https://www.destefanoptwellness.com/blog daily 0.75 2020-11-02 https://www.destefanoptwellness.com/blog/snap-crack-pop-the-science-of-spinal-manipulation-therapy monthly 0.5 2020-09-16 https://images.squarespace-cdn.com/content/v1/5e4c80c89c80885b56806bba/1587694587198-HFXTU13SNR8PN9AIS2CQ/image-asset.jpeg Blog - Snap, Crack, Pop! The Science of Spinal Manipulation Therapy https://www.destefanoptwellness.com/blog/72tk38xp0pw9m4yxm0em6v7zomnynb monthly 0.5 2020-09-16 https://images.squarespace-cdn.com/content/v1/5e4c80c89c80885b56806bba/1587693727068-QSEA34O11OSJVSH6DEVL/image-asset.jpeg Blog - ‘Mindful People’ Feel Less Pain https://www.destefanoptwellness.com/blog/nine-tips-to-help-you-meet-this-years-fitness-goal monthly 0.5 2020-09-16 https://images.squarespace-cdn.com/content/v1/5e4c80c89c80885b56806bba/1587694892217-JGVKRANY8Z6H2GU18U15/image-asset.jpeg Blog - Nine Tips to Help You Meet This Year's Fitness Goal https://www.destefanoptwellness.com/blog/pgr03xxl6r34f14uerzspu946fjsjy monthly 0.5 2020-09-16 https://images.squarespace-cdn.com/content/v1/5e4c80c89c80885b56806bba/1587694222838-5ENTZW4QV0E35D5NSJ0D/image-asset.jpeg Blog - Physical Therapists' Beliefs Can Negatively Affect Patient Outcomes https://www.destefanoptwellness.com/blog/telehealth-and-the-therapeutic-alliance monthly 0.5 2020-09-16 https://images.squarespace-cdn.com/content/v1/5e4c80c89c80885b56806bba/1590110731765-EZP7WM1DV2MYT9BZSHYL/image-asset.jpeg Blog - Telehealth and the Therapeutic Alliance https://www.destefanoptwellness.com/blog/justifying-the-physical-in-physical-therapy monthly 0.5 2020-09-16 https://images.squarespace-cdn.com/content/v1/5e4c80c89c80885b56806bba/1590118347009-0DVZP6VCKAOTXFLVHBDJ/Mechanotherapy+Diagram.png Blog - Justifying the “Physical” in Physical Therapy As published in the British Journal of Sports Medicine by Khan and Scott (2) Each tissue type will respond to different types of forces. Muscles will stretch and contract, tendons will pull and be compressed, and bone will absorb vertical compression from activity, body weight, and gravity. Each tissue will respond differently to amounts and rate of force, and will require varying times to recovery and rebuild after loading. Understanding this biological process is important to all aspects of physical wellness, including rehabilitative care, injury-prevention training, and performance training. It has been well documented that a reduction in or sudden and excessive increase in mechanical loading of the body can lead to a wide range of musculoskeletal disorders ranging from osteoporosis, osteoarthritis, muscle atrophy, and tendinopathies. (3) Depending on your needs, a physical therapist can teach you to use a variety of exercises to provide each tissue with an optimum amount of mechanical force that will stimulate positive change. The human body is a robust, adaptable, and amazing organism that we continue to learn and uncover more about. Treat yours well and it will reward you. https://images.squarespace-cdn.com/content/v1/5e4c80c89c80885b56806bba/1590110933081-2QABGCWPAVTTZJXGWQ0H/image-asset.jpeg Blog - Justifying the “Physical” in Physical Therapy https://www.destefanoptwellness.com/blog/fee-for-service-physical-therapy-improves-outcomes-and-reduces-cost monthly 0.5 2020-09-16 https://images.squarespace-cdn.com/content/v1/5e4c80c89c80885b56806bba/1593531968711-DULZRYZG3ZKIXW21CJU0/image-asset.jpeg Blog - Fee-For-Service Physical Therapy Improves Outcomes and Reduces Cost https://images.squarespace-cdn.com/content/v1/5e4c80c89c80885b56806bba/1593532052772-HXJ1WGHNPFV5OENHSYRG/Screen+Shot+2020-06-30+at+11.46.08+AM.png Blog - Fee-For-Service Physical Therapy Improves Outcomes and Reduces Cost **These costs will then be magnified if you have a high deductible plan, have run out of covered visits for the allotted year, or have been denied further PT care by your insurance carrier. https://www.destefanoptwellness.com/blog/when-your-headache-feels-like-a-real-pain-in-the-neck monthly 0.5 2020-09-16 https://images.squarespace-cdn.com/content/v1/5e4c80c89c80885b56806bba/1600277345870-QHWWBXAS7UUIHVLWKVHG/image-asset.jpeg Blog - When your headache feels like a real ‘pain in the neck’ https://www.destefanoptwellness.com/blog/3i00oo2g24ljmpu9zsapk6cxw3c8nx monthly 0.5 2020-10-01 https://images.squarespace-cdn.com/content/v1/5e4c80c89c80885b56806bba/1601403562708-RWSLRGEYNFU28XC3XAN5/image-asset.jpeg Blog - 5 common running myths busted https://www.destefanoptwellness.com/blog/why-diagnostic-imaging-doesnt-determine-your-destiny monthly 0.5 2020-11-02 https://images.squarespace-cdn.com/content/v1/5e4c80c89c80885b56806bba/1604246747558-U4KJSYMYFJ6NAVLW2Q6P/Pain%2BExperience.jpg Blog - Diagnostic imaging doesn’t determine your destiny https://www.destefanoptwellness.com/home daily 