Big Country Rehabilitation - Douglas

 
 

We offer various services including outpatient and inpatient care as well as in-home care, public school services and early childhood. Our Douglas clinic provides a comprehensive outpatient facility, including a fitness center available to the general public. In addition to staffing the outpatient clinic, our therapists provide services in home care, early childhood center and their public schools. 

Some of the services we provide include: Orthopedic and sports medicine treatments, spinal cord and extremity joint mobilization, postural re-education, core strengthening, kineso-taping, aquatic and pool therapy, wound care, orthotic fitting and casting, custom extremity splinting, spinal cord and neuro rehab, work hardening, functional capacity evaluations, myofascial release (including dry needing), women's health, urinary incontinence training, TMJ evaluations and treatments.

Our occupational therapy staff provides a state recognized driving program designed for helping patients return to independence. They also offer outpatient and inpatient bedside swallowing evaluations to individuals with swallowing disorders.

Pediatric Department Info


Address: 111 South 5th Street #1, Douglas, WY 82633
Hours: Mon - Fri: 7AM - 6PM
Fax: 307-358-9330
Chuck Mangus, PT, SFMA

Partner, Clinic Supervisor


Chuck has been a Physical Therapist for over 30 years.   Chuck is one of the founders of North Platte Physical Therapy.  He has a special interest in manual therapy, and enjoys the biomechanics of the body. He believes in education and has taken many research based classes.  He encourages everyone in the company to seek out higher education and is very proud of the knowledge base his employees have. Chuck enjoys mentoring his staff and considers his office a teaching facility and welcomes students from top universities to come to our facility and learn from his group.   His office has been awarded the Creighton University Department of Physical Therapy, Site of Excellence Award as well as the Regis University Site Award.      

Education:

  • 1981 – Physical Therapy pre-graduate – University of Wyoming
  • 1984 – Bachelors of Science in Physical Therapy – University of North Dakota

Professional Society Memberships:

  • WYAPTA – Past President and Vice President for Wyoming Division
  • American Physical Therapy Association
  • Wyoming Physical Therapy Association

Certifications/Specialized Training:

  • Vestibular Certification
  • Diagnosis and Management of the Elbow
  • Practical Blood Flow Restriction
  • Functional Capacity Evaluations
  • Graston Technique
  • Clinical Examination and Manual Therapy of the Acute Lumbar Spine and Sacroiliac Joint
  • Therapeutic Neuroscience Education: Educating Patients About Pain
  • Clinical Examination and Manual Therapy of the Lower Cervical Spine
  • Drug Test Collector (Urine) Training Course
  • Spinning Beyond Basics-An Advanced Vestibular Rehabilitation Course
  • Anxiety-Free Coding for Rehab With ICD-10-CM
  • Clinical Examination and Manual Therapy of the Thoracic Outlet Syndrome and Cervicothoracic Junction
  • Advanced Level: Functional Dry Needling (Trigger Point Dry Needling)
  • Application for Pain Management & Sports Injuries Part 2 of 2 Courses
  • Introductory Level: Intramuscular Manual Therapy (Trigger Point Dry Needling
  • Applications for Pain Management & Sports Injuries Part 1 of 2 Courses
  • Clinical Examination & Manual Therapy of the Foot & Ankle
  • Fundamental and Advanced Kinesio Taping (KT1 and KT2)
  • Mechanics of the Lower Kinetic Chain
  • Cervical and Thoracic Back Rehab
  • Low Back Pain 101
  • Differential Diagnosis and Manual Therapy of the Hip
  • Differential Diagnosis and Manual Therapy of the Knee
  • KCI USA, Inc.’s Level 1, V.A.C.® Certification Training and Field V.A.C.® Dressing Application
  • Comprehensive Cervical, Thoracic, Lumber and Sacral Re-Stabilization
  • Severe Spasticity: A Team Approach
  • Differential Diagnosis and Manual Therapy of the Shoulder
  • Diagnosis and Manual Therapy of the Thoracic Outlet Syndrome and the Cervicothoracic Junction
  • Different Diagnosis and Manual Therapy of the Lower Cervical Spine Disc, Facet and Uncovertebral Pathology
  • Nonoperative Orthopedic Medicine and Manual Therapy of the Upper Cervical Spine and Headache
  • Lumbar Spine II: Secondary Disc Related Pathology of the Lumbar Spine
  • Assessment and Treatment of Vestibular Disorders
  • SI Joint and Lumbar Spine-Primary Disc-Related Pathology
  • M.E.J. Thoracic Spine & Ribs
  • Aquatic Therapy In-Service
  • Diagnosis and Treatment of Movement System Imbalances Associated with Musculoskeletal Pain – Level II
  • Scapula Reaction
  • Muscle Energy Techniques of the SI, Lumbar, Cervical and Thoracic Spine
  • Eleventh Annual Clinical Symposium
  • The Challenge of Shoulder Rehabilitation
  • Diagnosis and Treatment of Movement Systems Imbalances Associated with Musculoskeletal Pain – Level I
  • Interdisciplinary Management of Spine Cord Injury Presented by Northwest University Medical School
  • Mechanical Disorders of the Vertebral Column
  • Closed Kinetic Chain Exercises
  • Orthotics and Podiatric Medicine
  • Evaluation, Treatment and Prevention of Spine Disorder
  • Heart Reflex Sympathetic Dystrophy
  • TMJ and Cervical Disorders
  • Industrial Back Care and Educational Courses
  • When the Foot Hits the Ground Everything Changes
  • TNS Use and Electrode Placement
  • Myofacial Release Seminar
  • Mobilization and Soft Tissue Mobilization of the Cervical and Thoracic Spines
  • Rehabilitation of the Hand

