Introducing Two New Members of the Cioffredi & Associates Team

Cioffredi & Associates | The Institute for Health & Human Performance is growing to better serve your needs, with the addition of a physical therapy clinician and an integrative health coach to our team.

JULIE MESSENGER, PT, DPTJulie Messenger PT DPT

Julie earned her Doctorate in PT in 2007, as well as a BS in Psychology in 2004, from Sacred Heart University. She has been practicing orthopaedic and sports rehabilitation therapy since 2007, with a special interest in adolescent athletes.

Julie loves all things “active and outdoors.” As a college athlete she captained her field hockey team, achieving second team All-American recognition, and served as assistant coach as a graduate student. She has experienced many areas of the country including Alaska and Washington state as a travel therapist, and enjoys snowboarding, biking, hiking, kayaking, and “playing with her pups!”

Learn more about how Julie can help you live a happier and healthier life.

MICHELE BOUTIN, Integrative Health Coach and Client Care RepresentativeMichele Boutin, Integrative Health Coach

Michele has been practicing as an Integrative Health Coach in the Upper Valley for the past 10 years, specializing in immune system and GI wellness and has, recently, added Personal Cheffing to her services. As a Freelance Writer in the field of Integrative Health, Michele’s pieces have been published in: Upper Upper Valley Parents Paper, HEAL, Kids Stuff, Kearsarge, and Upper Valley Life Magazine.

As the Client Care Representative, Michele ensures that all clients of Cioffredi & Associates get what they need and want from their care and that their experience with us is of the highest quality.

 

 


Humanities and Health

Do you know someone who exercises regularly, but it’s almost a compulsive activity to “manage stress?” Controlling their weight is a constant “battle.” Going to their physician is a source of stress, as they wait to see what their numbers are going to be; worrying about their blood pressure, cholesterol, or other lab values they’re monitoring.William Cioffredi, PT

Then there’s the person for whom exercise and activity are enjoyments. They seem to eat sensibly, and you don’t hear them describing things that they should or shouldn’t be eating. They just generally seem to be happy, laugh easily, and seem confident without being cocky. They get sad in appropriate situations, but the sadness doesn’t persist. They don’t seem to be “battling” anything in their life. If they have a health problem, it doesn’t seem to dominate their life.

At a time when technology seems to be advancing at the speed of light, research is delving deeper and deeper into our own biology for the answers to better health. Yet our country is one of the largest consumers of pain and psychotropic medication, as well as alcohol and other drugs that help us to interface with life.

Could it be that one of the challenges with our health is that our understanding of the humanities and human behavior has not kept up with the pace of technology in the natural sciences? If it piques your interest, consider attending our Speaker Series event in May.

Learn More about our Spring 2017 Speaker Series

Featuring Dr. Cathleen Beaver and Dr. Dominic Candido, founders of Enhance Health.

WEDNESDAY, MAY 24, 2017

5:15-7:00 p.m.

Cioffredi & Associates | The Institute for Health & Human Performance

112 Etna Road, Lebanon, New Hampshire


Happy, Healthy New Year

The Pursuit of Happiness

“The pursuit of happiness…” Our forefathers thought it important enough to include it the Declaration of Independence, and yet I’m struck by how we, here in New England at least, seem to talk more about improving our health—and our healthcare—than we talk about our happiness (maybe happiness is more a West Coast thing?). Despite continuous advances in medicine, people are expressing more anxiety about their health to me than at any previous time in my career. As this New Year begins, my wish is that we can all achieve both.

Competence and Confidence

Like healthcare, the pursuit of happiness is big business in the United States. For me, it’s important to realize that they are not the same, although they can overlap. I’m talking about the condition of happiness, not that temporary emotion whose opposite is “sadness.” The condition of happiness can include appropriate periods of feeling sad, at the loss of a friend or a pet, for example, but the condition of happiness persists. There are two elements I’ve observed that seem to be fundamental to people enjoying the condition of happiness: competence and confidence. Whether it’s in a skill or within a relationship, feeling competent and confident seems vital to success. What if you felt this way about your health?

Health and Relationships

The subtitle of Ruth Whippman’s recent book, “America the Anxious,” explains “How Our Pursuit of Happiness Is Creating a Nation of Nervous Wrecks.” If that is so, we are a less healthy nation, since there is clear biological evidence that chronic stress negatively affects our basic physiology. Whippman found evidence that yoga, meditation, and mindfulness show positive physiological effects, but her research revealed that the strongest indicator of happiness was connected to relationships.

