Announcing the Cioffredi & Associates Online Store

Featuring an extensive catalog of products to order conveniently online to support your fitness and rehabilitation goals, from fitness balls, foam rollers, braces, and weights, to Rocktape brand kinesiology tape in many colors and patterns.

PT-Approved – ORDER ONLINE TODAY!

Approved by our licensed physical therapists and personal trainers, you’re sure to find what you need to keep up your home exercise program. Check out the selection at Cioffredi.com/store, and feel free to call us at 603-643-7788 with any questions you may have.

Shop Online at the Cioffredi Online Store

 

 


Goal-Setting Practice That Works

William J. Cioffredi, PT - FounderNew Year’s resolutions: most of us make them, and many fade by the first few months or even weeks. In our work, throughout the year, our purpose is to help people achieve their goals. We track every client, and our percentages are pretty high on helping people hit their target. This kind of goal-setting practice has reached beyond my professional life, and while I don’t profess to have great wisdom on the topic, I can tell you what has worked for me personally.

It’s pretty simple, and involves three steps.

1. Make your ‘resolution’ a specific goal that you can achieve. It’s something you can complete and is done. If your resolution is to exercise three times a week, that’s something you do—not an end result. What is your purpose with the exercise? For example, if you’d like to be able to spend a week exploring the coast with your grandkids in August or bike the Prouty in July, now you’ve created a purpose for exercising three times a week. When people come to us for help and we ask them what they want to accomplish with our treatment, oftentimes their response is something like, “reduce my pain and feel stronger.” While these kinds of responses are understandable, often one of our first tasks is to help the person identify the real purposes behind their goals (lifting their child, carrying groceries, stacking firewood?). Continue reading



Join Us for Our Fall 2017 Institute Speaker Series

CARRYING SPORTS THROUGH LIFE

Coaching For Life Lessons

Ethics and Safety in Sports

Athletes Clip Art

Wednesday, November 1, 2017

5:15-7:00 p.m.

at Cioffredi & Associates | The Institute for Health & Human Performance

112 Etna Road – Lebanon, NH


FEATURED PRESENTERS

Daniel J. O’Rourke, MD, MD, MEd

Chief of Cardiology, VA Medical Center

M.Ed in Coaching & Athlete Development, Xavier University

Head Varsity Coach, Hanover High School Girls Basketball Program

-and-

William J. Cioffredi, PT, Founder

Cioffredi & Associates | The Institute for Health & Human Performance

Dr. Daniel O'Rourke and Billy Cioffredi

This event is free and open to the Upper Valley Community. Light refreshments will be served.

Seating is limited. Pre-registration is requested by phone at 603-643-7788, by email to scheduling@cioffredi.com, or using our online RSVP form.


ABOUT OUR PRESENTERS

Daniel J. O’Rourke, MD, MS, MEd

Hanover Marauders Basketball Coach Dan O'Rourke Dan earned his MD degree from SUNY at Syracuse, completed internal medicine training at the University of Pittsburgh, completed his cardiology fellowship at DHMC, earned a master’s degree from The Dartmouth Institute at Dartmouth College in 1997, and a master’s degree in education from Xavier University in Coaching and Athlete Development in December 2016. He is Chief of Cardiology at the White River Junction Veterans Affairs hospital and a staff cardiologist at Dartmouth-Hitchcock Medical Center.

Dan began coaching basketball in 1995 and is entering his 23rd year of coaching with the Hanover High School girls’ program and the 17th year as varsity head coach. During his tenure, Hanover has been a perennial contender reaching 11 final fours, 8 championship games and won 5 state championship titles. In addition, he has coached boys and girls youth basketball, ranging from third to eighth grade, for over 10 years.

 

WILLIAM J. CIOFFREDI, PTBilly Cioffredi, PT, administering dry needling to a PT client.

Billy graduated from the University of Pennsylvania in 1979 with a degree in Physical Therapy. He has extensive experience in orthopedic and sports rehabilitation, with areas of special interest including the spine, ankle & foot disorders, headaches, TMJ dysfunction, and injuries related to the fine arts.

Billy played football growing up and through college where he played at the Division 1 level. It was his interest in biomechanics and physiology that led him into the PT profession. “Through my involvement in sports I had an interest in the physiology and biomechanics of how the body worked. As part of my participation in the Shrine game we went and visited the kids at the children’s hospital in Springfield, Mass. It was a very positive experience that left a lasting impression on me and was an influence in my decision.

Billy started his career at Dartmouth Hitchcock Medical Center where he met his wife Ruth. Together they opened Cioffredi & Associates in 1985. In 2012 Billy received his certification in Trigger Point Dry Needling (TDN), which uses solid filament needles, like those used in acupuncture, to target trigger points deep within the muscle. TDN is an additional tool that Billy uses in his care, when appropriate, to help lengthen and loosen tight muscles. Outside of the office he enjoys running, hiking and skiing. Billy resides in Lebanon, New Hampshire with his wife, Ruth.

 


standing quad stretch

Pull one ankle back toward your buttock, bending your knee to stretch the front of your thigh.

First of all, effective stretching is not a total secret, though in my experience it is not a commonly understood concept. When we think about stretching, it’s often done with the idea that it’s like taking a piece of leather and, using force, mechanically lengthening it out. One of the problems with this idea is that ligaments and tendons are not designed to lengthen. Muscle tissue is designed to actively shorten and lengthen, however it will not lengthen effectively if it is held in an activated or tense state. Activation or tension causes muscle tissue to be more rigid—more leather-like—and it can be irritated if forced. That may be one reason some people don’t ‘enjoy’ the process of stretching. The other problem is that rigid tissue, like Turkish taffy, gets thinner and weaker as we forcibly stretch it out. That doesn’t sound good, especially to athletes who simultaneously want to optimize their strength.

Now, instead of thinking of leather that you are stretching and thinning out, think of a spring that has shortened, and your goal in stretching is to relax the tension of the spring. Continue reading


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