Clinical Supervisor

Present

  • Clinical Supervisor – UNMC – Omaha, Nebraska, Supervising Physical Therapy Internships

Present

  • Clinical Supervisor – Regis – Denver, CO, Supervising Physical Therapy Internships

Present

  • Clinical Supervisor – LCCC, Supervising Physical Therapy Assistant Internships

95-Present

  • Clinical Supervisor – Creighton University – Omaha, Nebraska, Supervising Physical Therapy Internships

88-Present

  • Clinical Supervisor – University of North Dakota School of Medical – Student Internships

88-Present

  • Clinical Supervisor – Idaho State University – Supervising, Internship through the State of Wyoming

Licensures

1/1/89-Present

  • State of Wyoming License #246

11/1/00-Present

  • State of Nebraska License #1879

08/16/84-Present

  • State of Minnesota License #2752

07/13/84-Present

  • State of North Dakota License #634

Professional Organizations

82-Present

  • Member of Wyoming American Physical Therapy Association

1996

  • Vice President of Wyoming American Physical Therapy Association

1998

  • President of Wyoming American Physical Therapy Association

Hometown: Laramie, WY

Family: Wife: Lisa, Children: Jessica, Ben

Hobbies: Fishing, cycling, skiing

Emily Cook, MPT

My philosophy is simple. I aim to empower my patients to push not just their physical limitations, but their mental and emotional as well. I want them to do what they previously thought was impossible. I want them to succeed. My journey as a Physical Therapist started as a patient over 20 years ago. My issues taught me how to face and overcome challenges and as a result I am now better able to help others.

Education:

  • 2002 - Bachelors Exercise Science – Wichita State University
  • 2004 – Masters of Physical Therapy – Wichita State University  

Professional Society Memberships:

  • American Physical Therapy Association
  • Wyoming Physical Therapy Association

Certifications/Specialized Training:

  • Vestibular Certification
  • Practical Blood Flow Restriction
  • Functional Capacity Evaluations
  • Graston Technique
  • IAOM: Knee, Cervical Spine/Thoracic Spine. Thoracic Outlet, Headache, & Cervicothoracic
  • Intramuscular Therapy - Dry Needling I and II
  • Kinesio Taping - KT I and II
  • Lower Extremity Biomechanics
  • Knee and Shoulder
  • Muscle Energy Technique for Spine, Ribs, and Pelvic Girdle
  • Primary and Secondary Different Diagnosis of Lumbar Spine, Vestibular
  • Running Mechanics
  • Wound care
  • Certified Cupping Therapist

Community Involvement:

  • USA Swimming
  • 4-H

Hometown: Randolph, KS

Hobbies: Triathlons, reading, marathons, arm wrestling, endurance running, photography and archery

 
April Schreurs, DPT, SFMA

The reason why I am a PT is I enjoy helping people and seeing people functionally get back to where they were before an injury or surgery. I enjoy getting to spend time each week with my patients and find out what goals and activities are most important to them and work together to achieve those goals. My individual philosophy is that if my patient/client and I both work together and put our effort into a conservative care approach, we can achieve the patient’s goals and get them back to the activities they enjoy.