Helping People

In our practice, people come to us primarily because they have a painful condition. I believe our greatest success is demonstrated when we can help them achieve confidence and competence in taking care of that aspect of their health. Strong relationships are fundamental to delivering on this success.

And so…to those professionals with whom we have had the pleasure to work, and to those individuals whom we’ve had the privilege to treat, I wish you a healthy and happy New Year.

Sincerely,
Billy

William Cioffredi, PT
Founder

View  & Read the Entire Winter 2017 Newsletter Online!

Cioffredi Newsletter January 2017 Cover

 

 


Cioffredi & Associates Recognized Nationally with PRACTICE OF THE YEAR 2016 Honorable Mention

Cioffredi Recognized Nationally Top 4 PT Practice

 

December 2016

Cioffredi & Associates was named recipient of one of three national 2016 Honorable Mentions for ADVANCE magazine’s Practice of the Year award. Read on for an excerpt from the full article in the December 2016 edition of ADVANCE for Physical Therapy & Rehab Medicine.

 

Second Consecutive Year

For the second consecutive year, Cioffredi & Associates|The Institute for Health and Human Performance, located in Lebanon, NH, has earned a “top 4” designation in the Advance Healthcare Network’s ADVANCE Magazine’s Physical Therapy Practice of the Year award competition.

Now in its 15th year, the ADVANCE Practice of the Year Contest tallies anonymous entries from across the country and scores them on a range of success metrics. The contest is free to enter and is never connected with advertising contracts or incentives.

Other recipients of the top 4 honors included Foothills Sports Medicine Physical Therapy, a practice with 22 clinic location headquartered in Phoenix, Arizona, and Synergy Physical Therapy & Sports Medicine based in Jacksonville, North Carolina.

We continue to be grateful for the opportunity to work with wonderful people here in the Upper Valley!

About Cioffredi & Associates, Lebanon, N.H. 

Cioffredi & Associates is located in Lebanon, N.H., near Dartmouth College, Dartmouth Hitchcock Medical Center, and Alice Peck Day Memorial Hospital. Founder Bill Cioffredi, PT, grew up in Rutland, Vt., graduated from the University of Pennsylvania in 1979, and began his professional career at Dartmouth-Hitchcock Medical Center right out of school. While at DHMC he met Ruth Curtis, an OT specializing in hand rehabilitation.

In 1985 Bill and Ruth married, and established the Cioffredi Orthopaedic & Sports Therapy Center. Originally, the practice was open part-time, with Bill as sole provider. As the caseload grew, he brought on additional staff to meet demand and to maintain his policy of immediate therapist access. The organization moved four times since its inception, each time to a larger and more efficient space. Today the practice has 23 staff members offering a full complement of therapy services.

“In 2014, we moved to new location and developed the Institute for Health and Human Performance,” said CEO Amy Hayward. “The vision of the institute was to provide adjunctive and complementary services, which include medically based personal training, nutrition counseling, massage therapy, and health coaching to our existing rehabilitation services. It also allowed us the ability to provide educational forums and programming on a variety of healthcare topics to the general public. The institute is now viewed as a resource of knowledge for in the community.”Cioffredi Award Winning Practice

Their patient-first customer service philosophy includes immediate therapist access, a warm and welcoming therapy environment, inspiring open floor plan complete with cathedral ceilings, natural light, and views of the surrounding woods, and a client care representative who meets with all new patients.

Pillars of maintaining a committed therapy team include a mentorship program, a continuing education allowance, regular 1:1 meetings with supervisors, opportunity to participate in a speaker series, and a fun working environment that often features free breakfast and lunch, staff contests, and regular outings for pizza and bowling. Cioffredi & Associates regularly hosts DPT students as a clinical affiliation site.

Newer offerings include a corporate wellness program and occupational health services. “We are currently working with two local banks that, combined, employ over 350 people, as well as a large accounting firm,” Hayward said. “In our occupational health services we are currently piloting a program working with 36 glass blowers for a nationally recognized company.”

balance workoutAdditional services include a balance and vestibular program that offers free fall prevention screens to people ages 65 and older, and a pediatric therapy program that fills a void in the community for outpatient pediatric services. A speaker series, single-topic seminars, presentations at schools and senior centers, physician meetings, and regular e-mail and social media communication top the list of community engagement.

