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Shoulder pain affects our ability to workout, sleep, compete, and even do every day tasks around the house. It’s amazing what simple tasks can be affected when our ability to reach overhead or across the body is limited. It’s even more frustrating when it feels like nothing (rest, ice, heat, massage and even in-home exercises) is helping the shoulder pain start to feel better. If you have ever experienced Neuro Therapy for your shoulder pain, I’m sure you are well accustomed to a few of these exercises that we do at our clinic. If you have not, you might be wondering if there is anything you can do to relieve your shoulder pain short of working 1 on 1 with a qualified health professional - I'm sure there is someone out there in the Towson, Lutherville-Timonium, Cockeysville, or Hunt Valley area willing to help ;-). Or, perhaps you are not looking for a 100% fix to the shoulder pain, but maybe something that will at least treat the shoulder pain (perhaps help sleep a little better) until you can actually make moves on a real shoulder therapy program. If you can relate to any of those things, you are in for a treat as the 2 exercises we will discuss are some of the most basic, yet useful movements you can perform at home to learn more about your shoulder pain as it relates to potential:
Ultimately, whether you find yourself really struggling with these exercises or cruising through the movement with minor difficulty, my recommendation would be to work these two exercises 3-5x per week in a range of motion that you feel most comfortable. As far as duration, aim for 5 minutes of extremely focused, active work for each exercise (total of 10 minutes). Local to the Towson, Lutherville-Timonium, Cockeysville, or Hunt Valley area? Friends & Family receive a FREE Discovery Session at Premier! Exercise #1: Teeter Totter Stand with your feet 6-8 inches apart, toes pointing straight ahead, and upper body erect with your chest separated from the sternum. Your head should be kept in line with the body and your eyes looking straight ahead. Your hands are holding a broomstick, PVC pipe, or a wooden dowel (or something similar) horizontally with a straight elbow and wrist (knuckles aimed at ground). This is the ideal starting position. To start the movement, use your lats to pull the left shoulder down and lengthen the arm (no bend in elbow) at the same time. Doing so will cause the opposite shoulder to rise slightly creating a teeter-totter motion. Pause for 1 count and then reverse the movement by pulling your shoulder back to the starting position as described above. Once you have returned to the starting position, you will repeat the same movement with the right arm. Continue to alternate between the left and right until 5 repetitions of the teeter-totter movement have been completed with proper movement on each side. Sounds simple right? Well, let’s dive in a little while thinking about the educational part of this process from the list above. Questions to ask yourself:
There is definitely a lot to think about here but finding out these answers and doing something about them can provide so much information in regard to what’s contributing to your shoulder pain. Ultimately, these questions are exactly what we focus on when going through a session at Premier to help relieve your shoulder pain. The only difference is that we use technology to make the process more efficient :-) Let’s now take a look at our second very basic movement that you can perform at home to learn more about your shoulder pain. Remember, keep in mind the educational piece we just discussed and use that as your lens to navigate through the second movement, as well. Just incase, here they are again (from above):
Exercise #2: Front Delt Raise Stand with your feet 6-8 inches apart, toes pointing straight ahead, and upper body erect with your chest separated from the sternum. Your head should be kept in line with the body and your eyes looking straight ahead. Your arms are resting at your sides holding onto a broomstick, PVC pipe, or a wooden dowel (or something similar) with wrists directly below the shoulder. This is the ideal starting position. From this position, raise the arms with extended/straight elbows (no bend) until they are directly over your head. Pause for 1 count and then reverse the movement by using your lats to pull the arms (with elbows extended/straight) back down to the starting position. Easy, right? Not so fast…. Questions to ask yourself:
It’s definitely possible that by reading this list of questions, you are overwhelmed and even more frustrated than when you started. That is completely ok and completely expected. You have to start somewhere and if you are truly looking to relieve your shoulder pain or find the ultimate fix, it requires an attention to detail that was not previously there and a very deep understanding of how your movement patterns could help get rid of your shoulder pain. With that being said, everyone is different and will experience a different recovery rate and path to improving the shoulder pain so do your best to stay focused on you and your path to getting rid of your shoulder pain. If you run through this list, your form is perfect, but yet still experience shoulder pain, it’s possible it would just require a deeper dive into all of these questions by a qualified health professional. Sometimes (and I am even guilty of it!), we think everything looks good until someone else gets their eyes on us and within seconds, we are brought back down to reality ;-) But let’s keep it simple for now - start with the ideal starting position. Can you hit the cues for the ideal starting position? If you can, great. Move on to the next cue. If you can’t, that’s great too - start by perfecting the ideal starting position and DO NOT move on until your form is perfect. Lastly, don't forget the recommendation on frequency and duration: 3-5x a week for a total of 5 min on each exercise. Good luck! Local to the Towson, Lutherville-Timonium, Cockeysville, or Hunt Valley area? Friends & Family receive a FREE
Discovery Session at Premier!
