Physical Therapy and H2O

Aqua Therapy (AT), also known as water therapy, consist of regimen of exercises that are done in the water for rehabilitation and/or treatment purposes. In the field of physical therapy, a specialized therapist may use the water as a means to help reduce the patient’s pain, swelling, or weakness, and increase functional mobility and balance.

Water has very unique characteristics that separates it from the land. In the water, one can experience buoyancy, hydrostatic pressure of water, and surface tension. These proprieties allow the patient to feel less pressure and therefore less pain in an injured area. Furthermore, water has been shown to have calming and soothing effects, and as a result assists with reducing stress and anxiety associated with chronic pain. Most patients feel that they can move and walk much easier in the pool and their conditions improves within a few weeks of AT. 

In our clinic, wide spectrum of our patients use the pool. Low back pain, joint pain, post operative joint replacement, neck pain, shoulder pain, gait & balance dysfunction are among reasons that a physical therapist (PT) may recommend AT. The PT will demonstrate the appropriate exercises and will progress the patient as the conditions improves. Stretching, strengthening, aerobic activities, gait and balance are among the exercises performed in the pool. For best results, a combination of land based manual therapy, exercises, and AT is commonly recommended by a physical therapist. 

A few contraindications to AT are; active diarrhea, active wound, feeling ill, or water phobia. Being a strong swimmer is NOT a requirement, as we stay in 4 feet of water heated between 88 and 92 degrees.

Kind Regards,

Ramona Lazar

What do I do about my low back pain?

Your physical therapist has been asked this question many times. What do I do about low back pain? Studies show that 80% of Americans will seek treatment for low back pain in their lifetime. That probably means that 100% will experience. We have the choice to get ahead of the pain with prevention and learn tools to manage the symptoms, so that they are not debilitating.

Your physical therapists first step is to decrease inflammation and break the pain cycle. We use a variety of modalities and hands on soft tissue treatment but many of the early gains are related to education. By understanding your back mechanics and ergonomics we can get out of the way and let the body do what it does best to heal itself. Often we can be our own worst enemy but can easily learn what NOT to do.

An exercise program will no doubt be a part of your maintenance and prevention. This may look very simple at first, with gentle ROM and lower body stretches. You may be instructed in “self traction” techniques to mix into your day to unload your spine. Gradually introducing challenge to your “core” (the abdominals, buttocks, and back muscles) is an art. Too much too soon puts you back into the inflammatory state. Often aquatic therapy can be a good transition for the joints to be under lower forces, and later progressed to land exercise.

The low back is a unique and complex. Keeping it healthy takes some lifetime effort and awareness. Your therapist will always want to keep you out of the spine surgeons office and provide an alternative to narcotic long term medications. The goal of PT is always to improve your function specific to whatever your desired work or recreation may be.

Alex Ray, PT