“In addition to highly competent clinical care, we believe there are other aspects that make up the total patient experience,” Hayward said. “Not only quality of care and clinical outcomes, but a highly satisfied client that has formed a relationship with our office.”


HEALTH CARE COSTS DON’T NEED TO BE A MYSTERY

Making choices about healthcare can be difficult. You want to know—upfront—what you will be expected to pay for services before you incur any costs. You have personal values, you want quality care, and you prefer to make important decisions based on evidence.Informed Healthcare Choice

Healthcare providers and insurance companies have a duty to provide information about the cost of services, and you always have options about where and how you are treated. Ask questions and do some research before you are referred for physical therapy or other healthcare services.

WE ENDORSE PRICE TRANSPARENCY

We’re here to help the pain go away . . . not create more. If you’d like information about the cost of our services, up front, just ask. Call us at 603-643-7788. We’re treating from 6:30 a.m. to 7:00 p.m. in 2017.


COST COMPARISON TOOLS

Here are some cost-comparison* resources that can help:

HEALTHCARE BLUEBOOK

NH Health Cost Website

VT BCBS Website 

*Be sure that you’re comparing “apples to apples.” Costs per visit will vary between providers, and so it’s best to get detailed information directly from your provider’s office.


REVIEW YOUR COVERAGE

It’s important to consult your health insurance plan, to be sure you understand your responsibility.

  • What services are covered or excluded?
  • Do you have a deductible? Co-pay responsibility? Co-insurance coverage?
  • Are you scheduling with an in-network provider? (Check the Cioffredi In-Network Provider List)

Got Questions? Please Ask!

Call 603-643-7788 or email scheduling@cioffredi.com

 

empower yourself

 


Did Winter Sneak Up On You?

STAY SAFE IN THE SNOW

Take precautions for winter walking.

Take Steps to Prepare for Slippery Conditions

Many people spend time outdoors in the winter—working, traveling, or enjoying winter sports. When the temperatures dip (and stay) below freezing, outdoor activities can expose you to several safety hazards, but you can take steps to prepare for them and stay safe in the snow and ice.

  • Wear appropriate outdoor clothing and waterproof footwear with good treads.
  • Take short steps and walk at a slower pace so you can react quickly to a change in traction, when walking on an icy or snow-covered walkway.
  • Sprinkle cat litter or sand on icy patches.
  • Learn safety precautions to follow when outdoors.
    • Work slowly when doing outside chores.
    • Take a buddy and an emergency kit when you are participating in outdoor recreation.
    • Carry a cell phone.

More Winter Safety Resources from the CDC (U.S. Department of Health & Human Services)

Work Slowly When Doing Outside Chores

Warm up before and take breaks during shoveling snow.Shoveling snow can be a strenuous activity, particularly because cold weather can be tasking on the body. There is a potential for exhaustion, dehydration, back injuries, or heart attacks. During snow removal in addition to following the tips for avoiding cold stress, such as taking frequent breaks in warm areas, there are other precautions workers can take to avoid injuries. You should always do some basic warm-up movement and stretches before the activity. Then remember to scoop small amounts of snow at a time and where possible, push the snow instead of lifting it. The use of proper lifting technique is necessary to avoid back and other injuries when shoveling snow: keep the back straight, lift with the legs and do not turn or twist the body.

More Tips from OSHA on Winter Safety (U.S. Department of Labor)

And if winter gets the better of you, we’re here to help!

Here’s a winter injury success story to encourage you . . . #CHOOSEPT


 


Pain, Resilience, and Opportunity

by Bill Cioffredi, PT

Physical Therapist Bill Cioffredi, Founder of Cioffredi & Associates | The Institute for Health & Human Performance on PAIN AND RESILIENCE: AN OPPORTUNITY

Over the course of my 30-plus-year career as a physical therapist, I have gotten a lot of satisfaction from helping people deal with what I saw as a lot of mechanical kinds of pain, and if I could help them with their pain through understanding the biomechanics and correcting things, it was really terrific.

