Physical Therapy vs. Wellness Care and Body Work

What is Physical Therapy (PT)?

Traditional physical therapy is utilized to help clients with functional limitations who show a medical necessity for intervention by a licensed Physical Therapist to help facilitate change and improvements in the body. This may include combination of manual (hands-on) and exercise techniques to help individuals return to more optimal function and then progress independently with a Home Exercise Program, but is limited to therapy that only directly targets your symptom-area.

What is Wellness Care and Body Work?

At Let the Good In, Peter has shifted away from a traditional PT approach alone, so that he can work with your whole body and not be limited to only treating the symptom-area as allowed through insurance-based physical therapy. This will provide you with the best of both worlds, and help you to continue improving beyond your time in therapy.

Let the Good In’s philosophy of “feeling your best starts from within” embodies this shift, and provides treatment and services that empowers you to create your own “wellness.”  

Peter’s hands-on treatment sessions usually last about 1 hour and are typically scheduled 2-4 weeks apart to give your body time to fully integrate the changes from each session. You will achieve more value from each session this way and be more prepared to make more changes at the next session.   

Sarah’s nutritional, herbal and holistic wellness lifestyle consulting and support services are also available to support you.

Understanding Sports Exercise Enhancement Therapy

Did you know that specialized body work can support and improve athletic performance?

A integration of Visceral Manipulation and Physical Therapy principles combined with functional movement through yoga philosophy and exercise physiology provides a superior skill set to help amateur through professional athletes at any age. Peter’s manual therapy allows him to help athletes return from injuries faster and often achieve a higher level of performance than before their injury.

Peter is also an avid and experienced athlete, having competed in many sports at the state and national levels, including achieving All American swimmer status, and brings an athlete’s perspective to your therapy sessions.

Unlike most therapists, his work with clients is not limited to the clinic. Peter will get out into the field with you to ensure you gain the most from your therapy sessions and not return to older, dysfunctional habits that led to your symptoms or are inhibiting your progress.

This includes but is not limited to: working at the driving range with golfers, training on trails with mountain bike riders, running/walking on any terrain with distance hikers and runners and getting into the water with swimmers.

He has also helped people start learning new sports and fitness programs by targeting their technique helping prevent injury and achieve of training goals more quickly. For the yoga and general fitness community, Peter can offer helpful form modifications and fine-tuning as well as yoga sequences, stretching and exercise regimens to safely and effectively improve your strength, flexibility and mobility. This can be designed to support recovery and rehabilitation from injury, as well as performance enhancement.

What is Visceral Manipulation?

Visceral Manipulation therapy is a gentle hands-on approach that helps your body restore motion to areas of pain and compensation. It targets your body’s own healing abilities instead of forcing changes that could cause your body more irritation. As these restrictions begin to improve, areas of your body begin to relax, and health begins to return to your tissues. 

This type of manual therapy based on the work of Jean Pierre Barral, a Doctor of Osteopathy and Physical Therapist in France. Through decades of research and clinical study, he has developed these Manual Techniques to address adhesions and lack of motion inside the body that create pain, symptoms and disease.

The term “disease” translates literally to tell us that when the body is not healthy, there is “dis-ease” — or lack of freedom for the body and its tissues to move and function in harmony. Manual therapy, as a means to help change these areas of tension, has been part of health care for thousands of years, long before modern surgery and medications became available. Dr. Barral has brought together an exceptional anatomical knowledge with extensive clinical experience to develop a better and more precise form of manual therapy, now called “Visceral Manipulation”.

Think about how pain causes you to move a certain body part (or parts) less. From the simplest motions of breathing, to the more complex movements involved in playing sports, the internal part of your body is required to move freely. Without this freedom, your body will compensate and tighten to prevent damage. As tensions increase in number or over a period of time, your body becomes less able to remain healthy without increased effort or restriction of motion, diminishing your health prematurely.