Education:

  • 2009 – Bachelors of Science in Exercise Science – Black Hills State University
  • 2014 – Doctorate of Physical Therapy – University of South Dakota

Professional Society Memberships:

  • American Physical Therapy Association
  • Therapeutic Neuroscience Education-Educating patients about pain

Certifications/Specialized Training:

  • Vestibular Certification
  • Conservative Management of Hip Pain
  • IAOM – Acute lumbar & Si Joint
  • IAOM – Clinical Examination & Manual Therapy of the Lower Cervical Spine
  • IAOM – Optimal Dry Needling Solutions – Dry Needling Level 1
  • Intramuscular Therapy (Dry Needling) – Level 1
  • Kinesio Taping – KT1 & KT2

Hometown: Tea, SD

Family: Son - Cassius

Hobbies: Hiking, Spending time outdoors

 
Sarah Boner, DPT, SFMA

I believe in movement as being one of the most powerful tools in healing. I am fascinated in how the body moves and empowering/educating the public on how amazing the human body is. I enjoy learning all there is to know about the body and enjoy helping those in need. I am truly passionate about my profession and strive for excellence and furthering my continuing education to improve my daily practice.

Education:

  • 2012 – Bachelors of Science in Exercise Science – Black Hills State University
  • 2015 – Doctorate of Physical Therapy – University of South Dakota

Professional Society Memberships:

  • APTA – American Physical Therapy Association

Certifications/Specialized Training:

  • Vestibular Certification
  • Intramuscular Therapy (Dry Needling ) – Level 1
  • SASTM Certification – Sound Assisted Soft Tissue Mobilization
  • Kinesio Taping
  • 3D Maps Certified
  • Mostability, by Gary Gray
  • IAOM lumbar course
  • IAOM thoracic course
  • IAOM lower cervical course
  • Donatelli Shoulder Course
  • SFMA
  • Cupping

Hometown: Lead, SD

Family: Fiancé – Scott Boner

Hobbies: Spending time outdoors, working out, and spending time with family & friends

 
Meghann M. McAndrew, DPT

After serving time in the Army, I saw several people in the need of physical therapy. I decided to combine my love for working out with helping people who have disabilities.  

Education:

  • 2001 – Bachelors of Science in Chemistry – University of Northern Colorado
  • 2009 – Doctorate of Physical Therapy – University of Nebraska Medical Center

Professional Society Memberships:

  • APTA – American Physical Therapy Association

Certifications/Specialized Training:

  • Vestibular Certification
  • Graston Technique
  • Intramuscular Therapy – Dry Needling Level I
  • Thoracic, Cervical Spine
  • Women’s Health Certification 

Hometown: Bellevue, NE

Family: 2 Sons – Jackson and Gentry, 1 Daughter - Laurel

Hobbies: Running, Lifting weights, reading, horseback riding, hiking and skiing

 
Crystal Lake, PTA, SFMA

I enjoy working with people. I love that physical therapy has so many different fields to be involved with. I love wound care and enjoy seeing the different phases that a wound moves through. I always thought I would work in a strictly outpatient clinic, but I am pleased to say I love that I am able to work with pediatrics, geriatrics, and service home health patients. Seeing patient’s throughout the continuum of care is very rewarding.

Education:

  • 2002 – Associates of Science - Northeastern Wyoming Community College
  • 2004-2005 – Foundation Courses - University of South Carolina
  • 2006 – Licensed Massage Therapist – South Carolina Massage and Esthetics Institute
  • 2007 – Associates of Science in Physical Therapy Assistance – Trident Technical College

Professional Society Memberships:

  • American Physical Therapy Association

Certifications/Specialized Training:

  • Kinesio Taping
  • Graston Technique
  • Wound Care Certified
  • NCTMB
  • Pediatric Physical Therapy
  • Certified Cupping Therapist

Community Involvement:

  • Trap Club
  • Relay for Life
  • Bowling League

Hometown: Gillette, WY

Family: I am engaged to a wonderful man who brought 4 awesome children into my life

Hobbies: Health & Fitness, obstacle course races, traveling

 
Wanda Fieldcamp, PTA, LMT, SFMA

 I feel everyone has an influence in the lives that they touch each day. This can have a positive or negative effect. I have always strived to have positive influences in the lives of people I touch. Being a physical therapist assistant gives me an opportunity to attempt to improve people’s quality of life. I enjoy having the privilege of being invited into people’s lives including their health, wellness, and recovery. It is pretty simple, I love people and I want to help them.

