love what I do! An added bonus of my job is how close the people in my office are with each other – my coworkers have been my biggest supporters from the minute I started. I look forward to being around them and learning from them every week.

After being at 3DPT for about a year and a half, my boss, Ryan McDevitt (aka the “Best Boss” according to the Best of South Jersey poll!), offered me the opportunity of a lifetime: to manage the clinic that has given me my start. I knew that I hadn’t been in the field for very long, but I also knew that I could do the job, and do it well. It was an easy, resounding “yes”. So as of January 1, 2022, I am officially the clinic director of 3DPT West Berlin!

Filling this role has been challenging, but it has also given me great joy. We’ve had a busy year already – we’ve expanded the clinic, installed a turf section for athletes, and welcomed a new PT, my first student, Alyssa. Ryan is the best mentor to teach me the ropes and am doing my best to serve our patients and local community. Though I can’t speak for everyone, I’d say it’s going pretty well! I’m excited to continue to grow as a leader in the company and my field.

My life outside of 3DPT has been just as busy. I finished my first marathon this past November, which has been a goal of mine since rehabbing my knee, and marathon #2 set for later this year. Running is a major love of mine so being able to finally tackle those 26.2 miles was so special.

Another exciting thing I am doing currently is teaching as an adjunct at Arcadia University, my alma mater (and favorite place), where I get to help instruct in their new anatomy lab. I enjoy every minute that I’m there, and I feel so lucky to be part of their esteemed program. So yes, I’ve been busy, but as my mom likes to tell me, “all good things.”

A lot of things have changed since starting as a student at 3D in 2019, but my original thoughts on 3DPT remain unchanged. This company is special, so are the people I work with, and so are the patients. I couldn’t have asked for a better start to my career, and I know it is only going to get better from here. Reflecting on my time at 3DPT West Berlin, I have a lot of thoughts, but the one that stands out most is:

I am so grateful to have been placed here.

To learn more about Sarah and the entire 3DPT team, click here.

Pointe Shoe Readiness Assessment

According to the Harkness Center for Dance Injuries, 66% of dance injuries occur at the foot and ankle, and these injuries associated with introduction to pointe shoe wear, can be reduced with appropriate screening of students by instructors and medical professionals such as physical therapists and physicians.

The Harkness Center for Dance Injury criteria for transition to pointe work includes a detailed assessment of the following: stage of physical development; the quality of her (or his) trunk, abdominal and pelvic control (“core” stability); the alignment of her legs (hip-knee-ankle-foot); the strength and flexibility of her feet and ankles; and the duration and frequency of her dance training.  It is noted that pointe shoe work creates a force on the foot that is up to 12x the ballerina’s body weight, which can be damaging to growth plates and overall typical physical development in young dancers. With this in mind, the typical time to begin is around 12-13 years of age, which is considered to be a generalized maturation point for many young girls. In addition to age as an indicator of maturity, dancers can also be screened for physical readiness based on a series of tests for balance, foot/ankle strength, as well as hip and core strength.

Criteria for Physical Readiness:

Foot and Ankle

• Range of Motion:
  • Dancers should present with greater than or equal to 90 degrees of plantar flexion range of motion (aka the position of a fully pointed foot) pointe shoe work.
    • 90 degrees is the minimal requirement for demi pointe (flat shoe work)
    • Elite dancers (per the Harkness Center for Dance Injuries) often present with approximately: 113 degrees of plantar flexion and  0 (neutral foot placement)-10 degrees of dorsiflexion (the fully flexed position of the foot)
    • Inadequate plantar flexion can result in posterior bony or soft tissue impingement
• Strength:
  • Student must pass the plantar flexion strength assessment (manual muscle test) with 4/5 or 5/5 (see below table)
    

• Single leg stance:
  • Students should be able to hold SLS for at least 30 seconds with eyes closed without compensation with flat foot
  • Students should also be able to maintain releve in passe for at least 5 seconds without foot/ankle or core compensations such as arching of the back or loss of full releve
• Single leg jump and landing:
  • Students should be able to perform single leg sautes or comparable jump with good form with both take-off and landing for at least 10 repetitions

Hip and Knee 

• Range of Motion:
  • Students should present with full hip and knee range of motion with no compensation
• Strength:
  • No evidence of genu valgum (knock knees) or hip drop with the following functional tests to indicate adequate hip and knee strength:
    • Lateral step down test (bilaterally)
    • Functional squat
    • Single leg squat (bilaterally)
  • Perform RDL (Russian Deadlift) and/or airplane test with good form and minimal compensation bilaterally
  • Passing a strength assessment from a medical professional (i.e. physical therapist/physician) if further assessment feels necessary or wanted by student, family, or instructor

Core

• Strength:
  • Achieve level 4 or 5 on Sahrmann Scale of Core Strength and Stability
    
  • Maintain a plank on elbows for >30 seconds with good form and no compensations
  • Be able to maintain good form with bird-dogs or other comparable anti-rotation activity
    

Are you ready to dance en pointe? Call 3DPT and we can help you determine if your body can handle the stresses of dance and dancing en pointe.

Conference Championship: Tyler Higbee

At a Glance –
Player: Tyler Higbee
Position: Tight End
Team: Los Angeles Rams
Injury: Knee Injury (Unspecified)
Projected Recovery Time: 2-8 weeks

The LA Rams are going to the Super Bowl! The NFC champions punched their ticket to the game on February 13th after narrowly defeating the San Francisco 49ers, and now the Rams have the opportunity to win the Lombardi, at home, in Los Angeles! The Rams did, however, lose a key player to an injury during the first half of Sunday’s game.

Tyler Higbee, the Rams’ tight end, missed most of the conference championship due to a knee injury. Most feared the worst, that Higbee sustained a ligament injury, but recent reports state that the injury was not too severe and that Higbee may be able to play in the Super Bowl. The chances are slim but not nonexistent.

Higbee’s knee injury is unspecified, but since there is a chance he can be back in 2 weeks, he is without a doubt working with his physical therapist. With acute knee injuries, the focus of a rehab plan is often on decreasing inflammation, modulating pain, and restoring range-of-motion, strength and balance. After an injury, inflammation (in the joint, known as effusion, or around the joint, known as swelling) are common, and effort will be taken to reduce this inflammation, as it can increase pain levels, decrease range-of-motion, and reduce muscle firing and efficiency. Elevation and compression sleeves will be key in the next few days, as well as targeted stretching and strengthening to address any impairments.

Trauma to the knee can cause voluntary firing of the quadriceps to be reduced, and electrical stimulation will be used to help regain neuromuscular control of that muscle. It can take a few days for inflammation to go away, and even longer to regain strength, range of motion, and balance, so Higbee will be evaluated on a day-by-day basis to determine if he will be ready to return for the last game of the season. Even though it is the Super Bowl, Higbee doesn’t want to return if he isn’t ready as premature return to play can lead to increased risk of injury when the person isn’t ready. That being said, Higbee has one job the next two weeks: rehabbing to be cleared for one of the biggest games of his life. We’ll see how he does!

Watch this video to see the team demonstrate a few of the exercises Higbee may be doing for his knee injury

Source:
https://theramswire.usatoday.com/2022/01/31/rams-injuries-tyler-higbee-taylor-rapp-sean-mcvay/

Divisional Round: Cameron Sample

At a Glance –
Player: Cameron Sample
Position: Defensive End
Team: Cincinnati Bengals
Injury: Adductor (Groin) Strain
Projected Recovery Time: 2-8 weeks

The Cincinnati Bengals have been very impressive this season, and this past weekend was no exception. After defeating the Titans in the Divisional Round, the Bengals are heading to the conference championship, but not without injury. During Saturday’s game, Cameron Sample, a rookie Defensive End, exited the game and did not return due to a groin injury. Reports have not confirmed whether Sample will be ready to play in the Conference Championship, but with the nature of this sort of injury, his ability to play will likely be a game-time decision.

Injury to the muscles of the groin, also known as the adductors, is common in sports that require running and jumping. This type of injury often occurs due to tightness and over-stressing of the adductor muscle group, leading to a good bit of pain when walking or running. Sample’s return will be likely dependent on the grade of the strain, which can be mild (Grade I) to severe (Grade III). If the strain is less than a grade 3, which is a complete tear to the muscle or tendon, Sample will likely be ready to play in the upcoming game vs the Chiefs. However, he will be putting the time in with his physical therapist to ensure that he is ready (and safe) to return. Sample’s treatment plan will focus on addressing strength and flexibility impairments so he can return to sport with minimal risk of re-injury, as recurrence rates are high, and manual therapy and other modalities will be used to improve pain level so he can make a quicker return. Typical exercises to “bulletproof” the adductor muscles are slider lunges, adductor stretches, and adductor lifts. Sample may be able to return as early as this week to football, but he is going to continue rehabbing those adductors in the offseason. If last weekend’s game is any indication of how the conference championship will play out, the Bengals will need to play close to perfect to stop the Chiefs from making it back to the Super Bowl.

Watch this video to see the team demonstrate a few exercises that address strength and flexibility impairments associated with this injury.

Source:
https://stripehype.com/2021/08/22/bengals-rookie-defensive-ends/

Wild Card Weekend: Nick Bosa

At a Glance –
Player: Nick Bosa
Position: Defensive End
Team: San Francisco 49ers
Injury: Concussion
Projected Recovery Time: 2 weeks – 2+ months

The San Francisco 49ers are making a surprising run in this year’s playoffs, eliminating the Dallas Cowboys. They did lose a notable player to concussion: Nick Bosa. Bosa, who returned this year after rehabbing a torn ACL, exited the game prior to haltime after colliding with his own teammate. He will likely need physical therapy intervention to help him return to the field safely. Concussions are mild traumatic brain injuries, caused by a blow or jolt to the head, that may leave a person with behavioral, cognitive, or physical symptoms for weeks to months. They are serious injuries that can disrupt the brain’s chemistry and function, and it is important to diagnose the injury and allow the brain to heal. Physical therapists are trained to identify and understand symptoms to ensure a person safely returns to activity, and Bosa’s PT will definitely have a role in determining his return to the field. His return for the Divisional Round is up in the air.

Concussions are a difficult injury to treat as people present differently, depending on the severity of the concussion, but the biggest goal of Bosa’s physical therapy program will be to re-introduce activities gradually. If someone returns to higher level activities too quickly, a brain bleed can develop from excessive swelling, or a person may develop post-concussive syndrome, in which symptoms last for several months. One of the best ways to treat concussions is exercise, surprisingly enough. Studies have shown that exercise improves blood flow to the brain and strengthens the brain’s communication pathways, and by returning to exercise gradually, a person can start returning to daily activities. Typical symptoms include headaches, dizziness, and “feeling foggy”, and early interventions in Bosa’s PT program will help him improve his tolerance to moving his head, standing, and performing daily activities. Bosa will also work on strengthening key muscle groups in the neck, as well as addressing vestibular impairments, which are very common with concussions. Vestibular (or inner ear) problems interfere with balance and coordination, and PTs have a variety of exercises to help Bosa improve his stability. As he progresses, the exercises will become more difficult to ensure he can tolerate the demands of professional football. There are even formal treadmill programs that measure heart rate and symptoms that Bosa will likely participate in to make sure he can return to football safely. During one test, known as the Buffalo Concussion Treadmill Test, the person walks at 3.3 mph, increasing the incline by 1 every minute. The test is terminated when the person’s symptoms increase by >3 on a 10-point scale or if they reach their max heart rate. The cardio exercise prescription following is based on 60-80% of the max heart rate that was achieved during this test, which is done ~5 days per week for 20 minutes. This test and subsequent interventions ensure that the person has a good tolerance to exercise and is not returning to activity prematurely. His PTs will know the signs of a poor response to exercise to make sure he isn’t doing too much, and hopefully in the next 1-2 weeks, he will be able to make a full recovery and return to football, just in time for the Niners to make their push.