These changes are all too familiar to most of us, in ourselves or friends and family members. With time, these symptoms begin to further manifest or intensify if not addressed.

Visceral Manipulation targets your body’s own healing abilities instead of forcing changes that could cause your body more irritation. As the compensations and motions begin to improve, areas of your body begin to loosen, and health begins to return to your tissues. A person is a “whole organism” made up of many systems. Treating this whole organism requires an approach that integrates all the tissues of the body.

For example: consider back pain. Visceral Manipulation will help address the root cause of your back pain, allowing your nervous system to stop telling your muscles to tighten, thus limiting your spine’s motion and increasing tightness and pain. This allows your trunk to move more easily, which in turn improves digestion and ease of breathing. With improved breathing and blood flow throughout your body, a better level of health and less back pain can be achieved.

Resources + Remedies for Cold Season

It's March, but cold season still seems to be in full swing. Whether you've been in good health, are in the throes of feeling unwell or recently got over something, there's no wrong time to pay attention to self-care and your immune system.Most of the below are available in various forms -- from tinctures to pill supplements, lozenges and teas.When in doubt, always discuss your symptoms and any treatments with your healthcare provider. Information included here does not replace medical advice, and every person and body is different. The info here is based on personal and client experience, as well as research into available scientific data (references included at the bottom of the page, if you like to geek out like we do!).

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Medicinal Herbal Tea (Tisane) for Digestion

This particular tea (technically a "tisane," the technical term for 'tea' that is only herb-based and doesn't actually include proper tea leaves) is one of my favorites at the moment to help assuage upper GI distress like heartburn or GERD, general indigestion or a nervous tummy. It's a specific blend of herbs and roots (sourced in bulk from Fettle Botanic in Portland): slippery elm, licorice, ginger, lemongrass, marshmallow Root, oatstraw, plantain and skullcap.

DIY Medicinal Herbal Tea for Digestion

The general rules of medicinal tea-making applied: boil water, let cool down a few degrees (to 200 F or so), pour into a quart jar, add six* tablespoons of the herbal blend, close with a lid and let sit on the counter for 12-18* hours. Strain (see video below) with a fine metal sieve and/or a cheesecloth or nut milk bag, and store in a clean jar in the fridge, drinking as needed prophylactically or as a soothing remedy.[video width="1920" height="1080" mp4="http://letthegoodin.com/wp-content/uploads/2017/08/20170824_162209.mp4"][/video]*The total amount of tea to use and how long to let it steep varies from one tea/tisane to another, depending on ingredients.

Four Key DIY Habits to Boost Oral Health + Care

Brushing, flossing* and regular dental cleanings may be the three primary cornerstones of good dental health practices -- but there's more you can do to make your mouth even happier. To improve or maintain a healthy mouth -- from fresher breath and healthy oral bacteria to potentially reducing issues like cavities and gingivitis -- consider these oral health practices (we are not affiliated with any brands mentioned below -- they are just products we personally and professionally know, use and trust):

