Sunday, August 22, 2010

North Carolina Physical Therapy Clinics Interested in Treating HMS

Below is a list of physical therapy clinics in North Carolina which are either knowledgeable about, or have experience treating patients with Hypermobility Syndrome. Physical therapy is by far the most effective way to treat HMS, however, it must be done properly. If you do exercises that are too strenuous, you can do more harm than good, but if you don’t do enough, then you won’t be able to effectively reduce pain. That’s why working with a PT who has experience with other HMS patients is great. If, however, you don’t live in North Carolina or are not near any of the clinics on this list, don’t worry – you don’t necessarily have to find a PT who is an expert at treating HMS (and honestly, there are only a few handful of those in the world), finding a therapist who will listen to your concerns and is willing to do some research about your condition can be just as good, if not better. When you start physical therapy, let your therapist know about your condition, and warn them that you shouldn’t be treated like an athlete - you should not be pushed to increase reps and weight at a fast paste, nor should you begin with rigorous exercises. Instead, let your therapist know that you need to be handled gently – start out with gentle exercises, increase reps slowly, and NEVER do anything that hurts. The things you should focus on with your PT are core strength, joint stability, and balance. Manual manipulations and chiropractic treatment should be kept to a minimum. Make sure that when you are doing exercises that you are not putting too much stress on your joints – if so, ask the therapist if there is another way to work the same muscle groups without having to strain your joints. Activities such as Pilates, swimming, and tai chi are also great ways to exercise that are kind on the joints and are things to talk about with your PT, who might incorporate some elements of those activities into your therapy.


Physical therapy is critical to managing the symptoms of Hypermobility Syndrome, but must be approached with caution. I saw a PT for months but ended up with more, rather than less pain – but I was told that was a good thing. The whole ‘no pain no gain’ mentality, however, does not apply to HMS. You need to find a therapist that is kind, attentive, and who will not push you too hard. It can be hard and sometimes take time to find a therapist like that, but it is well worth the wait. Before entering PT, do some shopping around so that you know you are going to get the right person and the right treatment.


Best of Luck! And remember, if you have any questions about physical therapy, or HMS in general, feel free to contact me.


Love and Hope,

Chelsea




MOUNTAIN PHYSICAL THERAPY SERVICES

90 SOUTHSIDE AVE, SUITE 225

ASHEVILLE, NC 28801

www.mountainphysicaltherapy.com


CAROLINA PHYSICAL THERAPY SPECIALISTS

PO BOX 408

Hope Mills, 28348

910-429-0600


TOUCH THERAPY SERVICES

PO Box 16518

Asheville, NC 28816

828-665-0442

touchtherapyservices@charter.net


KERNSERSVILLE REHAB SPECIALISTS

1031 E. Mountain Street Blv

Suite 101

Kernsersville, NC 27284

336-996-4980

www.KRStherapy.com


CENTER FOR ORTHOPEDIC PHYSICAL THERAPY

417 BILTMORE AVE.

5B DOCTORS PARK

ASHEVILLE, NC 28801

828-255-4567

copt@bellsouth.net


BALANCED PHYSICAL THERAPY

304 WEAVER STREET, SUITE 103

CARRBORO, NC 27510

and

HWY 54

DURHAM, NC 27713

www.BalancedPT.com


GASTON REHAB ASSOCIATES, INC.

1361-B E. GARNSON BLVD

GASTONIA, NC 28054

And: 2809 AMITY HILL RDSTATESVILLE, NC 28677

704-864-4424

www.gastonrehabassociates.com


BREAKTHROUGH PHYSICAL THERAPY

530 SANDHURST DR.

FAYETTEVILLE, NC 28304

910-483-9300

www.RedefiningPT.com


MOTIONWORKS MANUAL PHYSICAL THERAPY, INC.

1314-C WAYNE MEMORIAL DR.

GOLDSBORO,NC 27534

919-734-9644


SPORTS AND MORE PHYSICAL THERAPY, INC.

