February 10, 2018

Summer in Ocean City, MD is just around the corner but for now paddle boarding in Puerto Rico sure sounds wonderful.

A recent patient had left elbow ulnar nerve entrapment. The ulnar nerve is one of the three main nerves in the arm. It travels from the neck down into the hand and can be constricted in several places along the way. The most common place of compression of the nerve is at the elbow. Numbness and tingling in the hand and fingers are common symptoms. If conservative methods do not work, the physician may recommend surgery.

Ulnar nerve anterior transposition is when the nerve is moved from behind the medial epicondyle (behind the elbow) to a new place in front of it.

After surgery, therapy services follow. Here at Atlantic Physical Therapy and Rehabilitation services Outpatient Occupational Therapy clinic in Berlin we focus on restoring functional use so that individuals can return to their everyday activities, work demands and hobbies of interest.
This patient stated that for the past several years in the winter she and her husband spend 3 months In Puerto Rico before returning to their busy self-employed business in OC, MD. The patient said her goal after surgery in late Fall was to return to paddle boarding.

With hard work paddle boarding In Puerto Rico came soon enough.

Enclosed is an OT clinic video clip of simulating paddle boarding motion to help reach the patient’s goal.

It was wonderful to receive an email / picture of the patient achieving her goal (video / picture/ email per patient approval).

Sally Hawkins OTR, CLT, CHT
Outpatient Clinic in Berlin, MD

February 10, 2018

The United States spends more money on healthcare than any other county, but this hasn’t necessarily translated into better health outcomes. Clearly, some major changes need to happen in the way healthcare is managed. We need to look at ways that we can effect widespread change in entire populations of patients to prevent some of the most common ailments. One of the ways we can do that is by making changes in the workplace. Employers who have a vested interest in lowering healthcare costs, maintaining a productive workforce, and reducing workers compensation cases can implement wellness programs that can reduce the incidence of Diabetes Mellitus, Ischemic Heart Disease, low back and neck pain, High blood pressure, and fall related injuries. Nearly 40% of deaths in the US can be avoided with preventative care. More than half of American adults have some kind of chronic condition. Employers are taking on a larger financial burden as a result of increasing insurance premiums. If we want to create real change in American health care, we have to start considering the health of the whole population, not just individuals.
If you are interested in developing a wellness program in your workplace, there are many sources available to help initiate a change:
• https://www.shrm.org/resourcesandtools/tools-and-samples/how-to-guides/pages/howtoestablishanddesignawellnessprogram.aspx
Sarah Geremia, DPT
Atlantic Physical Therapy
West Ocean City

January 28, 2018

What do I do for “fill-in-the-blank” pain?
According to many studies the answer is exercise. Exercise helps with everything from our mental state, cardiovascular system, reduces injuries, and decreases pain as well as much much more.
Our hunter gatherer ancestors ran up to 6 miles a day on an African Savannah to hunt food. Their bones were dense, their muscles were strong, and they were healthier than early agricultural societies.
I am not glamorizing the hunter gatherer lifestyle, only pointing out the vast majority of our evolutionary history was spent performing very physically demanding tasks on a regular basis. We should do our best to replicate this in our daily lives for optimal health and pain reduction.
Levi Custis, DPT
Atlantic Physical Therapy
Laurel, DE

January 10, 2018

With the recent blizzard, many people have found themselves stranded at home. For the safety of our patients and staff, we even closed our clinics, but urged our patients to perform their home exercises. With that in mind, and the increased risk of falling because of the ice and snow, I’d like to share a few easy balance exercises you can safely do in the comfort of your own home.
1. Standing marching – Stand in place and start marching in place slowly for 2 minutes. As this becomes easier, challenge your balance and change up the surface you are marching on: from hardwood to carpet, for example
2. Standing 3-Way Kicks – Standing on 1 leg, move the other leg in front of you keeping your leg as straight as possible, then out to the side, and then behind your body. Perform 20 times on each side.
3. Sidestepping – Walking alongside a countertop or near a wall facing it with hands on surface as needed, step sideways in 1 direction with your toes pointed straight ahead. Move 10 steps in 1 direction, then return in the other direction.
4. Single Leg Stance – stand on 1 leg as long as you are able, up to 30 seconds. Alternate legs, and try to do this 3-5 times on each leg.
5. Sit to Stand – Rise out of a chair without using your arms to push up. Perform 10 times.
Sarah Geremia, DPT
Atlantic Physical Therapy, West Ocean City

