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At Achieva Rehabilitation, we take immense pride in helping our patients regain their mobility and improve their quality of life. Today, I’d like to share the journey of one of our remarkable patients, a 70-year-old man who has been living with Parkinson's disease since the age of 42. When we first met our patient, he was facing significant challenges. He had a history of coronary artery bypass grafting (CABG), a myocardial infarction (heart attack) in 2017, and multiple falls that resulted in a dislocated shoulder. And dealing with functional mobilty challenges from Parkison's Disease from the time he was 42 years old, a lot of his hobbies were significantly affected such as being a professional drummer. Our patient had recently undergone a brain stimulator implant, which he and his wife felt had worsened his symptoms. He reported difficulties with posture, frequent freezing during ambulation where his feet actually felt stuck to the floor with attempts to move them while walking. This happens quite a bit with people with PD especially with direction changes or other stressful situations. Once an avid drummer, he found himself unable to coordinate his movements. His primary goal was to improve his ability to walk and manage his posture, which had been significantly impacted by his condition. The Journey Begins We started with a comprehensive assessment and identified several key areas to focus on: 1. Posture Improvement: His posture was poor, characterized by curved downward facing posture and forward head posture. We implemented total body exercises and focused interventions to address these issues. 2. Hip Mobility: Tight hamstrings and hip adductors were limiting his mobility and step length. We introduced guided self-stretching, dynamic strengthening, and stretching interventions. 3. Endurance: His activity level was very limited due to Parkinson's disease. He was only able to walk short distances in the home and he had been able to ambulate all the way to the end of his driveway which was about 1/4 mile when he was doing better. We incorporated endurance-building exercises into his therapy. 4. Parkinson's Symptoms: Walking was very rigid and his steps were very short and choppy and he had a great deal of freezing noted. We utilized the LSVT Big and Loud program exercises to address these symptoms along with our own fresh takes on these concepts. 5. Fall Risk: As evidenced by a standard balance scoring mechanism, the Berg Balance Scale, his fall risk was very high and concerning with a score of 31/56. Our approach was holistic, aiming to build his tolerance to the program and gradually improve his functional abilities. Midpoint Progress Midway through his therapy, we observed substantial improvements. His posture was better, and he reported feeling more stable during ambulation. He was able to walk greater distances with improved gait stability and reduced festination including getting outside on his lawn and driveway again. His confidence grew, and he began to participate in social events again, something he had missed dearly. Short-term goals such as increasing cervical range of motion, improving hamstring flexibility, and enhancing step length were met successfully. His ability to ambulate without a device improved significantly, and his Berg Balance Score increased to 39/56, indicating better balance and reduced fall risk. Conclusion and Results At the end of his therapy program, our patient experienced a profound transformation. His posture and Parkinson's-related symptoms had improved remarkably. He was able to walk outdoors with confidence, significantly reducing his fall risk. He was able to ambulate at a fast pace all the way to the end of his driveway and back. He regained the ability to engage in social activities and felt more connected to his community. His compliance with the home exercise program (HEP) played a crucial role in maintaining and furthering these gains./ Our patient’s journey is a testament to the power of personalized, in-home physical therapy. At Achieva Rehabilitation, we are dedicated to helping individuals overcome their physical challenges and reclaim their lives. If you or a loved one is facing similar struggles, know that there is hope and help available. Our team is here to support you every step of the way, helping you achieve the best possible outcomes and a better quality of life. www.achievarehab.com info@achievarehab.com 888-929-7677 https://www.youtube.com/@achievarehabilitation6370 Learn more about our program: https://www.achievarehab.com/locations-pennsylvania-in-home-physical-therapy-near-me Click HERE  for more info about the Achieva Rehabilitation In-Home Physical Therapy Program

What a scary thing...shortness of breath. It's something that most of us avoid but it's also something that most of us don't understand well. So, I ask "Is shortness of breath good or bad? Or both?" The answer is both and I hope you can understand it much better after reading. If you have shortness of breath that persists when you are resting, it may be a concern. Sometimes it can be caused by chronic respiratory issues such as COPD or emphysema but if it's new, it certainly is a concern. The second way that shortness of breath can be concerning is if it comes along with other types of symptoms. You might end up having a cluster of symptoms that together are often the body's response and the body's way of telling you that you probably need some attention. If you get short of breath and that shortness of breath does not go away with rest and you also have something like sweating or dizziness or nausea or pain or more profound weakness, or vision changes, if any of those symptoms kind of come along together with your shortness of breath and they stick with you, I would probably encourage you to think about contacting your doctor or 911 if you feel that those situations are severe. In that circumstance, these are concerns for your health at that particular moment. That's the bad. But, there is a good side that we like to use to make people better. Shortness of breath during exercise that goes away after you rest for several minutes is actually what we want to see you experience. Whatever it might be that is physical activity, if that physical activity brings along shortness of breath, don't be afraid of it if it comes along by itself and it's not met with those other types of symptoms. If