Acadiana Pain & Performance Rehab
p: (337) 504-5144
f: (337) 326-4545
  • Need Relief?
    • Headaches
    • Neck Pain
    • Back Pain
    • Joint Pain
    • TMJ Pain
    • Nerve Pain
    • Cancer Pain
  • Performance
    • Pain Proof Wellness Program
    • Running Clinic
    • Kaatsu
    • GB2BG
    • Orthopedic Rehab
    • Athletes
    • RESET
  • New Patient
    • Success
    • Friends
  • Cryotherapy
    • H.E.R.O. Recovery System
  • Float
    • Float FAQ
    • Schedule Your Float
  • About Us
    • Staff
    • Location
    • Insurances Accepted
    • Contact
    • Jobs
  • Shop
    • Black Friday
    • Mobility
    • Supplements
    • Stem Cell Reset
    • Joint Health
  • Media
    • Blog
    • Video Library >
      • Cervical (Neck)
  • Schedule Your Float
  • Product
  • PEMF
  • Infrared Therapy
  • Immune

Ribbon Cutting and Open House at Our New Location

7/24/2017

1 Comment

 
Our goal when moving to the new office was to create a space that was inviting and calming, but would still allow for us to give the best care and attention to our amazing patients. On Friday, July 14, we had our official ribbon cutting ceremony and open house. We opened the doors and invited everyone to come in and relax, to enjoy some jambalaya and to check out our new state-of-the-art facility. 

We had a great turnout and we thank all that were able to attend. If you couldn't make it out, please check out the photos below or come on by for a visit.

We are so blessed to have such amazing support from our family, friends and patients!
Picture
Picture
Picture
Picture
Picture
Picture
Picture
Picture
Picture
1 Comment

Sleep Better, Feel Better, Heal Better

5/4/2017

0 Comments

 
Picture
One of the things that I discuss with patients the most is improving sleep. This will help in basically every aspect of our lives from energy, healing, weight loss, overall health and happiness etc. yet many people don't have good information or practices to help improve it. We need to get good restful sleep to have good hormone regulation.  I myself don't sleep for long periods (I average about 5-6 hours) so I have been obsessed with quality over quantity of sleep for a while now. These tips will help you get to sleep but also improve the quality of time you do sleep.

These are not necessarily in order effectiveness so start with the 1-3 that you feel you can stick with initially: 

#1.  Develop your sleeping ritual. You must sit down and write down step by step what your night time ritual is.  ie. 10:00 Shower; 10:30 write my next day to-do list; 10:45 prepare my night time tea; 11:00 light reading 11:20 put book down and lights off etc. 

#2. Sleep colder.  The ideal temperature for good deep sleep is between 64-68 degrees about 4 degrees colder than what the average person goes to sleep with.

#3. End you shower with 3 minutes of cold water. This one will initially give you a boost but once you lay down significantly improved deep sleep

#4. Read prior to bed. (Much better if it is a real book) One of the biggest changes on my sleep was beginning to read fiction books with good calm stories in them for about 20 min when I laid down.  This change from non-fiction to fiction helped to shut down my brain and get me to deep sleep quicker.

#5. Drink Night time tea mixed with 2 tablespoons of apple cider vinegar and 1 tablespoon of honey. This concoction along will help knock you out quicker and get you into REM sleep faster. 

#6. Take a glutathione supplement prior to bed. Glutathione is your bodies "master" antioxidant, it helps reduce free radicals, optimize organ function and reduce aging effects but I've also found that taking a dose before bed gives me much better/deeper sleep.

#7. 10 minutes of meditation daily will significantly increase percentage of REM sleep to light sleep ratios. I saved this one for last because it is the one that most people will not do but it has the biggest impact on quality of sleep. After tracking my sleep for 4 months I began a meditation practice of 10 minutes first thing in the morning this alone increased my REM sleep by almost 50%. Not to mention all the other benefits meditation provides this one alone is worth the time. (If you need help with getting started you can download the app headspace or calm; Tara Brach also has some great guided meditations you could look up)

So to summarize a nightly routine that works perfect for improving sleep for the next 2 weeks I want you to do this: Meditate 10 minutes upon waking up, Shower ending with cold water, fix some non-caffeinated tea adding 2 tablespoons of apple cider vinegar and 1 of honey, drink tea while writing tomorrow todo, turn down ac to 66, take glutathione supplement, get in bed, read 15 min...Lights out and have amazing sleep!  

0 Comments

The simple secret to keeping your body healthy

4/26/2016

0 Comments

 
​If you want your body to be healthy you have to use it all the time.  I am not saying it needs to be high intensity, usually 2-3 hard training sessions a week is plenty but everyday you need to do either mobility training, breathing exercises, or cardio.  Developing this simple daily habit will allow you to defy much of the age related deficits to the musculoskeletal system.  None of this needs to be complicated but start dedicating 10-15 minutes everyday to keeping your body healthy and you will be absolutely amazed at the difference you will see.
0 Comments

"Normal Pain?"