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Family and friends play a critical role in rehabilitation after surgery, neuro therapy, physical therapy, and any kind of other recovery process. They help shape the mindset of their loved one during the recovery process, and mindset can significantly affect how efficiently a recovery goes. In many cases, we hear about family and friends that are extremely supportive during the rehab process, uplifting spirits and helping to keep the focus on progress and the end goal. In other cases, we hear about family and friends who cause their loved ones to actually feel WORSE about their progress. Without the support of family and friends, mindset turns negative, and the recovery from surgery, injuries, or chronic pain actually becomes slower. Here’s 7 ways you can avoid being the latter of the two and help your loved one to stay motivated with a focus on progress and the end result. 1. Stay Positive. This will be an overarching theme to this article. Rehabbing from surgery, injury, or chronic pain can be a mentally grueling process, whether it’s with Neuro Therapy, physical therapy, or by other means. Your loved one is constantly asking themselves questions like “Will I ever feel like I used to?”, “Am I wasting my time?”, and “Am I doing this correctly?” Trust me, they’ve got enough work to do on the mental side to stay positive and focused on the end result. The most beneficial thing you can provide is POSITIVE support. Heap it on, go over the top, and make sure you believe that they can accomplish the end result by any means necessary. 2. If you want to ask questions, stay positive with your tone. If your curious enough about your loved one’s progress that you want to ask questions, use a positive tone. Instead of asking “Why do you think that will work?”, say something along the lines of “That sounds really interesting! Did the doctor (or therapists) explain how it’s been so effective for others in the past?” Remember, lay on the positivity and go over the top with it. If your loved one feels like they’re being investigated, they’ll start to doubt their decision to trust their provider, and doubt that they’ll be able to make a full recovery, and I know those aren’t the intentions we want to have with our questions. 3. Go to an appointment with them. Going to an appointment with your loved one can be a great way to show support and learn about the game plan directly from the provider. It’s always better to hear it right from the horse's mouth than putting the pressure on your loved one to remember the practitioner’s exact words. 4. Learn the guidelines the therapy team is asking to be followed outside of therapy and help them stick to it. An added bonus to step #3 is that you’ll be able to learn the guidelines the provider is telling your loved one to follow outside of therapy. Whether its Neuro Therapy, physical therapy, or something else, these guidelines are important to optimize recovery and you can help make sure they stick to it! 5. If you notice progress, tell them about it! This one’s simple. If you notice your loved one is progressing (getting around easier, seems to be complaining about pain less, etc.) tell them about it! Celebrate these successes with them and you’ll multiply the chances that positive results will continue to unfold. 6. Do the exercises with them. If a physical therapist has prescribed home exercises, do your best to learn the ins and outs of the exercises. When you have the opportunity, do them with your loved one to show your support and comment on how challenging they are even for you. 7. Ask them how they are feeling about their progress (or lack thereof)… and then just listen. Sometimes, the best thing to do is to just listen. Ask them how they feel about their progress (or lack thereof) so far, and don’t speak again until they finish talking. When they do, ask a follow-up question and listen again. You may learn a lot about how they are handling the recovery process mentally, which will put you in a better position to provide support and take their results to another level. Local to the Towson, Lutherville-Timonium, Cockeysville, or Hunt Valley area? Friends & Family receive a FREE
Discovery Session at Premier! The trip started off the same way any trip did for us in 2016. One of our clients, for privacy reasons we’ll call him, “Cinnabons” (to be explained later), had a former teammate go down with an injury. His name? "Frank Underwood".  Cinnabons felt that, because of his rapid recovery from a quad injury (nagged for roughly 6 months during the season before spending a week with us for it to go away for good), that we could help. So Cinnabons pursued Frank and was able to persuade him into giving our On-Call Travel Therapy a shot. It wasn’t easy, however, for Cinnabons, as he previously played for Frank’s team, the New York Mets. He knew the clubhouse staff was highly skeptical of bringing in someone from outside the organization to help, but ultimately, he was able to make it happen. Frank had been dealing with a very significant injury that severely impacted his performance and ability to play at high levels, let alone even move at times. “Let me fix you,” is how Cinnabons started the text conversation with Frank. (As an aside, we’re