https://www.njhomespine.com/pteducation daily 0.75 2021-07-12 https://www.njhomespine.com/pteducation/low-back-pain monthly 0.5 2021-05-19 https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1616693428479-EJ0XZ661ELJZXSOUWWT2/IMG_1825.jpg Patient Education - Low Back Pain - Back Pain is Common Millions of Americans experience low back pain each year. Why? First let’s talk about what typically causes it. Most people will experience back pain due to a ‘mechanical’ cause. The joints of your spine move inappropriately and this leads to pain. Try and imagine when a foreign object gets caught into a machine of moving parts. Now the machine can still operate, but will not be as efficient, and may continue to cause damage. This is similar to what happens in the spine. The connective tissue of our bodies that helps to support our joints gets disturbed. The structure itself is operating incorrectly which can eventually lead to pain. The larger that disruption is, the more we need to compensate to continue to move and go about our daily business - this compensation can also lead to additional sources of pain. If your back problem is truly mechanical in nature, than there’s a very good chance it can be solved mechanically. If positions, movements, or activities that you perform all of the time have caused the problem, then we can use positions, movements, and activities to solve it. You may call these ‘exercises’ - but in reality we are just moving your body in such a way to improve the state of your joints. This is the essence of therapy: choosing activities, movements, or positions which will ultimately improve your condition so that you may return to full function without pain or limitation. https://www.njhomespine.com/pteducation/mechanical-therapy monthly 0.5 2021-05-05 https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1616695262742-5XA80JDKYEAAN8B7NK2C/pexels-elly-fairytale-3822355.jpeg Patient Education - Mechanical Therapy - Mechanical Therapy is a treatment philosophy that is objective. When a person experiences pain or functional limitation, it must have a reason. Mechanical Therapy seeks to discover precisely where these limitations occur in the body and classify the type of limitation for an appropriate intervention. Objective Analysis of Movement A mechanical analysis includes active movements performed by the patient so that all may understand where the limitations are occurring and the location of sensations associated with it. Positional and Movement Stresses Simply holding a position can be stressful to the body - think of a plank exercise. Simple postures such as standing and sitting can play a major role in the state of the body’s tissues. Movements and postures are analyzed. Focuses on Relevancy to the Patient The movements and postures relevant to your lifestyle are important. Most individuals do not participate in powerlifting - however if you did, this would be important to your case and would be examined. Your hobbies and work related activities are important and will be discussed. If you are a runner, your ability to run and its effects on your body will evaluated. Simple but Effective if Done Appropriately Typically in cases of joint pain (spinal tissues of the lower back, mid-back, & neck - as well as extremities: knees, hip, shoulders, etc.) the treatment for improving the condition involves a single movement. This single movement is enough to rehabilitate the tissues to their ideal state. This can vary, but mechanical therapy seeks to distill the complexities of the body to a single treatment technique. This is sometimes not easily discovered, however once it is found, the treatment for a condition is very simple and effective. Leads to Superior Effectiveness of Treatment A single but effective treatment technique, when performed consistently over time, is extremely effective. When you can perform a movement that reduces tissue disruption and fosters healing, you are constantly renewing your ability to promote recovery. Is Applicable to All Joints of the Human Body All joints of the body can be injured, and they usually can be rehabilitated with movement. As stated above, finding the best movement is the answer - whether you suffered from a complicated and serious injury from long ago, or are simply experience an inconvenient tightness or discomfort, mechanical therapy can help. https://www.njhomespine.com/pteducation/joint-pain monthly 0.5 2021-03-25 https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1616695084005-4L3ZYBRBJRBAG1X464IT/pexels-yan-krukov-4496952.jpeg Patient Education - Joint Pain Many people experience joint pain The severity of the episode of the pain is important The type of injury almost always benefits from physical therapy The most effective benefit for joint injuries and pains is specific movements - which can be discovered