In this video, you’ll see Drs. Barbie Barron and Dan Dietz demonstrate some exercises that would be done in the early stages of rehab for a concussion. At the end, Dr. Sarah Obuchowski demonstrats the Buffalo Concussion Treadmill Test.

Sources:
https://cdn-links.lww.com/permalink/jsm/a/jsm_2020_01_28_haider_19-313_sdc1.pdf

Week 18: Cam Akers

At a Glance –
Player: Cam Akers
Position: Running back
Team: Los Angeles Rams
Injury: Achilles Repair (after tearing it during preseason)
Projected Recovery Time: 6-12 months

The LA Rams saw the shocking return of Cam Akers, an exceptional running back who tore his Achilles … during 2021 … in July. Many thought Akers would not return for the 2021-2022 season due to the nature of this injury, which is typically slow-going and limited by tissue healing timeline. Akers, being the exceptional athlete that he is, defied the odds with an incredible return to the Rams just in the nick of time for Wild Card Weekend. Because this recovery time is almost unheard of, Akers is the focus of this week’s injury report.

Achilles tendon ruptures require surgical intervention if a person wants to return to higher level function. It is one of the hardest lower body injuries to rehab. Soon after surgery, in which the tendon is reattached to the insertion site at the heel, physical therapy is incorporated to maintain knee and hip strength, as well to slowly build up ankle strength and flexibility. During the early phases of rehab, calf stretching and active use are restricted, but gentle exercises that avoid calf muscle use and tension can be incorporated to prevent atrophy and tightness in unaffected ankle musculature.

Akers was likely immobilized in a boot for the first 6-8 weeks post-op to protect the repair, and his PT helped him wean off the boot and normalize his walking. Significant focus will be on building calf strength once it is safe to activate the calf muscles, and it can take 6+ months for him to perform a single leg heel raise that is comparable to the unaffected side for most people. Aker’s return to play in that timeframe is so impressive because, by the time most people are able to finally perform a heel raise, Akers was back at practice. Plyometrics and football drills usually are not initiated until 6 months out to protect the repair, but Aker’s strength, flexibility, and balance were adequate enough to return to sport early. He may be back on the field, but Aker’s work in the PT clinic is far from finished, and he is without a doubt still putting the necessary hours into his rehab so that he can continue to play and avoid injury, as well as problem-solve with his PT if certain activities give him trouble. Since total recovery from this injury can take 9 or more months, Aker’s return is an incredible feat and may be just what the Rams need to take on the Cardinals this weekend.

In this video, the 3DPT team demonstrates a Plantar-Flexion progression with progressive loading (exercises that build on each other and progressively get harder with more weight, throughout the recovery process.)

Week 17: Lucas Niang

At a Glance –
Player: Lucas Niang
Position: Right Tackle
Team: Kansas City Chiefs
Injury: Patellar Tendon Tear
Projected Recovery Time: 6-8 months

The Kansas City Chiefs have certainly turned a corner during the second half of this season. Though they were on the losing end of their game against the Bengals this weekend, the Chiefs were exciting to watch, and with the first-round bye of playoffs on the line, next week’s game will likely be just as exciting. However, the Chiefs will have to rework their offensive line, as both tackles were lost to injury during this week’s game. One of the tackles, Lucas Niang, will be out for the rest of the season due to a patellar tendon rupture. He may be back at the start of the 2022 season, but it all depends on his progress with physical therapy.

The patellar tendon connects the kneecap to the tibia, and it is essential to perform any activity that requires the use of the quad, such as running, jumping, and walking. When the patellar tendon is torn, surgery is often required to repair the tendon, and a person can expect to spend several months in rehab before he or she can return to normal activities. Whether the person is a high-level athlete or someone who just wants to walk normally again, there is a protocol that limits bending and weight bearing post-op to allow the tendon to heal. A person is not able to bear weight through the lower extremity until 4 weeks, and full bending of the knee is expected by week 20. The goals of the protocol are to avoid too much tension on the patellar tendon, which is stressed by knee flexion. The quad muscle itself will be much weaker from the initial trauma to the knee, as well as the surgery, and early efforts will focus on building the quad strength up to assist with functional activities, such as walking, as well as to avoid asymmetry between sides which can contribute to re-injury down the line. Niang has a long journey ahead of him with his physical therapist, and around months 4-8, focus will be on building up strength, agility, and speed to help him return to football. The tackle position requires a lot of power to ward off the opposing players, and Niang will have to demonstrate exception lower extremity strength to be cleared to play to ensure his knee and the repair can tolerate that particular stress. Until then, he is on the sideline, wondering like the rest of us if the Chiefs have what it takes to bring that Lombardi home again.

In this video, the team demonstrates a few exercises that would be included in a rehab program for a patellar tendon rupture.

Sources:
https://www.sanfordhealth.org/-/media/org/files/medical-professionals/resources-and-education/5-patellar-tendon-repair-rehabilitation-guideline.pdf

Week 16: Clyde Edwards-Helaire

At a Glance –
Player: Clyde Edwards-Helaire
Position: Running Back
Team: Kansas City Chiefs
Injury: Collar bone injury
Projected Recovery Time: 2-6 weeks

The Kansas City Chiefs have been on a hot streak, winning each of their last 8 games played. They without a doubt will be a force to reckon with come playoffs, but after this week’s game against the Pittsburgh Steelers, it seemed they may have to go without their running back, Clyde Edwards-Helaire. Edwards-Helaire suffered an injury to his collarbone during the game and was ruled out for further testing and imaging, and many feared the worst: that Edwards-Helaire would have to go on the IR and miss the rest of the season. However, recent reports confirm that there is no structural damage to the collarbone, meaning that Edwards-Helaire will likely be back for playoffs and Chiefs fans everywhere can collectively breathe a sigh of relief. He is week-to-week, and his return will largely depend on his progress with physical therapy.

The collarbone, also referred to as the clavicle, forms the connection between the arm and the trunk. The collarbone itself is susceptible to fracture, but there are also ligaments and tendons that connect to the collarbone that can be involved with trauma to the area. Luckily, Edwards-Helaire avoided significant injury to his shoulder and collarbone, but he is dealing with tenderness and swelling of the area. During the first couple of days after Edwards-Helaire’s injury, focus will be on decreasing the inflammation of the area and avoiding putting excessive stresses on the collarbone. Once Edwards-Helaire’s pain levels decrease, focus will be on restoring mobility and strength of the area. Increased focus will be on building shoulder stability to ensure that when Edwards-Helaire returns to play, he will be able to avoid further injury, especially when tackled. If stability and strength of the upper extremity are not restored, the clavicle could be fractured or there could be ligament damage, both of which would mean a much longer recovery. Edwards-Helaire is week-to-week, meaning he could be ready to play by the time the Chiefs play the Bengals during Week 17. His clearance to return will largely be dictated by his gains in strength, stability, and mobility, as well as reduction in pain levels. Even if he’s not ready to play by the end of the regular season, he will have plenty of opportunity when the Chiefs make their run during the post-season.

Sources:
https://www.nfl.com/news/2021-nfl-season-notable-injuries-news-sunday-week-16-games

Week 15: Chris Godwin

At a Glance –
Player: Chris Godwin
Position: Wide Receiver
Team: Tampa Bay Buccaneers
Injury: ACL and MCL sprain
Projected Recovery Time: 9-12 months

The reigning Super Bowl champions are once again heavy favorites in the NFC. However, in Sunday night’s performance versus the Saints, the Tampa Bay Bucs looked a little lackluster. Tom Brady got shut out for the first time since 2006, so you know the Bucs had a bad game. A large part of this story is that Brady’s offensive weapons left the game to significant injury. One of those key players was wide receiver Chris Godwin. Godwin, a favorite target of Brady, suffered a knee injury and was ruled out for the rest of the game. Recent reports confirm both an ACL and MCL injury, meaning that Godwin will miss the rest of the 2021 season. He will likely undergo surgery in the next month, while participating in physical therapy before and after to get him ready for the 2022 season.

This injury is a pretty severe one. The ACL and MCL are essential for restricting certain motions and providing stability. ACL injuries are all too common in the NFL, and adding an MCL sprain to the mix adds another level of complexity to both surgery and rehab, extending the recovery. The MCL provides stability against valgus forces, which push the knee inward and predispose a person to a lower extremity injury, and an injury to the MCL is essential to address to avoid re-injury when returning to higher level sports. Godwin will likely undergo surgery within the next month, reconstructing both the ACL and MCL. After surgery, Godwin will spend a lot of time with his physical therapy team. He will not be able to bear weight through his leg for 4 weeks but will be doing plenty of strengthening and stretching exercises until he is cleared to walk on his affected leg. After a traumatic injury and surgery to the knee, the quadricep muscle has difficulty functioning correctly, and focus of early treatment sessions will be on improving the quad’s ability to fire on command so that when Burrow can start higher level activities, he will be prepared. As was mentioned, ACL and MCL re-tears are associated with the valgus position so a huge focus on Godwin’s rehab program will be injury prevention. Strengthening the hips by doing variations of bridges and hip abduction exercises helps a person maintain a healthier knee position to avoid that valgus, and a lot of time will be dedicated to Godwin maintaining that healthy knee position while performing dynamic activities. Studies have shown that ACL tears have greater re-tear rates when returning to play before 9 months, no matter how strong or prepared a person is, because the new graft has not fully remodeled so it is very important that Godwin is patient and returns when his body is ready. He will be doing plenty of sprints and plyometrics to put his knee to the test before he is cleared to practice with the team and will likely not be ready to play when the 2022 season starts. This injury falls right before Godwin enters free agency, which will be all the motivation he needs to be ready to go for next year.

Sources:
https://tcomn.com/wp-content/uploads/2014/08/ACL-and-MCL-Rehab-2-13-13.pdf

Week 14: Randall Cobb

At a Glance –
Player: Randall Cobb
Position: Wide Receiver
Team: Green Bay Packers
Injury: Core Injury with subsequent surgery
Projected Recovery Time: 4-8 wks

The Green Bay Packers have had a very successful 2021 season. Though the Packers administration has not done the best job in providing Aaron Rodgers offensive weapons, Devante Adams and Randall Cobb have done more than enough to help Green Bay have a winning season. This week, however, the Packers did have to make do without Cobb, who, although he isn’t wide receiver #1, has had pretty impressive stats this year. Cobb has apparently sustained a core injury that is serious enough to warrant surgery and has actually undergone surgery in the past week. The Packers are hoping he can return in the post-season.

Though physical therapy can treat minor to moderate core injuries, surgery is indicated when there are tears in the muscles and ligaments (as well as their attachment sites to the bones) that significantly limit the ability to perform even daily tasks. There are several muscles that make up the core so a “core injury” does not tell us exactly which muscle(s) are involved, but treatment post-op is somewhat similar. After surgery, Cobb will be spending a good deal of time resting for at least 2 weeks to heal. During that time, he will be put on a walking program to promote good circulation and reduce the risk of complications from surgery. There will also be stretches he can perform to maintain mobility of the trunk after surgery. He will not be permitted to lift, push or pull objects within those first 2 weeks. Around week 3, he will be cleared to perform light exercises and core strengthening, but there will still be a limit on how much he can lift to minimize the risk of re-injuring the healing musculature. Focus during that time will be on establishing core stability via participating in a neutral spine program, which starts with lower level exercises but gets increasingly difficult as time goes on. During the earlier weeks of this program, Cobb will work on strengthening his transverse abdominus and pelvic floor muscles, both of which are essential for upholding core stability and reducing the risk of re-injury. These muscles function to support the trunk by maintaining tension within the abdominal wall and continue to do so even with upper and lower body movement, leading to less stress on surrounding structures, including the other abdominal muscles. As time goes on, more dynamic movement will be incorporated to simulate the sport, but the goal remains the same: keeping the core active with movement, no matter how strenuous. Cobb’s return depends on his progress with his physical therapist, as well as his pain levels, and he will not be back for at least 4 weeks. However, with there being 18 weeks this year, it is likely he may make an appearance in the post-season, depending on how deep of a run the Packers make. After watching Sunday night’s game against the Bears, though, there’s a good chance we’ll see Cobb on our screens early in 2022.

