Low back pain effects 26 million individuals nationwide.  We bet that you aren’t aware of new guidelines from the American College of Physicians that recommend no pills for the treatment of acute lower back pain.  When the pain is sever it’s tempting to pop a pill or think an MRI will reveal the cause of the pain.  The problem is that pain pills come with side effects and MRIs aren’t very useful.  An MRI starts the ball rolling towards surgery when it may not be necessary.  Many people with no pain at all have the same abnormalities on MRI as people who are experiencing pain.  This means that there is no way to know if these abnormalities are the source of pain in those who do have symptoms.

It’s tempting to believe that surgery offers the best results; that you need to fix the problem.  The fact is, less invasive treatments like Physical Therapy are over looked.

If you are someone you know has experienced low back pain, please reassure them.  Clinical research says the odds are overwhelmingly in their favor that they will get better soon.

Our mission is to spread the word that Physical Therapist are experts at providing patient education, therapeutic exercise and hands on treatment for back pain.  All of which are recommended by the American College of Physicians before expensive test and invasive procedures.

Take home messages are for a recent episode of back pain:

  • No pills right away
  • See a Physical Therapist first before trying narcotics, needles or knives

Please pass this along to a family member or friend who has lower back pain and have them give us a call at either our Morgan City or Thibodaux clinic.


The Achilles tendon is the large cord-like structure at the back of the ankle.  It is responsible for transferring the muscle forces generated by the calf, which in turn allows you to roll onto the ball of your foot during walking and running.  We don’t realize it, but this tendon can withstand tremendous stress.  It can tolerate forces of greater than 1,000 pounds.  However, it is also a tendon that can become inflamed and injured.  Symptoms include pain (in the tendon or where it attaches to the heel bone), swelling, weakness in the leg, and morning stiffness.  Discomfort that resolves as the day progresses, is common.

Often, we will see clients that experience chronic Achilles tendon pain.  New research concludes that there is hope for these patients.  Recent studies have shown that a certain Achilles condition called tendinosis, responds very well to a specific program of, what we call, eccentric loading.  Given enough time and proper technique, we can help these patients recover from a problem that may have been bothersome for several months.


“What should I put on a strained muscle or joint?”  We get this question all of the time.  The answer is a simple acronym – R.I.C.E.

REST – You need to rest an injured joint, muscle, or ligament.

ICE – Ice helps with pain relief and to some degree, decreases swelling.

COMPRESSION and ELEVATION help decrease the swelling that results from a soft tissue injury.

Who do you know that is experiencing Achilles or some other type of foot pain?  There is a good chance that we can help, and often make dramatic changes in someone’s condition.  Please don’t hesitate to call us at our Morgan City Clinic (985-384-1999) or our Thibodaux Clinic (985-448-5888).

The “Laps for LEO’s 5K’ is hosted by the JC Advance Foundation to honor our local Law Enforcement Officers (LEO’s) by raising awareness of the sacrifices our officers make everyday.  With the support of our community, we can work together to enhance technology and safety for our LEO’s who risk their lives for the safety of ours.

The 5K Race and event will take place on May 20th.  Following the race there will be food, drinks, entertainment, a kid’s obstacle course, face paining and fun for everyone!  This event and fundraiser will benefit the Lafourche Parish Sheriff’s Office and the Thibodaux Police Department, with 100% of the funds to be distributed between the two agencies!

In order to make this event successful, we are looking for sponsors so that we can reserve facilities and equipment, as well as to cover the cost of production and to generate publicity.  Please consider being a sponsor and supporter of the 2017 Laps for LEO’s 5K event!

Sponsorship Levels are:



CAPTAIN = $1,000

MAJOR = $1,500

COLONEL = $2,500

GOLD STAR = $5,000

**All donations are tax deductible

The deadline for sponsorship is March 15th!  If you have any questions, please contact Janna Andras at (985)448-5888.

Chet Sternfels, DPT, OCS, is passionate about sports and even more passionate about the health and safety of athletes.  Advance Physical Therapy and Rehabilitation is excited to offer a free seminar about Advancing the Throwing Athlete.  Parents, coaches and anyone else interested in the health and proper development of their throwing athlete is encouraged to attend.

We asked Chet why this type of educational seminar was important to him.

“As a father, coach, Physical therapist and former athlete, I am pleased to present the latest research on how to develop arm strength without increasing risk of injury in our maturing athlete. I would like to assist our youth coaches and parents with safe and effective techniques of strengthening, throwing mechanics and how to recognize signs of pain with throwing. As the number of kids involved in youth sports has increased, the number of injuries have grown exponentially. My goal is to decrease the number of injuries we see in our youth and help develop well rounded athletes while maximizing there skill and potential.” 

