Summer 2012

160 No rth Pointe Blvd, Suite 113 Preso rted Lancaster, PA 1 7601 Standard DIRE CT U.S. Postage PAID Lancaster, PA ACCESS Permit No. 23 Direct Access Physical Therapy means that a person is able to refer themselves directly to a Physical Therapist for evaluation, diagnosis, Ansh Naik and treatment of musculoskeletal and movement disorders. In Pennsylvania, licensed Physical Therapists must meet advanced criteria in order to provide Direct Access se rvices to clients and patients. This includes successful completion of courses in differential diagnosis and medical screening, as well as two JA NKOW SKI SELE CT ED IN years of post graduate clinical wo rk. Physical MAJOR LEAGUE DRAFT Therapists must apply for Direct Access - LANCASTER NATIVE CHOSEN BY SAN DIEGO - certification every two years, and must meet the criteria above, as well as complete iming, it's been said, is everything. a minimal number of hours in continuing T education cou rsework. Direct Access After Stony Brook confounded the experts and captured its first NCAA has been available to the public in the tournament regional championship, Seawolves centerfielder and Lancaster Commonwealth of Pennsylvania since 2006. Catholic graduate Travis Jankowski was celebrating with his teammates. All Physical Therapists in Drevna Physical It was in the midst of the partying on the field that Jankowski's father, Therapy Associates are Direct Access Paul, got the call their family had been waiting for. certified. “The timing ,” Paul said, “couldn’t have been better.” Several independent studies have identified The call came from the , who told the Jankowskis that that this model of care has resulted in an Travis had been selected by San Diego with overall reduction of health care costs for the 44th pick in the supplemental first round of the MLB Draft. certain musculoskeletal diagnoses. There is also evidence that the benefits from direct “To win the regional and 10 minutes after that to be drafted by the physical therapy evaluation and treatment Padres was incredible ,” said Jankowski. can be a effective alternative to more “It's a huge weight off my shoulders ,” Travis said. “Finally, I can breathe. invasive and costly procedures. All the hard work has paid off.” Noting the decreased costs and effective In a very real sense, Jankowski's story personifies that of the Seawolves , Hemal Naik - Recent Mother outcomes of care, many health insurance a former Division III program that is scripting the classic underdog tale carriers have recognized the benefits of in this NCAA Tournament. Direct Access PT, and provide reimbursement for these services. Presently, Medicare Stony Brook stunned Central Florida to advance allows Direct Access for evaluation only, to the super regional round, which was broadcast requiring a physician referral for treatment. on ESPN. You should check with your insurance carrier Stony Brook, a mi d- major, advanced to the College to see if this option is part of your coverage. World Series defeating LSU in a bes t-of- three se ries Our professional staff possesses the clinical in Baton Rouge, La. expertise and knowledge to improve your Though the season ended with a loss to Florida function, relieve your discomfort, and allow State in the College World Series, this was a you to return to the activities you enjoy. watershed year for Jankowski and Stony Brook. Call us if you have any questions regarding On the same night the Seawolves won their a Direct Access appointment. We will be able regional, they had two players — Jankowski and catcher Patrick Cantwell, who was selected 12 3rd by to answer your questions about insurance, the — taken in the MLB Draft. Since then, they’ve had five more players drafted in the evaluation, and treatment duration and thre e- day event. Congratulations to Travis from the staff of Drevna Physical Therapy Associates. frequency. Pictures of Travis Jankowski during his time with the Bou rne Braves of the Cape Cod League. This story was adapted from an article appearing in the Intelligencer Journal and Lancaster New Era on June 6, 2012 by Ed Gruver. Thank you to the PPTA Direct Access Task Force 2011 for the general content of this article. 160 No rth Pointe Boulevard . Suite 113 . Lancaster, PA 17601 My Care. My Choice. p 717.569.4184 f 717.569.4192 w www.drevnapt.com YOUR NEXT STEP IN RECOVERY: THE BR IDGE PROG RAM The Bridge Program is designed for all of our patients, from high school LOW BACK PAIN or collegiate athletes to seasoned citizens. Our physical therapists MRI S SHOULD BE USED SPARINGLY provide expertise and knowledge to: IN PATIENTS WITH LOW BACK PAIN • guide you through appropriate exercises to perform at a health MEET TIM DREVNA Low back pain is very common, with 80% club or at home of people experiencing back pain at least • transition to r e- joining your team Tim earned his Physical Therapy degree from the once in their lifetimes. The good news is that Mark Your Calendar in competition University of Pennsylvania in 1975, following graduation a thorough physical examination can often Patients, friends and family are invited • avoid injury from a past trauma from Indiana University of Pennsylvania in 1973 with a determine the best course of management to attend free seminars presented b y the or previous surgery and whether you require imaging (X ray, MRI, Drevna Physical Therapy Associates B.S. in Biology. He began his professional career at Hamot Call our office and ask for more CT scans, etc) to rule out a serious problem. professional staff. information regarding The Bridge Medical Center in Erie, Pennsylvania, and relocated to Often low back pain can be severe enough to Program and get back to the Lancaster in 1978. He entered private practice in 1980, make a patient think that an MRI is necessary. Examination Physical Therapy TOPICS: activities and sports you love. While MRI provides excellent pictures of Intervention and was c