NEWS
& TIPS From
YOUR
Primary Care
Physical
Therapists
in Manchester,
NH
Wishing
you
joy,
happiness
and great
health
in
2010
from
all
your
friends
at Manchester
Sports
Medicine!
Direct
Access
You
have
the
choice!
We Want
to Be
YOUR
Primary
Care
Physical
Therapist.
Lou
Zollo,
MSPT
Manchester
Sports
Medicine
Manchester
Sports
Medicine
will
help
you
SAVE
TIME
and
MONEY
and
HELP
YOU
GET
BETTER
FAST.
We
should
be
your
FIRST
point
of
contact
for
your
injury.
If
you
haven't
seen
your
healthcare
provider or
your
appointment
isn't
for
a
couple
of
days,
call
us!
We
make
every
attempt
to
see
you
right
away
~
usually
within
just
a
day
or
two.
If
we
feel
physical
therapy
would
benefit
you,
we'll
suggest
what
your
next
step
should
be.
NO
REFERRAL
NECESSARY
For
most
insurance
plans
including
Medicare!
Welcome
to
our
Winter
Edition
Newsletter!
We
hope
you
find
our
latest
newsletter
informative
and
interesting.
We
always
value
your
input
so
feel
free
to
drop
us
a
note
or
email
and
we
may
feature
your
suggestion or
testimonial
in
our
next
issue. Keep
warm
this winter
and
hope
to
see
you
in
2010!
The
Manchester
Sports
Medicine
Team
Snow
Days
and
Back
Pain by
Lou
Zollo,
MSPT
As
the
snow
begins
to
fly
in
New
Hampshire
during
the
winter
months,
we
are
faced
with
a
daunting
task
of
shoveling.
The
physical
demands
of
shoveling
are
probably
obvious
to
most
of
us
who
have
done
it.
One
issue
that
may
not
be,
is
the
extreme
stress
and
strain
that
is
placed
on
our
lower
backs
as
we
try
to
perform
this
task.
The
position
of
leaning
forward
puts
significant
strain
on
our
lower
backs
but
then
add
in
the
additional
length
of
a
shovel
with
a
load
of
snow
on
it
and
that
increases
the
strain
dramatically.
Other
then
hiring
someone
to
do
the
shoveling
for
you,
there
are
some
steps
you
can
take
to
try
to
minimize
the
stress
and
strain
placed
on
your
lower
back.
One
of
the
first
steps
that
may
help
to
decrease
some
of
the
strain
would
be
to
shovel
the
snow
more
frequently,
meaning
do
not
wait
until
the
end
of
a
storm
to
begin
shoveling.
It
may
be
helpful
to
shovel
2-3
times
during
a
storm
to
decrease
the
amount
of
snow
you
are
trying
to
move
with
each
scoop.
If
that
is
not
an
option
another
step
would
be
to
avoid
"twisting"
movements
while
shoveling.
It
is
safer
for
your
lower
back
if
you
"scoop"
up
the
snow
and
turn
your
whole
body
to
dump
it
rather
then
twist
or
rotate
your
body.
This
is
a
little
more
time
consuming
but
overall
it
is
a
more
back
friendly
option.
The
last
step
that
would
be
helpful,
not
just
in
the
winter
but
all
season
long,
is
to
make
sure
you
are
participating
in
some
sort
of
cardiovascular
and
weight
training
activities
to
increase
your
overall
health.
Included
in
that
should
be
some
"core"
strengthening,
lumbar
stretches
and
hip
stretches.
Taking
this
proactive
step
would
certainly
go
a
long
way
in
making
shoveling
snow
safer
and
easier
for
you.
As
always,
in
the
event
that
shoveling
or
any
other
activity
results
in
pain
or
dysfunction
Jason,
Dan
and
I
are
here
to
answer
any
questions
you
may
have
as
well
as
treat
your
injury.
Please
enjoy
your
winter
activities
and
feel
free
to
call
or
email
us
if
you
have
any
questions
regarding
any
musculoskeletal
issues.
Your
feedback
on
the
content
of
this
newsletter
is
also
welcome.
Please
send
us
your
questions,
comments,
thoughts,
or
concerns.
Have
a
safe
and
happy
holiday
season!
Ask
the
Physical
Therapist
We
received
a
question
submitted
to
the
newsletter
asking
the
following
Question:
I
was
referred
to
PT
by
an
NP
in
the
emergency
room
at
the
hospital.