This video demonstrates 2 early stage rehab exercises as well as 2 later stage rehab exercises for a core injury.

Source:
https://www.performancehealth.com/articles/6-post-operative-abdominal-rehabilitation-exercises

Week 13: Christian McCaffrey (#2)

At a Glance –
Player: Christian McCaffrey
Position: Running back
Team: Carolina Panthers
Injury: Ankle Injury
Projected Recovery Time: 2-6 months

The Panthers have experienced a whirlwind of a season, after starting off hot and now being 5-7, and injuries to their star player has only made matters worse. If you’ve been following our injury reports, you might have seen Christian McCaffrey (CMC) featured for our Week 3 article. After rehabbing his hamstring and returning to play, CMC found himself on the IR again after sustaining a serious ankle injury during the Week 12 Panthers vs Dolphins game. He reportedly rolled his ankle, and MRI imaging confirmed enough tissue damage to cause CMC to miss the conclusion of the season (since it is rather unlikely that the Panthers will make the playoffs). Though specifics about his injury have not been disclosed, it is likely that CMC sustained a significant ankle sprain. CMC’s absence from the field is unfortunately nothing new, as he has only played in 10 out of 33 games in the past 2 seasons. His focus during the upcoming weeks will be on avoiding surgery with the help of his rehab team and physical therapist.

The good news is that CMC does not necessarily have to get surgery as long as his rehab goes well and should be back and ready to go by the 2022 season. After the Dolphins game, CMC was seen walking in a boot and will likely continue walking in the boot for the next 2-4 weeks. The goal of this immobilization is to decrease the stress on the ankle and its ligaments to allow for healing, as well as provide protection from any further tissue damage. This protection in the early weeks is essential since once you sprain your ankle, regardless of the severity, you are at greater risk to sprain it again, which is known as sustaining “chronic ankle sprains”. Chronic ankle sprains occur when the ankle’s strength and proprioception (the body’s ability to determine where it is in space) are not restored after the initial ankle sprain and can even warrant surgery if the ankle is unstable enough. Rehab is essential to prevent repeated ankle sprains and ankle stabilization surgery, which is why CMC’s prognosis depends on how he does in PT. CMC is likely participating in PT already despite being in the boot, and early efforts will be on building ankle strength and proprioception so that when he returns to the field, he will automatically avoid putting his ankle in positions that put too much stress on the ligaments. Later efforts will really hone in on building CMC’s proprioceptive response. Exercises will include maintaining balance on unsteady surfaces, on one leg, and with eyes closed. Additionally, landing and running mechanics will be refined to ensure that even during the game, CMC’s ankle will stay in that safe position. Recovery all depends on CMC’s progress, as well as the extent of the sprain. Since CMC is out but does not necessarily need surgery, it is likely he sustained a Grade II ankle sprain, which means a portion of the ligament tissue is torn but not completely through. Recovery for this is ~6-8 weeks. Though the hopes of Panther’s fans are certainly dashed this season, having their star running back return, healthy, will be a great start to the 2022 season.

To see some of the exercises McCaffrey will likely be doing throughout his rehab for the ankle sprain, watch the team demonstrate a few in this video!

Sources:
https://www.panthers.com/news/christian-mccaffrey-placed-on-injured-reserve

Week 11: Chris Carson

At a Glance –
Player: Chris Carson
Position: Running Back
Team: Seattle Seahawks
Injury: Unspecified neck injury with subsequent surgery
Projected Recovery Time: 16-24 weeks

The Seattle Seahawks have had a disappointing season in 2021, largely at the hand of injuries. Though Russell Wilson has finally returned to the field after having finger surgery, the Seahawks are missing another piece on their offense: Chris Carson. Carson is an excellent running back whose absence has been felt deeply on the team, and though there were hopes he could return during Week 10, he was reinstated on IR this past week with confirmation that he will be undergoing surgery. Carson will not be ready to return until the 2022 season.

Though the specifics have not been disclosed on the nature of Carson’s injury, it is likely that his issue involves the disc in the cervical spine. Intervertebral discs separate vertebrae (bones) in the neck and back, and they provide cushioning and shock absorption to the structures around them. Sharp turns or compressive forces, as well as age, can lead to a disc becoming herniated, which means the disc juts out. If the disc protrudes in a certain direction, it may compress a spinal nerve which can be painful and lead to both muscle and sensory symptoms. People often complain of numbness, tingling, and weakness that travels down their leg or arm. Herniated discs can cause symptoms that limit a person’s ability to function, and when symptoms are severe enough that the person does not respond to conservative treatment, surgery is warranted. Carson’s pain levels and disability caused him to fall into this category. Although it was not disclosed just what type of surgery he had to address this issue, he likely underwent a discectomy, in which the part of the disc that is causing his symptoms is removed. Physical therapy will be key to help him return next season. Herniated discs are an injury that physical therapists treat very often, even if a person does get surgery. For herniation of discs in the cervical spine, as is the case with Hunter, focus of treatment is on building strength in the neck, upper back, and shoulders. Discs often become damaged due to instability from muscle weakness, and strengthening key muscle groups helps with injury prevention. The hits that are part of football can easily re-aggravate Carson’s pain so he will work closely with his rehab team to build that stability up. Endurance is equally as important for Carson as he has to play the full 60 minutes, and there are specific exercises we have up our sleeves to help. A basic exercise Carson will do is a chin tuck, which looks kind of like a double chin but requires use of muscles that are essential for neck stability, and his program will incorporate exercises that require Carson to hold that position to build up endurance and stability. He will be able to start game-like exercises at about 16 weeks post-op and will have plenty of time to get ready for OTAs in the spring. Though the Seahawks may not be doing too hot this year, they have the return of their star RB to look forward to during the off-season.

To see a few exercises that would be included in a PT program for post-neck surgery, view this video:

Source:
https://www.fieldgulls.com/2021/11/19/22792237/seattle-seahawks-news-chris-carson-out-for-the-season-neck-injury

Week 10: Dallas Goedert

At a Glance –
Player: Dallas Goedert
Position: Tight End
Team: Philadelphia Eagles
Injury: Concussion
Projected Recovery Time: 2 weeks – 2+ months

In Detail:

The Philadelphia Eagles are certainly not out of playoff contention, especially with their victory against the Broncos this week. However, the Eagles lost their tight end, Dallas Goedert, only 10 minutes into the game after Goedert suffered a helmet-to-helmet hit while being tackled. Goedert was quickly ruled out for the game and is currently participating in the NFL’s concussion protocol. He will likely need physical therapy intervention to help him return to the field safely. Concussions are mild traumatic brain injuries, caused by a blow or jolt to the head, that may leave a person with behavioral, cognitive, or physical symptoms for weeks to months. They are serious injuries that can disrupt the brain’s chemistry and function, and it is important to diagnose the injury and allow the brain to heal. Physical therapists are trained to identify and understand symptoms to ensure a person safely returns to activity, and Goedert’s PT will definitely have a role in determining his return to the field.

Concussions are a difficult injury to treat as people present differently, depending on the severity of the concussion, but the biggest goal of Goedert’s physical therapy program will be to re-introduce activities gradually. If someone returns to higher level activities too quickly, a brain bleed can develop from excessive swelling, or a person may develop post-concussive syndrome, in which symptoms last for several months. One of the best ways to treat concussions is exercise, surprisingly enough. Studies have shown that exercise improves blood flow to the brain and strengthens the brain’s communication pathways, and by returning to exercise gradually, a person can start returning to daily activities. Typical symptoms include headaches, dizziness, and “feeling foggy”, and early interventions in Goedert’s PT program will help him improve his tolerance to moving his head, standing, and performing daily activities. Goedert will also work on strengthening key muscle groups in the neck, as well as addressing vestibular impairments, which are very common with concussions. Vestibular (or inner ear) problems interfere with balance and coordination, and PTs have a variety of exercises to help Goedert improve his stability. As he progresses, the exercises will become more difficult to ensure he can tolerate the demands of professional football. There is even a formal treadmill program that measures heartrate and symptoms that Goedert will likely participate in to make sure he can return to football safely. His PTs will know the signs of a poor response to exercise to make sure he isn’t doing too much, and hopefully in the next 2-4 weeks, he will be able to make a full recovery and return to football, just in time for the Eagles to make their playoff run.

Wondering what PT for a concussion might look like?

Sources:
https://www.choosept.com/symptomsconditionsdetail/physical-therapy-guide-to-concussion

From Student to Owner- Haddon Heights Here I Come!

In June of 2014 I started my last 6th month clinical rotation as a Student Physical Therapist at 3DPT. That first day as a student I was nervous but also excited to be at such a great company and to have the opportunity to learn from two great mentors; Jeff and Ken. It is hard to believe 7 years later I am now partnering with 3DPT and opening up my very own office in Haddon Heights! I never initially thought I would go into ownership, I knew that out of school I wanted to focus on advancing my skills as a clinician and learning new techniques to better serve my patients. I focused on earning two advanced board certifications in orthopedics and sports and hands-on treating skills of which I am Full Body Certified in Active Release Technique (ART). I thought after all of these courses I would feel satisfied, but I found myself wondering, “what’s next?”

I had the opportunity to work alongside Chuck Bachi in the Haddon Township Office. If you know Chuck, you know he is very goal oriented. He helped me focus my goals and gave me the opportunity to develop my leadership and business skills through managing the Haddon Township Office.

The Haddon Township office is thriving and when it became apparent that in order for 3DPT to continue to be able to serve more and more people in this area we would need another location, it was a no brainer for me to jump at the chance. I am excited to be able to offer the same great care that all of our 3DPT clinics offer to the Haddon Heights and surrounding communities!

Jessica currently lives in Marlton and when not treating likes to run and exercise and spend time with her husband, Damon, and their Dog and Cat, Palmer and Thor.

3DPT Haddon Heights will be open this November! We’re located at

500 Grove Street, Suite 100
Haddon Heights, NJ 08035
856-617-0175

To make an appointment now, call us at 856-617-0175 or visit our website.

Week 9: Mike McGlinchey

At a Glance –
Player:  Mike McGlinchey
Position: Right Tackle
Team: San Francisco 49ers
Injury: Torn Quadriceps Tendon
Projected Recovery Time: 4-6 months

In Detail:

The 49ers have seen their fair share of injuries this season, especially those involving the knee. During this week’s game versus the Cardinals, the 49ers lost a notable player, Mike McGlinchey, to a torn quadricep. Though it has not been disclosed if it was the tendon or muscle itself that was torn, this injury comes as a particular blow to the 49ers because McGlinchey was having his best season in the NFL. However, this injury is severe enough to cut that standout season short. McGlinchey will likely be undergoing surgery in the upcoming weeks to re-attach/repair the damaged muscle or tendon, and he will be spending a lot of time with his physical therapist to prepare for next season.

The quad is made up of four muscles that come together to attach to the kneecap via the quad tendon, and these muscles are primarily responsible for knee extension and hip flexion. The quads are some of the most prominent muscles involved in running and squatting, and a complete tear in the quad, whether it was through the tendon or muscles themselves, is a disabling injury. Surgery is almost always necessary to help a person return to full function, and McGlinchey will have to put in the work with his rehab team to be back in 2022. After surgery, McGlinchey will be immobilized in a knee brace, limited to walking with crutches for up to 8 weeks.