January 8, 2018

Heroin use is on the rise and we as therapists can play an important role in the rehabilitation post surgery process …
Complications of opiate overdose may include infections ( cellulitis) and rhabdomyolysis ( rapid muscle break down). A consequence of rhabdomyolysis is progression to compartment syndrome( potentially  life threatening) – a painful condition that occurs when pressure within the muscles builds to dangerous levels.
Acute compartment  syndrome  is a medical emergency requiring a fasciotomy( surgical procedure) to allow the pressure to return to normal.
Presented here is a 25 year old male status post fasciotomy with a skin graft.
Our goal in Occupational Therapy
( Berlin, MD clinic) is to restore motion, strength, decrease scar formation, and regain functional mobility. Enclosed is a video sample of treatment to decrease scar adhesions thru range of motion stretches.
Sally Hawkins OTR/L, CHT, CLT

December 28, 2017

Spend some time looking at this info-graphic. It shows that the incidence of pathological findings in otherwise healthy people are asymptomatic. What this means to you is just because various scans report findings such as degenerative changes or abnormal structures in the body that does not mean it is the source of your pain. These clinical findings could have been present for months or years without you knowing. The source of the problem may be your bodies reaction and perception of damage, not so much the tissue itself. So what’s the solution? Graded exposure through exercise and a regular strengthening program which can be done in any of our clinics.

Levi Custis, DPT
Atlantic Physical Therapy
Laurel, DE

December 20, 2017

With the excitement of the holidays and New Years right around the corner, many people are starting to think about some New Years Resolutions. Did you know the most common resolutions made every year are related to losing weight or living a more healthy life? While most think this means a drastic change in diet or going to the gym every day, I’m going to share some information that may both surprise and excite you.
The first place to start if you want to live a healthier life is by doing one very simple thing:
Go for a walk.
Just one 30min walk every day has numerous significant health benefits. Many of these benefits can be felt shortly after adding a walk to your daily routine. Check out the attached infographic for more information! And of course if you have any questions or if pain is limiting you from walking 30min a day, come see one of our physical therapists and Atlantic Physical Therapy!
Matthew Savini PT, DPT, OCS, CSCS
Atlantic Physical Therapy, Ocean View Clinic

December 10, 2017

Left distal biceps tendon avulsion repair…
The biceps tendon connects the biceps muscle to the bone at the elbow and the shoulder. Either   the proximal end or distal end may rupture. Often in middle aged men- this injury frequently occurs when lifting or pulling on a heavy object. Most often, a snap or a pop is  both felt and heard and pain occurs around the shoulder or elbow depending on which part of the biceps tendon is torn.While non- operative treatment may be appropriate for some individuals, surgical management is an option for others. Following surgery, patients are referred to outpatient Occupational Therapy services for fabrication of a long arm splint to wear for protection.Per protocol patients advance with range of motion, wean  from elbow splint and progress with strengthening exercises all with the goal of restoring  functional mobility for self care independence and return to work / hobbies.As in this case Mr. X ( per patient permission) was  helping a neighbor move a salt water tank when he torn his distal biceps tendon. Surgery followed by outpatient Occupational Therapy rehabilitation. Mr. X works on the Bay Bridge full time and with hard work / dedication he is returning back to work the end of December. It was a great pleasure to work with this gentlemen. Now time to thank him for his services in helping to keep our bridge safe.At Atlantic Physical Therapy and Rehabilitation services in Berlin, MD our mission is to help restore functional mobility to facilitate greater independence.Kind Regards,
Sally Hawkins OTR, CHT, CLT
Occupational Therapy, Atlantic Physical Therapy, Ocean Pines, MD

December 10, 2017

With winter weather right around the corner, it is time to start thinking about safety and fall prevention. Here are a few tips:

  1. Identify Hazards: Remember in winter there are less daylight hours, which reduces visibility on walkways. Know where the sidewalk is uneven or cracked, and be careful of ice on the ground. Also keep in mind when people enter buildings, ice or snow may fall off their shoes and onto the floor where it melts, creating a slippery floor.
  2. Stock up on supplies: Purchasing ice melting supplies such as salt before it starts to snow helps avoid hassle and can better ensure your outdoor areas are properly treated to prevent slips and falls.
  3. Winterize shoes, boots, and assistive devices: Attach spikeless ice and snow shoe gripper sole covers to shoes, ice grip tips to canes, or choose shoes with rubber soles to maintain traction on slippery surfaces.
  4. Carry kitty litter for slick surfaces: A ziplock bag of lightweight kitty litter in your pocket can help if you encounter slick surfaces when you are out and about.

Try these tips and tricks to avoid a nasty fall this winter! However, if you do find yourself hurt after a fall, come on over to Atlantic Physical Therapy and we will help you get back on your feet.