Education:

  • 2008 - Foundation courses - Eastern Wyoming College, Torrington, WY
  • 2010 - PTA associates of applied degree - San Juan College, Farmington, NM
  • Fall River School of Massage, Fredonia, KS, certification for G.U.T. Practitioner, education in clinical massage. -This stands for Goetzle Unique Therapies Practitioner. This person developed her own techniques based on lifelong education rounded by the accumulative therapies of Physical Therapists, Osteopaths, Chiropractors, and massage therapists. The techniques I learned have given me an advantage in soft tissue techniques.
  • Professional Massage Education - Myotherapy Institute Research Center, Salt Lake City, UT, School of Massage

Professional Society Memberships:

  • AMTA – American Massage Therapy Association
  • NCBTMB – National Certification Board for Therapeutic Massage & Bodywork
  • American Physical Therapy Association
  • Wyoming Physical Therapy Association
  • Certified Cupping Therapist

Certifications/Specialized Training:

  • Diagnosis and Management of the Elbow
  • Practical Blood Flow Restriction
  • American Red Cross
  • Certified Aroma Therapist
  • Certified Lifeguard
  • Graston Technique
  • Gray Institute: Applied Functional Science
  • IAOM: Lower Cervical, Upper Cervical and Headache, Thoracic Outlet Syndrome and Cervicothoracic Junction, Pelvic Dysfunction
  • Kinesio Taping Certification
  • Muscle Energy Techniques for the Spine, Pelvic Girdle and Ribs
  • NCBTMB National Certification in Therapeutic Massage and Body Work
  • Rehab Education: Unlocking the Mysteries of the Wrist
  • Skin and Wound Care Management
  • Spinning Beyond the Basics Vestibular Rehab
  • Utah License for Massage Therapy
  • IOAM Elbow course

Hometown: Douglas, WY

Family: Husband – Rick Fieldcamp, 3 Grown Children, 4 Grandchildren

Hobbies: Being outdoors, Hunting, hiking, cycling, building (home construction), quilting, wine making, and culinary arts

 
Jamie Frederick, PTA

I love helping people, I strive to be the best therapist I can to help people improve their quality of life. I enjoy helping people progress toward their expected outcomes. I want my patients to enjoy therapy instead of seeing it as an inconvenience. I believe that everyone deserves a shot at being healthy and happy. I want to help them achieve that goal and have a great quality of life.

Education:

  • 2011 – Associates of Fine Arts – Casper College
  • 2014 – Associates of Health Science in Physical Therapy – Laramie County Community College

Certifications/Specialized Training:

  • Kinesio Taping – Levels I & II

Community Involvement:

  • Concert Band at Casper College

Hometown: Upton, WY

Family: Parents – Jerry Frederick and Shari Frederick

Hobbies: Music

 
Kylee Gaukel, PTA

I decided to pursue a career in physical therapy when I was in high school. I had to attend therapy for my own injury and thoroughly enjoyed my experience. I have always wanted to be part of a profession that allows me to help others and this is a wonderful way to do that. The opportunity to help others improve themselves and to see them succeed makes my job very satisfying.

Education:

  • 2018- Associates of Applied Science- Physical Therapist Assistan, Laramie County Community College, Cheyenne Wyoming
  • 2016- Associates of Applied Science- Pre-Allied Health, Eastern Wyoming College, Torrington Wyoming
  • 2016 - Associates of Applied Science- Pre-Nursing, Eastern Wyoming College, Torrington Wyoming

Certifications/Specialized Training:

  • Vestibular Certification
  • Functional Movement Techniques Certified Provider

Professional Society Memberships:

  • American Physical Therapy Association

Hometown: Keeline, Wyoming

Hobbies: My hobbies include; spending time with family, working on the family ranch, horse back riding, bike riding, and working out.

 
Bonnie Richards, OTR/L

As an Occupational Therapist living in rural Wyoming, you have a chance to see a variety of patients, I can honestly say that I thrive on the diversity of the patients I treat every day.  I love being able to help and serve others who are needing occupational therapy services. Because of the variety of patients I see every day I have been to many research based classes including  swallow-evaluations, driving evaluations, orthopedic rehab, cognitive evaluations, vestibular rehab, & pediatrics.  It’s just a fun place to work!