calling our client by the nickname of Cinnabons because we want to protect his privacy and throughout our time together of getting in sessions after games at his house, he would crush sweets and baked goods. His routine was essentially this: Get home from the game, check in on the kids (who were already asleep), watch the end of any baseball games around the league on TV, look up videos/stats of the upcoming, opposing pitcher on his iPad, talk about launch angles, eat a little bit of a post-game meal, and then crush what was most often times available, which at the time were Cinnabons. Perfect combo for getting primed and ready to go for a Neuro Therapy session, right? :-) ) So anyways, Frank reached out to me and we set things up. His team, the New York Mets, were in Washington DC for a three game road trip against the Nationals, so I flew up to DC from Jacksonville, FL.  Local to the Towson, Lutherville-Timonium, Cockeysville, or Hunt Valley area? Friends & Family receive a FREE Discovery Session at Premier! When I entered the hotel, I was instructed to ask for, “Frank Underwood”. A call from the front desk was made to Frank’s room, Frank answered, gave the front desk manager the green light, and I was escorted to the elevators. We had worked on some pretty high profile guys in the sports world to this point, but having to use an alias definitely upped the ante a little bit - a first time experience for me. Although it was probably 2 minutes, it seemed like a 20 minute walk from the elevator to his door. If I told you my adrenaline didn’t spike, that would be a complete lie. I could feel my heart beat in my throat, and it was the type of feeling you get as an athlete when the nerves are just through the roof before a game. At the end of the day, you just never know how these things are going to go. That walk was the perfect time for the Imposter Syndrome to kick in. You know, that moment where you instantly regret everything up until that point and doubt everything about your ability to get the job done? I’m sure there are some of you who can relate to that feeling… Who am I to be doing this for a guy like Frank? A year ago, I wasn’t even doing this at all. How did this happen? This is ridiculous, I shouldn’t be here. What have I got myself into? What if he doesn’t like me? What if we don’t get along? What if he hates the session? What am I doing right now? Just getting a result with someone like this was enough pressure in itself, the long-time golden boy of the New York Mets, a guy who hasn’t seen any real relief or increase in performance for quite some time, and someone who is potentially starring down the barrel of surgery after surgery after surgery. Helping him meant that it could potentially save his career. Above all, just the added stress of wanting to put my best foot forward to make true of Cinnabons’ words of, “Let me fix you,” was plenty to think about. No pressure. My knock at his door was greeted with a handshake, a big, warm smile, and an invitation to join him in the living area. He instantly made me feel at ease. I got this… my confidence was instantly restored. Within seconds of entering the room though, that feeling would change, and the tension could be cut with a knife. As Frank led me to the living area, I noticed we weren’t alone. There sat two members of the New York Mets training staff. This was a first for me – providing a session in a hotel room for a client has always been a 1 on 1 situation. Always. It’s important that this time is spent asking in-depth questions and really, truly getting to know this person on a very deep level. It’s a huge part of our success and something that cannot be compromised. Well, I guess there’s a first for everything, and Cinnabons did forewarn me of how skeptical their staff would be about the whole thing going down. So, no big deal, right? These guys were different than Frank. No big, warm smiles. They didn’t stand up to shake hands or say hello. Nothing. I felt as if every move I made or word I said was under the world’s largest microscope. One of the awkward highlights to that session was when I was voicing something about our process foreign to the Mets trainers. They would instantly clear their throats. This happened multiple times, to the point where I felt myself eventually waiting to listen for it and wanting to ask the question, “Do you have something you wish to say?” I did my best to go about the session as I normally would, but the awkwardness of having two men who have been in the sports recovery game for probably 30 years to my 1, sitting 5 feet from me for 90 minutes and not saying a word, is a little strange. The only thing they questioned is how something like Neuro Therapy would help with Frank’s symptoms.  