Sarah Geremia, DPT

Atlantic Physical Therapy, West Ocean City

November 20, 2017

Knee pain from osteoarthritis can be very difficult to deal with on a day to day basis. If you happen to be overweight or just carrying a few extra pounds, that difficulty and pain is often even worse. Did you know that in people who are overweight, for every 2.2 lbs that you are able to lose, knee joint load decreases by a factor of 8?! Furthermore, studies have shown that a 10% weight reduction leads to a 50% improvement in function with day to day activities.
If you are suffering from knee pain related to arthritis, come and see one of our physical therapists at Atlantic Physical Therapy. We can help to decrease your pain, get you moving again, and develop a safe and effecting exercise program specifically for you to help you lose weight, be more active, and get you back to doing the things you love!
Matthew Savini PT, DPT, OCS, CSCS
Atlantic Physical Therapy, Ocean View Clinic

November 10, 2017

Identifying SI dysfunction

The SI joint is often overlooked as a source of back pain. It can become problematic if the SI becomes disrupted or injured. How do you know if this is the cause of your pain? Symptoms can include low back pain, pain in the buttock, hip, and pelvis, a feeling of leg instability, or pain when going from a sitting to standing position. You have many options for treatment. One of which is physical therapy. Exercises can improve your strength and flexibility and you’ll learn to correct any habits you may have picked up when in pain. If you think you might have SI dysfunction, our skilled therapists at Atlantic Physical Therapy can help get you back on your feet!
Sarah Geremia, DPT
Atlantic Physical Therapy
West Ocean City

November 1, 2017

Fall is a time for clean up in Ocean Pines. Many people sustain neck and lower back injuries from raking and lifting leaves. Please call our Physical Therapy office at 410-208-3630 for a free postural screening and tour of our state of the art PT clinic. Don’t let fall bring you down with the leaves. Strengthen your core muscles now!
Charles Curran, PT
Atlantic Physical Therapy, Ocean Pines, MD

October 28, 2017

Knees, you’ll miss them when they are gone.
Through degeneration our knee cartilage diminishes and we began to feel pain and have swelling in our knees. There are other reasons our knees can hurt but I will be discussing pain related degenerative changes. As our cartilage wears our bones begin to approximate, the term bone on bone or diminished joint space are the terms most often used. This is not good as our cartilage serves as a buffer for forces transmitted from the ground through our bodies. Cartilage does not have nerve endings, therefore can not sense pain. When our bones end up rubbing together this is what causes pain and swelling making all the things we take for granted like walking, gardening, or playing with our kids very difficult. Need some motivation to lose a few pounds? Countless studies show the correlation between weight loss and less knee pain. Whys is this so? For starters every pound you lose is 4 pounds less on your knees.
So what do we do about it? As usual the answer is lifestyle changes involving diet and exercise. Gaining strength and mobility in our legs is key, and knowing where to start is sometimes hard, this is where we come in. A physical therapist can help start your course of action at the right level of intensity and difficulty as to not exacerbate your symptoms.
Come see me, Levi Custis, DPT
Atlantic Physical Therapy
Laurel, DE

October 25, 2017

“Research shows that sleep is a vital component to muscle recovery related to injury, illness or surgery. Normal sleep is defined by at least 8 hours of sleep a night. You are considered sleep deprived if you get less than 4 hours of sleep. Studies have concluded that sleep deprivation can have negative effects on your muscles, especially if you are in the middle of recovery. Non-REM sleep, or deep sleep, is essential in tissue rejuvenation, healing and growth.”
For more information/resources, check out this link
Lindsay Duryea, Atlantic Physical Therapy
Ocean Pines, MD

October 24, 2017

Today we’re continuing our series on misconceptions related to back pain. If you haven’t read our other posts on the topic, browse through our previous blog posts, there’s tons of great information!
Our topic today will probably surprise most of you.  We’re going to discuss MRIs and back pain. Patients often believe that the only way a medical provider can really know what is going on with them is if they take x-rays and an MRI of their back. However, research shows that MRIs can be misleading.
If you take individuals with no back pain and run them through an MRI or CT scanner, the findings are very surprising.  Over 30% of 20 year-olds have “disc degeneration” and “disc bulging.” These percentages increase every decade with over 80% of 80 year-olds with no back pain having the same findings.
It turns out, these changes are just a natural part of the aging process. So if you’ve been told that you have a “bulging disc,” don’t be afraid and stop moving or worry that you’re going to “make your back worse.” Instead, come and see one of our highly skilled physical therapists and we’ll get you moving again in a safe, controlled, and progressive manner. We, at Atlantic Physical Therapy, can help you to manage your pain and get you back to doing the activities you love!
Matthew Savini DPT, OCS, CSCS
Atlantic Physical Therapy and Sports Medicine, Ocean View Clinic

October 10, 2017

Did you know that exercise and physical activity could help preserve memory and cognitive function in the long run? All the time there are new studies coming out heralding the benefits of physical fitness. How much do you work out every week? Would you do it more if you knew it could improve your memory for decades to come?
A 2014 study in Finland found that activity in midlife as little as twice a week lowered the risk of dementia compared to those who were not active. Another study showed that young adults who were more physically fit performed better on memory tests when they were middle aged than those who were less fit.
Exercise has been shown to improve blood flow to the brain, reduce the risk of developing chronic diseases like diabetes and obesity, and can even slow brain aging by as much as 10 years! So what are you waiting for! Get started today!
Sarah Geremia, PT, DPT
Atlantic Physical Therapy
West Ocean City, MD

October 10, 2017

Caution on the water, boat related hand injury!