the shortness of breath is alone by itself, you can use that to work your muscles to become more efficient, and your life will start to improve. As you do that on a regular basis, you will move better, you will move easier, and you'll actually become less short of breath over time with the same amount of activity because your muscles are learning how to efficiently use that oxygen. They are adapting and that's how exercise works...your system adapts so you can move better, feel better, live better. A marathon trainer does not roll out of bed on day one and run 26 miles. They might start with a mile, then build to two, three, five, seven, ten, thirteen, and so on. Along that path, their muscles are relearning to use oxygen much more efficiently. In the same way, we encourage you to be more active to the point of shortness of breath that you can still have a conversation through. What I mean by that is that you exercise to increase your heart rate and your breath rate but you are still able to talk with a friend who is with you or you can exercise and talk on the phone without much of a challenge. That's a good way to measure if you are doing worthwhile exercise as an older adult and something to embrace and not fear. Do that regularly every day, maybe a couple of times per day, and you will see your ability to tolerate it for a longer period of time. You will be able to walk further, get up and down the stairs easier, get out of a chair easier, and enjoy time with your family and friends much easier. Your shortness of breath will actually be less. A complicated topic hopefully made easier to understand. Don't fear shortness of breath...embrace it to make yourself better. Hard things make you better! My company is here to help guide you if that makes you nervous...our guided program in your home is led by a licensed physical therapist. We all have decades of experience with older adults and making them move as well as they have in many years and in the end, moving better is a key to happiness. www.achievarehab.com info@achievarehab.com 888-929-7677 https://www.youtube.com/@achievarehabilitation6370 Click HERE  for more info about the Achieva Rehabilitation In-Home Physical Therapy Program

Dizziness and vertigo are two terms often used interchangeably, but they describe different sensations and have distinct causes. At Achieva Rehabilitation, we offer specialized in-home physical therapy to address these conditions, providing effective, personalized care in the comfort of your own home. What is Dizziness? Dizziness is a general term used to describe a range of sensations, such as feeling faint, woozy, weak, or unsteady. It is often associated with: Lightheadedness:  A feeling that you might faint. Imbalance:  Difficulty maintaining your balance, leading to unsteadiness. Disorientation:  A feeling of confusion or inability to focus. Common causes of dizziness include dehydration, sudden drops in blood pressure, certain medications, and various medical conditions like anemia or hypoglycemia. What is Vertigo? Vertigo is a specific type of dizziness characterized by the sensation that you or your surroundings are spinning or moving. Vertigo can be caused by problems in the inner ear (vestibular system), such as: Benign Paroxysmal Positional Vertigo (BPPV):  Small crystals in the inner ear become dislodged and move into the semicircular canals, causing the sensation of spinning. Meniere’s Disease:  A disorder of the inner ear that can lead to vertigo, tinnitus, and hearing loss. Vestibular Neuritis:  An inflammation of the vestibular nerve, often caused by an infection, which affects balance. How In-Home Physical Therapy Can Help At Achieva Rehabilitation, we offer comprehensive in-home physical therapy services to address dizziness and vertigo. Our approach is tailored to the specific needs of each patient, ensuring effective management and relief from symptoms. Here’s how we can help: 1. Vestibular Rehabilitation Therapy (VRT) Personalized Exercises:  Our physical therapists design exercises to improve balance and reduce dizziness by retraining the brain to recognize and process signals from the vestibular system. Gaze Stabilization:  Exercises that help control eye movements, improving focus and reducing the sensation of spinning. Canalith Repositioning Maneuvers:  For conditions like BPPV, specific maneuvers, such as the Epley maneuver, are used to move dislodged crystals in the inner ear to a position where they no longer cause vertigo. 2. Balance Training Strengthening Exercises:  Strengthening the muscles in the legs and core to improve overall stability. Coordination Exercises:  Tasks designed to improve coordination and the ability to perform complex movements without losing balance. Functional Training:  Practicing daily activities in a controlled environment to build confidence and reduce the risk of falls. 3. Education and Lifestyle Modifications Fall Prevention:  Educating patients on how to prevent falls and manage dizziness in their daily lives. Hydration and Diet:  Advising on proper hydration and nutrition to prevent dizziness related to dehydration and blood sugar fluctuations. 4. Continuous Monitoring and Adjustment Progress Tracking:  Regular assessments to track improvement and adjust the treatment plan as needed. Patient Education:  Teaching patients and their families about the nature of dizziness and vertigo, and how to manage symptoms effectively. Keywords to Highlight Our Services In-home physical therapy Mobile physical therapy Physical therapy at home In-home rehab services Home-based physical therapy Elderly physical therapy at home Post-surgery physical therapy at home At Achieva Rehabilitation, our goal is to provide high-quality, convenient care that fits into your lifestyle. By offering in-home physical therapy, we ensure that you receive the attention and personalized treatment you need without the hassle of traveling to a clinic. Whether you are dealing with dizziness, vertigo, or other balance issues, our team is here to help you regain your stability and improve your quality of life. Visit our website  to learn more about our services and how we can assist you in managing dizziness and vertigo from the comfort of your home. More information on the difference between dizziness and vertigo... www.achievarehab.com info@achievarehab.com 888-929-7677 https://www.youtube.com/@achievarehabilitation6370 Click HERE  for more info about the Achieva Rehabilitation In-Home Physical Therapy Program

