In late 2017, Kris Bowen came to us with knee pain so severe she was unable to walk up and down stairs. Recently, she was able to partake in the experience of a lifetime, hiking all over rocky coast of Scotland!

“I just wanted to share this picture of me in Scotland celebrating my 50th birthday! When we started working together a year ago, this was my goal. For over two weeks we walked rocky beaches in the Inner Hebrides islands. We hiked on steep and muddy paths through the Highlands. We got to experience so much beauty on the trip of a lifetime. My knee felt great! I took my time on some of the trickier terrain (I like to think of it as contemplative walking) and the hiking poles were an excellent asset to have along. But overall, I just felt strong and ready to take on all the fantastic adventures we waded into. Thank you so very much for your help getting my knee back in shape so I could have this wonderful experience!” -Kris Bowen

Sports Injury Recovery

Knee Pain: Finding the Source

Hiking Exercises

 

 

 




Expanding to Serve You Better at 151 Route 10 North, Grantham, NH 

 

With April 30 being our opening day, we’re hard at work putting finishing touches on our new space.

 

We truly feel that the warm and open atmosphere in our new clinic reflects the quality and care of our services. We’re thrilled that in just a few short days, we’ll be able to share it with you! For a sneak preview, take a peek at the Before and After pics below!

 

Waiting Area: Before, During, and After

When you first come in, you’ll be able to check in at the front desk and then kick back in our cozy waiting room. Don’t worry, we’ll get the TV up soon! Continue reading


Is Your Low Back Pain Biased?

Once you’ve done a fair amount of living and put some ‘miles’ on your body, there is the possibility of some wear and tear. Whether you’ve been a physical laborer or led a relatively sedentary lifestyle; if you’re a vigorous exerciser, or perhaps have suffered a significant injury or had surgery, you may be one of the many people who live with some level of episodic back pain.

Cioffredi and Associates Treats Back Pain

Back pain can be the result of several different issues.

We in the medical profession like to categorize things and come up with a diagnosis. If we know what we’re trying to treat, then we can better help a person. However, when a diagnosis is very general, like low back pain, the term is so vague that it doesn’t provide any practical help for understanding what’s wrong or what we can do about it. Yes, something can be done about it.

Is your low back pain flexion biased or extension biased?

Flexion biased simply means that your back pain feels relief when you bend forward or round your back. In contrast, extension biased means that you get pain relief when you bend backward or increase the arch in your back.

Continue reading


On-Site Physical Therapy and Injury Prevention Assessments

Simon Pearce HR Benefits Specialist Cathy Sullivan knows the benefits of a pro-active approach to employee health. For several years she has been working with Cioffredi & Associates to support workplace well-being at the Vermont-based company, and witnessing a reduction in OSHA injury reports and workers’ compensation recordable claims.

Twice each month, Cioffredi & Associates founder Billy Cioffredi, PT, CEAS, and Anna Hinman, DPT, CEAS, are on the road, visiting Simon Pearce employees at the company’s Windsor and Quechee facilities, where handcrafted glass and pottery are produced and distributed. Making rounds in the various departments, Bill and Anna spend time interacting with employees, observing their workstations and processes, and addressing individual needs through on-site physical therapy assessments and education. Their goal is to prevent or minimize the impact of painful conditions for Simon Pearce employees, and optimize their ability to stay injury-free at work and live happier and healthier lives overall.Physical Therapists Billy Cioffredi and Anna Hinman on-site at Simon Pearce.

“The implementation of our on-site therapy program,” says Cathy, “has proven to be a successful partnership with Cioffredi & Associates. We are extremely pleased with the relationship and the meaningful impact it brings to our employees…Healthy and positive employees are contagious!”

ABOUT CIOFFREDI WORKPLACE WELLBEING

Over more than three decades as your Upper Valley neighbor, Cioffredi & Associates has provided occupational health services to prominent companies in the community.  We are now the area’s sole provider of a comprehensive range of wellness services to the corporate and business community that includes preventative assessments and training, in addition to the direct treatment of the injured worker.

