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· A Patient's Guide to Low Back Pain Rehabilitation
· A Patient's Guide to Low Back Pain
· Maps and Driving Directions
· Mark F. Schwall, PT
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01: FPT Evidence Update
02: Young At Heart
03: FPT Newsletter March
04: NOTICE OF PATIENT IN
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06: FPT Evidence Update
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09: FPT Evidence Update
 
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Future Physical Therapy

Neck Pain

Is It Time For You to Have Your Own Physical Therapist?

Most people have their own doctor, dentist, podiatrist etc. However it seems that many people don’t seem to have a Physical Therapist to call their own. Perhaps it is time to consider finding your own Physical Therapist.
Why would you want a Physical Therapist? Physical Therapists are the experts in treating a wide range of people with neurological and orthopedic conditions, impairments or injuries that may not only be painful but prevent them from doing the things they want to do. Someone once wrote that “Physicians put life back into the patient but Physical Therapists put the living back into life.” 

If you have a condition that limits your ability to walk, move about, participate in recreational activities, work, go to the grocery store, develop a fitness program or just about anything else you might want to do, then a Physical Therapist is what you need. 
Elisheva Chamblin, PT and Mark F. Schwall, PT of Future Physical Therapy, PC would like to be your Physical Therapists. Please feel free to call or come by our office to discuss your needs and how we might be of service.

 

We welcome you to the Future Physical Therapy website. This website will provide you with information regarding our practice as well as news and educational information for physical therapy patients.

 
Manahawkin, NJ (map)
1322 Route 72 West
Suite 203
Phone 609.489.0230
Fax 609.489.0232
Toms River, NJ (map)
1594 Route 9
Unit 2
Phone 732.557.9319
Fax 732.557.9519

Register on our website and then sign up for our free newsletters HERE. 


Elisheva Chamblin, PT and Mark F. Schwall, PT, with nearly 50 years of combined outpatient rehabilitation experience, are excited to welcome you to their practice, Future Physical Therapy, PC with two offices located in Manahawkin and Toms River NJ. As experienced physical therapy practitioners we have identified a need in our community for physical therapy practice focused on direct patient care.
In recent years we have seen patient care subordinated to corporate management practices, which are solely driven by the bottom line concern for maximizing revenue production for the benefit of Wall Street Investors and public shareholders. There has developed a rehabilitation business model based on a concept that physical therapy services can be provided in a mass production environment. Unfortunately our experiences with this system convinces us that this results in doing a disservice to our patients, ourselves, the referrers and third party payers by not providing the direct, skilled and professional care that we know best serves the patient.
It is our strong belief that continuity of care between therapist and patient is integral to cost effective and successful rehabilitation. The practice of using multiple interchangeable therapists and non-professional care extenders very clearly adversely affects the therapeutic relationship between therapist and patient.
Mark F. Schwall, PT and Elisheva Chamblin, PT of Future Physical Therapy, PC have dedicated themselves to providing services employing their full range of skills and clinical judgment in a direct care environment that best assures rapid recovery and optimum outcomes.
You contact us directly by phone at 732.557.9319 for Toms River or in Manahawkin at 609-489-0230 or email us at info@futurephysicaltherapy.com.

Watch for our column SPOTLIGHT ON PHYSICAL THERAPY now appearing in the Asbury Park Press, Beach Haven Times and Manahawkin Beacon.


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Evidence Based Solution to Neck Pain 
Evidence Update

ALEXANDRIA, VA, December 12, 2008 — The American Physical Therapy Association (APTA) is urging patients with musculoskeletal pain to consider treatment by a physical therapist, in light of a new federal survey showing that more than one-third of American adults and nearly 12 percent of children use alternative medicine - with back and neck pain being the top reasons for treatment. Results of the 2007 survey of more than 32,000 Americans were released December 11 by the National Institutes of Health's National Center for Complementary and Alternative Medicine.

According to APTA, physical therapy offers an evidence-based, time-tested solution to these common conditions in comparison to alternative treatments.
For neck pain, for example, a recent study published in the medical journal Spine found that when patients received up to six treatments of manual physical therapy and exercise, they not only experienced pain relief, but were also less likely to seek additional medical care up to one year following treatment.

