Updated Mask Policy

Well, it has officially been three years of wearing a mask at NeuroSport. Many have been asking, “When can I get rid of this mask?”. We hear you! And we understand that exercising in a mask can be hard. In line with new recommendation from the California Department of Public Health, as of April 3rd, 2023, masks will be strongly encouraged, but not required.

However, we are not throwing all caution to the wind. NeuroSport staff will wear a mask when working directly with patients. We will continue our same cleaning processes between patients and we have the space to spread out in the clinic. Patients should reschedule appointments if they are ill; however, if a patient or visitor arrives at the clinic with an active cough (even if for other reasons — allergies, asthma, cardiopulmonary conditions, etc.), masks will become required.

We also understand those who are immunocompromised may need some extra protection, and we remain committed to doing everything we can to help people feel safe at NeuroSport. We have covered, outdoor space right outside the front door to wait for your physical therapist instead of the waiting room. We have private treatment rooms that can be utilized. Please let us know and we can do our best to make accommodations.

Thank you for your understanding, and as always, please reach out with any concerns!

We're Moving!

Our specialty physical therapy services are in such high demand, we need more space. On Monday, June 27th we will be opening our doors at a new location across the street.

We can’t wait to show you our Boxing & Agility Lab, Cardio Room, and dedicated Tranquil Room (for individuals with headaches and/or vestibular disorders).

Our new address is 625 Fair Oaks Avenue in South Pasadena. We are in Suite 255, immediately next to the elevator. Our front door is roughly 125 feet from the accessible parking spots. Below is information on the new location including parking and drop-off options.

Please feel free to reach out with any questions. We hope to make this move as easy as possible!

March 2022 COVID-19 Update

As we move into the next phase of this pandemic, updated LA county guidelines have been released. Under current guidelines, face masks will continue to be required when in healthcare settings. As healthcare providers we value the health of each of our patients. We ask that regardless of vaccination status, each person who comes to NeuroSport wear a properly fitting N95, KN95 or 3-ply surgical mask over their nose and mouth to promote safety for all especially individuals with compromised immune systems. We have masks available at the front desk should one be needed.

Thank you for your patience and understanding!

New Year, New Variant

As COVID-19 has taught us, we must take nothing for granted and be ready to constantly adapt. Here are a few changes we are making this month.

We are in the process of shifting schedules (yet again!) in order to spread out therapists and patients to limit overall numbers in the clinic.

Secondly, it’s time for a mask upgrade. We are kindly requesting that each person who comes to NeuroSport wear a properly fitting N95, KN95 or 3-ply surgical mask over their nose and mouth. A surgical mask can be work under a cloth mask, but a cloth mask alone does not offer sufficient protection for you or others. We have surgical masks available at the front desk if needed.

As health care providers we have a duty to provide care to all, regardless of vaccination status. However, we do require all staff to be fully vaccinated and up to date with boosters and encourage our community to do the same.

Lastly, a friendly reminder to arrive on time to your appointment (not early) to limit traffic in the waiting room. Also, please have family members or caregivers not involved in the session wait outside of the clinic while you are in physical therapy.

We are still offering telemedicine so please reach out if this is something that you are interested in doing.

We keep the health of our patients and staff at the front our our minds every step of the way. Wishing our entire NeuroSport community a happy and healthy 2022.

COVID-19 Update

In light of tomorrow’s much anticipated date, we wanted to keep our NeuroSport family informed of our COVID-19 policy. Please do not toss aside your mask quite yet! LA County Department of Public Health and the CDC has mandated the continued use of masks for all health care settings. In an effort to protect others who may be immunocompromised or for younger patients who have not yet been vaccinated, please continue to wear a mask over your mouth and nose when visiting NeuroSport regardless of vaccination status. We understand that there is mask fatigue, but please continue the practices we have successfully followed over the past 15 months to ensure that everyone who enters our doors feels comfortable and safe. Thank you for your help on this!

Reminders when visiting NeuroSport:

  • Face coverings must be worn over mouth and nose at all times.