with a mechanical analysis https://www.njhomespine.com/pteducation/neck-pain monthly 0.5 2021-05-05 https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1616694610947-ES5TOHQST5C6QVW3HMMQ/pexels-%E6%B9%89%E5%8F%8C-%E9%99%88-2876035.jpeg Patient Education - Neck pain - Assumptions of Neck Pain Listed below you will find many assumptions that people tend to have about neck pain. In order to better inform my patients I have gone through these ideas to explain what might be happening. Strained Muscles I Just Have Poor Posture Just a “Crick” in the Neck Headaches Aren’t Related to Neck Pain I Just Slept Wrong Tight Muscles https://www.njhomespine.com/pteducation/connective-tissue-recovery monthly 0.5 2021-07-12 https://www.njhomespine.com/pteducation/mindfulness-in-physical-therapy monthly 0.5 2021-07-12 https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1626103750832-IHUD4WW3XB1D0ZMTWB6I/Screen+Shot+2021-07-12+at+11.27.56+AM.png Patient Education - Mindfulness in Physical Therapy https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1626103778539-JI0SRKL2VG1RENL3ZCQM/Screen+Shot+2021-07-12+at+11.28.08+AM.png Patient Education - Mindfulness in Physical Therapy https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1626103800603-LWEF4G1JKPMT7LS9BVY3/Screen+Shot+2021-07-12+at+11.28.16+AM.png Patient Education - Mindfulness in Physical Therapy https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1626103807326-JGUDT3NTK1EO8HWBCQTT/Screen+Shot+2021-07-12+at+11.28.23+AM.png Patient Education - Mindfulness in Physical Therapy https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1626103825089-5K39Z0CBJFDY7CMB56QU/Screen+Shot+2021-07-12+at+11.28.29+AM.png Patient Education - Mindfulness in Physical Therapy https://www.njhomespine.com/home daily 1.0 2021-11-22 https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1601501443827-UQ25RLLEVALVB14G8QC0/IMG_1808.jpg Home - Customized & Individualized Care https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1601500612288-FCY7VWOMAQCQFSGY7JU6/IMG_1723.jpg Home - One on One Therapy Health Consultation https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1601501530163-NUSSUZ09VOCDAV7YCHMM/IMG_1851.jpg Home - Return to Function & Sport https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1601501139475-BXXFKOA2RAHKSPN9UT3P/IMG_1803.jpg Home - Education & Lifestyle Health Advisor https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1616608347801-FG70UM0A8FV9DKJB8GRE/NJHSIncLogo1.jpg Home https://www.njhomespine.com/spinalcare daily 0.75 2021-05-05 https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1601656361952-QPCM2PY9LC21V7T3R6UF/IMG_1687%2B2.jpg Spinal Care - Healthy Daily Movements Each and everyday we perform movements and activities which strain our connective tissues and joints. The types of strain our connective tissue experiences is the “instructions” to our body in how it remodels itself. Repeated performance of “improper” or asymmetrical forces leads to pathological changes - Episodes of Pain You can help to stop and prevent future episodes of pain with healthy daily movements. https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1601656165375-WT16JYCGV4ZOBJN01WEQ/IMG_1834.jpg Spinal Care - Spinal Forces & Posture Most people spend their days either standing or sitting for prolonged periods of time The joints of the spine receive their nutrition through movement (flexing and extending) Sitting in a flexed (bent forward) position is not necessarily bad - but is detrimental when performed for excessive periods of time - this can lead to disc pathology & pain https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1601655993081-J9N15JRQFNKEPATPWY2O/IMG_1785.jpeg Spinal Care - Recover from Pain Syndromes through Mechanical Analysis & Treatment A trained practitioner can determine which spinal forces will help instead of harm, through repeated movements and/or postures Discovery of these types of movements/exercises has multiple benefits: Recovery from acute cases of spine related pain Lead to future self-treatment for minor cases of pain before they become more serious Prevent long-term degeneration of spinal tissues which may eventually lead to drastic measures including spinal surgery Promote improved postures in daily living and a healthier lifestyle https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1601501025458-88V54855DWLQENTCLVHF/IMG_1803.jpeg Spinal Care - Nutrients to joints through movement Regular daily movements of the spine can help to prevent long term negative changes to the connective tissues of spinal joints and the disc The types of movements that are appropriate for you, may not be the same as for others - only a mechanical analysis can determine the “best” ones Generally movements into all ranges of motions can be healthy - this is why exercise regimes