Imagine Physical Therapy

Archive for September, 2017

No Stink Eye with Stretching!

Posted on September 26, 2017 by

Are you feeling tight? Do feel like you have limited motion?

If so, are you stretching?? Are you making a stink eye while you stretch??








Before Imagine PT! (that’s quite the stink eye!)







In order for the human body to move in the most optimal way our joints must have the ability to move through their full range. Limited motion in our joints may be due to the joints themselves or even more common the muscles which surround it. Muscle tightness is one of the most common reasons for limited motion and as it’s so aptly named the reason for the tightness or “pull” that you feel when you move a certain way. So what do we do about this muscle tightness? We stretch!



But what makes a good stretch? What should you feel? What’s good and what’s bad? How long do I hold the stretch? These are all very common questions!

A good stretch is one in which you feel a slight pull or tensioning of the muscle without any pain with the goal being for the “pull” to lessen as you stretch. If pain or discomfort is present, you should back off of the stretch. We are blessed with a body that has pain receptors and so when they “speak” we should definitely listen! We want the “pull” or “stretchy” feeling but we don’t want the pain! The length at which you should hold the stretch depends on your age. In research performed by Bandy, it was determined that 30 seconds is the optimal stretch time for improving flexibility and range of motion. Any stretch held for less than 30 seconds was not enough to get a long lasting effect. In a separate study by Feland it was determined that individuals over the age of 65 should hold stretches for 60 seconds. As we get older, our bodies (especially our muscles) change and so we have to give them a little more TLC!



The simple answer to tightness and limited motion is this: stretch, holding it for 30 or 60 seconds depending upon your age. Most importantly, if you’re making a stink eye when you’re stretching, you’re doing too much! So come on in to see us and let’s get stretching! Just remember to leave your stink eye at home! You won’t need it because we’re all smiles here at Imagine PT!









After visiting Imagine PT! (All smiles here!)







Bandy WD, Irion JM.  The effect of time on static stretch on the flexibility of the hamstring muscle. Physical Therapy. 1994;74:845-852.

Feland JB, et al. The Effect of Duration of Stretching of the Hamstring Muscle Group for Increasing ROM in People aged 65 years and Older. Phys Ther.2001: 81:1110 – 1117.


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Does Size Matter?

Posted on September 25, 2017 by

Does size really matter? Now, of course, we are talking about dry needling here! Does the size of the needle used in dry needling really make a difference on its effectiveness? Here at Imagine Physical Therapy, we incorporate dry needling (the use of needles to release muscle trigger points or “knots”) into many of our patients’ plan of care. Let’s be honest – most of us aren’t extremely comfortable being pricked with large, menacing needles. But what about the thin, unassuming needles that we use here at Imagine – are they just as beneficial? According to the research, yes!


Research journals are full of articles that indicate that smaller diameter needles (.2, .25, and .3 mm needles), like the ones we use in our clinic, are very effective in their treatment of various diagnoses. They can be used to treat plantar fasciitis, low back pain, carpal tunnel, neck and shoulder pain, and knee osteoarthritis, just to name a few. While there is limited evidence that bigger needles may tend to provide somewhat better results, the evidence is clear – small needles can give big results. So why not stop by for a little prick? The therapists here at Imagine Physical Therapy offer a multifaceted approach (exercise, stretching, ultrasound, and, of course, dry needling) to help you reach your full physical potential.


Trust me, as a former needle-phobe, I had my reservations about dry needling. But when, after some convincing, I decided to take the plunge, I realized that my shoulder pain was gone – along with my fear of needles! The therapists here are very knowledgeable and professional and will do their best to ensure your safety, comfort, and rehabilitation.


So, does size matter? Well I guess it depends on who you ask. As for me, give me a #leetleneedle and some physical therapy, and I’ll be just fine!



Zhang, SP., Yip, T-P., and Li, Q-S. (2011). Acupuncture Treatment for Plantar Fasciitis: A Randomized Controlled Trial with Six Months Follow-Up. Evidence-Based Complementary and Alternative Medicine, Vol. 2011, Article ID 154108, 10 pages.

Cherkin, D., Sherman, K., Avins, A. (2009). A Randomized Trial Comparing Acupuncture, Simulated Acupuncture, and Usual Care for Chronic Low Back Pain. Arch Intern Med, 169(9):858-866.

Khoswari, S., Moghtaderi, A., Haghighat, S. (2012). Acupuncture in Treatment of Carpal Tunnel Syndrome: A Randomized Controlled Trial Study. Journal of Research in Medical Sciences, 17(1):1-7.

He, D., Veiersted, K., Hostmark, A., Medbo, J. (2004). Effect of Acupuncture Treatment on Chronic Neck and Shoulder Pain in Sedentary Female Workers: a 6-month and 3-year follow-up study. Pain Journal, 109(3):299-307.

Berman, B., Lao, L., Langenberg, P., Lee, W., Gilpin, A., Hochberg, M. (2004). Effectiveness of Acupuncture as Adjunctive Therapy in Osteoarthritis of the Knee: A Randomized, Controlled Trial. Ann Intern Med, 141:901-210.

Wang, G., Gao, Z., Li, J., Tian, Y., Hou, J. (2016). Impact of Needle Diameter on Long-Term Dry Needling Treatment of Chronic Lumbar Myofascial Pain Syndrome. American Journal of Physical Medicine & Rehabilitation, 95 (7), 483–494.

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Irma Workout

Posted on September 11, 2017 by

No sandbaggin’ during the storm!

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Did you know?

Many insurance companies now cover Physical Therapy WITHOUT a doctor's referal.

Direct Access

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Did you know?

Many insurance companies now cover Physical Therapy WITHOUT a doctor's referal.

Direct Access

Learn More