8300 HEALTH PARK SUITE 127

RALEIGH, NC 27615

919-319-6160

and

3700 NW CARY PARKWAY

CARY, NC

27513

919-319-3649

www.sportsandmorept.com


PHYSICAL THERAPY OF NORTH CAROLINA, LLC

4214 N. ROXBORO ST SUITE 100

DURHAM, NC 27704

919-479-9001

ptofnc@verizon.net

heelgrad93@msn.com


ATHLETIC ADVANTAGE, INC. SPORTS PHYSICAL THERAPY

5107 SOUTHPARK DR. SUITE 103

DURHAM, NC 27713

919-484-0033

www.AASports.com


ATLANTIC PT AND REHABILITATION

3650 COALITION DR.

MYRTLE BEACH, SC 29578

843-293-7713

MARTHA LEWIS PT


MILLS RIVER PHYSICAL THERAPY

4687 BOYLSTON HWY

MILLS RIVER, NC 28759

828-890-0040

lacy@millsriverpt.com


CENTER FOR PERFECT BALANCE

245 ROSMAN HWY

BREVARD, NC 28712

828-966-9036

perfectbalance@citcom.net


SKYLAND FAMILY REHAB

333 GASHES CREEK RD. SUITE A

ASHEVILLE, NC 28803

828-299-4636

skylandrehab@bellsouth.net


CAROLINA PHYSICAL THERAPY SPECIALISTS

905-B OLD WINSTON RD.

KERNERSVILLE, NC 27284

336-992-2787

www.carolina.com


CEDAR HILL PHYSICAL THERAPY

5409 WHITE BLOSSOM DR.

GREENSBORO, NC 27410

PAUL WEISS and ANGELA COOK

336-644-9661

info@cedarhillpt.com

www.cedarhillpt.com


ASHEVILLE PHYSICAL THERAPY

76 PEACHTREE RD., SUITE 204

ASHEVILLE, NC 28803

828-277-7547

kimfoxpt@gmail.com

brianLawLer@jno.com


CAPE FEAR FAMILY MEDICAL CARE

405 Owen Drive

Fayetteville, NC 28304

KATHERINE J. GRIESSER

910-263-7438

www.bodymechanics.com

Monday, January 18, 2010

Good News for HMS Research!

The University of Michigan's Genetics department has recently teamed up with the Ehlers-Danlos National Foundation to create a 'comprehensive Hypermobility database.' To that affect, the University of Michigan is conducting a survey of Hypermobile patients now through March which focuses on 'their full range of symptoms, treatment efficacies, and experiences with the healthcare community.' This information is absolutely vital, as much of the scepticsm of the healthcare community towards HMS stems from a lack of sufficient data about how HMS impacts a patient's daily quality of life. The information collected in this survey will help to serve future generations of HMS patients, so please take the time to help out.

Anyone with EDS type III/HEDS/HMS/BJHS is welcome to take the survey (you do NOT have to be a member of the EDNF), and please encourage your hypermobile friends and familymembers to participate as well. Under the 'diagnosis' column please select 'other' and then enter 'Hypermobility Hope' if this website has helped you find answers to your diagnostic questions, it will be much appreciated!

The survey can be found here and takes about 45 mintues: http://www.ednf.org/index.php?option=com_content&task=view&id=1862&Itemid=88889153

Wednesday, December 23, 2009

Thumb Joint Pain

Hypermobility Hope was recently recognized by ThumbJointPain.net in their Blog Award section, and was the featured blog for the week of December 21st, receiving 4.5 out of 5 stars! Please check out their website where you can tons of great information about relieving muscle pain from thumbs to shoulders to hips!

Love and Hope,
Chelsea

http://thumbjointpain.net/thumb_pain.php

Monday, December 21, 2009

Think You Might be Hypermobile? Take these Tests Below!

TOP 5 HMS SYMPTOMS

1) Increased Flexibility – ‘double-jointedness,’ majority of joints extend past 180 degrees
2) Skin – extra soft, silky-smooth skin that is very thin, easily bruises and is slow to heal, scarring that is characteristically smoother in texture and lighter in color than surrounding skin
3) Frequent Injury – accident prone and clumsy, due to decreased proprioception (the body’s sense of its own movement through 3D space)
4) Anesthesia Problems – anesthetics (such as novicaine and lignocaine) take longer to take affect and ware off faster than normal
5) Joint Pain – frequent joint pain which does not respond to typical treatments such as ice, rest and anti-inflammatory medication, can be brought about suddenly without any direct injury or trauma and lasts longer than normal muscle inflammation