o-founder of Drevn a- Papson PT Associates your anatomy, it may not be able to pinpoint Back to Backs: Physical in 1981. He r e- entered private practice in 2004 after an the specific source of your pain. A clinical Therapy Treatment of eight year period of corporate employment, and opened commentary published in the November Lumbar Spine Pain the North Pointe office in March 2006, forming Drevna 2011 issue of JOSPT summarizes research that describes how the increased use of Michael Beiler, MPT, DPT, CSCS Physical Therapy Associates. He completed his doctoral unnecessary imaging may lead to less than Referral to physician specialist is made and potential imaging Thursday, August 23, 2012 degree in Physical Therapy from Chatham College in favorable results. Specifically, the research ordered if a serious underlying condition is suspected Pittsburgh in December 2006. shows that overuse of MRI for patients with 6:30 pm to 7:30 pm at the DPTA office low back pain is related to an increased DIAGNOSING AND TREATING LOW BACK PAIN. A person who experiences low back pain first visits his or her physical therapist who begins a Tim is an APTA board certified clinical specialist in rate of surgical procedures that have not conservative, evidenc e- based treatment program. If the case suggests Orthopedic Physical Therapy, and an APTA certified consistently been shown to significantly an underlying condition or more complex source of the back pain, the East Meets West: reduce painful symptoms and improve daily patient may be sent to a physician specialist for further evaluation. clinical instructor. He is a member of the American Using Tai Chi and Physical function. PRACTICAL ADVICE Physical Therapy Association (APTA) and the National Therapy to Improve Balance NEW INSIGHTS • MRI for a new episode of low back pain Strength and Conditioning Association. The authors summarized current clinical should only be used when a serious Anita Alonte Roma, PT, DPT, NCS underlying condition is suspected, if Tim has been a certified Athletic Trainer since 1978, and guidelines and available research on low back pain and diagnostic imaging (X rays, CT symptoms of numbness and weakness in Thursday, September 13, 2012 is also certified as a strength and conditioning specialist. Scans, and MRIs). MRI findings of herniated the leg are progressing, an d/ or the results 7:00 pm to 8:00 pm at the DPTA office He has served in the Pennsylvania Physical Therapy lumbar disks are commonly seen in individuals of the imaging scan are likely to change your immediate treatment options. Association on numerous committees. Most recently, with and without low back pain. Some studies show that up to 90% of healthy individuals • Professional Staff: he was elected as a delegate from the South Central Your medical provider, such as your physical Conservative Care of Knee over the age of 60 have findings of bulging therapist, can and will perform a thorough Timothy Drevna , District from 200 6- 2010, representing his colleagues at discs on MRI. Further, the rapid decision to examination to determine if a referral for Osteoarthritis: Delaying DPT, OCS, ATC, CSCS the annual House of Delegates. He has also served on perform imaging following an acute episode imaging is warranted. However, you should and Preventing Knee Ch risty Knox , the PPTA Executive Committee as Treasurer from 2009 of low back pain may not be justified or feel comfortable asking your healthcare Replacement Surgery OTR /L, CHT warranted, considering the fact that many provider why he or she is recommending to 2011, in conjunction with his role on the Professional Michael Beiler , patients show signs of recovery shortly after an imaging study and how the results of Timothy Drevna, DPT, MPT, DPT, CSCS Development Committee for the PPTA. the onset of low back pain. While a referral this test will change your medical care. OCS, CSCS, ATC for imaging is indicated to rule out serious Christopher Hudson , • His professional focus is manual therapy of the shoulder, problems, it should not be used as a method Physical therapy is safe and recommended Tuesday, September 25, 2012 MSPT, DPT, CSCS for the treatment of low back pain. In most knee, and cervical spine. He has a special interest in to guide routine decision making about how 7:00 pm to 8:00 pm at the DPTA office Anita Alonte Roma, cases of low back pain, it is not necessary athletic injury prevention and sports training program best to treat low back pain. It is estimated PT, DPT, NCS that half of all pe rformed CT scans and to have an MRI before starting treatment. Pr e- registration is required and seating Amy Humphrey, development, especially in concussion management, as one third of MRIs of the low back are not Beginning physical therapy in a timely is limited. Please contact our office for more DPT, OCS, MTC well as preventative training for ACL injuries. necessary. In fact, some individuals should fashion can potentially speed up your information and to register at 717.569.4184. healing as well as your return to full activity. Lisa Goussetis , PT not undergo an MRI scan. These patients Tim resides in Lititz, with his wife Sharon. include individuals who have older pacemakers, For this and more topics, visit JOSPT Sherri Gagné , PTA metal implants, shrapnel, or are in the first 12 Perspectives for Patients online at Amy Finnegan , PTA weeks of pregnancy. www.jospt.org. DP Tism of the month Amanda Hefflefinger, PTA “If You Res t,You Rus t” This JOSPT Perspectives for Patients is based on an article by Flynn TW et al, titled “Appropriate Use of Diagnostic Imaging in Low Back Pain: A Reminder Trudi Snively , COTA that Unnecessary Imaging May Do as Much Harm as Good” (J Orthop Sports Phys Ther 2011;41(11):838-846. doi:10.2519/jospt.2011.3618) This Perspectives article was written by a team of JOSPT’s editorial board and staff, with Deydre S. Teyhen, PT, PhD, Editor, and Jeanne Robertson, Illustrator.