Boswellia: A PT Game-Changer in Managing Knee Arthritis?

By Dr. Sean M. Wells, PT, DPT, OCS, ATC/L, CSCS, CNPT, Cert-DN

In the quest for alternative and effective treatments for knee osteoarthritis (OA), a degenerative joint condition marked by pain, swelling, and diminished mobility, Boswellia serrata, commonly known as Indian frankincense, is emerging as a promising solution. Many of my physical therapy patients have asked about Boswellia, and honestly it was never covered in PT school so the depth of my answer was limited. Fortunately with my continued education, writing textbooks, and research advancements, Boswellia appears to be a possible solution for helping our PT clients with arthritis. Let's understand what it is, how it works, and if it is something you should discuss with your clients.

Tackling Inflammation at its Core
With its potent anti-inflammatory properties, Boswellia has shown remarkable potential in subduing the chronic inflammation associated with knee...

Recently I presented at the Florida Physical Therapy Conference at Disney World in Orlando, FL. My discussion was focused on Nutrition Recommendations for PTs. Needless to say the response was overwhelmingly positive! Here's a picture of the 190 chairs in the room before my presentation:

About 5 minutes into my discussion the event staff had to bring in more chairs as there was standing room only and people spilled out the door. The engagement of the PTs and PTAs in the room was amazing, and the feedback after the discussion was extremely positive and supportive. Overall, it is very clear that physical therapists and physical therapy assistants are hungry for more knowledge on nutrition for rehabilitation and PT outcomes.

As such, we are excited to announce a new course addition to our already fabulous line-up of nutrition courses for physical therapists and rehab professional: The Nutrition Crash Course for PTs. We understand some PTs may not want our full CNPT, 3 Course...

By Dr. Sean M. Wells, DPT, PT, OCS, ATC/L, CSCS, NSCA-CPT, CNPT, Cert-DN

Continuing our series on gut health and the gut microbiome, we are going to talk about a new finding in the ever-expanding gut bacteria research: a gut biome health score.

Similar to how we have credit scores, which can denote whether a person has good or bad credit history, a gut biome health score may give physios and other healthcare providers insight into many facets of a patient's lifestyle.

Recall the gut biome is the bacteria, archaea, fungi, and some viruses that live within our small and mostly large intestines. These small bugs live in a symbiotic relationship with our bodies and:

• Help to produce neurotransmitters (90% of serotonin is made by gut bacteria)
• Process foods to make health short chain fatty acids (SCFA) which can improve cardiovascular health
• Modulate the immune system response

The last factor likely has the biggest implications for physical therapists (PTs). As rehabilitation...

By Dr. Sean M. Wells, DPT, PT, OCS, ATC/L, CSCS, NSCA-CPT CNPT, Cert-DN

The gut biome has been all the rage for the last several years. If you haven't heard about the gut biome, then you either live under a rock or haven't researched about how your body works. The gut biome, often interchangeably called the gut microbiota or flora, are trillions of small bacteria, archaea, and fungi that live in your intestines. We have these critters all over our body (e.g. nose, hands, mouth) but the most reside in our gut. What these small bugs do for us is truly amazing.

Data show the microbiome is capable of protecting our immune system, producing healthy short-chain fatty acids, and could be linked to many disease states like cancer, heart disease, and allergies. Recently I began listening to a great podcast by Dr. Will Bulsiewicz on gut health on the Rich Roll Podcast. Dr B, as he's commonly known as, pronounced easy methods to protecting and nurturing our gut. Some of his top tips:...

By: Dr. Sean M. Wells, DPT, PT, OCS, ATC/L, CSCS, CNPT, NSCA-CPT, Cert DN

Many people kickback and enjoy a cold beer or nice glass of wine with a meal or just to relax. But does alcohol consumption pose a risk to our health and physical therapy patients? The answer can be difficult to find amongst the literature, especially due to industry influence. Let's take a look at the guidelines, some upcoming revisions to alcohol intake recommendations, and what all this means to PTs and physical therapy outcomes.

Old Guidelines

Alcohol intake guidance varies depending on where you live. In the United States, the Centers for Disease Control (CDC) and the Dietary Guidelines demonstrates that females should consume no more than 1 drink per day, while males can have 2 drinks per day. Most of this guidance is rooted in the fact that males usually have larger mass, and therefore, can physiologically "handle" more booze. Obviously all drinks are not created equal, so if  a person...

It's exciting to see our team has been active in the community and online. Dr. Wells was featured in the online blog, Eat This Not That, over the past few years. Here are few excellent articles focused on nutrition, physical therapy, weight loss, and health.

The Oath

As many PTs and healthcare providers know and affirm: first, do no harm. Taken from one of the most widely known Greek Medical Texts, this oath commits doctors and healthcare providers to offering their best in care. The more modern version of this oath expounds:

"I swear to fulfill, to the best of my ability and judgment, this covenant: I will respect the hard-won scientific gains of those physicians in whose steps I walk, and gladly share such knowledge as is mine with those who are to follow."

Many physical therapists (PTs) have taken a similar oath. In DPT schools around the country, many student PTs (SPT) swear an oath to provide their best care prior to going into internship or clinicals. Upon entering the profession and joining the American Physical Therapy Association (APTA), we as PTs swear by the APTA code of ethics, which outlines: "Above all, do no harm." The APTA code of ethics also asks PTs to provide our best ability and judgement, among other requirements.

...

Join Dr. Wells and Dr E, from the Modern Manual Therapy - Eclectic Approach and The Manual Therapist, in a free one hour online seminar covering nutrition and physical therapy. We will be discussing how nutrition added to your normal PT treatments can boost your outcomes, how PTs can easily implement nutrition tips today, and some of the legal considerations of how/what physical therapists and PTAs can offer nutrition. 

The seminar will be held on July 29th at 8pm, and will be available afterwards for download. Sign up soon as seats area almost capped!

Sign up here: https://bit.ly/38fTQEP

#physicaltherapy #nutrition #continuingeducation #DPT #physio

Most physical therapists (PTs) routinely measure the vital signs. Heart rate, blood pressure, pulse oxygen, respiration rate, and often pain. But what about diet? Should diet be another vital sign? In the opinion of many scientists and medical experts diet ought to be a major vital sign that is measured by not only registered dietitians (RDs) and/or medical doctors (MDs), but also healthcare providers like PTs, on a routine basis.

What evidence do we have to say that diet ought to a basic vital sign? How about the fact that diet is the single leading predictor variable of all major health outcomes? The vast majority, roughly 80% according to the literature, of our diseases in the modern world are preventable and are caused by a poor diet. From cardiac disease, cancer, diabetes, and stroke, the injuries and diseases that lead to a patient ending up in a physical therapy clinic are likely preventable, if not reversible. 

But how does a PT measure diet as a vital sign? Many PTs...