Education:

  • 2001 – Bachelors of Science in Occupational Therapy – University of North Dakota

Professional Society Memberships:

  • NMEDA - National Mobility Equipment Dealers
  • AOTA – American Occupational Therapy Association
  • WYOTA – Wyoming Occupational Therapy Association
  • ADED – Association of Driver Rehabilitation Specialists

Certifications/Specialized Training:

  • Vestibular Certification
  • A Systematic Approach to Examination, Diagnosis and Manual Therapy of the Wrist Part 1
  • Diagnosis and Management of the Elbow
  • Advanced Kinesio Taping (KT3)
  • Clinical Examination and Manual Therapy of the Thoracic Outlet Syndrome and Cervicothoracic Junction
  • Dizziness in Elders
  • Donatelli’s Pathophysiology and Mechanics of the Shoulder with Lab
  • Driver’s Rehabilitation
  • From Eyesight to Insight: Visual/Vestibular Assessment & Treatment
  • Functional Cognitive Activities for Adults with Brain Injury or Stroke
  • Introduction to Hand Therapy
  • Occupational Therapy & Dysphagia
  • Selective Mobilizations of the Peripheral Nervous System of the Upper Quarter
  • Spinning Beyond Basics
  • Surgery and Rehabilitation of the Hand with Emphasis on the Elbow
  • The Upper Cervical Spine in Headaches, Dizziness, and Pain
  • Upper Extremity Limb Loss Rehabilitation
  • M1-Basic Training in the Graston Technique 

Community Involvement:

  • Children’s Church
  • Volunteer Coach

Hometown: Newcastle, WY

Family: Husband – Sheldon Richards, 2 sons – Jonah and Jacob, 1 daughter - Josie

Hobbies: Being outdoors, camping, 4-wheeling, attending my children’s events

 
Kelsey Nelson, MOTR/L

“Treat the patient as a whole, not just the hole in the patient.”

Education:

  • 2009 – Masters Degree – University of North Dakota

Professional Society Memberships:

  • WYOTA – Wyoming Occupational Therapist Association
  • AOTA – American Occupational Therapist Association

Certifications/Specialized Training:

  • Vestibular Certification
  • Diagnosis and Management of the Elbow
  • CPP
  • DOT Physical & Drug Testing Certified
  • First Aid
  • Graston Technique
  • Kinesiotape
  • Lifeguarding
  • NBCOT
  • Swallowing Evaluations
  • Vestibular
  • Special training in visual disorders

Community Involvement:

  • Advocare: helping the community become healthier through supplementation and clean eating

Hometown: Casper, WY

Family: Husband – Jeremy, Daughter – Kaydence, Son - Jarrett

Hobbies: Running, strength training, and playing with my kids

 
Shelby Hoskinson, MOTR/L

From a young age I have always enjoyed helping people. I chose occupational therapy because it provides the opportunity to help people return to completing meaningful activities and function within their daily lives. I enjoy getting to know each patient and I sincerely appreciate the fact that I am given the opportunity to assist people along their continuum of care and recovery.

Education:

  • 2017- Master Degree of Occupational Therapy- University of North Dakota

Progressional Society Memberships:

  • Wyoming Occupational Therapy Association
  • American Occupational Therapy Association

Certifications/Certifications/Specialized Training:

  • Vestibular Certification
  • A Systematic Approach to Examination, Diagnosis and Manual Therapy of the Wrist Part 1
  • Diagnosis and Management of the Elbow
  • Stroke Survival
  • Trauma in Child Development
  • Upper Extremity Rehab
  • Donetelli's Pathophysiology of the Shoulder
  • Kinesio Taping-KT I and II

Community Involvement:

  • Coaching Youth Basketball

Hometown: Glenrock, WY

Family: Husband- Casey Hoskinson

Hobbies: Reading, home improvements, spending time with family, basketball.  

 
Wade Brennan, COTA, SFMA

I chose to become an OTA to assist people to fulfill their physical potential. I appreciate the body’s ability to overcome injuries.