  • Wash or sanitize hands upon entering and leaving clinic.

  • Arrive at the time of your appointment, not early.

  • Family members and/or caregivers not involved in session should wait outside.

  • Maintain distance from other patients when possible.

If you have any of the following symptoms, please do not attend PT and call to reschedule your appointment:

  • chills or fever of 100 degrees or higher;

  • loss of taste or smell;

  • muscle soreness or headaches or fatigue;

  • cough or runny nose or sore throat or congestion;

  • difficulty breathing or shortness of breath;

  • conjunctivitis (inflammation of the eye including redness, itching and tearing) along with feeling feverish;

  • gastrointestinal symptoms (stomach upset, such as abdominal pain or diarrhea or nausea or vomiting).

Please reach out if you have any questions or concerns!

COVID-19 Reminders and Updates

We hope all of you are feeling well and staying safe as we dive into the holiday season. We wanted to reach out since Los Angeles County Department of Public Health has issued a temporary safer at home order.

We are open and continue to limit overall number of people in the clinic as we have done since March. We are dedicated to serving our patients who need physical therapy while following all of the guidelines and recommendations.

Reminders when visiting NeuroSport:

  • Face coverings must be worn over mouth and nose at all times.

  • Wash or sanitize hands upon entering and leaving clinic.

  • Arrive at the time of your appointment, not early.

  • Family members and/or caregivers not involved in session should wait outside.

  • Maintain 6 feet of distance from other patients.

If you have any of the following symptoms, please do not attend PT and call to reschedule your appointment:

  • chills or fever of 100 degrees or higher;

  • loss of taste or smell;

  • muscle soreness or headaches or fatigue;

  • cough or runny nose or sore throat or congestion;

  • difficulty breathing or shortness of breath;

  • conjunctivitis (inflammation of the eye including redness, itching and tearing) along with feeling feverish;

  • gastrointestinal symptoms (stomach upset, such as abdominal pain or diarrhea or nausea or vomiting).

    ***Please self-monitor for these symptoms and be aware that we serve many high risk individuals.

Can I do telehealth?

Yes! We are still providing telehealth appointments (also referred to as eVisits). We can use secure video conferencing to answer any questions and review or update your exercises at home. Contact us if you are interested.

The health of our NeuroSport community continues remain at the forefront of our minds as we open our doors each day. Please reach out if you have any questions or concerns.

Questions Answered: Selecting Running Shoes

It’s never a bad time to take up or get back into running. A lot of people lately are doing just that. As a runner, your running shoes are the most important equipment purchase you’ll make in the sport.

Picking running shoes, however, can be a labyrinth – there are many different types; subtle differences in construction can vastly alter how the shoe feels for you; and the terminology can be inconsistent, too. A little fundamental knowledge about picking running shoes can help you have a more informed and helpful discussion when you walk into the store, so that your purchase is the best one for you.

Let’s look at some things to consider.

What kind of running do you do?

Do you run road? Do you trail run? Are you running a few miles to stay in shape, or are you working on a marathon, or something in-between? Also, are there injuries or issues you’ve dealt with in the past, or are you currently trying to run while dealing with an injury?

 Properties of running shoes & what they mean for you

Shoe type 

  • Road shoes – these are constructed with soles designed for thousands upon thousands of strides on a hard, uniform surface (asphalt, concrete). They have flexible upper sections designed to give your foot more airflow but won’t protect your foot from rocks or debris.

  • Trail shoes – these have harder, directional tread for running on low-grip dirt and rocks, especially on hills. As a result, they often do not feel as good when running on asphalt for any prolonged period. These shoes most often focus less on cushioning, and they’re reinforced to protect your feet from the trail itself. They have stiffer upper portions, trading airflow for rigidity and stability on the uneven terrain.