  • Tongue scraping. This is a standard Ayurvedic practice that involves using a tool to gently scrape along the surface of the tongue, back to front, seven to 14 times. It's best done first thing in the morning. Tongue scraping can help eliminate buildup that naturally accumulates on the surface of the tongue. The outermost layer of the top of the tongue is made up of protective dead cells, known as keratin, which can build up and cause issues. Here is a basic tongue scraper available on Amazon.
  • Oil pulling. This is another standard Ayurvedic practice with great potential to support optimal oral health. It simply involves taking a small amount of a certain oil and swishing it around in your mouth (for as little as a minute or two, but doing it longer can potentially offer better results). It can be easier to start with a small amount of oil -- even just half a teaspoon -- and work your way up to a little bit more. As you swish, the volume will increase in your mouth as it combines with saliva. Sesame and sunflower oils are two traditional oil options, alone or as a blend, as is coconut oil (a personal favorite). Remember to not swallow whatever oil you use, and to spit it out in the toilet or garbage, and not in a sink (as pure oil down the drain can cause plumbing issues). Once done swishing, rinse your mouth with warm water. For a truly Ayurvedic approach, the best oil for you to use is dependent on your unique constitution, or dosha. In general, though, unrefined virgin coconut oil is a preferred and readily accessible go-to. Dr. Bronners and Nutiva are two great organic brands, as is 365 Whole Foods organic. There are also blended products available. I've tried and liked the pulling oil made by GuruNanda, but recently have been using and really loving the brand Magic Mouth. The base of Magic Mouth is coconut oil, but it also includes a few other (food-grade, antibacterial, anti-inflammatory, and so on) ingredients that support oral health: xylitol**, diatomaceous earth, neem, peppermint oil and tea tree oil. The oil has a cool feeling in the mouth because of the light mintiness, which can help make the oil pulling experience a little more pleasant especially for newbies. I've actually noticed a change overall since starting to use this product a few weeks ago, after not oil pulling for a while.
  • Mouthwash. Conceptually, this isn't anything new. But I bring it up because if you like or want to use mouthwash, be sure to take a close look at the ingredients list. Many mouthwashes contain alcohol, which is intended to help kill bacteria and act as a carrier for certain other ingredients. But alcohol-containing mouthwashes have also been shown to carry risks that may outweigh the benefits for many -- including dry mouth, corroding of composites, and an increased risk of developing ulcers as well as mouth / throat cancer. The good news is many alcohol-free mouthwashes are readily available today. We have been using and like the options made by Desert Essence.
  • Oral health probiotics. Probiotics play a vital role in our gut health, which in turn directly impacts the health of our whole body. And, no matter how you ingest probiotics -- through supplements, drinks or fermented food -- they can have a systemic effect. You may know about certain probiotic supplements that are designed and formulated to be digested specifically in the intestine. In a similar vein, there are also chewable probiotics geared toward oral health, as well as that of the ears and sinuses. Some dentists seem to be getting on the oral probiotic bandwagon, particularly for products that include good bacteria specific to oral (vs. intestinal) health. Several strains of probiotics in particular, s. salivarius K12 and s. salivarius M18 ("s." = streptococcus), have clinically shown to be protective of the teeth and gums, and also support ear, sinus, and throat health. NatureWise is one brand offering an oral-health-centric probiotic containing these probiotic strains.

Turning these practices into a doable routine might look like starting your day with a gentle tongue scraping followed by oil pulling, and then brushing your teeth. Before bed, brush your teeth again, floss and take an oral health probiotic. Mouthwash can be utilized after either brushing, eating or whenever desired.As always, we encourage you to do your own research, and advocate yourself when speaking with your healthcare providers (dentists included!). Don't be afraid to push for more information when you need it. Have any questions? Send us an email.*It's worth noting that flossing came under debate recently, with some dentists and dental experts questioning its effectiveness in cavity prevention and gum health. While I am not a scientist researching this in a clinical setting, human experience tells me that flossing every day removes visible (and even smaller) food particles that brushing alone doesn't dislodge. Seems like a fairly rational, no-brainer conclusion to assume that removing these things from between your teeth on a daily basis is helpful in preventing bad bacteria and plaque from developing and impacting breath, cavities and gum health.**There has been a lot of debate on the long-term safety of regularly ingesting xylitol, or other sugar alcohols, in any substantial volume. While digestion does begin in the mouth with saliva, the oral health benefits of xylitol seem to outweigh potential risk of the ingredient. So, it appears to have worthwhile value within an oil pulling regimen. As far as food consumption of xylitol, that warrants a separate discussion (coming soon!) -- but in short, we choose to avoid consumption of xylitol or other sugar alcohols.