Education:

  • Associate of Science in Occupational Therapy – Casper College

Board Certifications:

  • NBCOT – National Board for Certification in Occupational Therapy

Certifications/Specialized Training:

  • Diagnosis and Management of the Elbow
  • DOT – Physical & drug testing certified
  • Graston Technique
  • IAOM – Clinical Examination & Manual Therapy of shoulder and shoulder girdle
  • IAOM – Clinical Examination & Manual Therapy of thoracic outlet syndrome & cervicothoracic junction
  • Industrial Safety & Rehabilitation Institute for Pre-Placement screening – the Work Saver Program
  • Kinesio Tape
  • Unlocking mysteries of the wrist
  • Vestibular Spinning Beyond Basics

Community Involvement:

  • Bowling League
  • Mens Basketball

Hometown: Ellsworth, NE

Family: Wife – Tori, Daughter – Landri, Son - Eason

Hobbies: Following Nebraska Cornhusker Action, fantasy football, hiking, sledding, and hotdog connoisseuring  

 
Raefield Schulz, COTA/LL

At a fairly young age I witnessed first-hand the potential that occupational and physical therapies could offer to people. While volunteering at convalescent care homes and spending time with my mother who worked at a progressive care facility, I watched people regain their health and independence through the skill of dedicated therapists. Through that I also learned that bringing an attitude of humor and optimism to therapy has a healing power all it’s own. My work as a COTA lets me combine my penchant for problem solving with my skills, education and optimism. Today my goal is to bring all that and more to the amazing people I work with, helping them recover from life’s challenges.

Education:

  • Cuesta College 2009-2012:
    • Associate of Arts in Social and Behavior Science
    • Associate of Arts in Arts and Humanities
  • Casper College 2013-2016:
    • Associate of Science in Pre-Occupational Therapy
    • Associate of Science in Occupational Therapy

Professional Society Memberships:

  • AOTA- American Occupational Therapy Association
  • WYOTA- Wyoming Occupational Therapy Association

Certifications/Specialized Training:

  • A Systematic Approach to Examination, Diagnosis and Manual Therapy of the Wrist Part 1
  • Brain and Sensory Foundations

Hometown: Santa Margarita, CA

Family:Husband- Ryan, Parents- Glenn and Chelle, Brother- Kevin, Fur babies- Avery, Ember and Stella.

Hobbies:Crafting, quilting, painting, cooking, hunting, fishing, being outdoors, camping, traveling, playing with my dogs, being with friends and family.

 

Services Offered



Latest News & Info


Healing your lower back pain with your Denver physical therapist


August 21, 2019

You might have injured your lower back recently, and been referred to physical therapy to help with treatment and recovery. While it might seem overwhelming at first, there is no need to panic. Your physical therapy appointment will help you heal, with little to no pain, and help you get back on your feet and living your life the best way you know how. But let’s talk about what you can expect when it comes to your physical therapy.

There are two forms of physical therapy you might use to treat your lower back pain, and the type of physical therapy depends on your injury. Talk to your Denver physical therapist to determine which is best for you, it might even be a combination of the two:
Passive: Passive physical therapy includes the use of ice packs, heating pads, and even electrical stimulation. This form of physical therapy will be less physically taxing, but is equally important in the healing process. 
Active: Active physical therapy will include light forms of exercise, as well as stretching. You will most likely be in an active physical therapy program for your lower back pain. 

Time wise, your length of physical therapy can vary. On average, expect anywhere from 4-8 weeks of physical therapy - but once again it can depend on the back injury you’ve sustained. When it comes to your physical therapy regime, be sure to maintain consistent contact with your physical therapist to better understand your treatment program. There are some instances in which you might be required to do light exercises at home - but these should all be low impact. 
  • When it comes to preparing for your first physical therapist appointment, we recommend the following: 
  • Wear comfortable clothing that is breathable, and makes it easy to move if necessary
  • Be aware that they will most likely take measurements - including your range of motion, current physical fitness, and test of strength
  • Be ready to ask plenty of questions - your physical therapist is there to help you and guide you 

Asking questions can be overwhelming at your first physical therapist appointment, but we do recommend that you ask as many as you need to. Your physical therapist is there to serve as a resource and is ready to help you with any needs you might have. Just remember, everybody is different. Your healing time can be very different than another, even with the same injury. So be sure to stay in close contact with your doctor as well as your physical therapist. 

At North Platte Physical Therapy, we are here to help meet your needs. We serve the communities of Wyoming and Nebraska with 22 clinics offering a full range of physical therapy services. Contact us today for more information.
 
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Tips to staying healthy, from your Wyoming/Nebraska physical therapist


July 24, 2019

Summer is already more than half way over - can you believe it? Hopefully you’ve been enjoying the summer to your full ability, but if you are unsure of how you’re going to stay healthy and active for the remainder (and even into the fall) we have some of the best tips for you from your Wyoming/Nebraska physical therapist.