A recent patient unfortunately did not tie off the mooring line before boarding his boat. The boat pulled away from the dock leaving the patient straddling between the dock and boat. The patient quickly lunged toward his boat and banged his left hand against the bottom chrome step to the flying bridge. The patient sustained a fracture to the big knuckle of the small finger (MP fx) . Here at Atlantic Physical Therapy outpatient Occupational Therapy Clinic we custom fabricate splints for protective healing followed by a range of motion exercise program to facilitate return back to maximum functional level.
Sally Hawkins OTR/L, CHT, CLT

sally october

October 5, 2017

At Atlantic physical therapy it is imperative that we not only improve your overall balance, but your confidence as well.
Research shows that a lack of confidence in balance can be linked to an increase in risk for falls. For this reason, we help rehabilitate the entire person from the hip-ankle strategy to strength as well as their confidence.
Always here for you, always rooting you on, Atlantic Physical Therapy
Bobby Hammond, PT, DPT
Atlantic Physical Therapy, West Fenwick, DE

October 1, 2017

I wanted to remind every one that October is National Physical Therapy month. We are a full service PT clinic specializing in orthopedics, neurological,and vestibular disorders. We also handle workmen’s comp, and motor vehicle accident cases. Our Ocean Pines location also specializes in lymphedema treatment and has a certified hand specialist. Please come in for a free tour before choosing a rehab specialist. Remember, were you go for physical or occupational therapy is YOUR choice!
Charles Curran, PT
Atlantic Physical Thearpy
Ocean Pines, MD

September 28, 2017

This favorite picture of mine that I give to patients when they are frustrated with their progress or even a temporary regression in therapy. Often we think of recovery as linear progression where we will get better every day that goes by. I’m not saying this is not the case, however there are often hurdles and plateaus along the way and it’s important to reflect and maintain perspective.

Levi Custis, DPT
Atlantic Physical Therapy
Laurel, DE

Levi September

September 25, 2017

Tips on managing knee pain:

–Avoid prolonged sitting/rest. This can minimize circulation and lead to stiffness.

–Exercise!! Consider low-impact activity, such as pool aerobics or stationary bike. Strengthening exercises should be included in your routine.

–Wear appropriate shoes (especially if you spending a lot of time on your feet)

–Avoid falls! Use an assistive device if your balance is compromised

–Manage your weight

–Modalities, such as ice or heat can help manage your pain. Use ice and elevation for swelling and soreness. Use heat for tightness and stiffness.

If you are concerned about your knee pain, please talk to your doctor. We are more than happy to help you with your rehabilitative needs and create an appropriate and individualized exercise routine.

Lindsay Duryea, Atlantic Physical Therapy

Ocean Pines, MD

September 20, 2017

Last month I began a series of posts about myths and misconceptions that many people have about back pain. We talked about how expensive back pain really is and that the earlier you start physical therapy, the less you’ll spend on treatment for your back pain.
Today I would like to talk about the myth that movement and exercise is dangerous for your back following an episode of back pain.
I have spoken with countless patients over the years who express to me their fear of participating in physical activity or a regular exercise program because they are worried they will “flare up” their back. This simply isn’t true. In fact, it’s the exact opposite of the truth. Studies show that exercise, almost any and all forms, decreases your risk of recurring low back pain by 25-40%.
If you’re suffering from back pain, first see a physical therapist at Atlantic Physical Therapy, and then find something you enjoy that keeps you exercising and active! Your back will thank you!
Matthew Savini DPT, OCS, CSCS
Atlantic Physical Therapy and Sports Medicine
Ocean View, DE
matt september

September 11, 2017

Severe Rheumatoid arthritis of the large joints of the hand (MP joints) may result in pain and disability that limits functional use of the hand. MP joint implant arthroplasty: replacement of joints with implants, surgery goal is to correct deformity, reduce pain, and enhance hand functional performance. Enclosed is a picture of Index, long, ring, and small finger MP joints that were replaced with implants.
Atlantic Physical Therapy outpatient occupational therapy clinic in Berlin’s goal is to facilitate return of function in the hand via splint fabrication as needed, range of motion, review of home exercise programs as well as joint protection, and energy conservation. Our goal is to restore use of the hand to be able to return to work, play, and living.
Sally Hawkins, OTR/L, CHT, CLT
Atlantic Physical Therapy
Occupational Therapy Office
Ocean Pines, MD
sally september picture

September 10, 2017

Many people often wonder just how important stretching is on a day to day basis. It’s usually seen as something that only athletes do. That’s not entirely true, though. We all need to stretch regularly to protect our mobility and independence as well as to prevent injury.