It’s definitely a good question. However, when there is no follow up to my answer, no real conversation, no vested interest in understanding, and an understanding on my end that they already have their doubts, it’s typically an indication that they don’t really care about my response. Combine that with the idea that they had no idea what Neuro Therapy is in the first place, and it’s not exactly the best situation for Frank, which is a little troubling. One of the best things for anyone who is recovering from injury, pain, limitation, or any other symptoms for that matter, is that the entire support team is on the same page, ready to collaborate in a helpful, supportive, and empowering way. Unfortunately, this just wasn’t the case. Local to the Towson, Lutherville-Timonium, Cockeysville, or Hunt Valley area? Friends & Family receive a FREE Discovery Session at Premier! At the end of day, I was there to do nothing else but help Frank. I wasn’t there to step on anyone’s toes and definitely not to take anyone’s job. I was brought in to do one thing, and that’s help fix Frank. And if we are being frank, no pun intended, they had their shot for the past year. There’s a word people use to describe doing the same thing over and over again and expecting a different result…. Long story short, that was the last time I saw them. Oddly enough, no follow ups, no random pop ins – a much different experience than some other experiences I’ve had with really quality, supportive medical providers in the MLB. Frank and I would bounce back and forth over the next day and a half for sessions at the stadium and his hotel room. The Nationals were nice enough to put us up in a private room at the stadium, so he could get some work in before the game, and then we would follow that up with a late-night session at the hotel.  So there we were, 4 sessions and two days in, and he reported no symptoms. We were rolling. But that next day, it all came to an abrupt stop. This was an injury that he had been dealing with for almost an entire year. I feel like I should say that again… 4 sessions later and two days in, Frank reported having no symptoms. We still had a lot of work left on the table so we could reinforce this changes for good, but the future for Frank was looking promising. The even more amazing thing about the situation was, that in both games following our sessions, he hit home runs. It was truly incredible to witness. Finally, after a year of battling this thing, his body was shifting from a protective/guarded state to a performance state. You could argue that the post-game smiles were even bigger than when I was greeted for the first time on day 1. We started to unleash the power of his nervous system, and it was a beautiful thing. Cinnabons could even tell things were looking up. As Frank trotted around the bases after his second home run at Nationals Park, Cinnabons says to Frank, “I told ya.” The next night, Frank went yard again! Three games, three home runs. That’s unheard of, especially for Frank at this point in his injury. He had not accomplished that type of feat during his entire career and not many Major Leaguers have.  But something else was at play…. Here we are, seeing real results, feeling real results, discussing real results, and my time with Frank came to a stop. I’ll never know the true reason as to why that trip ended, but I’ll never forget the last thing Frank said to me as he escorted me to the hotel lobby doors, “I can’t thank you enough, you have been great – really, you truly have been.” Maybe I was wrong with thinking he was a good candidate for Neuro Therapy in the first place? Perhaps the hope he felt during those couple of days scared him a bit? Perhaps it was a show for his former teammate, Cinnabon, in that he didn’t want to say no to the help, but really didn’t have a desire to become better? Maybe he was happy with his role on the team of not playing that much, still getting paid, and eventually having to end his career because of the injury? Maybe he enjoyed not feeling like himself and experiencing the “paralyzing” type of pain that makes you not want to move? As I type all of those thoughts out, they all sound highly unlikely. But what else could it be? I wonder what the experience would have been like if the entire Mets staff was on board, supportive, and maybe even the least bit empowering to keep going with Neuro Therapy. But I guess we’ll never know. In the end, sadly Frank Underwood would go on to battle this issue for the next two years and ultimately be forced into an early retirement. Call his results with us just a coincidence, call it luck, but seeing these types of results are almost expected for people who participate in Neuro Therapy. According to The International Journal of Critical Illness & Injury Science, the team-based, community approach that we emphasize with all clients (and didn’t receive from the Mets) can actually help optimize care and provide a framework for an accelerated post-injury rehabilitation course – the benefits are significant and the disadvantages are few. If you are like Frank, perhaps the first step in your return to excellence is making sure your team (your home-support, spouse, partner, significant other, friends, etc) is on the same page. Get them involved as much as possible, tell them exactly what you need from them, share your successes, share your failures, and maybe even bring them along to your sessions. Their support is 100% needed and they need to understand that. It might be uncomfortable, but I can guarantee that you will thank yourself down the road once you reach the finish line. Maybe you are on the outside looking in – perhaps you are the mom, dad, brother, sister, friend, spouse, partner, or significant other, trainer, psychologist, nutritionist, doctor, therapist, teacher, co-worker, boss. Don’t let this story not serve it’s purpose. Get involved, ask what they need from you, take vested interest in the journey, volunteer to go to a session. Your support is 100% needed and if they don’t understand it, eventually they will. This might be uncomfortable for you too, but I guarantee the same outcome from the previous paragraph – how sweet it will be in the end. Local to the Towson, Lutherville-Timonium, Cockeysville, or Hunt Valley area? Friends & Family receive a FREE