More Than Mechanics

But I noticed, over time, more and more people who had histories of anxiety issues, panic attack problems, nervousness, and depression—and many people were on medications for these kinds of things. I began to see that there was a lot more than mechanics behind the pain problems of the people that I was seeing, and I realized that I really needed to get better at understanding that kind of “needingness” to really help people further.

I consider it an interesting paradox that there are now ways, through healthcare, that allow people to live a lot longer than they used to. The question and the challenge that follows is, “Are they, are we, living happier?” especially over those longer periods. This is where the concepts of pain and resilience and opportunity converge.

Building Competence and Confidence

As physical therapists, we have the pleasure to treat people when they come to us because they have a pain problem, and through our work with them we help them develop their competence. But in fact we also have an opportunity to help them develop their confidence—confidence that they can handle whatever it is that’s giving them trouble. It’s true that they usually come to us because they’ve got a pain problem, but you can almost take that concept of the “pain problem” and insert just “problem,” and then what we’re doing is building people’s competence and confidence to handle whatever is in front of them.

And so the topic of resilience is very interesting to me for those reasons, not only just for the pain problems that we see people for, but for the “livingness” parts of things. I have developed a deeper appreciation that when I provide care with this in mind, the pain condition becomes an opportunity…both for the person I’m treating and for me.

Dr. Adam Schwarz Presents The Clinical Science of Resiliency, part of PAIN AND RESILIENCY: AN OPPORTUNITY

LEARN MORE about Pain and Resiliency

I was honored to host Dr. Adam Schwarz of the Hanover Continuity Clinic as the featured presenter at our Fall Speaker Series event on November 2, 2016, and his lecture “The Clinical Science of Resiliency” is available to view on the Cioffredi & Associates YouTube channel.

WATCH NOW


Thank You From Cioffredi & Associates

FALL SPEAKER SERIES

* Pain and Resiliency: An Opportunity *

 

Our Fall Speaker Series took place on Wednesday, November 2, 2016 here at Cioffredi & Associates|The Institute for Health & Human Performance, and if you weren’t able to be here, we have good news! You can watch both presentations on our YouTube Channel. See below for more details.

Featured Presentations

 

Dr. Adam Schwarz

WATCH NOW

The Clinical Science of Resiliency

Dr. Adam Schwarz

Primary Care Physician, Hanover Continuity Clinic

Resilience is a quality that allows us to meet challenges, and not only survive, but to thrive. Whether it’s a physical pain, an emotional upset, or one of life’s many other challenges, resilience is an essential element. We are honored that Dr. Adam Schwarz has agreed to speak at our upcoming lecture series on The Clinical Science of Resiliency.

 

 

Kate Leiser, PT, DPT, OCS

WATCH NOW

Walk It Off: The Role of Exercise in Management of Pain

Kate Leiser, PT, DPT, OCS

Physical Therapist, Cioffredi & Associates

Learn how physical therapists effectively treat pain while teaching people how to manage and avoid relapses. Physical therapy is a safer alternative to pain medication; there are no side effects, and even some added benefits. Developing one’s competence and confidence to handle and recover from periods of pain in life is fundamental to building resilience.

 

 



Website-blog-post-Dennis

Dear Dennis,

I wanted to thank you for your time to come and speak at the Institute’s Spring Speaker Series. You should know that so many of the people attending had thanked me for the program and for your presence. You touched so many people.

You’ve earned a reputation as a thoughtful and effective physician. My guess is you would have had a similar reputation in any other field you might have gone into. You came to the Upper Valley just a few years before me, and I’ve observed your style for some time. Based on what I’ve seen, this is how it breaks down for me: It starts with genuinely being interested in the person in front of you; being able to communicate with that person through listening, duplicating their viewpoints, and acknowledging them without judging. In finding some element you can admire in each individual, and then helping them achieve what they want, in whatever way they can accept it. I think that’s how you created the strong, lasting relationships that were your hallmark. It seems to me that is also the way you lived your life. You were married to the original gal for 45 years…and happily married. In this time of “evidence-based practice,” there’s the evidence.

I think society has been struggling here a bit Dennis. Technology can be a nice tool, as long as we don’t let it confuse us or interfere with our ability to build relationships with our patients. Thank you for everything Dennis. You really made a difference. I will remember you as I continue to apply what I’ve learned from you in my personal life as well as my professional life.

Appreciatively,

Billy Cioffredi