Warming up and stretching are very natural things to do and there are many benefits to it. Stretching helps keep muscles and joints flexible, strong, and healthy. Without it, they can become tight which can put you at risk for injury. Just stretching once won’t give you flexibility, though. It can take weeks to months to gain range of motion and requires a regular stretching program to maintain it. But making a daily stretching program a part of your day can benefit you for years to come, so why wait!

Sarah Geremia, DPT

Atlantic Physical Therapy, West Ocean City

September 1, 2017

September is spinal cord awareness month. One of the main causes of low back pain among those above the age of 50 is lumbar spinal stenosis. Spinal stenosis is caused by compression of the spinal cord which can lead to low back, hip and lower extremity pain, numbness and weakness. Also stenosis can be a leading factor in falls in the elderly. If you have been diagnosed with spinal stenosis ask your doctor for a referral to Atlantic Physical Therapy. Our therapists can provide education and assistance on proper body mechanics, posture, and improved strength, balance and pain reduction.
Charles Curran, PT
Atlantic Physical Therapy
Ocean Pines, MD

August 28, 2017

Heat it or Ice it?
Often people can get confused on when it is appropriate to use heat vs ice. Here is a quick rule of thumb to follow:
1. after an acute injury during the inflammatory phase (usually day 1 to 7)
2. the first 2-3 weeks after orthopedic surgery
3. for mild to moderate swelling
4. for soreness/achiness
5. for pain
6. following workout/exercise program
1. when inflammatory phase is over (when swelling has subsided)
2. for tightness or stiffness
3. for pain (provided there is no swelling)
4. before beginning stretching/workout program
5. avoid heat to an affected area for > 10-15 minutes (heat dilates blood vessels and prolonged heat can promote swelling and lead to soreness/stiffness)
Lindsay Duryea, DPT
Atlantic Physical Therapy
Ocean Pines, MD

August 24, 2017

Salisbury Office Survives a Tornado August 8, 2017
The National weather service confirmed a tornado touched down in south Salisbury with peak winds at 105 mph and rated an EF1. The Salisbury office of Atlantic Physical Therapy was in the eye of a tornado. The tornado touched down in a pinpoint fashion directly behind the clinic and destroyed a concrete block building, leaving the building in rubble. Along the path of the tornado cars were tossed and flipped, trees uprooted and splintered, houses and businesses suffered severe damage.
Inside the building, during the storm, we saw driving rain – horizontal rain and wind. Then a gigantic boom hit the building. The ceiling dropped down what seemed like a foot and then sprung back up. The rain immediately started pouring in through the ceiling tiles. What an ordeal. After securing some of our clinic’s valuable equipment, our staff went over to the adjacent Electrolux business and pulled all the vacuums we could forward to get them out of the rain. They lost a lot of supplies.
The next day all the national news sources were in the back parking lot broadcasting live and taped reports.
Currently, we are operating from a different unit in same building that was basically spared. We are hopeful to be back in our unit in September. We would like to thank the landlord Mr. Adamopolous and Gladden Construction for all their help. Thanks also to the county officials who were here in minutes after the tragedy. Thank you to all our patients and doctors who demonstrated care and concern for our safety. We would also thank the Good Lord for blessing the Salisbury area in that no lives were lost.
Gwyn Benny, PT, MHSc.
Atlantic Physical Therapy
Salisbury, MD
gwyn aug 2017

August 20, 2017

One of the many conditions we often treat here at Atlantic Physical Therapy is low back pain. While back pain is quite common, I found that many people have misconceptions about back pain that can lead to unnecessary fear and in some cases even unnecessary treatments that can be quite costly. To help clarify some of these issues I will be posting once a month about some back pain myths and sharing important truths about back pain that are well supported in medical literature.

First, let’s talk about cost. Did you know that back pain accounts for 10% of all primary care physician visits?  According to a study published in the Spine Journal in September 2009, back pain alone accounts for $86 billion in annual healthcare spending.  And more recent studies show that this number is actually increasing.

With rising health care costs, increasing deductibles and higher co-pays, this means that your back pain may be costing you a lot of money. I have good news though!

Here are some stats that I love to share:

  1. Individuals who receive physical therapy within the first 14 days following the onset of pain, spend $2700 less than those who wait to see a physical therapist.
  2. Patients who receive advanced imaging before going to physical therapy spend almost $5000 more than those who get physical therapy first.

So, if you have back pain, come see one of our physical therapists at Atlantic Physical Therapy. We can get you feeling better and save you money in the process!