Discovery Session at Premier! It’s not every day you are asked the question, “What were three things that made you happy today?”, but it’s something that’s asked of each #PremierFamily client every day before their session. With the holiday season officially upon us, it’s a great reminder to appreciate the things in our lives that we may start to overlook if we aren’t mindful about them. So, I ask you... What were three things that made you happy over Thanksgiving? It’s possible Thanksgiving means nothing to you and you didn’t do anything at all. Don’t worry, we have a question for you too: What are three things that made you happy over the weekend? I challenge you to respond to this email or comment below with what made you happy. I’m not looking for the surface level, materialistic types of things either. Let’s get deep people! I’ll start and combine both questions to form my answers
Whether it’s quality time with family, a new promotion at work, the sunrise, a goal scored in your most recent game, knocking out your To-Do list, or just getting a good night of sleep, the “things” to be happy about are endless. I showed you mine - what are yours? ;-) Local to the Towson, Lutherville-Timonium, Cockeysville, or Hunt Valley area? Friends & Family receive a FREE
Discovery Session at Premier! It was the summer of 2006, and a group of my high school football teammates attended a football camp at Penn State University. This is where I first crossed paths with Erik Harris (outside of competing against each other on the field), a student-athlete from New Oxford High School in Pennsylvania.  While I attended the camp with a group of teammates, Erik came on his own, so we ended up hanging out quite often and getting to know him. Whether it was participating in drills, stopping by the pool in between sessions, or eating at the commons before and after practice, we made sure to include him in as much of it as possible. Erik was an extremely likable guy, and he came across very genuine. I think everyone knows the type of person who you just meet, but somehow it feels like you have known them for much longer – that was Erik at that camp. Physically, it was clear early on that Erik had a natural ability to compete and play at a high level. It’s not every day that you come across someone with such natural ability and an incredible work ethic, but that’s Erik. His play was so great that he caught the eye of one of Penn State’s football coaches at the time, Mike McQueary. Mike was crazy about him – he had Erik demonstrate drills, he verbally praised him more than any other defensive back at the camp, and he called Erik out in front of the entire camp to do 1-on-1 drills to shut down the best wide receivers. It was a huge deal for a camp attendee to receive such a spotlight. It meant that Erik had a high chance of being recruited by Penn State and eventually receive an offer. But, I’ll never forget a conversation we had while eating lunch one day at the commons. It was towards the middle of the camp, and Erik told us about a talk he had with Mike. Mike pulled him aside and asked him about his 40 yard dash time. Erik responded with something to the tune of “4.6”. Mike seemed less than satisfied with this response, Erik said. During the ensuing days at camp, it was clear Mike’s interest in Erik completely dropped off. He no longer pursued Erik the way he had leading up to that discussion. From our perspective, it was a terrible thing to witness, because we knew a 40 time isn’t everything. There are plenty of tremendous athletes who can’t touch a 4.6 40 time, yet still have really great careers. It was clear Erik was one of the most gifted athletes at the camp, and deserved to receive an offer. But for some reason, the coaches decided that his 4.6 40 time meant he could not play at Penn State, and would not receive an offer. Given Erik's highly competitive nature, you just knew being overlooked only added more fuel to his fire. The ensuing year, interest to play at Division I schools on a big stage dramatically decreased. In the end, Erik would eventually attend California University of Pennsylvania, a division 2 school. Local to the Towson, Lutherville-Timonium, Cockeysville, or Hunt Valley area? Friends & Family receive a FREE Discovery Session at Premier! Settling for a Division 2 offer was not the first time Erik had to battle through adversity over the course of his life. He was one of five children, and grew up in a single parent household with no father figure. He was used to living with a chip on his shoulder, and that chip certainly carried over to the field. Erik continued to demonstrate his abilities when, in 2010, he was named First Team All-Pennsylvania State Athletic Conference (All-PSAC). He followed up those accolades with