Posted by Mark_Schwall_PT on Tuesday, December 16 @ 19:03:48 EST (235 reads)
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Home Based Exercise as Good as NSAIDS for Osteoarthritis of Knee 
Evidence Update
Home-based exercise designed for quadriceps strengthening improves knee osteoarthritis as well as nonsteroidal anti-inflammatory drugs (NSAIDs), says an article in the American Journal of Physical Medicine & Rehabilitation (Vol 87, No 4).
The goal of this study was to examine the effect of home-based exercise on knee osteoarthritis among Japanese patients compared with that of NSAIDs. A total of 142 patients entered this trial to provide the baseline data. After 21 cases withdrew, the final number analyzed was 121 cases: 63 in the exercise group and 58 in the NSAIDs group.
Outcomes were evaluated with a set of psychometric measurements including the Western Ontario and McMaster Universities Arthritis Index (WOMAC), 36-Item Short-Form Health Survey (SF-36), Japanese Knee Osteoarthritis Measure (JKOM), and pain with the visual analog scale.
The participants in both groups showed improvements in all scores at the end of the 8-week intervention. The difference in improvement rate of each score between the two groups was not statistically significant, though the mean rank score measured with JKOM in the exercise group was slightly better than that of the NSAIDs.
Posted by Mark_Schwall_PT on Friday, April 04 @ 15:40:33 EDT (345 reads)
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More Evidence Supporting Seeing a Physical Therapist First for Back Pain 
Evidence Update

One of the primary obstacles to quick resolution of back pain is the medical gauntlet that many patients have to endure before seeing their physical therapist.  This medical gauntlet often creates an unnecessary delay by waiting to be seen by a primary care physician, the typical course of several weeks of anti-inflammatory medications, then off to an orthopedist, then x-rays, then MRI THEN the physical therapist.  By the time the patient has navigated this gauntlet of interventions mostly unsupported by the current best evidence, their condition is ingrained and the time required for resolution is dramatically increased.  Nothing better demonstrates this that what has transpired at Viginia Mason Medical Center at the urging of Starbucks.  This video from the local Fox affiliate should be of great interest to back pain sufferers as well as insurers and employers who bear the brunt of many unnecessary expenses in the treatment of back pain.

Here is the Video

Posted by Mark_Schwall_PT on Wednesday, February 20 @ 07:56:15 EST (337 reads)
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Osteoarthritis Treatment Guidelines 
Evidence Update

 

First I'd like to thank my colleague at Evidence Based Rehab for for bringing to my attention this document released by the Osteoarthritis Research Society International on their recommendations for treatment of knee and hip osteoarthritis. As I and many of my colleagues would have previously opined, Physical Therapy should figure prominently in the management of this disorder and based on this document the evidence is compelling. This is also consistent with the recent recommendations of the American Heart Association.

This is yet another example of the mantra now being repeated often by my colleagues at the Evidence in Motion Blog, "You got drugs, you got surgery, you got us."

 

Posted by Mark_Schwall_PT on Tuesday, February 19 @ 20:40:36 EST (278 reads)
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Future Physical Therapy Welcomes Rudy Vidi, PT 
Future Physical Therapy

Future Physical Therapy, PC is pleased to announce the addition of Rudolph (Rudy) Vidi, PT, CSCS to our practice.  Rudy brings a wealth of experience in orthopedic Physical Therapy as well as fitness training.  Rudy will be principally working out of our Manahawkin, New Jersey office.

Posted by Mark_Schwall_PT on Sunday, February 10 @ 10:34:13 EST (493 reads)
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Secret to Successful Knee Replacement 
Evidence Update

Secret to Successful Knee Replacement: Top Sports Orthopaedist Stresses Importance of Exercise -- Both Pre- and Post-op -- for Patients Facing Arthritis and Total Knee Replacement

According to Kevin Plancher, MD, a leading sports orthopaedist in the New York metropolitan area and an official orthopaedic surgeon for the U.S. Ski & Snowboard teams, "Everybody knows that exercise is good for you - unless you've got arthritis. Lots of people believe that strenuous, weight-bearing exercise can cause arthritis, and that someone with arthritis should definitely avoid those kinds of activities. But the truth is that exercise doesn't cause arthritis - and it can even improve joint function, even in people who are having joint replacement surgery.