Matthew Savini DPT, OCS, CSCS

Atlantic Physical Therapy and Sports Medicine, Ocean View Clinic

matt august 2 2017 matt august 3 2017 matt august 2017

August 10, 2017

A East Coast Titians travel girls’ softball player, age 13, injured her finger at a practice session. The TurnKey FCS is an external fixator designed to obtain and maintain concentric reduction of an acute, unstable dorsal fracture dislocation of the PIP joint. Six weeks post-surgery the TurnKey FCS was removed. The patient reports no pain with functional motion. At now 7 weeks post-surgery, the patient is eager to return to Ocean City for some beach time.
– Sally Hawkins, OTR/L, CLT, CHT
Atlantic Physical Therapy, Ocean Pines, MD

August 3, 2017

I wanted to remind all of our followers on the importance of maintaining flexibility. Stretching your low back muscles, hamstrings, quadriceps, hip flexors, and piriformis muscles for 10 to 15 minutes 3-4 days per week will help improve flexibility and improve activities of daily living. If routine activities such as putting on socks and tying shoes are difficult and painful, a daily stretching routine may be all that is required to improve daily tasks.

If you are having pain with the above activity ask your doctor for a referral to Atlantic Physical Therapy.

Charles Curran, PT
Atlantic Physical Therapy; Ocean Pines, MD

July 31, 2017

What is a HEP and why is it important?
HEP stands for Home Exercise Program. This is usually something your therapist will go over with you during one of your first PT appointments. It usually includes exercises that will supplement your Physical Therapy program to help address your deficits and help you to quickly return you to your prior level of function. Your therapist will likely progress your program and update it to appropriately match your progress in therapy. The HEP is designed to help maintain the gains you have made in therapy during treatment, as well as when you have been discharged from treatment. Being compliant with your HEP helps to ensure a smoother and sometimes faster recovery. Once you have met your goals in therapy, and nearing discharge, ask your therapist how you can continue to maintain or progress at home.
As always, we at Atlantic Physical Therapy in Ocean Pines, MD would like to assist you in your recovery, whatever your need may be.
July 28, 2017

Is running bad for my knees is a common question physical therapist are often asked. Thankfully there has been a recent systemic review and meta-analysis that gives us answers and insight. Non-runners have about a 10% incidence of knee osteoarthritis (OA), competitive runners 13% incidence, and lastly recreational runners (the category which most all of us fall into) have a 3.5% incidence of knee OA. This means the risk of developing knee OA is not a reason to stop running or never start. Recreational running is healthy and prevents the development of arthritis in the lower extremities. Here is an easy to read info graphic summarizing the recent study.


If any motivation is needed, here is a recently popularized image of a 70 year old triathletes leg vs. a 74 year old sedentary individual.

Levi Custis, PT, DPT
Atlantic Physical Therapy; Laurel, DE

levi knee july 2017

July 21, 2017

With school starting in a month or so and fall sports season right around the corner I wanted to take a moment to talk about the dangers of single sport specialization in young athletes. Did you know that the NFL, MLB, NBA, NHL, PGA, and nearly every other major sports organization endorses multi-sport play?

Early specialization greatly increases the risk of overuse injuries in children and adolescents and often leads to burn out, with the athlete often quitting sports altogether. What may be surprising to some of you is that playing only one sport, especially year-round, actually decreases overall athletic development and performance.  In fact, early sport diversification is linked to a longer sport career with fewer injuries.

Please see the infographic for more information on the benefits of diversification.

If your child has suffered from a sports related injury, schedule an appointment at Atlantic Physical Therapy where one of our highly trained Physical Therapists will not only treat your athlete’s injury but can also perform a movement screen to assess for other imbalances and impairments that could be hindering your young athlete’s performance. We at APT are here to support all of your sport rehabilitation and physical therapy needs!

Matthew Savini DPT, OCS, CSCS

Atlantic Physical Therapy and Sports Medicine, Ocean View Clinic

matt july

July 19, 2017

At Atlantic Physical Therapy in Salisbury, MD we treat many shoulder injuries.

A Look at Shoulder Impingement
The shoulder is a complex joint. It is capable of motion in many directions. The movement produced is created by a complex balancing act by the muscles of the rotator cuff (RC) and surrounding muscles. Problems with the shoulder can occur when this balance becomes disturbed.
Patients frequently ask “What did I do to injure my shoulder?” The answer is not always easy. But I might offer some insight.
If there was no specific injury to your shoulder on of the most common diagnoses is impingement. This is an irritation of the shoulder that occurs at the tip of the shoulder, also called the AC joint. Part of the rotator cuff has to pass under the arch of the AC joint and attach to the arm. The area under the arch is where problems can occur.
gwyn shoulder 1
Arthritis of the AC joint can narrow the space for the bursa and portions of the rotator cuff. When this happens, irritation occurs from friction and wearing against the rough under surface. This irritation can result in tendinitis, bursitis or in the worst case scenario a rotator cuff tear. Common symptoms of impingement include but are limited to pain in the shoulder, stiffness and weakness. You may have pain lying on the shoulder at night and difficulty lifting things or throwing.
gwyn shoulder 2
Physical therapy can help shoulder impingement through the use of heat/cold, manual therapy, stretching and strengthening exercises. So if you have shoulder pain that has not resolved or has left you with trouble sleeping, or doing the things you enjoy then you may need to see a physical therapist. Come to Atlantic Physical Therapy, Salisbury MD and we will work to regain your shoulder strength and mobility.