1.0 2023-01-28 https://images.squarespace-cdn.com/content/v1/5e4c80c89c80885b56806bba/1587691314627-96ASCUS6OQ28IFNH6SLY/image-asset.jpeg Home - Mission To improve quality of life through person-centered and evidence-based rehabilitative care for all patients, and help guide them back to an active and physically fulfilling pain-free life. https://images.squarespace-cdn.com/content/v1/5e4c80c89c80885b56806bba/1587848993589-SV9OFU82G31UMSI3RIS3/image-asset.jpeg Home - Values COMPASSION I am committed to showing empathy, care, and kindness to all. TEAMWORK My goal is to collaborate with my patients to combine our collective knowledge and input toward achieving our agreed-upon rehabilitative goals. INCLUSION All are welcome. I aim to provide a healing space with thoughtful regard for each individual’s unique experience, perspective, and story. ADAPTABILITY Change is inevitable. I strive to help my patients actively pursue new opportunities and continued improvement. EXCELLENCE I work diligently to consistently provide superior care using current knowledge, theory, and integrity. https://www.destefanoptwellness.com/research-news daily 0.75 2020-08-10 https://images.squarespace-cdn.com/content/v1/5e4c80c89c80885b56806bba/1587910811699-I0SZV5VS9U6S0OF1U0GN/hans-peter-gauster-3y1zF4hIPCg-unsplash.jpg Research & News - Research Dry Needling: Dry needling: a Literature Review with Implications for Clinical Practice Guidelines Electrical Dry Needling as an Adjunct to Exercise, Manual Therapy and Ultrasound for Plantar Fasciitis Dry Needling as a Treatment Modality for Tendinopathy Spinal Manipulation Therapy Immediate and Short-Term Effects of Thoracic Spine Manipulation in Patients With Cervical Radiculopathy Upper Cervical and Upper Thoracic Manipulation versus Mobilization and Exercise in Patients with Cervicogenic Headache Upper Cervical and Upper Thoracic Thrust Manipulation Versus Non-Thrust Mobilization in Patients With Mechanical Neck Pain Physical Therapy Use: Direct Access to PT for Low Back Pain Saves Money Shifting Boundaries of Doctors and Physiotherapists in Orthopedic Outpatient Departments Clinical Diagnostic Accuracy and Magnetic Resonance Imaging of Patients Referred by Physical Therapists, Orthopedic Surgeons, and Non-Orthopedic Providers https://images.squarespace-cdn.com/content/v1/5e4c80c89c80885b56806bba/1587910171340-F879D78IDV25QDF68VL1/image-asset.jpeg Research & News - Physical Therapy in the News “The Edge” with Terry Bradshaw- Dry Needling in Professional Football USA Today- Doctors Perform Thousands of Unnecessary Surgeries The New York Times- Physical Therapy and the Camaraderie of Healing USA News- Getting Back to Exercise After Injury https://www.destefanoptwellness.com/overview daily 0.75 2023-01-28 https://images.squarespace-cdn.com/content/v1/5e4c80c89c80885b56806bba/1587680280487-FNDR95M3EHBFA1VGXFIV/image-asset.jpeg Overview - As a Physical Therapist… I am a movement expert. I use prescribed exercise, hands-on care, and patient education to improve my patients’ quality of life through treating the body’s neuro-musculo-skeletal system. After a full evaluation, I will discuss with you my findings, recommendations, and if physical therapy could be helpful in managing your symptoms. I provide individualized and personalized one-on-one sessions that incorporate both manual therapy and exercise to help assist you towards your wellness goals and a healthier, more active, lifestyle. As I am committed to continuing education and professional learning, you can trust that I provide the most skilled and advanced treatments available. https://images.squarespace-cdn.com/content/v1/5e4c80c89c80885b56806bba/1587680625686-UZGA4CQKPGW7HWJL55AR/image-asset.jpeg Overview https://images.squarespace-cdn.com/content/v1/5e4c80c89c80885b56806bba/bb2c93ae-d4b8-4ccc-a39e-704f712af0f6/image-asset.jpg Overview https://images.squarespace-cdn.com/content/v1/5e4c80c89c80885b56806bba/1587680406656-252OU2VTT5C519YOHI0J/image-asset.jpeg Overview - Dry Needling Dry needling is a skilled intervention in which a thin monofilament acupuncture needle is used to penetrate the skin to target underlying muscles and connective tissues for the management of neuromusculoskeletal pain and impairments to allow improved activity and participation. https://www.destefanoptwellness.com/dry-needling daily 0.75 2020-08-10 https://images.squarespace-cdn.com/content/v1/5e4c80c89c80885b56806bba/1587681146647-J6K7I5UV4M0WPQIZJOO7/Screen+Shot+2020-04-23+at+6.31.49+PM.png Dry Needling - What is Dry Needling? Dry needling is a skilled intervention in which a thin monofilament acupuncture needle is used to penetrate the skin to target underlying muscles and connective tissues for the management of neuromusculoskeletal pain and impairments to allow improved activity