a second team selection in 2011. Only 1.6% of ALL college football players make it to the NFL. For Erik, a division 2 player, those prospects became much less. By most people's standards, it would be foolish of him to even THINK of a career in the NFL. But Erik isn't most people. After graduating from college, Erik didn't receive any invitations to NFL tryouts and was not drafted. He started working as a "corn mixer" at the Utz Chip Factory. The drive to continue playing football at a higher level was still very much there - it just wasn’t yet his time. “You see what life can be if you don’t make the most of your opportunities,” said Erik during an interview special about his life path (see full video here: https://www.raiders.com/video/safety-erik-harris-untraditional-road-to-the-nfl). This realization came from Erik after some self-reflection of his current situation - extraordinary athletic talent being used to stir corn at the local chip factory. One year after starting work at Utz, Erik decided to go back to school, continue training for a football career, and took a part-time job working the night shift at UPS. The goal? “To give this thing one more run.” That next year, Erik paid $80 to drive up to Buffalo, New York for a tryout with a Canadian Football League (CFL) team, the Hamilton Tiger Cats. Erik would make the team and be a part of the team from 2013-2015. Eventually, he was able to make such an impact in the CFL that his name reached the front office of the New Orleans Saints. The Saints invited Erik to try out in February of 2016. That same day, they offered him a position on the team. He had finally reached his goal of making an NFL roster, but his journey was only just beginning.  The first year with the Saints, Erik tore his left ACL and meniscus, requiring season ending surgery. Yikes. But what was his mindset? “Another opportunity to grow as an individual.” Once again, Erik would overcome all odds and battle back from the surgery. Eventually, he worked his way back on to the field and earned substantial time playing on special teams and defense. This comeback would eventually lead to another NFL opportunity with the Oakland Raiders. After playing most of 2017 on special teams, Erik earned more snaps as a safety in 2018, which led the Raiders to sign him to a 2 year, $6.5 million extension (not bad for a corn mixer)! And then there was last Thursday... ….29 years removed from his father abandoning his family, ….13 years removed from being told you are too slow to play at Penn State, ….12 years removed from being told you are not good enough to play at the division 1 level, ….7 years removed from being undrafted, ….6 years removed from working at the chip factory, ….5 years removed from working night shift at the UPS store, and ….3 years removed from a potential career-ending injury. Erik Harris not only started for the Oakland Raiders, but had two interceptions and a touchdown. It goes without saying, but there is are a lot of lessons one can take away from this story and apply to our daily lives. I personally love the fact that he took all of the failure, hardships, and adversity, and turned them into opportunities. In the face of adversity time and time again, he just kept putting one foot in front of the next. With his relentless pursuit of his dreams, Erik held on to hope when most people would just shut it down. He refused to let society dictate his future, becoming an inspiration to many. I challenge you to take this story and apply it to your life. Some 29 years from now, I look forward to hearing your story :) Local to the Towson, Lutherville-Timonium, Cockeysville, or Hunt Valley area? Friends & Family receive a FREE
Discovery Session at Premier! Please join us in welcoming Dr. Etai David Gamliel to the Premier team! Dr. Gamliel is a passionate sports performance physical therapist, former collegiate athlete, and Certified Strength and Conditioning Specialist. He also serves as an Assistant Coach with the Calvert Hall Freshman/Sophomore Football Program, injury consultant, and personal trainer in the Baltimore, MD area. Dr. Gamliel graduated from one of the top physical therapy programs in the country, The University of Maryland Baltimore. Prior to joining the Premier team, Etai worked in sports oriented clinics in Manhattan and Baltimore, During this time, Dr. Gamliel worked with clients from a variety of demographics (ages 4-96), including active military, wounded warriors, and high school, colligate, and professional athletes. In Etai’s free time he enjoys reading, playing guitar, singing, exercising, playing football, basketball and spending time with family and friends.  Local to the Towson, Lutherville-Timonium, Cockeysville, or Hunt Valley area? Friends & Family receive a FREE