Arthritis is a prevalent condition among older adults, often leading to balance issues that increase the risk of falls. Understanding how arthritis contributes to these balance problems is essential for developing effective management strategies. Impact of Arthritis on Balance Joint Stiffness and Pain:  Arthritis causes inflammation in the joints, leading to stiffness and pain. This discomfort can alter gait and posture, making it challenging to maintain balance. Muscle Weakness:  Chronic pain and reduced mobility from arthritis can result in muscle weakness, particularly in the lower extremities. Weakened muscles are less effective at stabilizing the body, increasing the risk of falls. Reduced Range of Motion:  Arthritis can limit the range of motion in joints, affecting the ability to perform movements necessary for maintaining balance. Strategies to Improve Balance Physical Therapy:  Engaging in physical therapy can help strengthen muscles, improve joint mobility, and enhance balance. A physical therapist can design a personalized exercise program tailored to individual needs. Assistive Devices:  Using devices such as canes or walkers can provide additional support and stability during movement. Lifestyle Modifications:  Maintaining a healthy weight, managing arthritis symptoms, and creating a safe home environment can reduce fall risk. Maintaining mobility is crucial for seniors, and physical therapy offers effective strategies to enhance walking abilities. Understanding Age-Related Changes in Gait As we age, factors such as muscle weakness, joint stiffness, and balance issues can lead to a decline in walking efficiency. These changes may increase the risk of falls and reduce independence. Benefits of Physical Therapy for Walking Strength Enhancement:  Targeted exercises can build muscle strength, supporting better posture and movement. Improved Flexibility:  Stretching routines help maintain joint range of motion, facilitating smoother strides. Balance Training:  Specific interventions can enhance stability, reducing the likelihood of falls. Gait Re-education:  Therapists can assess and correct walking patterns to promote safer and more efficient mobility. Getting Started with Physical Therapy Consulting a licensed physical therapist is the first step toward improving your walking abilities. They will develop a personalized program tailored to your needs and goals. Stay Active and Informed Regular physical activity, combined with professional guidance, can significantly enhance your quality of life. Remember, it's never too late to take steps toward better mobility. For more personalized advice and resources, visit our website at www.achievarehab.com . Our team of experts is dedicated to helping you achieve your rehabilitation goals and improve your quality of life. Additionally, explore another blog by Joel HERE  for further insights into enhancing mobility and independence.

I’m going to teach you about something today called the McKenzie Method. - McKenzie back exercises consist of up to seven exercises and these seven exercises could help chronic lower back pain sufferers to restore the range of motion, as well as mobility, as well as the function of the lower back. - So, just a little note for everyone reading. If you are following along and you start to experience pain or find it difficult, please seek out a registered physical therapist to help you. But in the meantime, let's share some history: The McKenzie Method, also known as Mechanical Diagnosis and Therapy (MDT), was developed in the late 1950s by New Zealand physiotherapist Robin McKenzie. Its origins trace back to a serendipitous discovery in 1956, when a patient with chronic back pain inadvertently lay down in an extended position, resulting in significant pain relief. This unexpected outcome led McKenzie to further explore the effects of spinal positioning and movements on back pain. He developed a systematic approach based on patient education, self-treatment, and the identification of directional preferences for exercises that alleviate symptoms. The method emphasizes the centralization of pain, where symptoms move from the extremities to the spine, as an indicator of effective treatment. Over time, the McKenzie Method has gained widespread recognition and adoption for its evidence-based, non-invasive approach to diagnosing and managing back pain and related musculoskeletal conditions.   Before you exercise, a high majority of people with back pain have what we call a “directional preference” into back extension.  The other group has a directional preference for the opposite movement, flexion.  Extension is basically bending backward, and flexion is bending forward.  In order to determine which, you are, you have to test yourself fairly straightforwardly.  This series of exercises works really well with people who have extension or back bending as their directional preference.  If your directional preference is bending forward or flexion, these may not be as suitable, or you should enlist the help of a physical therapist to assist you in monitoring the movements.     So, let’s determine your directional preference.  Just like Forrest Gump does when standing on the shrimp boat, you will place your hands at your low back, just above your buttocks and lean backward.  If you hold it for five to ten seconds gently, if you see that your pain improves or in the case where you have pain down into your leg, that pain moves more to the center of your back and up and away from your leg, you probably have a directional preference of back bending or extension and these exercises should help you a great deal.  If you bend forward and it makes your pain improve, I would advise against these exercises for now unless you are with a trained therapist.   So, for the majority of back pain and sciatica sufferers who have a directional preference of back bending or extension, let’s go.   Exercise number one.   Lying face down.  So, you will lay down on your tummy with your face turning to one side.  You will hold this exercise for about two to three minutes. What this exercise will do is help to unload the lower back and also help to start straightening out the spine. Exercise number two is lying face down in and pushing up into extension.  