Cushioning

People who are unable to dissipate shock absorption with their own feet (e.g. stiff feet, history of bone issues, etc.) must rely on the shoe to perform that task.  Cushioning is the major way that running shoes can help these runners.  People who benefit from more cushioning often use running descriptors such as “pounding,” “compressing,” or “vibration.”  The trade-off is that cushioning places softer material between your foot and the ground, which can lead to less feedback of the running surface, and it may be slightly easier to injure your ankle if you misstep or slip off a curb.

Drop

This refers to how much higher the heel is than the toe. A “zero drop” shoe is the same height at the front and back, and can work well for somebody who runs near the front or middle of their feet. A shoe with more drop, or a higher heel, may work better if you land near your heel when you run or need your ankles and calves to do less work. More drop may also affect how your lower back feels, so pay attention to any new sensations in your body when you try a shoe with more drop.

Support type

Simply put, this refers to the overarching goal of the shoe. It’s a deep enough topic that we had to make a separate video about it. Broadly speaking, there are three types of shoe support:

  • Cushioned – these shoes prioritize cushioning above all else. They often have a softer or thicker sole. They work well for people for whom the force of impacting the ground may be a concern.

  • Motion control – these shoes attempt to control how much your foot and arch flatten (often referred to as “pronation”) when you land. They are much stiffer in the middle and especially inside edges of the sole, and may even visibly angle your heel off to one side. They work well for people with more pliable feet, for whom excessive or too-rapid flattening may cause problems.

  • Stability/Neutral – nowadays these terms are often synonymous. These shoes are for people who don’t need either of the above. They have thinner cushioning and are overall pretty pliable throughout (the exception is trail shoes, which are typically built this way but without being so flexible).

There are two things to consider here. First, because motion control shoes have to be slightly stiffer to do their job, they may absorb less shock for you; cushioned shoes, on the other hand, sacrifice some amount of foot control to gain better shock attenuation. If you need both, some cushioned shoes are now built with a little extra stiffness in the middle. Second, the shoe generally affects how your foot behaves when you run. Some people need more specific foot control, or need more cushioning or some space accommodation in specific spots. This is where a shoe insert orthotic may be of help.

Sole Width and Shape 

Shoes are rarely classified by how wide their soles are. The sole will almost always be wider than your foot. However, the width of the shoe’s contact patch with the ground can have a big impact on your running. A wider sole near the back of the shoe will exert more leverage on your foot as it strikes the ground. For example, if you land near the outside rear of your foot (as is the case for most runners), a wider sole will cause the shoe (and your foot) to flatten more quickly. This may further stress the ankle of a runner who already has pain from or problems relating to “over-pronation” (which in common use refers to excessive flattening of the foot).

Similarly, the further rearward a sole extends, the more it will encourage you to strike the ground with your heel, and simultaneously “throw” the front of your foot to the ground. This may further stress the ankle or shins of any runner.

 Bear in mind that both of these effects – excessively rapid flattening of the foot in either direction – can affect not just a runner’s feet or ankles, but also the knees, hips, and lower back.

Take-Aways

Be picky. Your shoes should be comfortable immediately. Your feet will “know” when they’re in the right shoe, be it the first pair or the tenth pair.

Return policy matters. Your first run may reveal more than when you tried shoes at the store.

Bring insoles or orthotics. They too need space in your shoe, and shoes and orthotics affect each other.  Try them on together when in the store.

Written by Ari Baquet, PT, DPT, OCS, CSCS

Questions Answered – Bike Fit

Why think about bike fit?

Many people, perhaps you included, are getting into (or getting back into) riding bikes these days. When you buy a bike, the shop usually helps you get the seat height roughly right. People seem to assume that, if the bike doesn’t feel perfect when the shop sizes it, that it’s just how the bike is. Often, however, that new bike could feel and ride so much more nicely. 

As a new cyclist, there are many questions about this you may not know to ask. Even experienced cyclists will have questions about their bike fit:

  • “How do I know my fit is right?”

  • “How do I know if my fit can be better?”

  • “I had my fit done professionally, maybe the problem is me?”

If you’ve ever seen someone appear at-one with their bike, you know what a good fit looks like. So let’s break these questions down for how you and your own bike go together.

What is a bike fit?