NY, NY and Greenwich, CT (PRWEB) January 15, 2008 -- Everybody knows that exercise is good for you -- unless you've got arthritis. "Lots of people believe that strenuous, weight-bearing exercise can cause arthritis, and that someone with arthritis should definitely avoid those kinds of activities," says Kevin Plancher, MD, a leading sports orthopaedist in the New York metropolitan area and an official orthopaedic surgeon for the U.S. Ski & Snowboard teams. But the truth is that exercise doesn't cause arthritis -- and it can even improve joint function, even in people who are having joint replacement surgery.

Osteoarthritis, also known as degenerative joint disease, affects close to 21 million people in the US. And according to the Arthritis Foundation, osteoarthritis, or OA, in the knee or hip is the most common cause of arthritis-related disability. As baby boomers get older (and more arthritic), orthopaedic surgeons are performing more and more total joint replacement surgeries, with total knee replacements, or TKRs, the most common type. More than 300,000 people undergo the procedure each year, according to the American Academy of Orthopaedic Surgeons.

Posted by Mark_Schwall_PT on Wednesday, January 16 @ 08:29:24 EST (313 reads)
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Physical Therapist Intervention for Balance Impairments 
APTA News

Physical Therapist Intervention for Balance Impairments May Help Reduce Risk of Falling

American Physical Therapy Association
ALEXANDRIA, Va., Jan. 14 — Falls are prevalent, dangerous, and costly. About one in three seniors above age 65, and nearly one in two seniors over age 80, will fall at least once this year, many times with disastrous consequences.* As our nation's population ages, the rate of falls is rising. Yet, falling and fear of falling may be reduced by physical therapist intervention, says the American Physical Therapy Association (APTA).
Posted by Mark_Schwall_PT on Tuesday, January 15 @ 14:42:36 EST (293 reads)
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Women Shouldn't Put Off Knee Replacement 
Evidence Update

According to the following article from the University of Delaware there is now new evidence that women shouldn't put off knee replacement.

Lynn Snyder-Mackler (left), Distinguished Alumni Professor in UD’s Department of Physical Therapy, tests the knee strength of Alice Voorhees, a patient at UD’s Physical Therapy Clinic.

11:15 a.m., Jan. 9, 2008--Is getting new knees on your list of New Year's resolutions?

 

Research at the University of Delaware indicates that women wait longer to pursue knee-replacement surgery than men do.

By postponing surgery until they can no longer stand the pain, these women may also risk putting their mobility, and quality of life, on hold indefinitely, according to Lynn Snyder-Mackler, Distinguished Alumni Professor in UD's Department of Physical Therapy and a certified sports physical therapist and athletic trainer.

Posted by Mark_Schwall_PT on Thursday, January 10 @ 07:05:43 EST (262 reads)
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Children's Injured Feet Deserve Prompt Treatment, Full Rehab 
Future Physical Therapy

Newswise — Young athletes could see their sports dreams evaporate if they don’t seek prompt treatment and allow full rehabilitation of foot and ankle injuries. That warning comes today from sports medicine experts meeting in Orlando for the American College of Foot and Ankle Surgeons (ACFAS) Annual Scientific Conference.

Athletic children who “play through the pain,” ignore injuries, cut rehab short or skip it altogether could face repeated injuries and instability in their feet and ankles well into their teen years and adulthood. Long-term problems can include osteoarthritis and chronic ankle instability. According to the ACFAS Web site FootPhysicians.com, people with untreated chronic ankle instability may suffer activity limitations, arthritis, and tendon problems.