- If these symptoms sound familiar, it may be worth investigating Hypermobility Syndrome as a possible diagnosis to help explain your medical problems. Below you will find the Beigton Test and Brighton Criteria, the two medical tests used along with family history and certain exclusionary exams (such as Xrays, MRIs and blood work) in diagnosing HMS. First, use the Beighton Test to see if you have Generalized Joint Hypermobility, the primary symptom of HMS, which can be determined by a score of 4/9 or higher. Then, use the Brighton Criteria to asses whether or not HMS is the likely cause of this characteristic increased joint flexibility. Since HMS is a genetic disorder, it may be beneficial to have other family members perform these tests, or to at least have an accurate and detailed family health history at hand. If the Beigton Test and Brighton Criteria indicate that HMS is likely, it may be beneficial to talk to your doctor about Hypermobility Syndrome and Ehlers-Danlos.

*Arthralgia = joint pain

New Study into the Impact of Medical Prejudice on HMS Patients

There is an excellent new study out this month in the Disability and Rehabilitation Journal, which investigates the effects disrespectful encounters with health care professionals has on Ehlers-Danlos and Hypermobility Syndrome patients. The study found that these negative experiences are not only psychologically and emotionally damaging, but can adversely influence the long-term health of such patients who are often hesitant to seek medical assistance. Below you can find an abstract of the study as well as a link to a newspaper article which provides another great overview. This study sets an excellent precedent for future investigations into the impact of Hypermobility on patients’ lives, as well as the consequences of the current hostility of the medical community towards the disorder.



DIGNITY NOT FULLY UPHELD WHEN SEEKING HEALTH CARE: EXPERIENCES EXPRESSED BY INDIVIDUALS SUFFERING FROM EHLERS-DANLOS SYNDROME

Berglund B, Anne-Cathrine M, Randers I. Nursing Division, Department of Medical and Surgical Gastroenterology, Karolinska University Hospital, SE-141 86 Stockholm, Sweden.

Aim - The principle of human dignity has assumed importance in ethics and constitutional law throughout the 20th century in the Western world. It calls for respect of each individual as unique, and of treating him or her as a subject, never as a mere object. As such, the principle constitutes an ethical cornerstone in health care. Patients suffering from Ehlers-Danlos syndrome (EDS) challenge medical care and knowledge in health-care professionals' as symptoms sometimes are vague. Individuals with this disorder have reported not being respected when seeking health care.

Purpose - To describe encounters in health-care situations when individuals suffering from EDS experienced that their dignity was not fully upheld. A further aim was to describe the long-term consequences of these experiences.

Method - A study-specific questionnaire was designed, where individuals with EDS described their encounters with health care from a personal perspective.

Results - After qualitative content analysis, the following five categories were identified: 'Being ignored and belittled by health-care professionals,' 'Being assigned psychological and/or psychiatric explanations', 'Being treated and considered merely as an object', 'Being trespassed in one's personal sphere' and 'Being suspected of family violence'. Consequences of these encounters were 'Mistrusting the physician' and 'Risking bad health'.

Conclusions - The memory of not being respected is substantial for individuals with EDS and can last for years. As a result, lack of trust for the health-care system is created and they may experience difficulties in future encounters with health care. Therefore, health-care professionals should base their actions on norms that protect human dignity and confirm each patient as a unique human being with resources and abilities to master their own life.

http://www.emaxhealth.com/1275/39/34644/ehlers-danlos-syndrome-patients-seek-respect-understanding.html

Saturday, December 19, 2009

New HMS Article


Please check out my new article in the Daily Tar Heel, the University of North Carolina at Chapel Hill's on-campus newspaper. It is more of a human interest piece than about awareness, but being able to put a face to the disease is extremely useful in getting people to care. Please read and pass along the hope to others!
http://www.dailytarheel.com/content/student-learns-be-flexible

Friday, September 25, 2009

Hypermobility Myths Dispelled

There is so much material out there detailing every possible facet of Hypermobility Syndrome, so why, one may ask, have most Doctor's not heard of it and/or continue to ignore it? There are four major reasons why HMS is not taken seriously, but as you will see, all of these reasons can be easily dismissed. There is no excuse to be ignorant of HMS, it is a real threat affecting the lives of hundreds of thousands of individuals, so its time to do something about it – lets start spreading awareness and hope!