3/30/2016

0 Comments

 
I hear it everyday, "yes I am hurting but that's just old age." It is not normal human physiology to have pain signals.  Our resting state is supposed to be a pain free one.  We are not designed to get more pain as we age we often do so because we have accumulated stress over the years that have piled up to the point where the body cannot fight against it anymore.  

We need to think about these things when we are younger and older.  I tell all my patients that are in their 30's and 40's that the small pains and irritations left unchecked now become bigger problems in our 50's and 60's, arthritic and degenerative problems in our 70's and disabilities beyond.  This is not a lost cause if we have already reached some of these ages as we can still be pain free even if we do have some degeneration, arthritis or accumulated damage. It just takes more effort and consistency with our corrective measures. 

Take Away: Pain is not the normal human condition, don't "have a high tolerance for pain." If you are suffering get help in some form.  Move more. Eat better. Sleep better. If you find ways to do that I promise you will Live Better.
0 Comments

Birthday Celebration!

4/20/2015

1 Comment

 
Picture
COME help us celebrate our Birthday on May 1st, 2015!

To celebrate our birthday we are having a ONE DAY SPECIAL OFFER FOR ALL FRIENDS, PRESENT AND PAST PATIENTS OF Acadiana Pain & Performance Rehab!

This May marks our anniversary and we want to do something special to celebrate.  This is our BIG THANK YOU for allowing us to serve you.  As our way of saying thank you we are having a day of completely FREE EXAMS for!

  • All friends of Acadiana Pain & Performance Rehab
  • All loved ones, family, friends, neighbors and co-workers of our past and present patients


Call 337-504-5144 to schedule you FREE EXAM offered on May 1st, 2015.  If not scheduling we still hope you will stop by to say hi, meet our new staff and receive a special birthday gift from us! 


If you are referring a friend or family member be sure they let Kelli or Jordan know when they call who referred them! 

The day of Free Exams will be on: Friday, May 1st from 8am to 2pm. 


This will consist of a 30 minute one-on-one appointment.  We will talk with you about the history of your problem, perform a full functional test to determine how well you are moving and uncover any hidden problems that are not yet painful.  After a thorough exam we will give you a written copy of:
  • The cause of your pain or problem
  • A plan for successful treatment and resolution


The appointments are free but are limited as we only have 20 spots available! 
Call 504-5144 now to schedule your Free Exam!



    I WANT A FREE BIRTHDAY EXAM

    -
    -
Submit
1 Comment

Dry Needling...What is it and how can it help me?

7/21/2014

1 Comment

 
Picture
A good friend of mine was visiting my office recently, she knew what I did but never really thought about how it could help her. At one point during our visit she was telling me how she had been getting injections for neck pain for a while but it wasn't helping much. I told her I thought she should consider Dry Needling. That brought on some great questions: "What exactly is dry needling? How would that work for me? Does it hurt?"

After explaining it a bit, I treated her neck and during the treatment she says: "you know, this does not hurt at all; I have to be honest, I really thought it would hurt. This is like completely new medicine to me, I didn't even know this existed."  This ended with her being somewhat amazed by how much better she could move without pain afterwards.

I hear and see this same response daily and it never gets old.

What is Dry Needling?

Picture
At it's most basic level, Dry Needling is the use of tiny filiform needles inserted into the body to stimulate healing.  We often think about using medication or injections to get the body to heal but with Dry Needling rather than putting in outside medication, we stimulate your body to release its own "medication" to heal damaged or painful areas.  

How does this work?

When a needle is inserted, your body senses that a new lesion has occurred. This "lesion" is so tiny that it does not cause a noticeable amount of actual tissue damage but it does start the whole healing process where your body begins to send blood, oxygen, and healing agents to the area for healing. 

This process causes changes throughout the body, in the muscles, nerves, vascular system and in the brain. These effects are part of the body's self-healing mechanisms and include the facilitation of tissue repair, anti-inflammatory reactions, tissue regeneration and pain modulation. The combination of these effects make Dry Needling a very effective pain treatment.   

Sometimes when our body is injured, it gets "stuck" somewhere in the healing process and isn't able to completely heal the damage. In other cases, our body is able to heal the damage but we still feel pain because our brain still associates certain movements or body parts with pain since it has "mapped" this pain pattern. The great thing about Dry Needling is that we can address both of these pain problems. Putting the needle into the body not only stimulates that healing process we talked about but also stimulates nerves that can help to activate or deactivate the areas of the brain that are responsible for how we feel and interpret pain. 