On-Site Physical Therapy at Simon Pearce

COMPREHENSIVE  APPROACH

We provide office and industrial ergonomic assessments, on-site musculo-skeletal screenings, as well as active treatment of those conditions that prevent or interfere with an employee’s ability to work, whether or not they originated in the workplace.Billy Cioffredi, PT, consults with a Simon Pearce manager,

Our approach is designed to more effectively help individuals not only solve pain problems, but to provide them tools and services that support their ability to achieve and maintain a more optimal health. These services include nutrition counseling, health coaching, medically based personal training, and massage.

FLEXIBILITY AND IMMEDIATE ACCESS

We understand that every business is different in its need for occupational health and wellness services. For that reason, we have a menu of services that allows a customized approach to the unique needs of each company. The depth of our service allows it to be modified as a company grows and changes.

As with any line of service Cioffredi & Associates provides, we are committed to immediate access and exceptional service. For this reason, we operate from 6:30 a.m. to 7:00 p.m. for the convenience of the worker and the company.

Related Posts

Are You Living With Back Pain?
First Physical Therapy Experience
Meet Our Physical & Occupational Therapists
Sit-to-Stand Desk Ergonomics
Pain Conditions Overcome
Our Commitment to Education

 


Back on the Job: Hanover Firefighter Jack Emerson

Jack Emerson, Hanover Firefighter and Cioffredi Client

“When I hurt my back at work I was unsure if I would ever be able to return to work at the firehouse. The staff here was so encouraging and motivating. I had to put the hard work in, but Zac kept me focused and on track. The entire staff knows your name, it feels like they are all in your corner. I had heard I might be out for 4-6 months, at best, but 2 ½ months later I’m back on shift working full duty.” –Lieutenant Jack Emerson, Hanover FD

 

 

Did You Know?

Low Back Pain is Responsible for 33% of Workers’ Comp Claim Costs

Low back pain is one of the most frequent and disabling conditions affecting workers in their productive years. Quality of life and job selection are limited, and recurrence is a major reason for early retirement and disability claims. Low back pain is responsible for 16% of workers’ compensation claims, and a disproportionate 33% of total claim costs.
-Garg et al. BMC Musculoskeletal Disorders 2013, 14:84
http://www.biomedcentral.com/1471-2474/14/84

How Can We Help?

Learn more about the benefits of physical therapy for low back pain.

 


Angie Hinton: Back to Running for Better Health

Angie Hinton, PT ClientPhysical therapy has meant a great deal to me. I have been a member of the (Lebanon, NH, Recreation & Parks) Couch to 5k running group for three years now, and I had been feeling pretty confident about trying my first 10k this summer. That was put on hold in February when I fell on the ice while working. I ignored the pain for a little while, but it did not go away so I began PT. Come to find out, it was not my leg that was the issue but my back. The impact from my fall hurt my lower back causing several problems with my leg and foot. I wanted PT to help clear up the monster amounts of pain I was having and I wanted to get strong enough to run again. Working with Kate has been challenging and very rewarding, I did not think I could get to the point of sitting comfortably, let alone run, but she helped me believe that I could do it. Injuries can sideline you but you can come back. I am practicing with the run club and will run in the 5k race on the 4th of July!

Angie Hinton Runs the Couch to 5KI started to run because I wanted better health and better control of my diabetes. A month ago, after being on medications since 1994, I was taken off insulin and am beginning the process of getting off medication all together! The team at Cioffredi has given me so much more than they will ever know (so much more than PT). I thank them from the bottom of my heart and running shoes!!

–Angie Hinton, Lebanon


Dawn Famiglietti: A Story of ResilienceDawn Famiglietti: A Picture of Resilience

When Dawn Famiglietti of Sunapee reached out suddenly to break someone’s fall one day in late 2011, she was acting on instinct. She had no idea that this quick action would change her life forever, sending her on a journey of pain and healing that would test her to the core. Today, with rods and cages fusing together seven vertebrae in her lower back, Dawn shares inspiration and encouragement with everyone she meets.  Her message: “Don’t stop moving!”