To start this exercise, you basically put yourself in the position like exercise number one and then gently put elbows directly underneath your shoulders so you can lean on your forearms with a relaxed back. By leaning on your forearms, what this does, it actually helped to restore a little bit of the lower back curve bending backward. Exercise number three is extension in lying.  Start from the position of lying on the tummy and then put your hands underneath your shoulders and extend your elbows to push your upper body upward. And then come back down. Breathe in at the bottom. Come up, and at the end, breathe out. If you find that this is too difficult or if you find that you cannot bend back as much you can actually put your hands more forward to reduce the curve of the lower back bending. Exercise number four is extension in standing. Just like the directional preference testing, start by putting your hands behind the lower back to help support yourself bending backward. This helps her to restore the range of motion of bending backward for the lower back. However, it doesn't stretch as much as exercise number three, extension in lying, but it is more convenient. You can do it anywhere and anyplace. Now, these are all in a progression from the first to the last version of these.  You want to listen to your body to make sure you aren’t reproducing the pain.  I advise you to hold each position gently for about ten seconds and repeat 6 times.  You can certainly do more if you feel a great benefit and you don’t feel any spasms as a result of doing more than advised.  I like people to try this every hour or so and also as needed when pain might be higher after activity.  Again, this is certainly not the only way to approach back pain and it may not be for everyone, but the McKenzie Method has proven to be very useful for a great deal of our back pain patients.    Please always check with your physician before trying new movements and if your body is experiencing anything that makes you concerned and certainly if that concern is more painful, please consult a physical therapist.  These exercises are safe but work best when monitored by a professional.  www.achievarehab.com info@achievarehab.com 888-929-7677 Click HERE  for more info about the Achieva Rehabilitation In-Home Physical Therapy Program

Your body needs water for each cell, tissue, and organ to function effectively. Especially today as our lives are changing due to COVID-19, our routines may be altered, but staying hydrated should not be an afterthought. Staying hydrated improves your health because your body relies on water to help move junk out of the body, transport nutrients to the cells, lubricate joints, regulate body temperature and improve its overall wellness. I just had this conversation with a new patient of ours this week. His lips were dry and he also wasn't eating very well, yet we were working really hard with him physically. I took ten to fifteen minutes to detail why it's so important to get water into his system so that all his work and recovery would be maximized. Without the water, the work is not as effective. Why Staying Hydrated Is So Important There is a standard recommended amount of water to be taken in a day but the truth is, the amount of water each person needs in a day differs depending on different factors. The recommended 6-8 glasses of water might not be enough for someone who is mostly physically active, especially athletes. This is because an athlete loses more water through sweating hence they will need to take more water to stay hydrated. Drinking water can also reduce the body's response to stress. Hydration makes your body better equipped to deal with stress, both mental and physical. Don't we all need that right now?? Signs of Dehydration The most common sign of dehydration is thirst. Other signs include a dry mouth, headaches, dizziness, dark colored urine, muscle cramps, and exhaustion. However, this does not mean that you should wait for a sign for you to drink more water. The best way to stay hydrated is by drinking adequate amounts of water. Other drinks might quench your thirst but they might end up adding more calories and sugar to your body. If you do not like to drink water, try adding a slice of lemon to give it taste. To help stay hydrated, carry a bottle of water with you and sip on it throughout the day or keep a bottle at your desk. There are also several smart phone apps that can assist in reminding you to stay hydrated throughout the day. Take charge of your health and stay hydrated. It is important that we maintain hydration especially as our lives change. Changes in your life due to COVID-19, like working form home and increased stress, can make us forget some essentials. For more ways of getting and staying healthy, especially those that help your body in the ways that physical therapy can, contact Achieva Rehabilitation. 1-888-929-7677 www.achievarehab.com

What in thee world is that crazy language? Did you say SI Joint? This is a little known joint in the small of your back that people may have never heard of but could be the root cause of your back pain...We've seen many people's lives turned upside down, not being able to enjoy the activities that they love because of their pain, but, not knowing how it can be helped. The SI joint is better known as the Sacroiliac Joint and you know it as the little hard bump on both sides of your low back..that bony bump on each side is your SI joint. If you don’t know the source of your lower back pain, consider your sacroiliac (SI) joint a possible suspect. Even though many people have never heard of it, estimates say that dysfunction of the SI joint is responsible for 15% to 30% of lower back pain cases. The sacroiliac joint(s) can become a source of pain back and leg pain when there is either too much or too little movement in the joints. Inflammation of the sacroiliac joint (sacroiliitis) can also produce pelvic pain and stiffness. What is an SI joint? The SI joint is where your pelvis connects to the bottom of your spine (sacrum). You have one of these joints on each side. SI joints are sturdy and withstand tremendous pressure. They support the weight of your upper body, acting as shock absorbers when energy transfers between your upper body and your pelvis and legs. These joints also support your range of motion when you bend at the hips or twist. Every time you get up from a seat or walk upstairs, you’re putting stress on your SI joints. Daily activities wear down these joints over time. If the joints move too much (or too little), it can lead to pain. What SI joint pain feels like SI joint problems can be characterized by these symptoms: Dull, aching pain on one side of your lower back. Lower back pain that worsens with certain movements, such as getting in and out of a car, bending down, and getting out of bed in the morning. Pain that radiates down behind your upper leg, similar to sciatica. Pain that feels like it’s coming from your hips. Pain caused by SI joint dysfunction can occur on both sides of your body, even though it’s more common to have pain on just one side. Another fact to keep in mind: SI Joint dysfunction is more common in young and middle-aged women. Women who are pregnant or have recently given birth may be more susceptible to SI joint pain What SI joint pain doesn’t feel like Pain caused by SI joint dysfunction doesn’t commonly show these characteristics: Pain that radiates down the leg below the knee. Weakness or numbness in your lower body. If you exhibit these symptoms, your SI joint is not likely the source of pain. How to check for SI joint dysfunction It is recommended you visit a physical therapist to see if you have SI joint dysfunction. Typically they apply gentle pressure using various techniques. These tests may include: Sacral thrust test . Pressure is applied to the back of your hips while you lie face down on a table. Distraction test . Pressure is applied to the front of your hips while you lie face up on a table. FABER test . You lie on your back with one leg straight and the other leg bent, its ankle resting on your straight leg’s thigh. (In this position, your body may look like a figure “4.”) Pressure is applied by gently pushing your bent knee down and out. If these tests reproduce your pain, it may signal SI joint dysfunction. SI joint dysfunction can’t be pinpointed by imaging diagnostics, such as an x-ray or MRI. At Achieva Rehab, SI joint dysfunction can lead to rotation of the pelvis in very short amounts, but, this can cause great pain. We love SI joint rotations because they are fairly easy to manage. Take advantage of our FREE Phone Assessment with our Specialist to see how our brand of Physical Therapy can help you. Get back to being independent and active in your community without pills, injections, or constantly going to the doctor. Click HERE to Arrange Your FREE Phone Assessment.

Hello! I’m Joel J. Digris, a physical therapist with Achieva Rehabilitation’s In-Home Physical Therapy Program. As we age, our risk of falling increases, and falls can lead to serious injuries. Did you know that one in four Americans aged 65+ falls each year? And, unfortunately, falls are the leading cause of fatal and non-fatal injuries among older adults. At Achieva Rehabilitation, we are committed to helping you stay safe, mobile, and independent. To determine if you might be at risk of falling, I’ve prepared a short questionnaire. Answering these questions can help you identify potential balance and fall risk issues that may need to be addressed with physical therapy. Fall Risk and Poor Balance Questionnaire Have you fallen in the past year? Yes No Do you feel unsteady when standing or walking? Yes No Do you worry about falling? Yes No Do you need to use your hands to rise from a chair? Yes No Do you use a cane, walker, or any assistive device for walking? Yes No Do you have trouble stepping up onto a curb or climbing stairs? Yes No Do you often need to hold onto furniture or walls for balance? Yes No Do you feel dizzy or lightheaded when standing up from a sitting or lying position? Yes No Have you noticed a decrease in your ability to engage in activities you enjoy due to balance or mobility issues? Yes No Do you have a fear of falling that limits your daily activities? Yes No Interpreting Your Results If you answered “Yes” to three or more of these questions, you might be at a higher risk of falling and could benefit from a physical therapy evaluation. Here are some standard tests that support the identification of high fall risk: Timed Up and Go (TUG) Test:  Measures the time it takes to rise from a chair, walk 10 feet, return, and sit down. A time greater than 12 seconds suggests a high fall risk. Berg Balance Scale:  Assesses your ability to perform various activities such as standing on one foot or reaching forward. A score below 45 out of 56 indicates a higher risk of falling. Five Times Sit to Stand Test:  Measures the time it takes to stand up and sit down five times. A time greater than 15 seconds is associated with a higher fall risk. Next Steps If you find that you are at risk, don’t wait until a fall occurs. Our in-home physical therapy program can provide you with personalized exercises and interventions designed to improve your balance, strength, and confidence. At Achieva Rehabilitation, we work one-on-one with you, with no distractions, to help you regain your mobility and enjoy life to the fullest. Stay safe and take care, Joel J. Digris, Physical Therapist Achieva Rehabilitation's In-Home Physical Therapy Program www.achievarehab.com info@achievarehab.com 888-929-7677 http://www.youtube.com/@achievarehabilitation6370 Click HERE  for more info about the Achieva Rehabilitation In-Home Physical Therapy Program

Freezing gait is a common and frustrating symptom for many people living with Parkinson’s disease. It can feel as though your feet are glued to the floor, refusing to move no matter how much you try. Meanwhile, the rest of your body may still be in motion, creating a disconcerting disconnect. Fortunately, there are practical strategies to address this issue, empowering you to regain control of your movements. Understanding Freezing Gait Freezing gait often occurs unexpectedly, disrupting your ability to walk smoothly. It may happen when navigating tight spaces, approaching doorways, or turning. The exact cause lies in the way Parkinson’s disease affects the brain’s motor control systems, making it difficult to initiate or continue movement. This symptom is more than just inconvenient; it can increase the risk of falls and injuries. However, with a better understanding of how to manage freezing, you can minimize its impact on your daily life. The Reset-and-March Technique One of the most effective ways to manage freezing gait is to stop and reset. Here’s how: Pause:  When you feel your feet "freeze," stop walking. Take a moment to pause, allowing your central nervous system to recalibrate. This simple step is critical