Welcome Kraig Carpenter, PT, DPT to the Advanced Physical Therapy Center Team

“I was first introduced to physical therapy when my dad had an accident that left him with a lot of physical limitations. After months of physical therapy, my dad was able to walk and do the things he loved again. I looked into the field and saw an opportunity to help people,” says Kraig Carpenter, PT, DPT reflecting on how he started his career in physical therapy.

CARPENTER_KRAIG web sizeKraig received both his bachelor’s degree in health science and his doctorate in physical therapy from the University of Michigan-Flint. His post-graduate focus has been on the use of manual therapy techniques and sports injury rehabilitation. Kraig played several sports in high school and was a baseball player for Mott Community College. Because of his personal experience, he is a great physical therapist for sports-related injuries and feels that he is able relate to athletes. One of his most memorable patients is a seventy-six-year-old male who was an avid paddle ball player. He suffered from a shoulder injury and was frustrated that he wasn’t able to play the game that he loved. By the end of his therapy, he reported to Kraig that he was able to play with minimal limitations.

Kraig is a wonderful addition to Advanced Physical Therapy Center’s Grand Blanc clinic. In his practice, he likes to incorporate functional and activity-based exercises that utilize the whole body in order to best improve functional ability. He considers himself to be a friendly person with a good sense of humor, which, he feels, helps in dealing with patients who are in pain or apprehensive about therapy. “I try to build a good rapport with my patients, so I can gain their trust. I also like to get the whole picture. The more I get to know my patient, the more I can help them,” says Kraig. One of his goals is to help his patients be more active. He says he tries to leave each of his patients with something that can benefit them for a life time. Many patients have thanked him for how he helped to change their outlook on life.

Kraig is from the Flint area and in his leisure time, plays slow pitch softball and loves to go camping. His two boys, Kaden and Jaxton, keep he and his wife, Jenn, pretty busy as well.

Grand Blanc Clinic:
10809 S. Saginaw St.
Grand Blanc, MI 48439
(810) 695-8700

Welcome Matt Koziol, PT, DPT to the Advanced Physical Therapy Center Team

Helping a patient live pain-free and getting them back to living their normal life is, for most physical therapists, their number-one priority. Matt Koziol, PT, DPT likes to take this a step further by incorporating modalities and manual therapy on the patient’s first visit to help reduce pain an individual is experiencing and give them a positive outlook in therapy.

KOZIO_MATTHEW reduced size webMatt’s journey in the field began after a stint of physical therapy in high school for a shoulder injury. It was there that he decided to pursue a career in physical therapy. He received both his bachelor’s degree in exercise science and his doctorate in physical therapy from the University of Toledo. His post-graduate focus has been on the use of manual therapy techniques, and he hopes to gain a certification in functional dry needling and the McKenzie Technique. Matt also likes to work with his hands, so physical therapy was a perfect match for him. “Using my hands in physical therapy helps me to tell which muscles are firing, over-firing or inhibited. Knowing that allows me to tailor a program that either facilitates or inhibits movements. This improves overall movement patterns, which, typically, improves the underlying condition. Also, being able to perform manual therapy gives a patient a sense of relief relatively quickly, and there is nothing better than having a patient walk out of therapy feeling better than when they came in,” states Matt.

Matt’s wife, Heather, works as a physical therapist as well. Her job is what, originally, brought them to Michigan. Matt treats patients out of Advanced Physical Therapy Center’s Grand Blanc clinic, and in his day-to-day practice, he enjoys treating athletes, geriatric patients and any upper extremity injury. In his spare time, he likes to go running, weight train or go to the movies. He also has fun playing with his dog, Hardy. For several years, Matt was an instructor and volunteer for Delay the Disease, which is an exercise program to help Parkinson’s patients overcome freezing during their gait (walking). “I found it to be so rewarding to help build up their confidence again and improve their quality of life,” says Matt about his volunteer time.

When you ask Matt about his experience working at Advanced Physical Therapy Center, he will likely tell you, “We have a definite team spirit here and the atmosphere for the patients as well as staff is friendly.” He considers himself to be very ambitious and is driven to provide all his patients the best care possible.

Grand Blanc Clinic:
10809 S. Saginaw St.
Grand Blanc, MI 48439
(810) 695-8700

Why Is It Important to See a Certified Hand Therapist?

Think about all the things we do with our hands. We touch, hold, write, cook, eat, and button shirts with our hands and the list goes on. What if you lost complete or partial function of your hand? How would that affect your quality of life? What changes would you have to make to adapt? After an injury, wouldn’t you want the best treating your  Hand therapy 1most precious tools? That is why it is so important to see a certified hand therapist.