I
strained
my
back
after
slipping
on
leaves.
I
have
noticed
a
growing
number
of
Nurse
Practitioner's
in
health
care.
Could
you
explain
what
the
difference
is
between
an
MD
and
an
NP?
Can
an
NP
diagnose
and
treat
my
illnesses?
Can
they
both
refer
me
to
specialists?
Are
NPs
qualified
to
practice
without
the
direct
supervision
of
a
physician?
Why
are
we
seeing
more
NPs
practicing
in
this
region?
Thank
you...
M.A.
in
Manchester,
NH.
We
referred
this
question
to
local
private
practice
owner
Wendy
Wright,
APRN.
Wendy
is
a
local
expert
on
NP's
as
she
is
very
active
in
the
promotion
and
education
of
NP's
on
a
national
level.
Wendy
is
also
the
owner
of
Wright
and
Associates
Family
Healthcare
in
Amherst,
NH.
MSM
would
like
to
thank
Wendy
for
taking
the
time
to
answer
this
question
for
our
winter
newsletter.
Dear M.A.
Thanks
so
very
much
for
that
question! You
are
definitely
correct
in
your
observation!
In
fact,
there
are
a
growing
number
of
nurse
practitioners.
At
present,
there
are
approximately
130,000
nurse
practitioners
in
the
United
States
and
approximately
1300
in
New
Hampshire.
From
the
days
of
our
inception
43
years
ago,
nurse
practitioners
have
become
more
recognized
by
patients,
as
well
as
other
members
of
the
healthcare
community.
These
men
and
women
are
currently
providing
approximately
25%
of
all
primary
care
and
50%
of
all
women's
healthcare.
Given
the
decreased
number
of
primary
care
providers,
nurse
practitioners
are
helping
to
fill
a
widening
gap
in
the
accessibility
to
primary
healthcare.
NPs
are
advanced
practice
nurses
that
provide
high-quality
healthcare
services
similar
to
those
of
a
Medical
Doctor
(MD).
NPs
diagnose
and
treat
a
wide
range
of
health
problems
and
stress
both
care
and
cure.
Besides
clinical
care,
NPs
also
focus
on
health
promotion,
disease
prevention,
health
education
and
counseling.
They
often
help
patients
make
wise
health
and
lifestyle
choices.
In
New
Hampshire,
nurse
practitioners
practice
independently
and
do
not
require
supervision
of
a
physician.
However,
you
are
most
likely
to
see
them
working
alongside
physicians.
NPs
have
graduate,
advanced
education
and
clinical
training
beyond
their
registered
nurse
preparation.
Most
have
master's
degrees
and
many
have
doctorates.
NPs
are
licensed
to
practice
in
all
states
under
the
rules
and
regulations
of
the
state
in
which
they
are
licensed.
The
faith
that
patients
have
in
NPs
is
shown
by
the
almost
600
million
visits
made
to
NPs
each
year.
More
and
more
people
are
choosing
NPs
as
their
primary,
acute
and/or
specialty
healthcare
provider.
NPs
have
distinguished
themselves
from
other
healthcare
providers
by
focusing
on
the
whole
person
when
treating
specific
health
problems
and
educating
their
patients
on
the
effects
those
problems
will
have
on
them,
their
loved
ones
and
their
communities.
The
information
contained
in
this
advice
column
is
in
no
way
intended
to
treat,
cure,
or
prevent
any
disease.
This
column
is
in
no
way
and
should
not
be
considered
as
an
alternative
to
medical
care.
The
advice
in
this
column
is
for
educational
purposes
only
and
one
should
always
seek
the
advice
of
their
medical
professional
if
their
condition
fails
to
improve
or
becomes
worse.
You
are
definitely
correct
in
your
observation!
In
fact,
there
are
a
growing
number
of
nurse
practitioners.
At
present,
there
are
approximately
130,000
nurse
practitioners
in
the
United
States
and
approximately
1300
in
New
Hampshire.
From
the
days
of
our
inception
43
years
ago,
nurse
practitioners
have
become
more
recognized
by
patients,
as
well
as
other
members
of
the
healthcare
community.
These
men
and
women
are
currently
providing
approximately
25%
of
all
primary
care
and
50%
of
all
women's
healthcare.
Given
the
decreased
number
of
primary
care
providers,
nurse
practitioners
are
helping
to
fill
a
widening
gap
in
the
accessibility
to
primary
healthcare.