and participation. The physiological basis for dry needling depends upon the target tissue and the treatment goals. Dry needling first gained leverage in western medicine for the treatment of myofascial trigger points. A trigger point is a hyper-irritable taut band of contracted muscle fiber that can produce both localized and referred pain either spontaneously or when stimulated. Studies using MRI and sonography elastography have uncovered that these taut bands feature a reduction of circulation. This localized ischemia and reduction of oxygen significantly changes the pH of the surrounding tissue causing pain and altered muscle activation. During dry needling, with the insertion of a needle there is a sudden rush of blood into this tissue resulting in a shift back in pH and relaxation of the taut band. Dry needling can also be useful in treating myofascial pain associated with scar tissue and muscle tension. With placement of a needle in the muscle, the needle can be rotated to twist up the surrounding collagen like noodles twisting around a fork in a bowl of spaghetti. This creates tension within the tissue, signaling to specialized contractile cells, known as fibroblasts, to synthesize, organize, and remodel collagen. The localized release of pro-inflammatory mediators helps to restart the formerly “stuck” healing process and promote new cell proliferation. Evidence also shows this process sends signals to our brains to release our bodies’ own endogenous pain-relieving chemicals for pain management. Dry needling can, and should, be used in conjunction with other treatments such as therapeutic exercise, functional retraining, and soft-tissue mobilization, and can allow for a more efficient progression of corrective exercises to improve activity and participation restrictions. I completed my Certification of Dry Needling training through American Academy of Manipulative Therapy. Is Dry Needling Like Acupuncture? This is a common question asked by many patients. In short, the answerr is no, but ultimately it is more complex than that. Since acupuncture is defined as the insertion of needles through the skin, dry needling certainly falls under this umbrella. However, customary with eastern Chinese medicine, acupuncture aims to restore the flow of energy, known as “qi,” through varying channels or meridians of the body. In contrast, dry needling is a modern, science-based intervention used only to treat pain and dysfunction in musculoskeletal conditions throughout the body. https://www.destefanoptwellness.com/testimonials daily 0.75 2023-01-28 https://www.destefanoptwellness.com/contact daily 0.75 2023-02-05 https://www.destefanoptwellness.com/about daily 0.75 2023-02-05 https://images.squarespace-cdn.com/content/v1/5e4c80c89c80885b56806bba/1600960085578-6Y4DQ7LLR63SPNPV6GXJ/DeStefano_PT_Wellness_Head%2BShot3.jpg About Dr. Andrew https://images.squarespace-cdn.com/content/v1/5e4c80c89c80885b56806bba/1598037281078-U5IBM4NZ6RJ1T4IDC7LI/APTA-Member-Graphic-Proud.png About Dr. Andrew https://images.squarespace-cdn.com/content/v1/5e4c80c89c80885b56806bba/1598037827596-ML0EQA9ACJMEY5LZULQL/imageedit_1_3942067323.png About Dr. Andrew https://images.squarespace-cdn.com/content/v1/5e4c80c89c80885b56806bba/1598037806398-V81HEYRE5PFS0XVI7MWY/C4zne2GWYAEKCt1.png About Dr. Andrew https://images.squarespace-cdn.com/content/v1/5e4c80c89c80885b56806bba/1587697214481-0HQH0O9T4C90WJV0SFCL/AAMT+Logo.png About Dr. Andrew https://www.destefanoptwellness.com/faqs-1 daily 0.75 2023-01-28 https://images.squarespace-cdn.com/content/v1/5e4c80c89c80885b56806bba/1590116452528-AT2WOY601IBRDXNY5VDH/image-asset.jpeg COVID-19 https://www.destefanoptwellness.com/conditions-treated daily 0.75 2020-08-21 https://www.destefanoptwellness.com/telehealth daily 0.75 2020-08-21 https://images.squarespace-cdn.com/content/v1/5e4c80c89c80885b56806bba/1590069093148-ZEAXHLIW6QD5B54ELNNF/image-asset.jpeg Telehealth - What is Telehealth? Telehealth is a method of enhancing the delivery of health care via a live, one-on-video consultation. Telehealth can be used to facilitate diagnosis, treatment, education, care management, and self management strategies within the comfort of your home or office. As our community continues to have concerns with the current COVID-19 pandemic, I will now be offering telehealth/video visits for those that need to or prefer to stay at home. I want to ensure that you can communicate with me effectively in this time of social distancing and receive care in the safety at home. Please call or email me and I would be happy to provide details or answer questions regarding virtual telehealth visit. To learn more, you can also check out my blog post, Telehealth and the Therapeutic Alliance. https://www.destefanoptwellness.com/faqs daily 0.75 2020-09-11