and practices that engage in stretching activities are typically beneficial to the spine: Yoga, Pilates, Tai Chi, Calisthenics, etc. https://www.njhomespine.com/physicaltherapy daily 0.75 2021-05-05 https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1601656905527-GWB8INQ869OMB8L86ZZC/IMG_1721.jpeg Physical Therapy - Physical Therapy Physical Therapy is the guided actions and directions that allow your body to heal itself. A good physical therapist directs your body and mind to perform consistent actions which lead to rehabilitation. How is this done? The human body responds to the types of forces which are put through it on a regular basis. This includes all of our daily activities: sitting, standing, walking, squatting, running, bending, lifting, cleaning, and even lying down. These forces are the “instructions” to our body in how it constantly reshapes itself. You may think of your body as a static object because it doesn’t appear to change much - but you know of at least one person who has made dramatic change to their appearance by gaining or losing weight. The same types of processes that can change a person’s body composition is also working at this moment to maintain it. This same process can be harnessed to heal injured or dysfunctional bodily tissues. By adjusting your lifestyle, even if only temporarily, we can reshape bodily tissues to rehabilitate. Whether you’re suffering from new & unexplained pain or an old injury, we can heal the body by using its own natural processes. https://www.njhomespine.com/about daily 0.75 2021-10-19 https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1621009914077-HIGH7FJYUZ0R1IK1FKSJ/JM+White+Shirt+Office.jpeg About - Jeffrey C. Mehlfelder Doctor of Physical Therapy Certified MDT https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1601502163456-07O00LVK0W9LBJFRJ0L8/IMG_1673.jpeg About - Why Quality & Intention are so Important The most important factor in your recovery from injury comes down to one thing: Who you are seeing. Your therapist determines the quality of therapy, patient education, and most importantly, whether your therapist wants you to get better as quickly as possible. https://www.njhomespine.com/booking daily 0.75 2022-01-27 https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1601655564560-H2SL01OQLSOWYNK9NJWE/IMG_1723.jpeg Booking https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1603313531141-CEWFPQJJUAWL8EBKAI21/IMG_0507.JPG Booking https://www.njhomespine.com/contact daily 0.75 2021-04-13 https://www.njhomespine.com/quality-intention-my-story daily 0.75 2021-05-05 https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1601501530163-NUSSUZ09VOCDAV7YCHMM/IMG_1851.jpg Quality & Intention My Story - In my own professional experience, I found when working in your standard “PT clinic” there are many limitations to the way in which one is able to treat. I was unable to use my treatment methodology effectively. ‘Productivity standards’ and the leash of health insurance companies restricted my ability to use the beautiful treatment philosophy I had adopted. I knew I had to move on. I have started this business because I know I can deliver very high quality and effective treatment to virtually anyone. Anyone who is willing to have a little faith, and forego insurance reimbursement. It is easier to use benefits you are already paying for, or that your employer is providing. I get it. But this is about a person’s health. Your health. https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1601656361952-QPCM2PY9LC21V7T3R6UF/IMG_1687%2B2.jpg Quality & Intention My Story - Your body takes you where you need and want to go. Sometimes the convenient solution is simply not enough. This is when you step up to the plate to do what is right for yourself. https://www.njhomespine.com/patient-forms daily 0.75 2021-05-05 https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1620233769830-RP59J4MPUK74EWSJJ1C3/unsplash-image-is8jWT-mvng.jpg Patient Forms https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1620233502595-E91AL4W4MIB6IDPXQCVP/IMG_2561.jpg Patient Forms https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1601657616259-B2UXBWSYI5U252ZNNIP8/IMG_1736.jpeg Patient Forms https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1599760040515-AIYWL75OZLP0R0RURPQF/High+Quality+Simple+Logo.jpg Patient Forms - Patient Agreement & Medical History https://www.njhomespine.com/the-care-model daily 0.75 2021-03-18 https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1601501383074-Z4AR7SQF8QJ5KVWKLX0P/IMG_1808.jpeg The Care Model https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1601501659295-RYNFKC6TRONG1X0P1UVN/IMG_1783.jpeg The Care Model https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1601656292647-K4Y3XGVF5PB3W47ZWG6K/IMG_1687+2.jpeg The Care Model