Additional Resources

The following links feature a range of published data and opinions related to the oral health practices outlined above (ranging from positive to neutral to negative -- need to investigate and understand all sides of an argument!):American Academy of Oral & Maxillofacial Pathology (AAOMP). Hairy/Coated Tongue. AAOMP website. http://www.aaomp.bizland.com/public/hairy-tongue.php. Accessed April 27, 2017.American Dental Association (ADA). Science in the News: The Practice of Oil Pulling. ADA website. Published May 14, 2014. Accessed April 27, 2017: http://www.ada.org/en/science-research/science-in-the-news/the-practice-of-oil-pulling.Asokan S, Rathan J, Muthu MS, et al. Effect of oil pulling on Streptococcus mutans count in plaque and saliva using Dentocult SM Strip mutans test: A randomized, controlled, triple-blind study. J Indian Soc Pedod Prev Dent. 2008;26:12-7.Go Ask Alice Team. Alcohol in mouthwash -- Does it cause cancer? Columbia University, Go Ask Alice. Accessed April 27, 2017: http://goaskalice.columbia.edu/answered-questions/alcohol-mouthwash-%E2%80%94-does-it-cause-cancer.Gutkowski S. An in-depth view of oral probiotics. Dentistry IQ website. Published May 2012. Accessed April 27, 2017: http://www.dentistryiq.com/articles/2012/05/gutkowski-probiotics.html.Nagelberg, RH. Oral Probiotics. Dental Economics website. Accessed April 27, 2017: http://www.dentaleconomics.com/articles/print/volume-102/issue-10/practice/oral-probiotics.html.Nayak PA, Nayak UA, Khandelwal V. The effect of xylitol on dental caries and oral flora. Clin Cosmet Investig Dent. 2014; 6: 89–94. Published online 2014 Nov 10. doi: 10.2147/CCIDE.S55761Ozer S,  Tunc E, Tuloglu N, et al. Solubility of Two Resin Composites in Different Mouthrinses. BioMed Research International. 2014; 580675: 4. Published April 7, 2014. doi: 10.1155/2014/580675.Patel S. The Benefits of Tongue Scraping. Chopra website. Accessed April 27, 2017: http://www.chopra.com/articles/the-benefits-of-tongue-scraping.

Peedikayil FC, Sreenivasan P, Narayanan A. Effect of coconut oil in plaque related gingivitis -- A preliminary report. Niger Med J. 2015 Mar-Apr; 56(2): 143–147. doi: 10.4103/0300-1652.153406.
Wescombe PA, Hale JDF, Heng NCK, et al. Developing Oral Probiotics from Streptococcus salivarius. Future Microbiol. 2012;7(12):1355-1371. Published online: http://www.medscape.com/viewarticle/777316_4. Accessed April 27, 2017.

 

These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure, or prevent any disease.

Functional Fitness and Krav Maga

What is "functional fitness"? Functional fitness includes exercise that typically focus on enhancing strength, agility and/or flexibility for purposes beyond simple fitness, but to also help us to better complete everyday or other specific kinds of tasks. A perfect example of functional fitness are various types of martial arts or self-defense.Krav Maga is one such type of functional fitness. Originally developed as a self-defense system for the Israeli Defense Forces and Israeli security forces, Krav Maga classes and trainings are now available around the world for laypeople, at gyms or Krava Maga-specialty studios. (In the Portland, Oregon area, check out Krav Maga Portland.)Ross Cascio, an expert level instructor with Krav Maga Worldwide with more than a decade teaching Krav Maga self-defense, fight, and fitness classes, was generous enough to share the following core Krav Maga movements with accompanying directions. This can all be practiced at home (solo -- no hurting any partners here!) as a means of both exercise and learning useful self-defense approaches. Here's what he had to share:

  • Krav Maga Fighting Stance - Stand with your feet just a little further than hip-width apart. If you are right handed, take one step forward with your left foot; if you are left-handed take one step forward with your right foot. Keep a little bend in your knees. Keep your hands open and out in front of your face (palms away). Keep your elbows in and your chin tucked. Practice moving in your stance by always stepping with the foot closest to where you want to go, and pushing with the opposite foot.
  • Krav Maga Straight Punch - From your fighting stance rotate your body so that your shoulders and hips turn and your arm drives straight out in front of you. Imagine striking the target with your top two knuckles (pointer and middle finger). Remember; when you punch involve your whole body. If your hips and shoulders aren't turning behind the punch you aren't making the strongest strike possible. Recoil the punch back to the original position in a straight line.
  • Krav Maga Hammer Fist - From your fighting stance, rotate your hips and shoulders exactly like you would for a straight punch...instead of making the strike with your knuckles, send the bottom of your closed fist (bottom of your pinky) toward the target, as if you were going to hammer a nail into a board directly in front of you. Recoil your strike directly back to the original hand position in fighting stance.
  • Krav Maga Front Kick To The Groin - From your fighting stance, drive your hips and back knee forward, then let your lower leg unfold, with foot flat and your toe pointed forward (not up) as if you were going to cut a person in half, through their groin, with the top of your foot. A flat foot provides the widest striking surface, and offers the best chance of doing damage to the target. Recoil your leg to the back position, and the original fighting stance.
  • Krav Maga SPRAWL! - From your fighting stance, bend your knees until your hands can touch the ground. Supporting yourself with your hands, jump your feet back as if getting into a push up position, let your hips drop low to the ground while your head and chest stay up and you look to the ceiling or in front of you, not down. Pop up directly to your fighting stance. A sprawl is used to defend against someone grabbing your legs and lifting you off the ground or tackling you. If you drop your hips fast and explosively when someone tries to grab you around the waist, you can free yourself from the grip and smash that person down to the ground. The movement is similar to a burpee when practiced alone.
  • Move around in your fighting stance, do 100 punches, 100 hammer fists, 100 front kicks, and 20 sprawls and you'll get your heart pumping pretty well!

Try it in front of a mirror to get started. Krav Maga is certainly something worth considering in-person instruction for, especially if you are just beginning to explore this and/or want to advance your training. But the above pointers may offer a helpful taste of what to expect with Krav Maga... and if nothing else, may help break up your day and get you moving around your living room or office with some new (and functional) exercise inspiration!

As with any type of fitness regimen, especially when starting something new-to-you, work within your comfort and abilities and always check with a healthcare provider about any concerns or questions.

 

The Best Barre

Barre is a fun and effective workout style that can accommodate a broad spectrum of fitness levels and experience, and nicely complements other types of exercise. As barre workouts have become so immensely popular, there are now so many classes available, -- especially in more suburban and urban areas -- from regional and national chains / franchises to individually-owned and -designed classes/studios, as well as barre-style classes offered as part of larger gyms. I've taken many classes at a variety of these studios around the country, and for a number of reasons I have come to find barre3 to be my favorite:

  • While there is a similar flow to each class, the "routine" differs each time. This keeps the classes fresh and interesting (no boredom!), and perpetually good for your body (no staleness!)!
  • The instructors are consistently very good at what they do. Friendly, fun and knowledgeable. Importantly, they are approachable and regularly offer a spectrum of modifications for any given exercise -- to make it easier, adjust for any physical restrictions, or make it more challenging.
  • The cues given on alignment and form are very appropriate with both safety and effectiveness of exercise in mind. (This is one particular area where I've had frustrations with several other barre studios -- I've found the approach of some regarding spine, pelvis and core positioning and engagement to be not only uncomfortable, but risky.)
  • The overall environment and vibe is really enjoyable. Yes you're there for a tough workout, but that's balanced by a very supportive, friendly an relaxed atmosphere. The emphasis is placed on working within your personal comfort zone, and identifying your own threshold and pushing yourself safely. And the focus is, appropriately, on strength and wellness vs. aesthetics. No talk of "trouble zone" nonsense here (at least not in my experience).
  • The studios are comfortable and clean (admittedly a very subjective point, but I love the cork-based floors at barre3 compared to carpeting at some other studios).