to breaking the freezing cycle. Reset Your Focus:  After a brief pause—about 5 to 10 seconds—shift your mental focus to a new movement pattern. March Instead of Step:  Think about marching rather than stepping. Visualize lifting your knees up high with each step. This movement engages the larger muscles in your hips, which are more effective at breaking through the freeze. Why Does This Work? Marching changes the focus of your movement. Instead of trying to push your feet forward, which may feel impossible, you redirect the effort to your knees and hips. This shift activates different neural pathways, helping you regain momentum and overcome the freezing episode. Additional Tips for Managing Freezing Gait External Cues:  Use visual or auditory cues, like stepping over a line on the floor or walking to the beat of a metronome or music. These cues can provide a rhythm or target to focus on, making movement initiation easier. Environment Management:  Simplify spaces where freezing is most likely to occur. Declutter walkways and avoid tight turns whenever possible. Practice Regularly:  Work with a physical therapist to practice techniques like the reset-and-march approach in a safe, controlled environment. Consistent practice can improve your confidence and reduce freezing episodes over time. Seeking Support Freezing gait can be challenging, but it doesn’t have to control your life. By understanding the mechanics behind it and using strategies like pausing, resetting, and marching, you can take meaningful steps toward managing this symptom. If you or a loved one is struggling with freezing gait or other Parkinson’s-related challenges, consider reaching out to a physical therapist with expertise in Parkinson’s disease. They can provide personalized strategies and exercises tailored to your specific needs, helping you maintain independence and improve your quality of life. Remember, you don’t have to navigate Parkinson’s disease alone—support is always available.

I never heard of Achieva Rehab's In-Home Physical Therapy Program. If I only had a dime for every time that phrase has met my ears, I'd have a lot of dimes. And usually the same folks that work with us after lacking awareness of our In-Home PT program also say that they are so glad that they found us because of the result that they got from our program. If I had a dime for every time I heard that, I'd have a pirate's booty! I'm trying my best to make people aware of what we do and how we do it and why we have overwhelming evidence and feedback that it's simply a better way to help people who are struggling to remain mobile and independent because of pain, weakness, falls, dizziness. So, I hope you will take time to read this and pass it along especially to older people in your lives so that more and more people will know about what we consider a hidden treasure. First, our program structure is exactly the same as any outpatient provider of physical therapy with SEVERAL HUGE DIFFERENCES. The first is that we see our patients in their homes and not a physical clinic. And secondly, because of that, we are able to see our patients one-on-one with no distractions and our complete focus for 60 minute visits. That's what the Achieva Rehab In-Home PT Program is. But, we go a little further...sort of like when you go out for dinner for your birthday and unexpectedly, the restaurant brings you a great big ice cream sundae for desSert...it's quite a great surprise bonus. So, the bonuses that you get with Achieva Rehab: As George Burns said "It's Just You and Me, Kid!" That's right...there are no other patients. There are no phone calls. There are no other therapists. There are no distractions. That allows us to focus 100% of our time on treating, training, and teaching our patients. 60 minutes of time is given completely to the patient. When compared to a traditional clinic with busy therapists and waiting rooms and distractions, that means we provide 2 to 3 times more than what a patient would be getting in a busy clinic. Speaking of waiting rooms...you don't have to get ready to go anywhere and you don't have to wait! We come to you and we get started as soon as we walk in the door! Speaking of busy clinics...you know why they are so busy? Because they have to pay for that clinic and pay for the equipment and funnel that money back to the corporation which guides their judgments....Achieva Rehab's owner is also a treating therapist and the financial bottom line is not the main concern. Speaking of equipment...why is it that people think they need equipment in order to improve their mobility and regain independence? Why do people need equipment to help them get stronger so that they can get out of a chair...let's work on getting out of a chair. Why do people think they need machines in order to do the steps better...let's work on the steps. Why do people think they need machines to improve their balance...heck, I could replicate any balance machine simply with a couch cushion! You don't need machines or equipment!! For anyone who might be skeptical as to what can be accomplished without machines, please see the dozens of reviews we have on our website or on Google or Facebook...those results had zero to do with machines and gym equipment and way more to do with the human spirit and ingenuity of great therapists!! 6. The Grandma Standard!!! Ahhhhh...Grandma (and Grandpa!!)...our Grandma Standard is our simple guiding principle for all that we do. Our decisions, treatment, education, time is given to all our patients as if you were our own grandmother! Simple...you just can't get that from other programs. There are great physical therapy programs out there and if you are affliated with one that works for you and your family, I couldn't be happier. You already know what our profession can do for you. I just want people to know Achieva Rehab's In-Home PT Program is an AMAZING choice for any older adult who is struggling with their independence or mobility. For anyone who is fearful that they may no longer be able to stay home alone or are afraid to go out into the community. Our website is full of information that can help you if you fall into that category and we are always here for you in Schuylkill, Luzerne, Carbon Counties. If you help us spread the word about this program, maybe we can help more people in more counties in PA! Fingers crossed! www.achievarehab.com Phone and Fax: 1-888-929-7677 Be well and do good!