Avoid Fad Diets
Fad Diets are tempting...but they ultimately are not going to be the best solution to helping you stay healthy and well. Fad Diets might help you lose weight quickly, but it’ll be easy to gain all of the weight you’ve just lost! No one wants that! When dieting, stick to a healthy balance and cut back on sweets, alcohol and non-whole grains. 

Moderation
Speaking of getting rid of the bad...have you ever heard of the phrase “everything is good in moderation?” That’s not always the best motto to live by, but there are sometimes where it can be good for you. Cutting out absolutely everything that is good can cause you to binge on unhealthy foods - so first try to cut back the bad things. Practice moderation, and good portion control!

Get Active
Staying (or getting) active doesn’t have to be difficult or hard. It can be as easy as committing to taking 10,000+ steps a day. Taking a morning and evening walk can make all of the difference in maintaining a healthy lifestyle. Want to take it to the next level? Try working out a few times a week! It’ll not only make you feel better (endorphins are released during exercise) it’ll lead to you feeling strong and confident after.

Eat To Fuel
When you think of what you are eating and fueling your body with - eat to fuel. Try thinking of your body like an engine - afterall it is how you get from place to place. If you approach food as a way to fuel the body, it might make it easier for you to eat fruits and vegetables throughout the day. This includes eating more fruits, vegetables, and less bad fats (think sweets). 

Hydration
Hydration is essential to losing weight, and maintaining a healthy body! Water helps to fuel almost everything we do, if you aren’t drinking enough water your body is going to hold on to that excess water - we don’t need or want water weight! The rule of thumb is to consume approximately ⅔ of your body weight in ounces. 

Contact North Platte Physical Therapy to benefit from our sports medicine programs. Our expert staff is revered for providing superior and personalized physical therapy services throughout the Wyoming and Nebraska areas. We can provide comprehensive sports medicine services for individual athletes or entire teams, we use the best physical therapy techniques available, and we would be happy to treat sports injuries and maximize performance levels so you and your team can enjoy the thrill of victory.  
 
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Love a good knuckle cracking? Get the truth about how this affects your body.


July 17, 2019

Knuckle cracking can be one of the most gratifying experiences, and many do it as stress relief and even to help with sore joints. But is cracking your knuckles really good for you? There’s always been a debate on whether cracking your knuckles is truly good for you, or if there is any damage that might occur as a side effect. While you knuckles might feel “loose” after, the question remains...is cracking your knuckles going to cause long-term damage? Your Wisconsin therapist is here to help.

What does knuckle cracking really do?
In basics, cracking any joint is really just bending the joint until it makes a popping sound. While you might feel that your joints are “loose,” there is no medical evidence that cracking your joints actually help to relieve any pain or pressure. There is a possibility that it is a placebo effect - so keep that in mind!

Are their side effects to cracking your knuckles?
Whew, this one is a hard one to explain. For decades the theory has been that popping your knuckles can ultimately lead to arthritis, but honestly there isn’t any research to support this. We feel confident in saying that overall it is unlikely that knuckle cracking is related to arthritis. 

However, you should not just be worried about artritis. Be careful when popping your knuckles/fingers. If you crack your knuckles, or fingers, by pulling on them it is possible to pull your finger right out of its joint! This would certainly be an unpleasant experience,  but it’s also possible to damage ligaments doing this. So be careful. In addition, cracking knuckles can cause inflammation and weaken your grip over time. While it’s not as bad as arthritis, it can be uncomfortable and cause issues. 

How to maintain healthy joints
If you are looking to keep your joints healthy, there are a few things you can do. While you don’t have to stop cracking your knuckles...why risk inflammation and possibly weaken your grip. The biggest thing you can do for your joints is to maintain a healthy body weight, stay healthy through exercise, and continue to eat healthy and watch your nutrition.

Everyone’s body is different, so when it comes to your care be sure to stay in close contact with your doctor as well as your physical therapist. If you realize you might be encountering some unpleasant wrist or hand pain, contact us. At North Platte Physical Therapy, we are here to help meet your needs. We serve the communities of Wyoming and Nebraska with 22 clinics offering a full range of physical therapy services. Contact us today for more information.
 