The barre3 studio in Southeast Portland is particularly fantastic, from the instructors and staff to the space itself (welcoming, well-appointed and full of natural light).The one real negative is common with pretty much all workout studios, in that it is fairly expensive. So, it's always worth looking into new student discounts, Groupons, package deals and other promotions (sometimes there are additional discounts around holidays). There are also online classes available for a much lower price than in-studio. Barre3 is one studio where I'd recommend in-person classes to just about anyone, even if only one class once in a while to change things up and awaken your body a little bit differently.Save

A Word (or two) on "Yoga Bodies"

With the new year, there's been a onslaught of promotional marketing around various fitness programs and regimens, including many centered around some form of yoga. To that I say, great! The more people that become inspired to practice yoga, the better.However.There is a negative message between the lines of a lot of the language I've seen, and I don't like it: the implication that, in terms of yoga, one must look or be a certain way to "achieve" a "yoga body".Well. There's a not-so-secret secret you should know...Despite all that noise, there is nothing you need to do to get a "yoga body".You already HAVE a yoga body.EVERYBODY has a yoga body. It's the one you're born with.No matter your size; whether you're a seasoned yogi or just testing the waters; your level of fitness or physical abilities; your shape, height, sex, age, etc. etc. -- you have a yoga body.Take a moment, sit quietly, inhale and exhale deeply through your nose if possible, and focus on your breath. Therein lies one of the simple yet profound foundations of yoga (that can become all the more profound and layered the more you do it!). Move into asana if you want to and can (and that too can look like many different things), or focus on other yoga forms. Explore, and keep exploring, and see what feels right for you.Like with anything, progress takes time. But yoga is about the process and the now.Just don't get deterred by what you think yoga "should" look like. Focus on the physicality of yoga from a structural, safety, cuing and health standpoint.Yoga is not about looking a certain way. It does not discriminate. It's a practice and an intention. It's collective and individual. And it's for everyone -- or, at least, anyone who wants it.

Recipe: Berry Banana Superfood Sorbet Bowl

Recipe: One Bowl Banana Bread (vegan + gluten free)

In our house, banana bread is a classic, never-tired, go-to thing to bake. It can be varied in so many ways - made more quick-bread-like or more cake-like / sweeter or lighter / etc. It can take on the traditional loaf shape, or be turned into muffins or a sheet. And it's one of those rare things that can seem particularly decadent while actually being quite healthy. Anything that is both breakfast and dessert-appropriate is a good thing!While I have a couple of tried and true banana bread recipes I've created, I still really love experimenting with it and discovering little nuances based on recipe variations -- and realized last night I had 3 very brown bananas sitting in a basket on the kitchen counter. Add to that a snow storm coming today, it was time to bake!I was looking for simple, healthy and a recipe for which I already had all of the ingredients stocked. And, I wanted to try something new and different. A recipe by Minimalist Baker caught my eye for being one-bowl (doesn't get much easier than that!), vegan and gluten-free -- and included whole oats, which I haven't previously baked into banana bread.The results were awesome! You can get Minimalist Baker's recipe for nutella banana bread by clicking here, and following are the adjustments I made:

  • Used Bob's Red Mill 1:1 gluten-free flour blend where the recipe calls for gf flour

  • Used gluten-free old fashioned (vs. quick) oats

  • Added a tablespoon of chia seeds

  • Used 1/2 tbsp vanilla

  • Added an extra pinch of salt

  • Added a shake or two of ground cinnamon

  • Replaced brown sugar with raw cane sugar and 1/2 tbsp molasses

  • Used coconut sugar where it was called for

  • Omitted nutella and instead added a large handful of chocolate chips (folded into the batter once all other ingredients were combined)