Discovery Session at Premier! This week’s post highlights the success of one of our Premier Family clients, Steve. I met Steve at one of the best CrossFit gyms in the area, Outsiders Crossfit. At the time, Steve was dealing with persistent pain in both the shoulder and hip that were forcing him to scale back and modify his workouts. While he was excited to be a member at Outsiders, he was discouraged that this persistent pain was keeping him from continuing to build on his level of fitness. Because the problem has been going on for 6 months, and he had tried many other conservative means (like resistance band exercises, stretching, and resting), Steve was convinced surgery would be needed to fix the problem.  If surgery was required, it wouldn’t only affect his ability to stay fit, but it would also inhibit his ability to stick to his busy travel schedule for work. He was concerned that surgery and/or physical therapy would take so long that his work would start to be affected. Working around Steve’s busy travel schedule, we were able to find 2 weeks to work on his shoulder together. By the end of the two weeks, all of Steve’s hard work at Premier allowed him to work out at Outsiders and feel much more confident in his shoulder. The need for surgery was off the table. After going on a trip for work, Steve returned several weeks later to work on his hip, with similar, successful results. He's back in the gym at 100%, continuing to improve his fitness levels each day. Before Steve and I met, he admits he had very limited knowledge about Neuro Therapy. Even now, he maintains it is just one of those things you have to experience to understand how it can work for you. Because many people have expressed this to us, we offer the ability to experience Neuro Therapy completely for free. You can learn more about the process and go through a full session at no cost to you: Just click here to sign up go.premierneurotherapy.com/apply Check out the video below to see Steve’s full story and find out what his favorite part of the Premier Neuro Therapy experience was. Local to the Towson, Lutherville-Timonium, Cockeysville, or Hunt Valley area? Friends & Family receive a FREE
Discovery Session at Premier! Diabetic Neuropathy Overview Diabetic Neuropathy is a debilitating complication of diabetes. It's estimated that 50% of people with diabetes have some degree of diabetic neuropathy. The condition starts as minor pain or numbness in the extremeties, but has the potential to become a much more serious issue. Eventually, people sufferering from diabetic neuropathy may end up with loss of sensation in the feet, which predisposes them to a variety of foot injuries, including ulcers. If an ulcer develops, the risk of negative outcomes increases significantly, and the condition may even require amputation of the limb. Outside of the personal costs associated with diabetic neuropathy, the condition costs the US helathcare system between $4.6 and $13.7 billion each year. Up to 27% of the direct medical cost of diabetes may be attributed to diabetic neuropathy. How Does Diabetic Neuropathy Develop? Diabetic Neuropathy occurs when hyperglycemic conditions in the blood stream cause decreased blood supply to nerves. Blood carries necessary resources, like oxygen and nutrients, to the nerves. Thus, when blood supply is decreased to the nerves, the nerve becomes starved, inflamed, and eventually damaged. When the nerve becomes damaged, either pain or numbness start to set in. The longer the body is exposed to hyperglycemic conditions, the more diabetic neuropathy escalates. In order to manage the condition, a community based approach is needed which includes programs that address both the hyperglycemic condition (for example, dietary factors) and decreased blood supply. How Does Premier Neuro Therapy Impact Diabetic Neuropathy? Premier Neuro Therapy works to minimize symptoms, such as pain and numbness, associated with diabetic neuropathy via 4 pathways:
Conclusion Diabetic Neuropathy is a serious condition that must be taken seriously. The longer your body is exposed to hyperglycemic conditions, the greater the risk is of debilitating diabetic neuropathy leading to ulceration and potentially amputation. In order to slow the progress of diabetic neuropathy, a two pronged approach is needed that both manages the hyperglycemic condition and increases blood supply to the affected nerves. If you're interested in finding out if Neuro Therapy can help slow the progression of your diabetic neuropathy, click the link below to schedule a time to talk with a member of our team; Click here to schedule time to talk with a member of our team If you have additoinal questions regarding Neuro Therapy and Diabetic Neuropathy, feel free to shoot me an email at: support@premierneurotherapy.com Local to the Towson, Lutherville-Timonium, Cockeysville, or Hunt Valley area? Friends & Family receive a FREE
Discovery Session at Premier! The other day, a new client mentioned that she had been on our website, and initially thought that Neuro Therapy was only for professional athletes. It's an understandable stance, based on the information on the website, and it's true that I initially worked primarily with professional athletes all over the United States. However, as more and more athletes sought out Premier’s services, cases became more and more complex. The Premier team was no longer just helping athletes who suffered acute injuries to get back on the field efficiently, but also athletes who were struggling with repetitive injuries, delayed recovery from surgery, and persistent pain. The latter group of athletes had been through months of physical therapy, and sometimes even surgery, but still could not perform without the lingering effects of injury including severe