1) Myth - Hypermobility is a benign condition, so there is no incentive to diagnose it.
Truth - When it was first identified in medical literature in the late 1960s, Hypermobility Syndrome was named 'Benign Joint Hypermobility,' because it was first noticed in patients who were 'double-jointed' but otherwise appeared to be perfectly healthy. Numerous studies in more recent years have linked HMS to very serious disorders such as fibromyalgia and osteoarthritis in addition to its threat of debilitating joint pain. Despite all the evidence to the contrary, Hypermobility is still considered as more of an oddity, a parlor trick, than a serious medical condition.
When I was struggling with finding a diagnosis, I visited the Emory Hospital Pain Management Center in Atlanta, GA which is one of the most prestigious pain management centers in the south east. I was seen by Dr. Baumann, who was named one of Atlanta's Top Doctors for pain management in the August, 2001 edition of Atlanta Magazine. When I arrived I had already received a positive diagnosis of hypermobility, but when I mentioned this, the doctor immediately dismissed it. She told me that I had 'myofacial pain syndrome' (which is just a medical descriptive term, rather than diagnosis, of generalized muscle pain). She told me that there was nothing that could be done, and that I would 'just have to learn to deal with my condition, like the way a person with diabetes or obesity manages their condition.' This comment illustrates that even medical professionals at the top of their fields can be ignorant of the fact that Hypermobility severely affects the health and lives of many individuals. If Dr. Baumann, an award winning doctor, is misbelieving of the significance of HMS, what can be expected of the average family doctor, pain management specialist or rheumatologist?

2) Myth - Since Hypermobility Syndrome is a genetic disorder and therefore cannot be ‘cured’ either through surgery or pharmaceutical treatments, there is no money to be made in researching or treating the disorder.
Fact – The misdiagnosis of patients with Hypermobility Syndrome costs hospitals, doctors, and insurance companies countless dollars due to unnecessary tests and being sent to superfluous specialists. Most Hypermobile patients are bounced from doctor to doctor, and specialist to specialist for months, and sometimes years on end in search of relief. In the process they often miss work and have very costly yet unnecessary tests done, draining the money and time from an already overloaded medical system. If doctors and specialists were to diagnose HMS proactively, they could save their patients from pain and save themselves money in the process. In just five minutes, with a simple test of a patient’s flexibility and family as well as personal health histories, a definitive diagnosis can be made without costing a dime!

3) Myth – Hypermobility Syndrome is just a Women’s Issue. These healthy young girls complaining of inexplicable pain just need to toughen up and stop whining!
Truth – while HMS affects 5% of the female population, it affects men as well. Patients should be respected and trusted, it takes courage to ask for help and terrifying to be admonished by the very people who are supposed to help you. Also, another problem is that many girls with Hypermobility perceive the disorder as an asset rather than a liability. Hypermobility causes certain ‘feminine’ body characteristics, such as silky-smooth porcelain skin, elongated and dainty limbs and digits, and tiny wrists and ankles. Also, the natural flexibility that Hypermobility causes makes many girls highly desired by gymnastics, cheerleading, and dancing coaches, activities in which they excel do to the competitive edge their inherent flexibility and range gives them.

4) Myth – Hypermobility is so rare, one could not really be expected to have heard of it, let alone be able to recognize it in others.
Truth – HMS is extremely common, Ehlers-Danlos Syndrome Type III Hypermobility Syndrome alone affects 5% of all women! Almost all of us has at least one ‘double-jointed’ friend who has freaked us out or entertained us with their abnormal flexibility and contortions. Also, many models and actors/actresses are Hypermobile too – two of the affects of the collagen imbalance that causes HMS are silky-smooth skin and long, lean, dainty limbs, which gives them a natural advantage on the red carpet. See the pictures below of celebrities who are hypermobile and may not even know it!

Below - Allison Harvard (Runner-up America's Next Top Model Cycle 12), Jessica Stroup (Actress 90210), Demi Lovato (Actress Camp Rock, Singer), Meaghan Jette-Martin (Actress 10 Things I Hate About You TV), Kevin Jonas (Musician The Jonas Brothers), Taylor Mommsen (Actress Gossip Girl), Mary-Louis Parker (Actress Weeds), Jennette McCurdy (Actress iCarly), Ashley Argota (Actress True Jackson), David Caruso (Actor CSI:Miami)