During these earlier phases, focus will be on ensuring his knee reaches neutral for extension and to gradually introduce knee flexion. Around 8 weeks, gradual weight bearing activities can start, and McGlinchey will be able to trial mini squats, step ups, and other functional movements that are quad dominant. Around 11 weeks, he will be able to start single leg activities, which will be key in restoring balance and movement patterns to ensure McGlinchey will be strong enough to return to play. Later phases of rehab focus on the quad’s ability to withstand higher level stresses, especially in single leg stance, and that the quad muscles maintain their flexibility, as quad inflexibility is predictive to further injury upon return.

Players that play the right tackle position are specifically known for being the best run blockers on the offensive line, which means McGlinchey needs a lot of lower body stability to counteract and block opposing players, and the sudden impact he will have to match could potentially cause another quad tear if he is not strong enough. Luckily, McGlinchey is known for his work ethic and will undoubtedly put in the time for his comeback season. For now, the 49ers will have to rely on a rookie or two to try to take his place.

Source:
https://www.espn.com/nfl/story/_/id/32584934/source-san-francisco-49ers-rt-mike-mcglinchey-season-torn-quadriceps

Week 8: Dak Prescott

At a Glance –
Player:  Dak Prescott
Position: Quarterback
Team: Dallas Cowboys
Injury: calf strain
Projected Recovery Time: 2-6 wks

In Detail: 

The Cowboys have been on a roll this year, whether we like it or not, and that is largely because of their quarterback, Dak Prescott. Dak has made an incredible comeback after suffering a very ugly injury to his right ankle during last season, which took surgery and months of physical therapy to rehab. Unfortunately, it is to this particular ankle that he suffered a calf strain while playing against the Patriots during Week 6. Because of Dak’s extensive injury history, it is difficult to determine how long he may be out; his return largely depends on the extent of the calf strain. Since Dak is week-to-week, it is likely he suffered a Grade I or II calf strain, in which there is mild to moderate damage to the muscle fibers but not a full thickness tear (known as a Grade III strain), which often requires surgical intervention. Dak’s return will largely depend on the strength, flexibility, and pain of the injured calf, which means he will be working very closely with his physical therapist to try to play against the Broncos in Week 9.

The calf itself is made up of two muscles: the soleus and gastrocnemius. These muscles are largely responsible for propulsion with running, and Dak needs them to be fully functioning if he wants to be a mobile quarterback. In the earlier phases of rehab, focus will be on strengthening in non-weight bearing positions to avoid putting too much stress on the healing calf. Following Dak’s injury, it may be likely that his ankle lacks some flexibility, meaning there is increased strain on the two muscles. His therapist can perform ankle mobilizations to promote improved range-of-motion of the ankle, and coupled with targeted gastroc/soleus stretch, Dak will see improved ankle excursion that will help him avoid re-aggravation of the strain. As the healing process progresses, his PT will design a program to allow him to gradually load the muscle and tendon to prevent both atrophy and overuse, as both of those outcomes can delay his recovery even more. This program will include several single leg exercises, specifically focusing on single leg calf activation via heel raises and single leg jumps, to ensure that Dak will be able to perform all required of him during the game. Once Dak can participate in treatment sessions and practice without limitations or pain, he will be able to return to play. Regardless, Dak should make it back in time for playoffs, and with how the Cowboys have been playing, it is pretty likely he will still be needed.

Take a look at this video of the West Berlin team demonstrating a few exercises for a calf strain injury during the various stages of rehab.

Source:
https://dknation.draftkings.com/2021/10/31/22752803/dak-prescott-injury-status-update-news-fantasy-football-week-8-cowboys-vs-vikings-backup-cooper-rush

Week 7: Baker Mayfield

At a Glance –
Player:  Baker Mayfield
Position: Quarterback
Team: Cleveland browns
Injury: fractured humerus, labrum tear, shoulder dislocation (of non-throwing arm)
Projected Recovery Time: 6-24 weeks, though may be able to return at 4 weeks

In Detail: 

The Browns have been one of the most exciting teams to watch in recent years, largely due to the addition of their star QB, Baker Mayfield. Baker has helped the Browns make greater strides towards the postseason since he was drafted, but the Browns will have to make do without him for a few weeks at least due to a shoulder injury to his non-throwing arm. He has been dealing with a shoulder problem since the beginning of the season, when he reportedly dislocated his shoulder playing against the Texans during Week 2, and since then has been dealing with shoulder instability and multiple dislocations. It has been disclosed that Baker has been dealing with a torn labrum, but recent reports also state that Baker has sustained a fracture to his humerus, specifically the greater tubercle, where portions of the rotator cuff attach, meaning his injury has become more difficult to treat he still is to remain active on the roster. During this past week’s Thursday game, Baker did not play, but it has not yet been disclosed how many games he may be missing.

Baker certainly has a lot going on with his shoulder, but the humerus fracture coupled with the shoulder dislocation is concerning. If he returns prematurely to play, Baker may sustain further injury as he is unable to protect himself if he falls or gets hit. The fractured humerus especially could worsen if Baker’s shoulder dislocates again and will largely dictate whether he needs surgery or not. Two major muscles of the rotator cuff, the supraspinatus and infraspinatus, attach to the greater tuberosity, meaning the rotator cuff is unable to fully stabilize the shoulder with activity. Baker may not even be permitted to use those muscles to allow time for the bone to heal. Typical bone healing takes 6-8 weeks as long as everything goes as planned, and this timeline does not account for the torn labrum Baker is also dealing with, which takes about 4-6 months to rehab. Fans are hoping he is able to delay the surgery until the offseason, which could jeopardize his start for the 2022 season, not to mention jeopardize his shoulder if he sustains any additional injury during this season. His healthcare team is closely monitoring the situation and have released a statement that Baker won’t be cleared to play unless safe to do so. Regardless, physical therapy has a huge role in Baker’s return. For both fracture and labrum repair, the focus of his rehab will be stability, especially of the rotator cuff musculature, to prevent any further dislocation. In early sessions, Baker will be restricted to isometric sets (muscle fires but arm doesn’t move), allowing early muscle activation without compromising the involved sites. As time goes on, Baker will be introduced to higher level strengthening, such as weight bearing, which is an excellent way to promote strength and stability. Perturbation training (unpredictable movements applied to the arm) will also be key to ensure Baker can utilize the scapular stabilizers and maintain proper positioning of his arm, even in unexpected situations, to ensure he is able to react and protect the shoulder during games. If surgery does occur, Baker is looking at a 4-6 month recovery, which is not ideal but necessary to ensure his shoulder heals. For now, it’s up to Case Keenum to help the Browns to postseason, and if his previous experience is any indication, the Browns seem to be in capable hands.

Take a look at this video to see what a PT program for all of Mayfield’s injuries could include at the various stages of rehab.

Source:
https://sports.yahoo.com/baker-mayfield-report-offseason-surgery-152018306.html

Week 6: Antonio Gibson

At a Glance –
Player:  Antonio Gibson
Position: Running back
Team: The Washington Football Team
Injury: Stress fracture in shin
Projected Recovery Time: 6-8 weeks, though may be able to return at 2-4 weeks

In Detail: 

The Washington Football Team has seen its fair share of injuries so far this season, and during this week, one of their biggest playmakers (not to mention, a staple to several Fantasy rosters) made an early exit from the game against the Chiefs. Antonio Gibson, a standout in his sophomore year in the NFL, has been dealing with a stress fracture to his shin for the past several weeks, and though he has been able to manage the stress fracture with limited reps during practice, he suffered worsening pain in his leg during the game that sidelined him after only 10 carries. Gibson has recently undergone an MRI, and though reports have not yet been released about his current status, it is likely he may miss some time. Stress fractures are overuse injuries, often resulting from repetitive forces to bones, and often require prolonged rest from higher level activities to heal.

A stress fracture is a small crack typically occurring in a weight bearing bone, and this injury doesn’t simply develop overnight. Sudden increases in physical activity and inadequate training are often the culprits that cause a stress fracture, and this type of injury is often seen in runners and athletes in high-impact sports. As a running back, Gibson is exposed to plenty of activities that involve impact, and he likely did too much too quickly at the start of the season. When bone is overloaded too quickly with activity, the body breaks down older bone faster than it is able to replace it, leading to small fractures in the areas most affected by the impact. If left unaddressed, this injury can even progress to a full fracture through the bone, leading to greater complications and often long-term issues. The greatest treatment for this injury is to refrain from impact activities and gradually return with the assistance of physical therapy, meaning that, unfortunately, Gibson might be out for some time to allow his stress fracture to heal. Working with his physical therapist will help Gibson return in a safe manner, and the earlier phases of rehab will focus on building lower body strength in a manner that does not put excessive stress on the affected site. Efforts during early treatment sessions will focus on correcting any lower body muscle weakness and poor movement patterns that may have contributed to increased stress on the bone. Gibson may even have to be immobilized in a boot depending on the severity of the fracture, again with the intention to offload the bone and allow it time to remodel and heal. His physical therapist will gradually reintroduce weightbearing and then impact activities to allow the bone to remodel in a safe manner, and Gibson’s symptoms will help guide his progress. If he starts feeling that chief complaint discomfort, his PT will know to step back to prevent a recurrence or setback. Stress fractures take 6-8 weeks to fully resolve, but Gibson may be able to return earlier to games if his reps are limited and he has minimal pain. Radiographs (x-rays) may not always detect stress fractures or be able to track healing, but MRIs can help with determining if the bone is responding well to therapy sessions and activity modifications. Though it may be tough for the Washington Football Team to go without another one of their key playmakers, it is essential for Gibson to address this injury before it worsens so he can be 100% when the WFT plays its divisional rivals during the second half of the season.

Sources:
https://www.cbssports.com/nfl/players/playerpage/2960976/antonio-gibson

Family first: My journey to 3DPT Deptford

It’s hard to believe that in just a couple of weeks, one of my life’s goals will be coming true – I will officially be opening a new 3DPT clinic in Deptford, NJ!  Opening a new office for 3DPT has actually been a goal of mine since even before joining the team.  Back in 2011, while I was still in my undergraduate studies at the University of Pittsburgh, Ken Guzzardo (my brother-in-law) partnered with Jeff Sallade to open 3 Dimensional Physical Therapy. Once I graduated and began my Doctorate in Physical Therapy at Drexel University in 2013, I immediately sought out mentorship from Ken. After earning my DPT degree in 2016, I spent a few years practicing in Philadelphia, and during that time was able to grow as a clinician, but in the back of my mind I knew my career was missing something…family. In January 2020 I had the opportunity to join 3DPT’s Medford clinic and that “empty” feeling went away – because 3DPT isn’t just any regular workplace, it’s a part of my family.

Having spent almost 2 years at 3DPT Medford and now planning for 3DPT Deptford, I’m excited to continue to contribute to 3DPT’s mission:

To raise the standard for the healthcare and workplace experience to best serve our community. 

I’ve witnessed firsthand that this is exactly what 3DPT truly does. Everything we do has one goal in mind – to provide a great experience for every patient, every single visit. I have been incredibly fortunate to have spent the past 2 years learning and growing from Jeff, Ken, each partner and manager in our offices, my fellow PTs, our entire staff and our amazing patients. I’m extremely honored and excited to bring our 3DPT family to the Deptford community!

Zach currently lives in Oaklyn and when he is not at 3DPT you can find him spending time with his wife, Nicki, and their 2 dogs Leo and Luna.

He’s a diehard Eagles fan (Go Birds!) and University of Pittsburgh football and basketball fan regardless of their record.

3DPT Deptford will be open this November! We’re located at:

The Court at Deptford
1500 Almonesson Road, Suite 7
Deptford, NJ 08096

To make an appointment now, email us at deptford3dpt@gmail.com.

Here’s a first look at the 3DPT Deptford clinic!
 

Week 5: Russell Wilson

At a Glance –
Player:  Russell Wilson
Position: Quarterback
Team: Seattle Seahawks
Injury: Mallet finger, finger fracture
Projected Recovery Time: 4-12 weeks

In Detail:

Thursday night’s game was Russell Wilson’s 165th consecutive start as a QB.

