About Tony Grabiec

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So far Tony Grabiec has created 3 blog entries.

Benefits of Cycling

Benefits of cycling

Most of my patients know I am an avid cyclist.  My experiences with cycling have been nothing but positive! I have seen beautiful landscapes, met wonderful people and racing has challenged myself both mentally and physically.  Personally cycling has helped me with managing stress, improving my time management and maintaining my health.  There are a lot of benefits of cycling but here are my top 5:

  1. Weight management– Cycling burns calories and builds muscle. The combination of these two characteristics helps keeping your weight down!
  2. Decrease heart and cancer risk– A research study https://www.bmj.com/content/357/bmj.j1456 from Glascow showed that cycling to work could cut a person’s risk of developing heart disease or cancer by half.
  3. Low impact– Cycling is not a full weight bearing activity which decreases overuse and injury rates.
  4. Strengthen your immune system– There is a lot of research that supports aerobic exercise such as cycling can reduce the instances of the common cold and improve upper respiratory  health.  Cycling to work also decreases exposure to confined spaces such as buses and trains where germs are prevalent.
  5. Improved mental health– Cycling releases adrenalin and endorphins, improves your sleep and helps you gain confidence from achieving goals (mileage, hills, races/charity rides).  It also allows you to see new places and meet more people!

                           

 

 

 

 

 

 

 

Remember to always wear a helmet and get your bike properly fitted at a local bike shop.  Connecticut has a lot of great bike paths and scenic roads to explore.  Be safe and get out and ride!

Telehealth

What is telehealth?

Telehealth is a live, one-on-one video appointment with your PT. In these times of social distancing and public safety telehealth has become a viable option to treat patients. It enables patients to communicate with their physical therapist from the safety and comfort of their own home.

Benefits of telehealth:

  • Effectiveness: Studies have shown that telehealth visits are just as effective as “live” visits. Telehealth visits maintain patient consistency and compliance with their home exercise program resulting in positive outcomes.
  • Convenience: Telemedicine gives patients greater freedom to schedule appointments that meet their own specific schedules. There is no need to change your plans, reschedule work or find child care.
  • Personalized careDuring a private telehealth visit, you will work with your physical therapist in a one-on-one setting, without distractions. You also can involve family members or caregivers in your appointment, if you like.
  • SatisfactionThe majority of patients who have participated in telehealth physical therapy were satisfied with their experience and would do it again. Patients expressed feeling connected and supported by their telehealth physical therapist.
  • Transportation Telehealth visits eliminates commuting to the office, arranging rides for those who are unable to drive and decreasing driving risks when there is inclement weather.

What does a typical telehealth visit look like?

Patients will receive a link to join a HIPAA-compliant, encrypted, and secure face-to-face live audio and video connection. Once connected the visit will be conducted like a normal physical therapy evaluation or follow up appointment.

The evaluation will consist of acquiring the patient’s past medical history, subjective reports and a functional screen is performed to determine/confirm diagnosis. Patients will be given a home exercise program and review for proper form. Follow up visits will consist of monitoring the effectiveness of the home exercises and progress as indicated.

Does insurance pay for telehealth visits?

An increasing number of payers do pay for telehealth and coverage is increasing. Most recently Medicare began to cover telehealth services for physical therapists.

Plantar Fasciitis

Spring is when we start to see flowers and of course patients with plantar fasciitis! The warmer weather brings us all out of our house to clean up our yards, walk around the neighborhood and start our running season. Sometimes people are a little over ambitious with their activities which can lead to a common orthopedic issue called plantar fasciitis.

What is it?

Plantar fasciitis is an inflammation of the plantar fascia. The plantar fascia is a thick fibrous band of tissue that spans from your toes to your heel. Its main job is to give support to your arch. When you take a step the plantar fascia stretches and when you swing your leg through it returns to its resting position. This is called the “Windlass effect”. When there is an increase in standing, walking and running there is a chance the plantar fascia can become inflamed due the repetitive stretching.

Symptoms:

Pain in the arch and heel. Pain mostly with weight bearing and especially with the first few steps in the morning.

 

 

So how can we prevent plantar fasciitis?

  1. Always wear proper footwear. If you are going on a long walk leave you flip flops in your beach bag! A good supportive walking or running shoe will be best.
  2. Monitor your volume and intensity. Whether you are a seasoned runner/power walker or someone just getting into exercise you do not want to increase either volume or intensity too quickly. Example: if you normally run/walk 3miles 3 times a week jumping to 6miles 3 times a week is a dramatic increase in volume which can lead to tissue breakdown.
  3. Watch your weight. Excess pounds puts extra stress on your plantar fascia
  4. Massage your arch. A great way to keep the plantar fascia happy is to massage it. An easy way to do this is stand on a lacrosse ball and roll your arch with some pressure for a few minutes.
  5. Stretch your calves! Tight calves can lead to decreased ankle mobility which places more strain on the plantar fascia.

A lot of the time plantar fasciitis is self limiting and should improve with modifying activities, footwear and proper stretching. If you find that you continue to have pain in your arch or heel then it is time to consult with a physical therapist. Be safe and stay active!!