https://www.njhomespine.com/tele4you daily 0.75 2021-03-19 https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1614806566750-VMVME5OJWC2W9KAW2MOG/IMG_1288.jpg Telehealth For You https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1614807898124-Z6KD8YXY13KV3ERY98RE/telehealthbandw.jpg Telehealth For You https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1616176651485-AML25XJ8VVHM8IN53Y2X/Screen%252BShot%252B2021-03-03%252Bat%252B4.48.12%252BPM.jpg Telehealth For You https://www.njhomespine.com/about-1 daily 0.75 2021-02-04 https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1589847904871-IJY33BXSJQA0OIFROI1H/image-asset.jpeg About 1 - Targeted Specific Movements If movement can solve your problem, we will find it. Targeted specific movements and postures solve mechanical problems. Only a small percentage of joint problems cannot be solved with movement - In fact, most joint problems CAN’T be solved without it. When you schedule time with Jeffrey C Mehlfelder PT, DPT you receive an analysis that determines EXACTLY that: which movements will help you solve your problem. The Focus is on the Solution Movement is medicine, but the targeted & specific movement that’s right for you is the right medicine. https://www.njhomespine.com/bio daily 0.75 2021-10-19 https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1620230675508-C0KR765ZE61RFCOB7YBP/JM+Prof+photo+2.jpeg Biography - Credentials Tobias Keene, D.D.S. Hailing from Richmond, Virginia, Dr. Tobias Keene brings a bit of unabashed Southern hospitality to all his patients. He moved to Washington, D.C. over thirty years ago as a freshman at Ivy College. Right after graduation, he attended World University’s School of Dentistry. Before opening Keene Dental in 1994, he worked for free clinics and some of the finest practices in the District. He is part of the 123 Dental Association and stays up-to-date on the latest dental discoveries. When not striving to keep his patients happy and healthy, he’s enjoys hiking with his family in Rock Creek Park. https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1614806514218-A9FAR645C0MX0U3I8Q52/IMG_1288.jpg Biography - Jeffrey C. Mehlfelder PT, DPT, Cert. MDT “I believe that a person can always improve: physical, mental, emotional, and even spiritually. I live these values by working on improving myself consistently without overreaching and burning out. This is exactly what I want for my clients. The only thing a person needs to do is to decide they are willing to make the changes that will improve them.” Jeff believes that physical therapy is both a science and an art. It is science in that the human body follows the laws of physics and follows the rules of physiology. Applying this science to the individual is a work of art. Everyone is unique - rehabilitation is for the individual. Each person requires an approach and treatment that is fully personalized. Jeff believes that providing complete transparency in analysis and treatment the patient will reach the best possible result. Rehabilitation requires an alliance - an alignment of both the patient and the therapist - both must be motivated and intend to reach the same goal: improvement and recovery in the patient’s condition. https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1634668606126-IF1IXKK7MV9N9MOV4ZWY/IMG_0468.jpeg Biography - Jeff enjoys many hobbies in his off time including: fitness, reading, music, writing, electronic media, and spending quality time with his family, especially his nephew Brandon. https://www.njhomespine.com/telehealth-physical-therapy daily 0.75 2021-07-19 https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1621460023596-LGOW2CXREZVJ7QI5F3WH/IMG_2561.jpg Telehealth Physical Therapy - Need a Nudge? If your aren’t sure if Telehealth physical therapy is for you, why not give us a call? A quick discussion regarding the nature of your condition might be enough to see if you’re a good candidate or not. https://www.njhomespine.com/faq daily 0.75 2021-07-07 https://www.njhomespine.com/store-1 daily 0.75 52835-01-17 https://www.njhomespine.com/store-1/p/earth-sky-planter-5pcp6 monthly 0.5 2021-11-17 https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1600709713213-0A9EOEM7KVP0PARGMKOB/product-detail-4x5_5.jpg Store 1 - Virtual Tele-Health Physical Therapy https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1605146130090-AJS01BUZLLU9VQILFZF3/IMG_0507.JPG Store 1 - Virtual Tele-Health Physical Therapy https://www.njhomespine.com/store-1/p/harvest-moon-cup-26a64 monthly 0.5 2021-11-17 https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1600709886471-5B65M5UAWKBAJV2H63K2/product-detail-4x5_6.jpg Store 1 - At Home Physical Therapy https://images.squarespace-cdn.com/content/v1/5e67cc6a69995f47420e6788/1605211691391-HT5FJH14LW4GI7ZBKROK/IMG_1723.jpeg Store 1 - At Home Physical Therapy