Russell Wilson is one of those quarterbacks that is always fun to watch, and everyone knows when he’s on the field, that the Seattle Seahawks always have a chance to win. Wilson is also known as one of the most reliable players in football, as he has never missed one game in his career in the NFL (which began in 2012!!!). That is, until this week, when Russ suffered an injury to his throwing hand during the Seahawks vs Rams on Thursday night. During a throw in the third quarter, Russ hit his hand on D-tackle Aaron Donald and was unable to play after the following possession. Russ was unable to finish out the second half, and after a few days, it was confirmed that Russ suffered 2 pretty serious finger injuries – a finger joint fracture and, even worse, a ruptured finger extensor tendon (which is known as mallet finger). The ruptured tendon typically requires surgery to help a person return to sports, and Russ has already undergone surgery to start his recovery process. He will hopefully be ready to return around Week 8 at the earliest.

Russ will start working with his physical therapist within the first few days post-op. There are specially trained PTs who treat hand injuries specifically, known as Certified Hand Therapists, and a Hand Therapist will likely be the one in charge of Russ’ care. Recovery from mallet finger requires several weeks of immobilization of the hand via a protective orthosis, which his therapist will fabricate for him personally, and Russ will be wearing this for most hours of the day for the first 8-10 weeks post-op, especially with sleeping. For tendon repairs, active finger extension (straightening) and passive finger flexion (bending) are off-limits for the first 8 weeks as there is often a second surgery during that time frame to remove the pin that fixates the healing bone/tendon, and early goals of rehab will revolve around maintaining strength and mobility of the uninvolved fingers, as well as preserving range-of-motion of the joints of the finger involved. It will take ~6-8 weeks for the involved joint to heal from the fracture as well. As the weeks progress and Russ has less limitations in motion, he will be able to initiate strengthening, and a major focus of treatment will then transition to building grip strength, which is a major impairment from this injury. As you can imagine, grip strength is extremely important to hold and then throw a football, and Russ will spend plenty of time practicing throwing with his PT to make sure his form and comfort levels are similar to pre-injury. In a normal patient population, recovery takes 12+ weeks, but elite athletes are always the exception, and Russ may return in as little as 4 weeks if everything goes smoothly. Until then, Geno Smith will take over as starting QB, hopefully keeping the Seahawks in the competition until Russ can have his spot back.
Sources:
https://www.orthoillinois.com/wp-content/uploads/2016/12/ExtensorTendonISurgeryMalletFinger2017.pdf
https://www.seattletimes.com/sports/seahawks/russell-wilsons-injury-leaves-the-seahawks-at-a-bleak-crossroads-could-it-portend-the-end-of-an-era/

Week 4: Isaac Seumalo

At a Glance –
Player:  Isaac Seumalo
Position: Guard
Team: Philadelphia Eagles
Injury: Lisfranc
Projected Recovery Time: 6-9 months

In Detail: 

Not the offensive line again!

The Eagles suffered yet another hit to their offensive line during Monday night’s game against Dallas. Isaac Seumalo became the third O-lineman to be injured this season already, and his particular injury to the foot, known as a Lisfranc injury, means he will be out for more than this past week’s loss against the Chiefs – this injury is season-ending.

The Lisfranc injury occurs when there is an insult to the Lisfranc ligament, which runs from the 2nd metatarsal (long bone of 2nd toe) and medial cuneiform (a bone on the inner part of your foot). If there is disruption of this ligament, the bones in the foot can become misaligned and a person may experience feelings of instability at the midfoot joints. Additionally, with this type of injury, fractures of surrounding bone and damage to connective tissue are common. If the injury consists of bone fractures, cartilage damage, and/or midfoot misalignment, conservative treatment is not enough, and surgery must be utilized to correct the injury. Though the extent of Seumalo’s injury has not been disclosed, it is clear that there is significant damage to his foot as he is indeed undergoing surgery in the upcoming weeks for his Lisfranc injury.

Surgery typically involves re-aligning the base of the 2nd metatarsal to the medial cuneiform bones and stabilizing them via plates and screws. Immediately after surgery, progress is typically slow-going, as Seumalo will be under non-weightbearing restrictions for up to 6 weeks to allow the foot to heal. Around the 6-week mark, he will get the “ok” to walk in a boot and start working with his physical therapist, and the goal of this early phase is to start to address range-of-motion and foot strength impairments. He will progress to full weightbearing around the 8-week mark and be able to progress to more dynamic strengthening and balance training. Around the 16-week mark, he will be able to progress to lower level dynamic activities, meaning at this point he will be able to start his return to running process if he has adequate calf strength and ankle range-of-motion, as well as low pain levels. At this phase, patients typically struggle with calf strength and balance, which are both essential for the guard position as it requires a lot of calf power and lower body stability, and a major focus of Seumalo’s rehab sessions as this time will focus on those two components to ensure that he will be able to return to football without risk of re-injury. It can take up to 9 months for him to be fully ready to return to games, which gives him plenty of time to prepare for the 2022 season. As for the Eagles, hopefully their lineman problems stop here so they can recover and refocus their efforts on beating the Panthers this Sunday.

Sources:
https://www.inquirer.com/newsletters/eagles/eagles-isaac-seumalo-kvon-wallace-20210929.html
https://www.orthovirginia.com/UserFiles/File/microsites/Eastwood/Eastwood-Lis-Franc-Protocol.pdf

To see some of the things Seumalo will likely be doing once he does start PT, take a look at the video below to see the team demonstrate a few early stage and late stage rehab exercises for a lisfranc injury.

Week 3: Christian McCaffrey

At a Glance –
Player:  Christian McCaffrey
Position: Running back
Team: Carolina Panthers
Injury: Hamstring Strain
Projected Recovery Time: 2-8 weeks

In Detail:

Hamstring strains are already too common this 2021 season, and the latest victim to this injury is a key player on the Carolina Panthers (and probably your Fantasy League’s #1 draft pick).  Christian McCaffrey, known as one of the best running backs in the league, left the game against Houston on Thursday during the third quarter. After being evaluated in the injury tent McCaffrey ended up heading to the locker room for the remainder of the game and left the fate of the Panthers in his teammates’ hands. Luckily, the Panthers got the win, but on the down side, it has been confirmed that McCaffrey sustained a hamstring strain and it’s unknown at this point when McCaffrey will return. Hamstring strains tend to be very nagging injuries, however recent reports confirm that McCaffrey’s strain is likely low-grade and not as severe as originally thought and he is expected to return sooner rather than later. Low-grade strains are classified as mild, with minor damage to individual muscle fibers but preservation of the muscle as a whole. Strength and flexibility may be impacted but minimally, whereas with higher grade strains, you can expect to have significant loss of function.

Regardless of the severity, hamstring strains have high recurrence rates, meaning that re-injury is likely. McCaffrey’s ability to return, especially without having a re-aggravation of that injury, will be largely dependent on his work with his physical therapy team. McCaffrey’s treatment plan will focus on addressing strength and flexibility impairments so he can return to sport with minimal risk of re-injury, and manual therapy and other modalities will be used to improve pain level so he can make a quicker return. Emphasis of his program will be on improving eccentric hamstring strength, which is essential for his position as a running back. CMC is sprinting during the majority of his time on the field, and running requires a LOT of eccentric hamstring strength as your hamstring is used to control your leg as you swing it forward. The recovering hamstring muscle will be put to the test constantly during McCaffrey’s routes and carries so it is crucial for him to work with his rehab team to avoid being sidelined by this injury again. Typical exercises to “bulletproof” the hamstrings include hamstring bridges, hamstring curls, and nordic leg curls. CMC may be able to return as early as this week to football, but he is going to continue rehabbing that hamstring for the remainder of the season. Hopefully he’s back sooner rather than later – the 3-0 Panthers seem to be on a run!

To see what CMS’s rehab might include, take a look at this video to see the team demonstrate a few exercises that would be included in both early stage and late stage rehab for a hamstring injury.

Source:
https://www.panthers.com/news/christian-mccaffrey-placed-on-injured-reserve

Week 2: Ryan Fitzpatrick

At a Glance –
Player:  Ryan Fitzpatrick
Position: Quarterback
Team: Washington Football Team
Injury: Subluxed Hip
Projected Recovery Time: 6-8 weeks

In Detail: 

The Washington Football Team has lost a legend (for at least 6 weeks) during their opening game to the LA Chargers. Ryan Fitzpatrick, a seasoned veteran in the NFL, suffered a subluxed hip from a hit during the second quarter and didn’t return for the duration of the game. He was placed on the IR shortly after, with reports confirming the extent of the injury and the potential for Fitzpatrick to have to undergo surgery in the upcoming week. However, after consulting multiple physicians, Fitzpatrick decided to treat his injury conservatively, meaning he opted not to have surgery and participate in rehabilitation instead, and he is hoping to be back to play after the bye week in Week 9. This return date will be determined by the severity of Fitzpatrick’s injury, as well as how well Fitzpatrick responds to physical therapy.

A hip subluxation is a partially dislocated hip, in which the femur is partially forced out of the hip socket. The hip is a particularly stable joint, meaning that this sort of injury takes a lot of force to occur. The severity of the injury depends on damage to the surrounding connective tissue, as well as if there was any damage to the femur itself. Oftentimes, if there is a femur fracture, surgery is required to reduce the femur (or put it back) into place. Connective tissue damage can equally warrant surgery, especially if the labrum, which provides essential stability for the hip, is damaged, which can really prolong the recovery. However, since Fitz is able to avoid surgery for now, it seems that the extent of soft/bony tissue damage is minimal, meaning he can aim to be back sooner rather than later. His ability to return safely, though, is largely determined by how his rehab goes. Physical therapy is going to be a huge part of Fitzpatrick’s routine in the upcoming weeks. During the course of rehab, focus will be on increasing muscle strength, as well as restoring hip movement, in a safe and graded way. The earlier phases of hip rehab will emphasize lower level strengthening, including isometrics (strengthening muscles without movement), and care will be taken to avoid motions that may aggravate the hip or elicit symptoms of instability. As Fitzpatrick gains his strength, he will be able to progress to single leg activities and plyometrics. It won’t be until the later phase of rehab that he will be cleared to participate in practice without limitation. Since meaningful improvements in muscle strength take at least 6 weeks to see, Fitz won’t be ready to go until Week 8 at the earliest, though a more realistic timeframe is Week 10, as long as Fitz doesn’t see any setbacks during his recovery. Until then, The Football Team will have to rely on Taylor Heinicke, who had an impressive showing against the Bucs during playoffs last season. From the looks of Week 2, the Football Team seems to be in capable hands.

Watch this video to see a few demonstrations of exercises that may be included in the rehab of a hip subluxation – 2 for early stage rehab and 2 for late stage rehab.

Source:
https://profootballtalk.nbcsports.com/2021/09/16/ryan-fitzpatrick-not-having-surgery-on-hip-injury/

Saving Private Practice Physical Therapy: IPTA

Over the last decade, the healthcare industry has gone and is still going through some big changes. Some changes, with advances in technology, have made our lives easier like the ability to see your doctor over the computer (telehealth), online scheduling of appointments, prescriptions automatically sent to the pharmacy, etc. On the other hand, other changes aren’t so great. Maybe your favorite doctor’s office changed ownership or you’ve had to change your doctor or prescription because of changes in insurance coverage.  With large hospital systems merging and private equity companies acquiring as many healthcare facilities as possible, we see less and less smaller practices, who are now being forced to make a decision to sell to a larger entity or try to ride it out themselves.

So what’s a small business to do in this changing environment? As Lou Holtz said, “In this world, you’re either growing or you’re dying. So get in motion and grow.”  At 3DPT, we believe strongly in our ability to provide a great healthcare experience for our clients in an environment that our co-workers genuinely want to come and work in each and every day. We have no plans to change this!  We are committed to growth and so we’ve created Independent Physical Therapy Associates, or the IPTA.