In this blog, we’re going to go over three easy and safe ways to help relieve lower back pain and we're going to do this by focusing on exercises that are going to help lengthen and more importantly, strengthen the muscles that help support the lower back. That way, we can get both quick and long-lasting relief.   These exercises are generally safer because we're going to keep the back neutral or straight so there's no awkward bending or twisting motions that may aggravate the lower back. A note about these exercises, each one works just a little bit differently. They're going to target different muscles. To get the best results, go through them all, use what gives you the most relief. With that being said, let's get started. Let’s start with an exercise I call the dead bug. This one is going to focus a little bit more on the core muscles and the hip flexors which both support the lower back. To get into position, we're going to lie flat on our back in bed or on the floor. Just have your legs roughly about hip width apart and knees bent 90 degrees. So, your knees are pointing up towards the ceiling. Let's start off by focusing on the hip flexors including the psoas muscle which if you're unfamiliar with them can cause leg pain, groin pain, even a lot of lower back pain. This muscle pulls your knee toward your chest. So, if that's what you're experiencing, give this one a try. You're going to overlap your hands and place them right over your knee. The goal is to push this knee towards your chest but you're going to resist against that movement with your hands so allow your hands to win this battle but the more that you press into your hands the more that you're going to feel the muscles right here on the top of the thigh towards the groin start to activate. Hold this comfortably for about three to 5 seconds and then relax and then repeat this on the other side. I like to do this for about 10 repetitions on both sides but if you want to make it more challenging throw in another set or two. So, next we're going to go into the next progression of the dead bug which is going to focus a little bit more on our core muscles. So, let's get back into having our legs at hip width apart on your back, knees bend at 90 degrees (a box corner) with feet off the floor. What you want to do is slowly lower one leg down straightening the knee to the point where it's just hovering above the bed or the floor. In this position, you're really going to feel those core muscles start to fire. Try to hold this comfortably for about three to five seconds. Relax and then repeat this on the other side. Again, try to do this for about 10 repetitions, but you can throw in as many repetitions as you'd like. Next on of the best ways to pretty much strengthen all of the muscles that support the lower back is by doing the pelvic bridge For this one we're just going to lie flat on our back on a floor or in bed let's start off by doing the basic bridge and then I'll show you how to take this one to the next level so let's have our legs roughly about hip with apart, knees bent, feet flat. What you want to do is engage and brace the core muscles. So, imagine somebody trying to poke you in your stomach how you tense up. Hold that position and then also squeeze your glutes. This will help protect the spine. Take your hands, put them off your side for support. What I'd like to do is just gently press my heels into the floor. When you do that, you'll feel the glutes engage a little bit more and then from there, I just raise my hips upward towards the ceiling until my body is in a straight line from my knees to my hips to my shoulders. If you're unable to get into this position because of weakness or pain, like let's say you can only go up a little bit, do the best you can. Hopefully over time you'll gain strength and flexibility. But in this position, you're going to feel the core muscles, lower back muscles, your butt, your legs, everything firing that helps support the lower back. Try to hold this position for about 5 seconds. Relax and then repeat this about 10 times. With each repetition, really focus on trying to build into it just a little bit more. If it feels like you have a little bit more energy, challenge yourself to throw in another set or two.   Exercise 3 is going to focus a little bit more on strengthening the erector spine muscle group which are the muscles that hold us upright so if you get a lot of pain bending forward and then coming back up especially from a standing to seated position definitely check this exercise out. I call it the bird dog hydrant so what we're going to do is start on all fours, hands and knees.  So, what you want to do is just keep one foot flat on the floor and then just slide it away from you, pointing your toes away at the same time. The more that you straighten your leg, the more that you should feel a gentle stretch form in your calf muscle that works upward towards the back of your thigh, into the hamstrings around the hips, into the glutes, into the lower back. Keep pressing out until you feel it in the lower back. Once you feel that, hold this position and then slowly raise your foot up like this so your leg is in line with your body. You're going to feel a ton of muscles start to fire but really focus on feeling it in the lower back. If you don't feel it, just raise your leg up a little bit more. I'm sure that you definitely will start to feel that. Try to hold that comfortably for three to five seconds locking in your middle section muscles, abdominals and back. You're going to relax and then you're going to repeat this on the other side. Do this nicely and slowly for about five to 10 repetitions on both sides but if it feels like you have a little bit more energy, challenge yourself, throw in another set or two. So, to take this one to the next level, you can do what is known as the full bird dog. It's very similar but what we're going to focus on doing is raising one leg up and the opposite side's arm straight out ahead of you, again slowly. So, I have my right leg and my left arm. This position is great because not only will it help strengthen but it will also help improve balance because if you have a lot of weakness, you're probably going to struggle to be in this position. So, really try to focus on controlling this movement as much as you can but give that a try for about five