Note: We offer the full range of rehabilitation services for foot and ankle injuries.  For more information please contact our office to make an appointment for evaluation.
Posted by Mark_Schwall_PT on Wednesday, March 14 @ 09:47:28 EDT (424 reads)
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Joint Replacement the Second Time Around 
Future Physical Therapy

Newswise — Americans are getting more new hip and knee implants than ever before—nearly a half-million a year. This boom in joint replacement has made the procedure somewhat routine and widely available. But when it comes time to have that initial implant replaced, due to wear or failure, the procedure is anything but routine, according to an article in the March issue of Cleveland Clinic Arthritis Advisor.

“Revision surgery is a far longer and more complex procedure than initial surgery,” says Kenneth Marks, M.D., an orthopaedic surgeon at Cleveland Clinic. “It requires more time and expertise to remove the old implant and do a customized repair and realignment of the existing bone to ensure that the new implant will be held firmly in place.”

Hip Revision

Growing demand

Though the challenge of revision surgery is higher, the demand is climbing. More and more patients who got their first new hip or knee at age 55 or 60 are outliving the useful life of their implants.

Advanced age is becoming less of an impediment. Even among people 80 and older, the benefits of joint revision surgery—pain elimination, increased mobility, greater range of motion—can outweigh the risks, as long as you’re healthy enough to undergo such surgery in the first place.

 

Posted by Mark_Schwall_PT on Friday, March 02 @ 12:25:48 EST (407 reads)
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Old Articles
Thursday, March 01
· AHA Scientific Statement Supports Physical Therapy to Relieve Pain in Patients a
Tuesday, February 27
· Exercise Reduces Risk of Developing Invasive Breast Cancer
Wednesday, February 21
· Golf Swing Not What it Should Be?
Friday, February 16
· Exercise Improves Quality of Life for People with Breast Cancer
Thursday, February 15
· Overuse sports injuries widespread in kids: doctors
Wednesday, January 24
· See Your Physical Therapist First - Before More Expensive Tests and Procedures
Sunday, January 21
· News confirms suspicions of breast cancer survivor
Thursday, January 18
· Physical Therapy Treatment Effectiveness for Osteoarthritis of the Knee
Tuesday, January 09
· Nine Ways to Relieve Joint Stress
Wednesday, December 27
· Physical Therapists Can Help Relieve Pain
Monday, December 11
· Tai Chi Not as Beneficial as Balance Training for Improving Mobility for Older A
Saturday, December 09
· New Nutrition and Exercise Guidelines for Cancer Survivors
Thursday, December 07
· Smokers Risk More Painful and Progressive Osteoarthritis
Wednesday, December 06
· Exercise Before Joint Replacement Improves Post-Op Function
Friday, December 01
· Performance of Wide Receivers, Running Backs Post-ACL Injury Falls by One Third
Wednesday, November 22
· Good sports: Hamstring findings may help injured athletes stay healthy
· Surgery or Exercise for Bad Back Debated in Study
Monday, November 20
· Falls Have Become the Leading Cause of Injury Deaths for Seniors
Saturday, November 18
· Structured Exercise Helps Elderly Regain Physical Function
Friday, November 17
· Buy Children Holiday Gifts That Encourage Physical Activity
Wednesday, November 15
· Stronger Thigh Muscles Protect Against Knee Arthritis
Saturday, November 11
· Physiotherapy Interventions Helpful in Older Patients With Knee Pain
Monday, October 30
· Thigh muscle weakness in ACL-deficient knees persists without structured rehabil
Friday, October 20
· Study Demonstrates Increased Effectiveness of Physical Therapy for Lymphedema
Wednesday, October 18
· Patients with Lumbar Spinal Stenosis Helped by Physical Therapy
Tuesday, October 17
· Opioids Linked to Worse Outcomes After Back Injury
Monday, October 09
· Exercise Helps to Prevent Anemia in Breast Cancer Patients
Wednesday, October 04
· October is National Physical Therapy Month
Tuesday, September 12
· Local Physical Therapist to Attend Celebration on the Hill as Ambassador for Ame
Saturday, June 24
· Low-level laser therapy in management of postmastectomy lymphedema.

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