IPTA is a group of independent physical therapy companies that will come together under one tax ID number for billing, Human Resources, and compliance, all while each company retains its name, ownership, and community recognition, as a division of the IPTA. Joining together as one group will help to ensure that private practices do not have to make the decision to increase patients per hour, to cut corners to save costs, or sell to a larger entity. And that in-network private practice represents why we all wanted to be a Physical Therapist in the first place – to help people regain their lives!

The mission of the IPTA is to save private practice Physical Therapy. We believe our clients should be able to use their insurance that they pay a lot for in their premiums to have access to high quality clinicians who care about their goals without having to add multiple patients per hour or hand off care to a PT aide. We believe in growing by having the right people in place who can provide this care and ensure the quality remains at the forefront of their minds. And we believe in not growing too large too quickly or else you dilute what has allowed us to flourish over the last 10 years.

What does IPTA mean for 3DPT patients?

It means that you can be confident that you will get the great care and experience that 3DPT has always been committed to!  By forming the IPTA and combining with other private practices who believe in the same quality of care that we believe in, we are allowing our patients a third option. Instead of choosing a larger health system where you may be seen along with many other patients per hour, or having to go out of network or cash based, we are ensuring that our patients can continue to use their health insurance while seeing an IPTA division.

3 Dimensional Physical Therapy is still 3 Dimensional Physical Therapy, but now a division of IPTA. We’re proud to be leading this initiative to save private practice Physical Therapy!

Click here to learn more.

Week 1: J.K. Dobbins, Gus Edwards, Marcus Peters

At a Glance –
Player(s):  J.K. Dobbins, Gus Edwards, Marcus Peters
Position: Running back, Running back, Corner (Respectively)
Team: Baltimore Ravens
Injury: Torn ACL
Projected Recovery Time: 6-10 months

Although several teams have lost players to injury during the pre-season, the Baltimore Ravens have been bitten pretty significantly by the injury bug, just days before the regular season kicked off.  J.K. Dobbins, Gus Edwards, and Marcus Peters all sustained the same season-ending knee injury during practice –  the dreaded ACL tear – leaving the Ravens organization scrambling to fill the running back position.

ACL tears are very common among football players, resulting from rotational stresses, sudden changes of direction, and/or poor landing mechanics, and the recovery requires surgery and months of physical therapy. The ACL, or anterior cruciate ligament, is a key stabilizing structure in the knee that limits the forward movement of the tibia on the femur, and without the ACL, it is much more difficult for the surrounding structures to maintain knee stability, especially in weight bearing. NFL players are elite athletes that have to be able to withstand crazy physical stresses on the body, meaning knee stability is essential to perform well and avoid further injury, and for this reason, most NFL players opt to get ACL reconstruction surgery. This surgery, however, takes months to recover from (and a lot of rehab), meaning the Ravens will have to make do without these three players.

During the ACL reconstruction surgery, tissue is taken from the tendon of the quadriceps, hamstrings, or patella and anchored to the tibia and femur, providing similar stability as the original ACL. However, it takes up to two years for the new “ligament”, or graft, to fully resemble a normal ACL. Physical therapy starts just days after surgery. The first few weeks of rehab will focus on improving pain levels, decreasing swelling, and recovering range of motion and quad muscle strength, and around the 3-month mark, a person can finally be cleared to run. Strengthening of the quad, glutes, and hamstrings will be prioritized during sessions to improve lower body control and eliminate any muscle imbalances that may have contributed to the initial injury. The later phases of rehab will focus on proper technique with cutting, pivoting, and single-leg activities, with an emphasis on proper landing mechanics and dynamic balance. Protection of the graft is the biggest priority throughout rehab, as well as decreasing the risk of re-injury, which unfortunately can be common after the initial injury.

Though NFL players are outstanding athletes, recovery after ACL reconstruction will take at least 6 months because the healing and remodeling of the graft will follow that 2-year timeline despite any strengthening or balance training efforts. Therefore, if the Ravens players have no complications post-op, they will likely be ready to participate on a limited basis in OTAs and camp in anticipation of the 2022 season. Oftentimes, ACL tears are accompanied by damage to other structures in the knee that may not be reported, and if this is the case, recovery will be prolonged. Whether these players are back in 6 or even 10 months, it is clear that the 2021 season is finished for them, and they will spend the rest of the year with their PT team preparing for their comeback season. In the meantime, the Ravens will have to do their best to put these injuries behind them in their pursuit of the elusive Lombardi trophy. From the looks of Week 1, they’re off to a great start.

After ACL reconstruction surgery, Physical Therapy is essential to helping regain strength, mobility, flexibility and flexion for everyone.

Here are few examples of exercises that could be a part of an ACL rehab program. The first 2 moves would be applicable in Early Stage rehab, right after surgery and the second 2 moves would be applied in late stage rehab.

Source:
https://www.cbssports.com/nfl/news/ravens-rb-j-k-dobbins-vows-to-return-better-than-ever-following-season-ending-acl-injury/

3DPT celebrates 10 years!

On August 18, 2021 3DPT officially turns 10!  It’s crazy to believe how fast 10 years have gone by. Sometimes the days and the weeks are slow, but 10 years in business really has gone by fast.

Parents often talk about how quickly it seems their kids grow up and it’s true! My kids are now 9 and 11 (Ken and I started 3DPT in the middle of them being born!) and whenever I see pictures of them as babies or toddlers, it makes me a little sad that they have grown out of that stage and I can no longer scoop them up and hold them like I used to.

But unlike with my kids, it doesn’t make me sad at all to think about 3DPT back in the first few years that we were open. Like all small business owners, Ken and I were working crazy hours, doing everything we could think of in order to get the business going. Our biggest worry in the early days was having enough people to treat in order to keep the doors open. Now we have grown more than we could have ever imagined – 5 offices with 2 more coming soon.

Just the other day I ran into a former patient who came into 3DPT in our first year of being open. As we were talking, she asked how 3DPT was doing and I told her that we were celebrating our 10 year anniversary this month. Her response was “10 years! Has it already been 10 years?” She was also blown away at how fast those 10 years had gone by.

And so are Ken and I!  3DPT has defied the odds, as only 30% of small businesses make it to the 10 year mark. So when I think back to the early days of 3DPT I get a feeling of pride and I get excited to think about what will happen with 3DPT in the next 10 years.

So how did 3DPT get to our 10th year?  There are a few reasons that come to mind. First, we wanted 3DPT to be the type of  place where we would want to work and where we’d want our own families to want to go for physical therapy. Keeping that and our Core Values top of mind has helped guide every decision from who we hire to how we work with our patients. (Click here to learn more about our core values!)

Second, Ken and I were smart enough to realize that the two of us alone did not have enough hours in the day to grow the company. We prioritized hiring really great people to help us with our growth. I am proud to say that we now have 6 other partners in 3DPT and over 60 phenomenal employees who all play a role in our success.

We also realized the importance of being involved in the communities where our clinics are located. I think most people appreciate small businesses and want to support them. All of our clinics look to develop great relationships with patients, physicians and partners in our communities and strive to be recognized as leaders.

10 years in business also warrants a “thank you” to a wide array of people, so I am going to list the 3 most important right here:

• Our family – especially our wives who are understanding of the time commitment it takes to run a business
• Our patients – we are honored you have chosen 3DPT to help you achieve better health!
• Our 3DPT family (employees) – we are grateful for your hard work every day and know none of this is possible without you!

Knowing how fast our first 10 years have gone, we’re looking forward to celebrating lots more over the next 10 years!

Click here for a message from 3DPT’s other co-founder, Ken Guzzardo.

PS To celebrate our 10 anniversary, we are throwing a big party & inviting our partners, communities and friends to help us celebrate.

On September 2nd from 5-8 pm at Medford’s Freedom Park, join us and other local businesses for a Small Business Community Block Party!

Get to know the businesses & neighbors that make our communities amazing AND stay for the live music food trucks, an inflatable obstacle course, prizes, games like pop-a-shot bball, speed pitch and soccer darts and more

Click here for more information.

Hip, Hip (not so) Hooray…yet!

It is amazing how quickly one year flies by. We have all experienced this – those of us with kids feel like the last day of school creeps up on us and it seems like the kids were just getting on the bus for their first day of school (well, maybe not this year, but you know what I mean).

This week marks one year since I had my other hip replaced. That’s right – I am 46 years old and I have had both of my hips replaced (the other one was 3 years ago). Call it bad genetics coupled with too many marathons – not a great combination. There are a bunch of people both inside and outside of 3DPT that know my situation and so I constantly get asked “How is your recovery going?” I usually spout off a quick answer of “Yeah, it is going pretty good” and since I am back to work and moving around normally, most people are pretty satisfied with that answer and the conversation moves on.

The reality is that this past year was hard. My recovery did not go as well as I wanted it to – mostly self-inflicted. I was a good patient for about a month, and then I stopped doing the things that I needed to do to continue my progress.

Crazy, right? I am a physical therapist so I should know better, but we often are the worst patients. After a few months of not feeling good and limping around the clinic (and my wife basically ordering me to get my act together), I decided to commit myself to the things I needed to do. The problem is, I really don’t like doing strength training, mobility training and yoga-type activities. I know it is what I need, but I would rather be out on my bike for 3 hours out in the Pinelands or hang with my friends on our 8-mile Sunday morning run from the Bagel Shop.

I struggled with being consistent in doing those “rehab” things and my recovery has taken longer than expected. The days where I do a yoga session or combine strength and mobility training, I feel like a new person. If I go for a 2- or 3-mile run, it usually takes me a day of feeling pretty crappy before I recover. I am starting to learn my lesson. If I eventually want to be able to go for that long run, I need to be more committed to doing the stuff that I despise doing.

I’m getting there and my mindset is slowly changing, but it is still hard. My triathlon friends are talking about doing an Ironman in Florida next year. I want to do all of the training and be there at the starting line with them and cross one more finish line. That is one of the greatest feelings I have experienced.  I guess I will have to endure a few more yoga classes and early morning strength training sessions to make it happen. Let’s hope these hips can get me there.

Here’s a video of Jeff talking about his experience as a patient and doing the exercises he likes the least!

Get to know 3DPT: Student Edition

Over the years, every 3DPT clinic has had the opportunity to work with numerous students who have done a clinical rotation with us for school. We have relationships with many of the physical therapy programs in the area (Stockton, Arcadia, Drexel, Widener and more) so that their students have the opportunity to spend time in an outpatient PT setting and can work with (amazing!) patients before jumping into their career as a therapist.  This is helpful for the students AND for us – not only is it rewarding to be able to act as a stepping stone for these students as they work their way towards becoming PTs, but on quite a few occasions some of the students have become 3DPT employees!

In this issue of “Get to know 3DPT” we thought it’d be great to “get to know” the student PTs that are currently with us – why they want to become physical therapists and a little bit more about themselves.  Matt Wolfe from Drexel is in our Haddon Township clinic and Carly Egrie is in our Medford clinic.  And Nate Fullam, who just finished up his time at 3DPT Cherry Hill, shared a little bit about how he feels about his time at 3DPT.

Matthew Wolfe, Drexel University
My name is Matthew Wolfe, a 3rd year PT student from Drexel University in my last rotation before I graduate in June. I am interested in outpatient physical therapy because of the wide array of people and diagnoses we see and the impact it can make on people’s lives. While I have not needed PT myself, my parents are mostly the reason I went into this field. They have had their fair share of physical therapy ranging from acute care to outpatient, with me and my siblings helping them out along the way and the rest is history. Since then, my goal has been to help people get back to their prior level of function and resume their normal daily lives.

Now a little bit about myself:  I played soccer all my life growing up with a few other sports sprinkled in. Outside of sports, I try my hand at as many hobbies as I can. Right now, I am an amateur video editor, car mechanic, computer geek, and furniture maker. I am always open to trying new things, even if it does not turn out well, I appreciate the experience. In June, I am moving to Port St. Lucie, FL, taking the boards in July, and finding a job. I am enjoying my time at 3DPT and learning a lot along the way. I hope to eventually work for a company with the same environment in the future.