July 11, 2017

Hey everyone, It’s Sarah Geremia at Altantic Physical Therapy in West Ocean City, MD. Dizziness and vertigo are some of the most common symptoms people go see their physician for. It can be very unsettling to feel like the room is spinning when you lay down or turn your head. In addition, many of those with vertigo will feel nauseous and off balance. But did you know that often times there is a simple treatment that your Physical Therapist can do for you to alleviate those symptoms? If you think you might have vertigo, ask your physician about Atlantic Physical Therapy for Vestibular Rehabilitation.

July 10, 2017

Hello all from Atlantic Physical Therapy! From our very own outpatient Occupational Therapy clinic in Berlin, Md. Sometimes in conjunction with soft tissue massage, passive Range of motion, and strengthening we come across individuals that benefit from an assistive device such as a Dynasplint. This device aids in achieving more range of motion. My current client is using a Dynasplint for two hours a day to help increase supination (palm up motion). Today this client stated with the use of their Dynasplint, that he can now hold a book better with just his left hand after a period using this device. The goal of Occupational therapy is to promote self-care, Independence, and leisure activity.   -Sally Hawkins, OTR, CHT, CLT

Sally Picture July 2017

July 6, 2017

This is Charles Curran PT at Atlantic Physical Therapy in Ocean Pines, MD. I wanted to remind everyone that we give free balance and fall risk screenings in our Ocean Pines office on a Biodex fall risk assessment machine. If you are interested in a free screening please call 410-208-3630 to schedule. We will determine if you are at high risk for falling and help you receive a referral for therapy.  Thank you.

June 30, 2017

POSTURE your spine.

A common risk factor contributing to back pain is poor posture. At Atlantic Physical Therapy, we use postural education, in addition to other treatment methods to address back pain, including lower lumbar pain, cervical-spine and thoracic-spine pain.

Here are just a few tips to remember that may help prevent future back pain or aid in resolving back pain:

  1. Avoid sitting on soft surfaces, such as a couch or recliner, for prolonged periods. These surfaces cause the lower spine to “slouch” which places stress on lower lumbar segments and associated lumbar discs.
  2. Try sitting on firm surfaces that allow the trunk to be in an upright position. Place feet so that the hips are at a 90 degree angle.
  3. A small pillow or lumbar roll can assist in facilitating the natural curve of the spine. This should be placed between the upright portion of the chair and the small of the back.
  4. Keep shoulder blades in contact with upright surface of the chair.
  5. Maintain a “retracted” position of the cervical spine by keeping the ears positioned directly over the shoulders and the chin slightly tucked.
  6. If possible, the elbows should be rested on arm rests so that the shoulders are relaxed and not “shrugged” toward the ears.

If you are suffering from neck or back pain, talk to your doctor. Atlantic Physical Therapy may be the perfect start for helping you get back into shape!

Submitted by Lindsay Duryea, PT, DPT

Atlantic Physical Therapy, Ocean Pines, MD

June 28, 2017

I couldn’t have said it better myself.

“Exercise is king. Nutrition is queen. Put them together and you’ve got a kingdom.” – Jack Lalanne

“Small disciplines repeated with consistency every day lead to great achievements gained slowly over time.” – John C. Maxwell

Hello, my name is Levi Custis, I am a physical therapist at the Atlantic Physical Therapy Laurel Delaware location. I enjoy reading quotes from the great thought and industry leaders throughout history. Most everything that has been thought or said in the past applies to our current problems. The above quotes when combined simply mean small changes in our daily habits with consistent exercise and healthy food can result in a lifetime of health, mobility, and longevity. Come see us at any of our locations and learn how we can help you reach your goals!

June 21, 2017

Hi everyone, this is Gwyn Benny from the Atlantic Physical Therapy Salisbury, MD location. A lot of patients have so many questions when it comes to Physical Therapy.

“How do I know if I need physical therapy?”

  • Most simple musculoskeletal injuries resolve on their own in 10 days.
  • RICE- Despite rest, ice, elevation and compression is the condition not fully resolved or is unchanged?
  • Have you had this problem before?
  • Does your condition seem to resolve and then return? Is it getting more limiting?
  • Is pain or stiffness limiting you daily activities or recreation?
  • Does your pain change with position or activity?
  • Do meds just seem to mask the pain?