A certified hand therapist is specially trained in the most intricate details of the hand, wrist, forearm, elbow, upper arm, shoulder, and brachial plexus (the nerves and corresponding vascular bundles exiting the neck). This knowledge, affords you the assurance that you have the best treating your injury, and that your CHT can effectively treat and rehabilitate even the most complicated injuries and surgeries. Your CHT knows the proper protocols for open or sutured wounds, scars, broken bones, the reduction of swelling, and new incisions and stitches. According to Kim Turner, PT, CHT, “You don’t have to be afraid to start therapy after injury or surgery. When you are in the hands of a highly trained certified hand therapist, you will get a better outcome with your injury the earlier you start.” CHTs work closely with the physician and patient to provide a continuum of care. In fact, hand surgeons trust and refer their patients only to certified hand therapists. This is because the anatomy of the arm and hand frequently requires very delicate surgery, often with microscopic techniques. The technical complexity of  these kinds of surgeries necessitates a high level of competence by therapists with advanced skills in upper quarter rehabilitation.  CHTs are knowledgeable about these advanced surgical techniques and postoperative therapy programs.  With some injuries and conditions, it is essential to seek the help of certified hand therapist for the design and implementation of exercise programs to increase motion, dexterity, and/or strength immediately following an injury or surgery. Also, if a patient waits too long to seek the help of a certified hand therapist, they risk the development of scar tissue build-up and stiffness, which can cause pain and limitations in function. Kim treated a patient where this happened. “The course of actual recovery took twice as long because the patient was too scared to come in for treatment before the stitches were out,” states Kim. For these reasons, many athletes, musicians, and artists seek out CHTs for the treatment of their activity related injuries.

Certified hand therapists can also help with the  management of acute or chronic pain, desensitization following nerve injury or trauma, and sensory re-education after nerve injury. Certified hand therapists are the only therapists able to provide custom splinting to prevent or correct injuries. They also provide training in the performance of daily life skills through adapted methods and equipment. Another essential a CHT provides is a conditioning program prior to returning to work.

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Kim Cochran, OT, CHT pictured above treating one of our Hartland patients, Christina Monson.

For those suffering from osteoarthritis (painful swollen joints in the hands or wrist), a certified hand therapist can provide instruction  on proper exercise and mechanics to protect joints, manage pain, and  increase function. Other conditions or injuries that would be important to seek the help of a CHT also include deQuervain’s Tenosynovitis, digital amputation, distal radius fractures, ulnar-sided wrist pain, tendon lacerations/ruptures (both flexor and extensor), phalangeal (finger) fractures, wrist fractures, trigger finger, swan neck deformities, boutonniere deformities, and rheumatoid arthritis. They can also treat conditions, such as carpal tunnel syndrome, lateral epicondylitis (tennis elbow), and rotator cuff injuries.

Advanced Hand Rehab is available at all seven Advanced Physical Therapy Center locations. For more information, go to http://www.AdvancedHandRehab.com or call:

Grand Blanc – (810) 695-8700

Clio – (810) 687-8700

Flint – (810) 732-8400

Hartland – (810) 632-8700

Goodrich – (810) 636-8700

Davison – (810) 412-5100

Clarkston – (248) 620-4260

Get to Know Fe’Neda Bradshaw, MPT

BRADSHAW_FE'NEDA 11 (reduced size)Fe’Neda Bradshaw, MPT has been in the physical therapy field for nearly twenty years. She has been a valued member of the Advanced Physical Therapy Center team since 2009. She is a graduate of the University of Michigan-Flint Master of Physical Therapy Degree Program

Fe’Neda loves interacting with people and that is what led her to become a physical therapist. Since graduating, she has taken several continuing education courses including the Graston Technique (instrument assisted soft-tissue mobilization), Strain/Counter-strain manual therapy, and vestibular rehabilitation. She also has a certification in kinesiology taping.

Fe’Neda finds it personally rewarding to help patients achieve their functional goals and feels her specialty lies in treating low back and neck pain. She also enjoys working with pediatric patients with orthopedic injuries and conditions.

Many of Fe’Neda’s patients have commented about the amount of care and concern she shows. “I make it a point to do my best when treating each patient. I want my patients to know the intent I have for them and feel a difference after being in my hands,” says Fe’Neda. One such patient calls Fe’Neda a “miracle worker”. The patient had been experiencing vertigo for many years without relief. After one treatment from Fe’Neda, the patient’s vertigo was gone.

Fe’Neda is a caring individual who gives up a lot of her time to help others outside of work. She serves as president of her church’s youth choir, is a member of the Young Women of Excellence empowerment program, and participates in the American Cancer Society and the American Heart Association. When she is not working with patients or volunteering, she likes to go walking in her neighborhood or workout in the gym. She also likes to practice her hobbies, which are playing the piano and violin and playing volleyball.

Fe’Neda is a Flint native, but now resides in Clarkston with her husband and two sons. She treats patients, mainly, out of Advanced Physical Therapy Center’s Goodrich clinic but has gone above and beyond by working at various APTC clinics over the years to help cover patient needs as they arise.