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What you need to know about c-section recovery, from your Wyoming physical therapist


July 10, 2019

If you've recently had a baby - congratulations! Having a baby is an exciting time, but can be overwhelming and even stressful. If you needed a c-section, that can only add to your stress and the emotional rollercoaster you might be feeling. Recovery from a c-section should be relatively painless, but it can involve some additional steps even physical therapy. Here are some of our tips to help you to a speedy recovery:

Get Moving
We mean this, but be sure to take it easy. When we say get moving we mean participate in some light stretching, a brisk walk, or something that won’t put too much stress on your body. By getting your body moving, not only will you have the chance to get some much needed fresh air - but can also help get your collagen moving and prevent it from shortening. Just make sure to get your doctor’s approval prior to moving to often or starting a new routine. 

Scar Tissue Massage
To help prevent any adhesions from forming along your scar, we recommend scar tissue massage. Practicing light scar tissue will help your scar heal and help to prevent any further infection and scarring - just make sure you work together with your doctor and physical therapist to ensure it won’t cause any unintended damage. 

Bracing
While growing in popularity, belly braces aren’t your best option when recovering from a c-section. Belly braces are advertised to help train your body to maintain a flatter stomach, however it can be possible that your body gets used to the brace doing the work and can ultimately cause undue stress to your body. Your body is in a delicate state after a c-section, it’s important to do the best you can to help you body heal properly and safely. However, the decision is always your choice, so do what you and your doctor feels is right for your body.

Self-Care
While we are advocates of always practicing self-care, you should be especially aware of your body and take care extra care after a c-section. C-sections can be traumatic for your body, so be sure to practice basic self-care. This includes getting plenty of rest, focusing on good nutrition, and relieving your pain through doctor approved exercises, physical therapy, and pain medication.
Everyone’s body is different, so when it comes to your care be sure to stay in close contact with your doctor as well as your physical therapist. As professionals we are here to help and guide you to the best possible solution. At North Platte Physical Therapy, we are here to help meet your needs and ensure a safe recovery, or a safe start to a new exercise routine. We serve the communities of Wyoming and Nebraska with 22 clinics offering a full range of physical therapy services. Contact us today for more information.
 
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Easy ways to practice healthy living, from your Wyoming physical therapist


July 3, 2019

Healthy living can feel difficult, but it doesn’t have to be. No matter where you are at in your health journey, nutrition and exercise is your key to feeling great and living a long/healthy life. Not only this, but staying mindful of your health can help to prevent back pain, joint pain, and other common body aches and ailments as time goes on. If you are looking for some tips to help get you started on your healthy living journey, we have compiled our seven best tips - straight from your Wyoming physical therapist!
The first step in living a healthy lifestyle is exercise, and this includes more than just becoming a gym rat. You’d be surprised with how just moving your body more can help you feel rejuvenated and even make it easier to achieve your fitness goals. Here are some tips to help you get moving more often:
Take it easy: If you aren’t used to exercising, take it easy! Practice warming up and cooling down with each workout and make sure you switch up your exercise routine. It’s also important to listen to your body - if you are tired and sore, a rest day is much needed!
Go the extra mile: When it comes to your daily routine, try making small changes such as taking the stairs versus the elevator or parking in a spot slightly farther away. As these small changes become habits, you’ll start to see a difference. 
Find a buddy: Having a workout buddy will keep you accountable and give you someone to “feel the workout burn,” with! It’s easier for you to break a workout date with yourself, but not with a friend.

You can’t outrun a bad diet! Proper nutrition is essential in not only maintaining your ideal shape (no matter what that looks like), but it’s important in staying healthy and lively as well. Poor nutrition is the root cause of many health issues, here are some tips on how to focus on your nutrition, without breaking the bank or taking hours of your time: 
  • Bring your lunch: Bringing your lunch to work, or even when you know you’ll be gone all day, can help keep you on track to achieve your health and fitness goals. Not only will this help save you money, but it’ll be healthier and even boost your confidence.
  • Plan snacks: When it comes to day-snacking, always have your snacks ready to go and packed. By planning your snacks you can avoid unhealthy snacking.
  • Stock for success: Stock your pantry for success! Avoid buying cookies, candies and other unhealthy foods to stock your pantry with, but instead buy healthier options such as low-fat crackers, protein bars, and fruits/veggies. 
  • Portion control: Ever heard of everything is okay in moderation? While that isn’t always true, it is something good to remember when it comes to eating. It is perfectly okay to enjoy some brown rice, but maybe only have half a cup versus three cups!  
If you are unsure about starting a new exercise routine, or need assistance we are here to help! Our team of professionals at North Platte Physical Therapy, are here to help meet your needs. We serve the communities of Wyoming and Nebraska with 22 clinics offering a full range of physical therapy services for post-cast recovery. Contact us today for more information.
 
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