Carly Egrie, Stockton University
Growing up, my dad had a close family friend that was a PT and his knowledge about the body fascinated me. He always had an answer on how to fix our ailments. Whenever we came to him with a complaint of pain, such as “it hurts when I do (fill in the blank)”, he always responded with his famous one liner of “well then don’t do that!” and followed it up with a solution on how to make us feel better. I decided at 14 that I wanted to follow his career path and started looking into how I could become a PT. I knew that PT was a perfect career, where I could combine my love for exercise/sports with my love of helping others. When I sustained a shoulder injury from swimming in high school, my journey to recovery further solidified my love for the profession. I remember taking notes on explanations from the PT who was treating me so that I could remember his knowledge when I had my own patients.

My desire to become a PT continued throughout my undergraduate studies at the University of Rhode Island. I studied Kinesiology and Exercise Science and further fell in love with how the human body works and how movement can be used as medicine. My adventurous spirit and hunger for knowledge led me to Australia my Junior year, where I completed a hybrid study abroad/internship program. I studied Sports Science for a semester and worked as an Athletic Trainer for a semi-professional Australian Rules Football Team. The team physiotherapists quickly become sources of inspiration for me, and I found myself digging deeper for more opportunities to learn. I ended up taking a full-time internship position in Australia and stayed for a second semester where I worked side-by-side with the team physiotherapists as an Athletic Trainer and aide. This experience was so enriching, and I showed up every day eager to gain as much as I could from my time working with the Football players and in the clinic. After I returned home to the US, I began my application process to PT school. I decided to stay locally and complete my Doctorate in Physical Therapy at Stockton University.

Throughout my studies at Stockton, I have continued to fall more in love with the PT profession. I completed my first clinical rotation at a Wellness Center where I had the opportunity to see how PT can be utilized holistically and in conjunction with other professions like acupuncturists, massage therapists, and personal trainers. I really enjoyed combining my love of holistic medicine with PT, making my first clinical a wonderful learning experience. My love for sports and working with athletes inspired me to search for clinics that treat active individuals. After asking friends and fellow PT’s, I came across 3DPT and knew it’d be an awesome fit for me. Throughout my journey here, I’ve learned that athletes love us as much as we love treating them. I’ve also loved the opportunity to work with a variety of patient cases and diagnoses to further expand my PT knowledge. The 3DPT community has truly made an impact on me and made me feel like family right away. I’m so thankful for the opportunity to learn and grow as a PT from all of the PT’s and patients at 3DPT!

Fun Facts

Favorite meal
Sushi, hands down

Favorite vacation spot:
My favorite place I’ve ever visited is a close tie between Australia and Thailand. But in terms of closer vacation spots, Ft. Lauderdale holds a special place in my heart!

Favorite movie:
All of the Star Wars movies (I’m a proud nerd)

Favorite sport to watch or play:
To watch = football (Go Birds! ☺), to “play” = dance (I’ve danced since I was 2 years old and was on a professional dance team!

Nate Fullam, Widener University
My time with 3DPT was nothing short of great. 3DPT helped me to grow and develop my skills as a rising clinician and I couldn’t be more thankful. This team is welcoming and they show that they truly care for each patient. I am proud that I was able to join this team and help them in their mission to help this community

Click here to check out a series of videos on Nerve glides to instruct viewers on ways to ease nerve pain

While the time we have with our students is short, we hope that the time they have at 3DPT and with our patients stays with them as doctors of physical therapy!

Commitment to Excellence

We are what we repeatedly do. Excellence, then, is not an act but a habit. This quote is attributed to Aristotle from all the way back in the 4th century, but is still so applicable today! Excellence is usually not something that is simply a “one and done” act but something that is continually strived for.  This is certainly true for us at 3DPT, and so much so that we made our Commitment to Excellence one of the 5 Core Values that define who we are. Excellence – or truly being the best – is what we as a company aim for everyday for our employees, our patients and our communities.

Excellence can be defined differently by everybody.  For an athlete, excellence could be a gold medal, a championship ring or a world record. Most people would agree that Michael Jordan was an excellent basketball player – he’s certainly got the championship rings to prove it! But besides the championships he’s known for, Michael Jordan’s commitment to being the best –  his work ethic – is just as well known. Excellence takes vision of what “the best” looks like, determination to get there and most importantly, actually doing the things that make you better.

So what does Commitment to Excellence mean for us at 3DPT?

Our definition of excellence is providing the best physical therapy care and customer service to our patients and communities.  We work toward that each day and here’s how we do it:

1. Hiring the best employees!
   Being the best takes teamwork and we are pretty sure we have the best team around! This isn’t by accident of course. We take a lot of time and consideration when hiring every employee – from aides to front desk employees to physical therapists.  We want to make sure that each potential employee aligns with our core values and can commit to providing excellent care.
2. Ongoing education and learning
   We hope you agree that our physical therapists are great at what they do! They all have a great combination of clinical expertise and compassion and care for our patients.  But it doesn’t stop there… our physical therapists are committed to continuous improvement and learning.  Every 3DPT employee participates in continuing education and certification courses throughout the year so that they can stay up-to-date on the latest and greatest practices, technologies and tools to help patients.
   (3DPT often hosts these classes so that all PTs in the south jersey area have access to great education!)
   
    
   Additionally, Did you know that 5 of our PTs are double Board certified in Orthopedics and Sports? And 1 PT is Board certified in Pediatrics?
   (PS there are less than 10 double board-certified PTs in South Jersey and 5 work at 3DPT!)

   To become Board Certified, a Physical Therapist completes a one year residency program, or completes 2,000 hours of work in that specialty before taking a board examination. This is after completing both a four year Bachelor’s degree program and a three year Doctor of Physical Therapy (DPT) program. To maintain this certification, Physical Therapists need to stay up to date on the latest breakthroughs and treatment approaches.

3. Continuous improvement of how we do things
   Great PTs provide wonderful care but a patient’s overall experience with 3DPT is more than the physical therapy program.  Your experience starts on your first call to make an appointment!  From the friendly person you talk to, the ability to get an appointment quickly and at a time that’s convenient for you, to the verification of your insurance coverage and copays, it’s important that every step of the way is the best it can be. Our Operations Director, Jeanine, is always evaluating our processes and systems to see where we can improve. The insurance verifications and billing teams continuously stay up-to-date on policies and procedures of insurance companies (which isn’t an easy task!) so that patients don’t have to wonder about coverage. And our wonderful front desk team makes sure patients are scheduled, temperatures taken and pretty much everything else in the clinic runs smoothly!
4. A team of leaders that wants the best
   Last but not least, 3DPT has a wonderful team of leaders that truly want to be the best for our employees and patients! Owners Ken Guzzardo and Jeff Sallade had a vision 10 years ago to start a physical therapy company that was different. A company that set the bar, not just for physical therapy clinics, but for the way patients and employees should be treated by all healthcare companies.  Now, 5 clinics later, that vision is still the motivation of all 3DPT managers. The leadership team leads by example when it comes to their commitment to excellence – still learning & taking classes, still delivering the best care and always looking for ways to make the patient experience better.  And even ways to make the physical therapy field better…Ken was just elected to be a Director on the NJ American Physical Therapy Association (APTA) Board!

As mentioned earlier, Excellence takes vision, determination and action. But it also requires one more thing – a reason to want to be the best.  For us, that’s the easy part – it’s our wonderful employees, patients and communities that let us be a part of their lives! We may not have a gold medal or championship ring, but we have the best patients around 🙂

Community Cares

For us at 3DPT, one of the best parts of being a small business is being a part of awesome communities alongside our patients, friends and other partner businesses.  We truly value the opportunities we get to take part in community events and to support local organizations. It’s been almost 10 years since we opened 3DPT and our commitment to the communities we’re a part of continues to be one of the most important things to us.  In fact, a few years ago when we formalized our Core Values, Community was at the top of our list!

What does that mean exactly?
It means we want to actively bring value to our communities and to support our towns, neighbors and partner businesses however we can.  We do this by hosting annual blood drives at each of our clinics, Toys for Tots collections and donations to various organizations throughout the year, sponsoring local sports teams & school events and getting involved in and supporting community events. And for the 9th year in a row, we are offering scholarships to graduating seniors of our local high schools!

This past year of quarantining and canceled events made getting together harder to do, but being a good neighbor is still as important to us as ever!  Here are a few ways each of our clinics were recently able to take part in our communities:

• 3DPT Medford has been busy organizing collection drives for a few great organizations!  Earlier this year we partnered with New Covenant Ministry to collect food and clothing items for those in need in Camden and Philadelphia, and right now, until May 1, we’re partnering with Medford Brownie Troop 20134 to collect shoes for Soles4Souls and Zappos for Good for those in need (feel free to drop off any new and lightly used shoes at our Medford office!)
  
• 3DPT West Berlin just finished up their donation drive of pet items to support Voorhees Animal Orphanage!  They were able to donate $450 and LOTS of items to help our furry friends!
  
• You may have seen us share about 3DPT Haddon Township’s flower sale, organized to raise money for a local family in need of a new van for their special needs children (the family adopted 4 children, 2 of which use wheelchairs.)  3DPT and our wonderful patients were able to donate $266 to support their fundraising efforts to purchase a new van with a built in ramp!
  
• If you’re around town in Cherry Hill, you may see that 3DPT Cherry Hill is a sponsor of a few local sports teams, including the Cherry Hill Soccer Club.  We also got to participate in CHYAA baseball’s opening day celebration. Check out this video!

• 3DPT Tabernacle is located in NJ’s Pine Barrens and we recently got the opportunity to participate in a Wharton Forest clean up day. It was a great day with local friends and businesses and we were able to fill up 2 trucks with trash!
  

We’re grateful for the wonderful communities we’re a part of and we’re looking forward to being out and about with everyone again as events and opportunities continue to open up.

Thank you for being the best neighbors of all and for YOUR support of 3DPT!

Get to know 3DPT’s Dr. Lauren Vranich!

One of the most common questions I am asked on a daily basis is why did I become a physical therapist. The honest answer is that I could not imagine being anything else.

I grew up being very active in a whole bunch of sports. Soccer, softball, lacrosse, basketball, cross country, track… you name it, I probably tried it. I was most competitive with soccer, playing on various clubs teams and traveling all over the east coast. In high school, I stuck with soccer, basketball, and lacrosse where we won a few division championships and group titles and I made some of my best friends. In college, I retired to intramural sports and developed more of an interest in fitness at the gym.

When it came to academics, I always had more of an interest in my science classes. The human body is truly an amazing thing. I could never get enough of learning about how it worked from the most basic cellular level to larger muscle movements. This led to me choosing Biology as my major at Stockton University.

When I started to consider what would be an ideal career path that would combine my interests in sports and fitness with biology, it seemed like a no brainer to explore physical therapy. I came home for my first winter break as a college freshman and decided to volunteer at a local outpatient PT clinic to see what the profession was all about. I immediately loved it. I observed physical therapists interacting with a variety of people on a daily basis and helping them physically improve and achieve their personal goals. I decided this occupation was perfect for me. I returned to that clinic each winter and summer break throughout my undergraduate career to work as an aide and learn as much as I could in preparation of PT school.

I ultimately continued my education at Stockton University with their physical therapy program. On my third and final clinical rotation, I was placed at 3 Dimensional Physical Therapy in the Haddon Township office. This rotation ended up being a major milestone in my career path, in that I fell in love with the atmosphere and what the company stood for, to the point where I began my professional career in the same office and continue to work here today!

Over the past year and a half, I have had the opportunity to work with patients with a variety of diagnoses and injuries. It is truly so rewarding to be able to help people each day work toward their goals and return to activities they love doing. And that is why, when I look back at the road that led me to physical therapy, I can honestly say that I could not imagine myself in any other field!