Goodrich Clinic
7477 S. State Rd., Ste. B
Goodrich, MI  (810) 636-8700

Get to Know the Director of Advanced Hand Rehab, Renae Remillard, OTRL

BH-14-23621 retouch REMILLARD     For patients who need upper extremity rehabilitation, Renae Remillard, OTRL is one of the best. Renae is an expert when it comes to pre-work screenings and return-to-work assessments. She has specialized training in functional capacity evaluations, which is a battery of tests administered to determine if someone is physically able to perform a particular job. If someone is unable to perform the job at hand, she has the training and knowledge to put together a Work Conditioning program specifically designed for the patient.
Renae received a Master of Occupational Therapy Degree from Baker College in 2013, and her future goal is to obtain a national certification in hand therapy, which is a prestigious distinction and a challenging credentialing course that entails thousands of hours of clinical work and experience as well as passing a rigorous exam. Her other continuing education includes the Graston Technique (instrument assisted soft-tissue mobilization) and Kinesiology Taping.
As an occupational therapist, it is Renae’s job to help people gain independence in their daily lives. “I’ve had many patients tell me that their lives have been changed for the better. We hear all the time, ‘You don’t realize how much you use your hands until you can’t.’ I find it amazing to run into a patient years later and find that they still remember a lot about their treatment and our time together. I love being able to help people reach their goals. It makes my job worthwhile,” said Renae.
Renae treats patients out of Advanced Hand Rehab’s Grand Blanc facility and is the director of Advanced Hand Rehab. She is from Fenton, and when not working with patients, she enjoys spending time relaxing on the lake with her fiancé, family and friends and walking her two rescue dogs, Oakley and Larkin. Renae is also very active. She is an avid runner and regularly attends boot camp classes.
Renae considers herself to be an upbeat, positive person. She tries her best, with every patient, to create a welcoming environment. “I truly enjoy my job and try to give each patient one-hundred and ten percent. Our treatment philosophy is to be “hands-on” with all our patients and have their best interests. I think that shows every day in what we do,” states Renae about her team.

Advanced Hand Rehab – Grand Blanc | 10809 S. Saginaw St. | 810.695.8700 | RRemillard@advpt.com

Are You Game Ready?

We have all heard the acronym RICE, right?  This, typically, means Rest, Ice, Compression, and Elevation.  You use it when you have an acute injury, such as an ankle sprain.  We use this same type of treatment in our physical and occupational therapy practice as well. We use taping techniques or wrap the injured area to apply compression, and we use cold packs to apply cold therapy to our patient’s injuries.  We know it is one of the best ways to reduce swelling and help with pain.  As therapists we are introduced to many pieces of therapy equipment and some we invest in and some we don’t.  One we have invested in is the Game Ready System.

Game Ready is the most effective solution for aching athletes and recovering orthopedic Game Ready with a patientpatients. The Game Ready System simultaneously applies active compression with cold therapy, amplifying the body’s recovery efforts.

The Game Ready control unit allows for full customization, making highly effective cold compression therapy. We use it on our athletes, orthopedic patients and patients suffering from a musculoskeletal injury.

How does Game Ready work?

The clinician will select the appropriate pressure and time setting preferences, the ice water filled machine will circulate the cold water throughout the garment wrap and pneumatically applies compression to the desired extremity.

How does Game Ready compare to other Cryotherapy Units?

  • Ergonomic wraps are highly adjustable and allow for complete extremity coverage.
  • Cold fluid circulates the affected area, while simultaneous compression is actively applied.
  • Temperature and compression intensity can be easily adjusted.

This treatment is available at all seven Advanced Physical Therapy Center clinics.  It is just one more way we provide the best care possible for you.

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Dry Needling Vs. Acupuncture

Here at Advanced Physical Therapy Center, we use dry needling in our practice every day.  We have several physical therapists on staff that are trained in its use.  Dry needling is within a physical therapist’s scope of practice and is very different from acupuncture. People often get confused on the difference of which is which, when they are used and by whom.  The Dry Needling Institute had a very good commentary explaining the difference.  Please read below.

dry needling kneeAcupuncture and dry needling, while using the same needle types, are two very different treatments. Traditional acupuncture is used for the diagnosis and treatment of pathological conditions including visceral and systemic dysfunction, while dry needling is used for the assessment and treatment of myofacial pain syndromes and dysfunction due to myofacial trigger points, tension areas, muscle spasm, and/or increased tonicity.

Acupuncture achieves pain relief through the release of endorphins and creating balance in the body’s energy levels. Through the release of serum cortisol, acupuncture can also have an anti-inflammatory effect.

Dry needling (DN) also acts via the release of endorphins and serum cortisol but also achieves pain relief and bio-mechanical re-function by deactivating the trigger points at the muscle-cell level and thus eliminating the nociceptive focus of the muscle. The needles also cause localized hemorrhaging, which promotes healing by stimulating collagen and protein formation.  Dry needling is specific in its selection and searching for trigger points relevant to the clients disorder as interpreted by a western assessment and diagnostic protocols.

For physical therapists, DN is more popular because there is no need to train in dry needling 1traditional acupuncture methods in order to practice the technique of dry needling. These therapists are already working with myofascial problems in their clinics and have the ideal background to integrate dry needling techniques, quickly and effectively, into their treatment and rehabilitation protocols.

Dry needling is also a part of our Wellness Program and is perfect for post-graduate patients who have received dry needling during their formal therapy sessions but need a “tune-up” from time-to-time.  This service is available at most of our seven clinics on a cash pay basis.  To contact your nearest APTC to find out more about dry needling, go to our website.