It’s more than making sure the seat is the right height for you (although this can and should get very specific). A bike fit helps manipulate contact points, or where your body and bike meet, to ensure the bike conforms to how your body wants to pedal and ride, so it feels like an extension of you. 

Your feet are the most fixed contact point, although there’s more to adjust here than meets the eye, and you should even consider how you set up the inside of your shoes. Your hips on the saddle are also somewhat fixed, in the sense that late in a ride or with hard efforts, you’ll tend to settle into a consistent spot. Your hands can of course be almost anywhere, but you may notice that you and your hands also tend to settle into the same spots when you’re tired or working hard. Your bike fit process should account for this.

Just like with a running analysis (scroll down to read Questions Answered: Running Analysis), you should warm up and settle in. Pay close attention to what you feel – where are your pressure points? Is some part of you working too hard, or carrying what feels like more pressure or tension? This feedback will help your fitter tremendously. 

How do I know my fit is right?

At low speeds or efforts, the bike should almost pedal itself, and your legs should almost feel like they’re pedaling automatically. Just like with running, ask yourself these questions:

  • Do I feel efficient on the bike?

  • Am I riding pain-free?

  • Does my fit work for the type of riding I’m doing? (Distance, terrain, etc.)

How do I know my fit can be improved?

If you can’t answer “yes” to all three questions above, you may have room to improve. You may also want to have another look at your bike fit if you or your body have changed. Consider changes over time such as:

  • Experience and fitness – did you do a lot more or a lot less riding or racing this year?

  • Strength and flexibility – as these change, your body may want to move differently

  • Lifestyle off the bike – are you sitting more, or have your priorities changed?

  • How much you ride – the more you ride, the more “dialed” your bike fit needs to feel

  • What kind of riding you do – different types call for different “body English”, and possible tweaks to your fit

Ultimately, your body’s needs change with time, so your bike fit should be dynamic as well.

Who should I get a bike fit from?

Word-of-mouth is a good place to start. If one name comes up among riders of a variety of backgrounds and body types, that person may be worth a call.

Certified fit systems by major manufacturers introduce some measure of quality control as well. However, the expense of certification is prohibitive to some fitters, so a non-certified individual may often still be of great help to you.

If you have or have had pain or an injury, be very discerning. There are even physical therapists in the cycling community, or who are well-versed in cycling biomechanics, and they too can be a great asset to you. 

Concluding thoughts

Similarly to getting a running analysis, a bike fit is not a black-magic process, but there are many pieces involved. Above all, your bike fit should be a collaborative process. The person who helps you should strongly consider your feedback throughout, and be willing to go down to the degree or millimeter with you. After all, only you can feel what your body is doing, and your input and instincts are important.

Imperium Boxing - Part 3

In Imperium Boxing, Part 3, Dr. Reman Rajab and Dr. Ari Baquet will demonstrate the exercises in both sitting and standing with the addition of flows to take it to the next level and challenge your brain! Talk to your physical therapist to determine if seated or standing is best for you. Please ensure you are near a stable object or chair to use for support, have a friend or family member nearby for safety, go at your own pace, and take breaks as needed.

Disclaimer: This video is informational and does not substitute for professional medical advice, which should always be sought prior to attempting any exercise or lifestyle activities. NeuroSport Physical Therapy is not responsible for any loss or injury that may arise from or relate to action taken as a result of viewing videos we post.

Imperium Boxing - Part 2

In Imperium Boxing, Part 2, Dr. Reman Rajab will guide you through a work out demonstrated in both sitting and standing.  Talk to your physical therapist about which option is best for you. Please ensure you are near a stable object or chair to use for support, have a friend or family member nearby for safety, go at your own pace, and take breaks as needed. Keep an eye out for part three coming soon! 

Disclaimer: This video is informational and does not substitute for professional medical advice, which should always be sought prior to attempting any exercise or lifestyle activities. NeuroSport Physical Therapy is not responsible for any loss or injury that may arise from or relate to action taken as a result of viewing videos we post.