If you answered yes to any of these questions you would benefit from physical therapy.

How to choose a physical therapist.

            Does the therapist take your insurance?

Is the office convenient for you?

Does your therapist have special skills?

Have you had previous success and a good rapport with a certain physical therapist?

What to expect at your first visit.

            Paperwork- bring ID and insurance cards, medial history, functional questionnaire form.

Physical therapist will evaluate the problem-

Questions about your conditions.  What are your limitations? Other pain related information.

Assess movements and strength in the area and possibly above and below.

Physical tests will be done to help pin point areas of limitations.  Dress comfortably and prepare to have area of concern exposed.

Palpation- which means touching to pinpoint the area of concern and determine tolerance for treatment or reactivity.

Discussion of findings and education regarding home exercises and self-care.

Choosing a physical therapist can impact you success. So choose wisely and choose Atlantic Physical Therapy in Salisbury, MD.

June 20, 2017

Do you suffer from persistent pain in the bottom of your foot or heel? If so, you may have plantar fasciitis. While this is common, it can be a very painful experience that can affect your daily life and ability to participate in the activities that you really enjoy. In fact, one out of 10 Americans will suffer from plantar fasciitis at some time in their life.
If you think you have plantar fasciitis, here are some common symptoms:
1. Heel pain following a period of inactivity, such as the first few steps in the morning
2. Heel and foot pain with prolonged weight bearing activities, like standing for a long time or being on your feet all day
3. Pain when you press on the bottom inside of your foot where your arch starts
If this is you or someone you know, there is good news. Physical therapy can help! Studies show that people with foot pain who receive physical therapy treatment recover more quickly and with fewer costs than those who do not receive physical therapy.
What to expect:
During your initial appointment, you will first be evaluated by a licensed physical therapist. They will ask questions pertinent to your symptoms followed by a detailed physical exam. Based on their findings they will devise a treatment plan that will include relevant stretches and exercises as well as hands on treatment and modalities that will help to ease your pain.
What you should do:
This part is easy! If you are suffering from heel or foot pain, request a referral from your provider for physical therapy treatment at Atlantic Physical Therapy. Give us a call and we will help you with your pain!
Matthew Savini PT, DPT, OCS, CSCS
Atlantic Physical Therapy, Ocean View, DE
matt planter fasciitis
Image source: http://www.jospt.org/doi/pdf/10.2519/jospt.2017.0501

June 12, 2017

Hello everyone, this is Sarah Geremia, PT at Atlantic Physical Therapy from our West Ocean City clinic. I often see people in chronic pain as a result of poor ergonomic workstation set ups. If you are unfamiliar with it, Ergonomics deals with the relationship between a person and their work environment. Specifically, it is fitting a person to their job, instead of making you conform to the job by putting you in awkward positions and postures that contribute to chronic musculoskeletal pain. If you think your work station is causing you more pain, stop by any Atlantic Physical Therapy clinics for an assessment and recommendations for changes to make your life easier!

June 8, 2017

Today a patient I’ll call “Rich” came into our Atlantic Physical Therapy and Rehab services outpatient Occupational Therapy clinic in Berlin, MD. Rich competes in the Mid Atlantic Motor Cross Association and is currently ranked #1 (masters) as well as being ranked in the top four nationally.
In November 2016 , Rich fractured his left wrist. Plates and screws were surgically put in his wrist. He attends OT several days a week for rehabilitation. Rich is compliant with his home exercise program and is anxious to get back on the track, but understandably concerned about injuring his left wrist again.
Recently upon walking in the clinic with his handlebars to his motor cross bike he asked” Hey Sally can you help me out here? I need to be able to grip on to these handle bars really tight this weekend. I’ve decided to enter my first race post surgery.
I replied with” Absolutely let’s see what we can do to make that goal happen for you”.
I remolded his wrist custom made splint to the hand position necessary during the 12.5 mile , 5 lap dirt track race he was scheduled to participate in in just two days.
Today I’m happy to share Rich’s story as he returned for more therapy and announced a first place win in the race.
Below a picture of Rich with his left wrist splint modification coming in for the win.

Sally Hawkins CHT

Dirt Racer Sally June

June 1, 2017

Hi everyone it is Charles Curran, PT at Atlantic Physical Therapy in Ocean Pines. I wanted to let every one know that some physicians have BMI requirements prior to performing joint replacement surgeries. You may want to check with your physician if you feel a knee or hip replacement is in your future. Please remember here at Atlantic Physical Therapy we provide pre and post surgical rehabilitation for all joint replacements. If you have any questions please call 410-208-3630, or stop in to our facility for a guided tour.


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