pain, decreased range of motion, decreased strength, and decreased overall daily function. We started to wonder... if Neuro Therapy can have this kind of impact on those lives, who else can it help? Today, Premier serves a population of people consisting of all ages, genders, and races ranging from the 8 year old gymnast who's hoping to get back on the mat to the 84 year old grandmother who wants to keep up with her grandkids. Local to the Towson, Lutherville-Timonium, Cockeysville, or Hunt Valley area? Friends & Family receive a FREE Discovery Session at Premier! If you asked me to sit down and define who Neuro Therapy is for, I would boil it down to 5 main groups: Group #1: You’ve tried multiple other forms of therapy (massage, chiropractic, in-home exercises, traditional PT, painkillers) and are starting to think surgery, a lifetime of medication, or “just living with it” are your only options. Group #2: You’ve already had surgery and it hasn’t done much to improve the way you are feeling. The recovery is slower than expected, has stalled out, or actually has you feeling worse and worrying more than before. Group #3: You’ve just had surgery or gotten injured and are feeling like it will take forever to get back to the activity or performance levels you were at before (and maybe worried about the risk of re-injury). Group #4: You experienced an injury and re-injured it when trying to return to high activity levels. Now, you want to recover as quickly as possible but are concerned it could happen again. Group #5: A friend who’s already experienced Neuro Therapy told you this is the best way to recover and you 100% need to try it. Recap If any of these sound like you, I want to hear about it. Click the link below to tell us a little more about what's going on and apply for a FREE Discovery Session: https://go.premierneurotherapy.com/apply The discovery session is designed to give you all the information you need to make a decision about whether or not Neuro Therapy is a good fit for you. During the discovery session, you'll have the chance to tell us more about your problem, learn more about Neuro Therapy, and go through a full session from beginining to end. It is a 100% risk free opportunity to see if Neuro Thearpy is something that can change your life and get you back to doing what you love, so don't hesitate to apply! Local to the Towson, Lutherville-Timonium, Cockeysville, or Hunt Valley area? Friends & Family receive a FREE
Discovery Session at Premier! You’ve just been injured or started feeling a weird pain in one of your joints. You get online and start googling things like “knee pain,” “elbow pain” or “sprained ankle.” Immediately, you’re hit with search results and ads advocating for the use of a “brace.” It’s an attractive solution, because it seems easy and low risk. What’s a couple bucks? If it doesn’t help, no biggy. If it does help, you’ve found a solution that will allow you to keep going about your normal day to day life – that’s great! Right? Well… potentially.  It is definitely great that you’ve found a temporary solution to relieve pain and keep you moving, but there are a few important questions you must ask yourself before calling the problem solved. Before we dive in to the questions, let’s start with the basics of the function of a brace. A brace decreases pain by restricting mobility and limiting range of motion in the affected joint. By restricting mobility, a brace may cause a couple of long term problems for the joint, as well as other joints in the body.
 With those thoughts in mind, it may start to seem like a brace isn’t such a great idea.
However, they aren’t completely bad. It just means that they aren’t always the long term solution people think they are. Here’s 3 questions to ask yourself before jumping at that opportunity to throw on a brace and see how it feels. 1) Is my safety at risk if I don’t wear the brace? In some cases, an injury or movement disorder may be so bad that a brace is needed to stabilize the joint. Without a brace, it’s possible that simple movements like walking or standing up would cause more damage to the joint. If that’s the case, it’s likely a brace needs to be a part of your solution. 2) Do I want to wear the brace long term? If you’re perfectly ok with wearing a brace long term, maybe it can be a solution for you. Just remember that the longer you wear it, the more you’ll increase the risk of developing dependence on it and other injuries down the road. 3) Do I have a brace exit plan? If you do not want to wear the brace long term, you need a brace exit plan. There must be a plan in place to address the underlying causes of the injury or condition – a qualified strength coach, physical therapist, or neuro therapist may be able to help develop this plan. My take? Braces aren’t all bad – they play an important role in the recovery process if the affected joint is in legitimate risk of additional harm. However, I would not recommend using a brace (other than for safety reasons) if you don’t have a parallel plan in place to address the underlying cause of injured joint. |
About the AuthorEvan Lewis is a nationwide leader in Neuro Therapy and founded the Baltimore area's only specialist Neuro Therapy facility. 
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