Chet Sternfels

Topics for the evenings event are:

  • Understanding the risks of over training and over utilization of the adolescent male and female throwing athlete
  • How to quickly screen athletes to determine the ability to throw and who is at risk

  • How to train and prehab your overhead athlete to increase strength without increasing risk of injury 

  • How to quickly analyze the throwing athlete to decrease risk of injury

  • How to prepare a proper warm up and include dynamic strengthening with practice utilizing proper pitch counts and rest for certain age groups

  • The role of the coach, parent and medical staff in training an adolescent athlete

    The Free Seminar will be held February 23rd from 6:30 pm – 8:00 pm at the Hampton Inn in Morgan City and dinner will be provided.  Seating is limited so please RSVP by February 20th by calling 985-384-1999.

Throwing Athletes

In almost all communities, there are child and teen baseball leagues and our community is no different. Unfortunately, with participation in sports there are injuries. Medical literature is a good source of guidance when developing recommendations and guidelines for child and teen throwing athletes. In one research report of 467 child and adolescent baseball pitchers, they examined the types of pitches these kids threw. Curveballs, sliders, and change ups were studied in this population and they came up with some interesting recommendations:

1. Breaking pitches such as the curveball and slider, place more stress on the pitcher’s shoulder and therefore, caused more pain in the elbow and shoulder. The curveball was associated with a 52% increased risk of shoulder pain, and the slider was associated with an 86% increased risk of elbow pain.

2. A change up is a safe pitch because it does not require rapid twisting of the hand and forearm which torques the elbow and shoulder.

3. Because shoulder and elbow injuries are the result of overuse (throwing too many pitches), the number of pitches is important. The authors recommend limiting the number of pitches to 75 in a game and 600 in a season.

These are some good guidelines. If you need more information regarding throwing programs, child, or teen fitness, please gives us a call.

Now that we have some recommendations, we need some good programs to help condition the throwing athlete. We are going to suggest a couple ways that you can better prepare you child for the baseball season.

First, it is important to get the arm in shape for baseball season. Like most other sports, a progressive return to a sporting activity is recommended. A marathon runner wouldn’t go out and run 26.2 miles on day one of training; rather, he or she would work their way up to the competitive distance. So too, a baseball player should work his or her way up to a reasonable number of tosses.

Here are some recommendations for a program over the course of two weeks:

While there are no strict guidelines, a progressive throwing program varying distance, intensity, and toss count can help prepare your child for the season. The other way to prepare your child for the season is with an endurance training program.

Stay tuned for more information about how we are helping throwing athletes!

We are proud to announce that one of our very own Physical Therapists, Jason Jones, PT, MS, Dip. Osteopractic, Cert. SMT, Cert. DN, at Advance Physical Therapy & Rehabilitation L.L.C., has obtained a Diploma in Osteopractic.
The Diploma in Osteopractic (Dip. Osteopractic) is a relatively new credential, trademarked by the American Academy of Manipulative Therapy and Spinal Manipulation Institute. The term Osteopractor literally translates to “bone practitioner”, and Osteopractors are highly trained in diagnosing and treating most neuro-muscluoskeletal disorders. The diploma is given only to PT’s, MD’s, or DO’s who have completed a rigorous, evidenced-based series of courses including:

  • Certification in Spinal Manipulation or Cert. SMT (series of four courses)
  • Certification in Dry Needling or Cert. DN (series of two courses)
  • Extremity Manipulative Therapy
  • Instrument Assisted Soft Tissue Mobilization (Graston)
  • Differential Diagnosis & Multi-Modal Management of Upper and Lower Extremity and Spine-Related Pain Syndromes.

Manipulation of the spine and/or extremities, Instrument Assisted Soft Tissue Mobilization (Graston), and Dry Needling (DN) therapy are proven techniques in facilitating tissue healing, reducing joint dysfunction and minimizing pain. When combined with an effective therapeutic exercise regimen, these treatment interventions are powerful tools in eliminating functional impairments and reducing disability.
An Osteopractor is very distinct from, and should not be confused with, a chiropractor or Doctor of Osteopathy (DO), as neither of these are Physical Therapists. The Osteopractor credential distinguishes those physical therapists, MD’s, or DO’s that have achieved a level of highly skilled, hands-on manual therapy techniques post graduate through the Spinal Manipulation Institute.
Jason is one of the first 100 Physical Therapists in the United States to earn this prestigious certification.
If you or your patient is struggling with pain, contact Advance Physical Therapy to schedule an appointment with Jason Jones, PT. MS, Dip. Osteopractic, Cert. SMT, Cert. DN today! To learn more about Advance Physical Therapy, and what our certified expert can do for you, email us at ther8500@bellsouth.net.