Get to know 3DPT’s Barbie Barron!

When I first started applying to colleges, like many other high school students, I wasn’t exactly sure what I wanted to do for the rest of my life and what I would major in.  I always knew that I wanted to help people in some way but wasn’t sure exactly how. The only thing that I was sure about was that wherever I was going to attend college, they needed to have a softball program!

I have been involved in sports for as long as I can remember. Whether it was doing ladder drills or homemade obstacle courses in the garage or playing in a recreation league, I was always doing something.  I tried almost any sport you could think of from the age of 5 to middle school, but I realized that softball was my favorite by far. From then on I decided to devote all my time to working out and practicing so I could make my dream of playing in college a reality.

In high school, I played for Washington Township (where we won the state championship my senior year!) as well as for multiple travel teams around the south jersey area. During my high school and travel career, I knew that my goal was to play softball in college, but that I would also need to choose a school where I would get a great education as well. While I didn’t know exactly what I wanted to do long term, I began to lean towards a career in the health and medical field. My junior year anatomy class gave me the push I needed to really hone in on my interests and find something that could combine my love of science with my sports background.

After learning about how the body works and the complexities of movement I began thinking about how many injuries I had seen throughout my sports career and how many could have been prevented or healed faster if my teammates had this knowledge. While there are many careers that deal with sports injuries, many of them felt like a pit stop along the process and I wanted to be able to see it through to the end.

At the same time, my dad had been attending physical therapy for a frozen shoulder. I had the chance to shadow a few of his appointments and became very interested in the process. Then, a few weeks later one of my batting instructors told me about a small school in Philadelphia called The University of the Sciences where they were very big into science and other “nerdy things” that he thought I’d be interested in.  A quick google search, and then later a tour of the campus, and a meeting with the softball coach, I had learned that they had both a physical therapy program and a softball team. I was sold.

Throughout my time on the USciences softball team, I had a few minor injuries including a quadriceps strain and bicep tendonitis. Both times, I was lucky enough to be able to work with a physical therapist (who had previously been a USciences student) who was able to help me back on the field and return stronger than when I had left. I knew that I was interested in physical therapy when I started my undergrad but getting that firsthand experience made me even more excited to continue to the graduate program and eventually graduate with my Doctorate of Physical Therapy.

I have been with 3DPT for a little over a year and have already had the chance to work with so many amazing patients. With my experience as a collegiate softball player and having a few injuries myself, I can definitely relate to my patients who are athletes.  I know firsthand that athletes are anxious to get back to their sport as soon as possible after an injury, but now with my knowledge as a PT, I reassure my patients that it is better to rest and rehab rather than rush back and risk potential re-injury!

I am lucky to get to work with a lot of softball and baseball players at 3DPT West Berlin and I recently had the opportunity to help lead an injury prevention program with a high level softball team during their off season!  I’m excited to continue to meet more people and work with them to achieve their goals on and off the field!

From Aide to future Doctors of PT

If you have been to one of our PT clinics, you have likely had the chance to interact with our physical therapy aides. The PT aides at 3 Dimensional Physical Therapy assist the physical therapists with providing the best experience possible for all of our patients. They help to keep the clinic looking great, provide patients with heat or ice, and help patients get set up with exercises to keep their session moving along efficiently.

At 3DPT, we have been lucky to hire outstanding people as our PT aides. We prefer to hire people who have an interest in the healthcare field – someone who plans to move forward in a healthcare profession.  Over the years, we have had numerous employees who worked as PT aides get accepted into graduate school for physical therapy as well as programs for occupational therapy, nursing, athletic training and physician assistant.  It is rewarding to be able to act as a stepping stone for all of these employees as they work their way towards their end goal of becoming licensed healthcare providers.

We have 3 current employees who have recently been accepted into Graduate school for Physical therapy and will be leaving us over the next few months. Pat Fryer and Dominic Bilello, both PT aides in our Medford office, and Zach Bille, aide in our Haddon Township office will all soon be Doctors of Physical Therapy!

Pat and Dom have been some of the best aides 3DPT Medford has had the pleasure of working with. They always go above and beyond what they were required to do and exhibit all of the 3DPT core values.  They truly care about all of our patients and we often receive comments about how respectful and great they are. We are so proud of them for getting into school and we know they are going to be excellent physical therapists.

Zach has been working at 3DPT Haddon Township since his high school years. He has gone from helping the therapists a few hours a week after his soccer practices, to being our Lead Aide. He has shown that he is versatile in any role and any task we have given him. He has been in charge of ordering supplies, has learned the front desk duties and even does marketing tasks for us. Patients are always commenting at what a nice young man Zach is and how easy he is to talk to. Zach is known for getting patients water while they ice and engaging them in conversations. He has shown true interest in pursuing Physical Therapy as his career by asking to sit in on evaluations and ask questions about what patients are doing.  We are so excited and proud of him for getting into PT school!

Fun Fact:  Zach has been a willing participant in MANY of our YouTube videos demonstrating PT exercises!

Here’s what all 3 guys had to say about their time at 3DPT and their next steps:

Pat
I will be attending George Washington University for Physical Therapy starting August of this year. I could not be more excited for this opportunity to pursue a career I’m so passionate about. George Washington is located in Washington DC with countless opportunities nearby to explore the many different fields within physical therapy. I can’t wait to start this new journey, but it will definitely be sad leaving 3 Dimensional Physical Therapy. I’ve been working as a physical therapy aide here for almost 3 years now and I can confidently say that it has been the best job I’ve ever had. The people I work with, the patients I’ve connected with and the everyday environment of the clinic are unmatched. These are just a few of the many things I’ll miss about 3D when I go off to PT school. I can’t thank everyone at 3DPT enough for the opportunity they presented me with, I know that I wouldn’t be here without the help of everyone along the way. Although the Physical Therapy program spans 3 years it’s never too early to start looking ahead! I hope to one day have my own clinic and have the same impact on my patients and community that 3D has on the communities around South Jersey. I know that there’s a long road ahead of me, but I’m ready for it. Thank you again to everyone at 3DPT

Dom
After graduating from West Chester University, I wanted to work in a PT clinic during my gap year to gain more knowledge about the field and develop skills to apply in PT school. Working at 3DPT has definitely checked these boxes and exceeded what I thought I would learn as an aide. After observing the therapists at 3DPT each day, I’ve determined that after PT school I want to work in a similar outpatient setting that provides therapy for a variety of different populations. In my opinion, treating all different types of patients is not only more exciting, but also creates a more skillful professional. Because I work closely with a diverse group of patients, I’m now familiar with how to correctly demonstrate and teach an array of therapeutic exercises to patients. I’ve also learned how a PT would progress a patient’s exercise, why they might modify a treatment, and why they would choose one exercise over another. All of these skills will be extremely useful in a DPT program.  I’m thrilled to have started working at 3D during the beginning of my PT school application process because the guidance I received from every therapist during the entire process was pivotal to me being accepted into DPT programs. I’m incredibly thankful for all the times a therapist at 3D went out of their way to tell me about their application experiences, helped me prepare for interview questions, and provided insight on what factors to weigh when choosing between different DPT programs. I’m excited to say that I’ve chosen to undergo Widener’s DPT program beginning this summer. Thank you 3D for being such a big part of this journey and for all the help along the way!

Zach
Following the completion of my Bachelor’s degree at Rowan University I will be attending Stockton University’s Doctorate of Physical Therapy program. Getting to this position would have largely been an uphill battle if it were not for the help of those at 3DPT. The therapists who work for the company are very knowledgeable and have greatly helped me navigate this difficult process. After my time at Stockton is finished I am looking to become an established physical therapist and eventually own a clinic myself, maybe even as a part of 3D! I am very grateful for the time I’ve been able to spend learning under the guidance of those at 3D and I am looking forward to my future with the company.

Acting in Virtual Environmental

Insider Tips on How to Stay Safe Before, During, and After Online Performance

Many events are going “Virtual” these days, including stage and dance performances!  3DPT’s Performing Arts specialist, Dr. Allison Korn, PT, DPT is a dancer and actor herself and as a physical therapist and a performing artist, she has some great tips for those performing virtually.

Allison will be playing a lead role in an upcoming performance with Masquerade Theater, called Wit. Click here for ticket information!
 

1. 1. Save your eyes.
      Since the creation and increase in popularity for virtual performance during the pandemic, long periods of time in front of items such as ring lights, device screens, accessory cameras, as well as their placement in the performance/rehearsal space, are placing increased strain on the eyes.
      • Blue light glasses can be a great option to reduce strain on the eyes and assist with the eye’s accommodation from screen to script and back into the “stage light”.
      • If eye pain persists and causes additional symptoms like headache, eye fatigue, difficulty focusing on objects and/or reading, consider reaching out to a physical therapist for eye training to reduce these symptoms.

       

   2. Set up your rehearsal and performance space to allow for good body mechanics.

       
      For rehearsals:

      • • Ensure proper sitting posture (see picture below). Good sitting posture will prevent strain on the cervical muscles in the back of the neck, reduce over elongating the scapular retractors (muscles that naturally pull your shoulder blades together ex. rhomboids and middle trapezius), and tightening of the pectoral muscles and thoracic spine.
           
          
           
        • Keep your script or music directly in front of you in order to reduce the amount of accessory turning/twisting during text work/vocal rehearsal
        • Do not lean over your mic for vocal or radio/audio only performance. Allow your body to sit upright and supported, or stand with the mic placed to support your mic’s technical specifications/type of microphone. (Though typically placing the mic about a foot away from your face, at head level either seated or standing should be a good starting place). Work with your technical director to set up your mic or computer to best support your body mechanics and produce optimal sound.

       
      For performance:
       

      • Think about the best way to arrange props and costumes to allow for optimal, unrestricted movement in your space. This is often challenging if you are managing a backdrop, set piece(s), props and costumes in a small space, but entirely worth the effort in order to protect your body and clear your headspace to focus on your performance.

       

   3. Consider cord management.
      In order to create the best looking product, technical and lighting directors may require several different types of accessory equipment such as external microphones, webcams, ring lights, overhead light for effects, and ethernet cables.With so much equipment and the need to move in and out of your space quickly and quietly, cord management is key to avoid tripping over wires or overextending your reach. Zipties, twist ties, power strips, or rubber bands can be an easy solution to make your space more efficient.

    

   4. Prepare for prolonged standing/sitting.
      Many shows in the virtual environment are being performed seated due to the confines of the camera. You can  prevent pain in the low and middle back brought on by prolonged seated posture by working on your thoracic mobility, or in other words, how the middle section of your spine moves. This area can often stiffen up and cause pain in both seated and standing, which naturally can be distracting mid performance.See THIS video below for a few key exercises to add.In addition to addressing your mobility, you can support your seated posture by modeling it after the picture above for your personal body mechanics and addressing deficits in core strength.   Having good core strength and stability will allow you to sit upright while using less energy. See the video(s) below that match your comfort level for a few good core exercises to best support your posture.
       
      Beginner/Intermediate
      Advanced:
      • • • No equipment core exercises
          • 8-minute abs

         

      Additionally, wear shoes that you can stand in for prolonged periods since the audience usually cannot see your feet.  Unless otherwise directed by your director or costumer, consider comfortable shoes to support being on your feet and moving in and around your space safely. Though tempting to wear socks or go barefoot, shoe-wear is often a better choice to support your foot and ankle.

      • If you are experiencing pain in the feet and ankles, check out Dr. Allison Korn’s VIDEO on Toe Yoga, or these series of exercises to strengthen the ankle musculature.

       

   5. Warm-Up! 
      Just because you are not onstage where lots of movement and physicality is required, you should still warm up your body in preparation for the show.  A good warm-up will alert your muscles that it is time to be engaged and best support you no matter what the performance set-up. Click here for an active warm-up to try!!

Groin Strains in Hockey Players