to 10 repetitions on both sides. So, the last movement that we're going to do is called the hydrant and this one is going to focus a little bit more on strengthening the hips especially with the glutes. For this one, instead of taking our foot backward, what we're going to do is keep one knee bent at 90 degrees and just raise it up slightly so it's hovering above the floor sort of like a puppy at a fire hydrant. Now, you know why we call this one the hydrant but keep going up until you feel all the muscles around the lower back and the hip on this side right here start to fire. Hold this comfortably for three to 5 seconds. Relax and then repeat it on the other side but do this one nicely and slowly. Again, for about five to ten repetitions and if it feels like you have some more energy, challenge yourself. Always try to challenge yourself. Go through all of the movements. If you find that one is just helping you out a little bit more at that point, throw more repetitions in. And always remember that you must listen to your body…if your pain is reproduced at any time by these, they may not be right for you without a set of professional eyes watching and adjusting.  They should be challenging but not painful.  And you have to do them consistently to gain some strength. If you have any comments or questions, please leave them below. I'll get back to you as soon as I can. www.achievarehab.com info@achievarehab.com 888-929-7677 Click HERE  for more info about the Achieva Rehabilitation In-Home Physical Therapy Program

In today’s special blog on improving your balance, I will share with you some very powerful principles and strategies you can use. Some will work over time, and others almost instantly. This blog will show you how to actually fight back against balance problems for no cost whatsoever, other than your time. Most people who read this are shocked to discover that there is a definite way to gain life-altering improvement and education regarding your balance without needing a referral from a doctor or speaking one word to your insurance company. So, my challenge to you as you read to this: as you are gaining the knowledge I am going to share, please take some time every day to try out at least one of these 100% natural strategies. It won't take long, and most of them won’t cost you anything but a few minutes of your time. I think you'll be pleasantly surprised by how much better and healthier you will feel for doing so. Why Balance Is Crucial Let’s get started with today’s discussion on balance and falls. Balance is one of those things you might not realize the importance of until you start to lose it. For most of us, balance declines as we get older. For some seniors and elders, poor balance and falling can result from medical issues beyond their control. However, for the majority of people, it is simply a matter of losing strength and losing the natural ability to move the way you did when you were younger. If you don’t think this is a serious issue, consider that falls are the leading cause of death from injury among people aged 65 and older. It only takes one fall to take you off your feet for weeks or months—or possibly to remove your independence entirely. Key Statistic:  The biggest predictor of future falls is having already fallen once. If you or a loved one has fallen once, they are very likely to fall a second, third, or more times. Addressing balance issues early is critical. C-auses of Balance Problems What causes balance problems? There are many causes, and they can be short-term or long-term: Inner Ear Issues:  Infections or a history of ear problems can affect balance. Head Injury:  Previous head injuries can lead to balance difficulties. Medication Interactions:  Always check your medications and discuss potential side effects with your physician. Blood Pressure Issues:  Both high and low blood pressure can cause dizziness, which impacts balance. Neurological Conditions:  Parkinson’s disease, multiple sclerosis, cerebral palsy, and past strokes. Arthritis and Joint Problems:  These can limit mobility and disrupt balance. Multifactorial Disequilibrium:  This term describes multiple reasons contributing to balance problems, often seen in older adults. If activity levels decrease as you age, your fall risk increases. A sedentary lifestyle leads to weaker muscles and poorer coordination, compounding balance issues. This is the most seen reason for balance problems. See this video to learn why: https://www.youtube.com/shorts/-gltZ_ZM7B0 Assessment and Solutions Balance problems are not usually difficult to assess. While some clinicians believe extensive testing is required, a specially trained physical therapist can often use conservative techniques to pinpoint the problem and, more importantly, the solution. Doctors may prescribe medications such as Antivert or Meclizine to manage dizziness. However, these are not solutions; they mask symptoms without addressing the root cause. The number one thing you can do to improve your balance—and yes, it absolutely can improve—is to work with a specialist physical therapist experienced in this type of care. Prevention Tips Stay Active:  Regular exercise, such as walking or stationary cycling, improves strength and endurance. Engage in a Balance Program:  A program run by a specialist physical therapist can target specific weaknesses. Practice Safe Exercises at Home: Standing March:  March in place for 20-30 seconds. Three-Way Kicks:  Stand on one leg and kick in different directions. Side-Stepping:  Walk sideways along a wall for support. One-Leg Stand:  Balance on one leg for up to 30 seconds. Sit-to-Stand:  Rise from a chair without using your arms. Test Your Balance:  Use the Five-Time Sit-to-Stand Test : Stand up and sit down five times as quickly as possible. If it takes longer than 13 seconds, you’re at higher risk of falling and should consider professional help. Take the Next Step Achieva Rehabilitation specializes in treating people with high fall risk and helping them regain independence. Call us at 1-888-929-7677 , schedule a free phone consultation, or arrange a discovery visit at www.achievarehab.com . For more information, check out our blog on Balance and Fall Prevention . https://www.achievarehab.com/blog Remember, balance problems are not a natural part of aging—you can absolutely do something about it! 1-888-929-7677