UNBEARABLE PAIN

The scope of Dawn’s back injury did not become fully apparent for several months after the incident. During that time her life became a waking nightmare of unbearable pain. “We tried everything at first: steroid injections, chiropractic adjustments, massage, the pool,” but relief just wouldn’t come without increasing doses of narcotic pain medication—and then with greater frequency.  She suffered headaches, couldn’t sleep, and the pain that shot down her leg like an electric current was unrelenting. She found herself constantly lying on the floor, and away from her loved ones. “Standing was difficult, driving was almost impossible, and I couldn’t sit long enough to even have dinner with my family.”

EMOTIONAL TOLL

To hear her explain it, Dawn fought hard against the idea of being disabled, but the pain and the growing distance between living and merely existing took their toll. “I tried to stay positive in front of my family, but when they were gone I had panic attacks and anxiety. I was depressed.” Like so many people, Dawn found it hard to share her pain or ask for help, but it became too much. “I reached a point where I stopped caring, and I felt very desperate.” When the Christmas decorations didn’t even come out of storage in 2012, she knew she had hit bottom.

SURGERY AND REHABSeven-Vertebrae Lumbar Fusion X-Ray

A surgeon in Boston was finally able to repair Dawn’s severely damaged spine with a multilevel lumbar fusion, a procedure that took two days to complete. Then more than a year since her injury, he challenged her to take charge of her own care. “You can do anything you want,” he told her, “the question is only whether you want to do it.” Right away she knew that her top priority was to get back to normal living, and to move as pain free as possible with minimal use of medications.

Dawn arrived at Cioffredi  & Associates with a limp and still hurting from her initial recovery rehab, but determined to get back her life and her sense of herself.

“When you have back pain, people can’t see it. It’s not like there’s something obviously wrong with you. I had a hard time when I went back to work, because I think I felt like people wouldn’t believe that I was really injured—that they would think I was soaking the system.”

HELP FROM CIOFFREDI & ASSOCIATESDawn Famiglietti PT Client

Physical Therapists Marsha Wykes and Anna Hinman worked with Dawn during her rehabilitation. “They were wonderful,” Dawn reported. “They made me feel important, and that I wasn’t there for no reason. They gave me good information to follow; they educated me, and when I didn’t do my exercises the way I was supposed to,” she explained sheepishly, “I was gently prodded. I almost didn’t want to leave.”

JUST KEEP MOVING

Dawn’s PT experience helped her to be constantly thinking about her posture and the way she does things, and even today she misses no opportunity to stretch or move. Most of her coworkers have no idea of the ordeal she has gone through since 2011, but they might just notice how energetic and positive she is. She always takes the stairs, often two at a time, and sometimes takes an extra set just to push herself. In her office, which is equipped with both a standing desk and a yoga mat, she’ll take a break and do a few stretches. If her door is open and someone sees her bending over in a forward fold, “l just tell them I’m looking for my contact lens. I don’t want anyone to say ‘Poor Dawn,’ I just know that I’ve got to keep moving, just keep those muscles moving.”

POSITIVE OUTLOOKDawn Famiglietti Back on Her Horse

While Dawn’s outcomes are remarkable, she will likely always have good days and “not-so-good days,” when back pain intrudes. She’s determined to keep her positive outlook, but on the tough days she allows herself a break—and occasionally even some Tylenol—and acknowledges that there are things she will always need to approach differently. There won’t be any sit-ups or back bends in her daily fitness routine, for example, but her doctors have cleared her for “everything but skydiving.” Mostly she just wants to keep on gardening, caring for her horses, taking her dog for longs walks, and filling the wood box.

“I set goals for myself that aren’t huge. I look at my behavior and I try not to get down on myself; to go easier for the big things and just always keep moving.”

Her next big goal has to do with her daughter’s wedding in September 2017, she explains bashfully, pointing to her feet. “I want to be able to wear shoes with a little heel.”

LEARN MORE about the kind of excellent physical therapy care that Dawn received at Cioffredi & Associates.

This article appeared in the Cioffredi & Associates July 2017 newsletter. View the entire issue online.


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. Continue reading