What's it feel like?

Most of the time the treatment is completely pain free. Usually when I do this process, patients report that either they barely feel it or it feels like I tapped them with a tooth pick.  Occasionally patients will feel a tight muscle pulse or twitch. This is the muscle activity normalizing and it relaxing quickly. 

How can it help you?

One of the reasons I feel Dry Needling is a good option for some, is it can help a variety of pain conditions in many ways and unlike other pain treatments it has very few side effects.  

If you have any musculoskeletal or nerve pain or are an athlete that just needs to heal an acute injury faster, Dry Needling may be something to consider.  I see it to be very effective for things like headaches, neck pain, muscle strains, low back pain, arthritis, some shoulder conditions, TMJ, tennis elbow, knee pain, plantar fasciitis, and many nerve issues.  


If you have any questions concerning Dry Needling treatment or if you think it may help you please contact us at (337) 504-5144 or at info@acadianapain.com


PS: I am going to have more posts on the science and evidence behind Dry Needling soon so if you are a science nerd like me check back soon for updates.

1 Comment

The dangers of being a "desk jockey" and 5 ways to fix it (If you sit at work you must read this!)

6/27/2014

0 Comments

 
Picture
For those of you who are stuck at a desk most of the day I have some bad news.  Prolonged sitting is not good for you.  I know, I know, mind blown right.  In all seriousness sitting longer than 6 hours a day increases most, if not all, of our risk factors for things like: 
  • diabetes
  • cardiovascular disease
  • metabolic syndrome
  • cancer
  • erectile dysfunction
  • low back pain
  • obesity and more

The truly scary thing is that if we sit for long periods of time without breaks most of the current research says that our leisure time activity will not reverse our increased risks.  This means if you sit at your desk 8 straight hours at work then go home and exercise the rest of the evening, you still will have an increased chance of having these dangerous problems.  

So what can we do?
First off stop sitting for longer than 1 hour in at a time.  If you can take a 5 minute WALK break every 30-60 minutes you will mitigate most of the increased risk factors.  I have heard many recommend the pomodoro method (25 minutes of work 5 break) for productivity but it may be even better for your health.  

The other alternative is to get a sit-to-stand desk.  This is the ideal option but it does not come without its own challenges.  First, standing does not eliminate the importance of good positioning, you must still stand and work with good posture and still need to take breaks. (Probably will need quite a few for the first week or two)  Second, you need to set up your work station so that you have the best chance of sustaining your new standing position comfortably.  The best tips are to:
  • Get a foot stool. Trust me you will use it
  • Get a bar stool to lean on from time to time (This really helps)
  • Have a cushioned pad to stand on and wear comfortable shoes
  • Start slow.  In the first few weeks it is wise to only stand for a max of 2 hours in a row.  This gives your body some time to acclimate to your new level of activity

Besides sitting causing issues from a disease and metabolic stand point it also creates many issues from a musculoskeletal view.  Sitting causes the shortening of and decreased blood flow to many muscles throughout the body

Picture
The major muscles affected are: Iliopsoas, hamstrings, calves, pectorals, abdominals, suboccipitals (upper neck) and shoulder muscles.  The problem with all of these being tight or dysfunctional is that many of them contribute to things like, headaches, neck, low back, knee and hip pain.  So if you are one of those that may be relegated to the desk for a while you need to spend some time at the end of the day restoring your body to normal function and movement. If you don't, the years of tightness, dysfunction and matted/scarred tissue builds up usually resulting in pain and injury.  Spending a few minutes each day to do these few moves will have less pain, problems and injuries.  

These are the moves you will do every day that you sit longer than 6 hours:
  1. Neck: Self mobilization with rotation
  2. Thoracic extension mobilization
  3. Pectoral myofascial release 
  4. Hip mobilization and lengthening
  5. Ankle mobilization with movement

That's it.  Five moves, all of which will probably take you about 10 minutes once you get them down and give you greater mobility, decreased pain, and increased longevity.  i.e. NO EXCUSES DO THEM!

Neck: Self mobilization 

Picture
In order to do this move you will need a towel. 

Step 1: drape the towel so that each end hangs over your shoulders.

Step: 2: Take the right hand and grab the left end of the towel.  (this hand will not move during the mobilization)

Step 3: Grab the right end of the towel with your left hand so that the towel is firm around the neck and your hand lies right on the jaw line (hand closer to your face and jaw than in the picture) 

Step 4.  Starting with your head straight forward turn slowly to the left as you apply tension with the towel.  

Perform 10-15 per side at the end of the day to keep the muscles and joints in the neck supple and healthy

Thoracic Extension Mobilization

Picture
For the thoracic extension mobilization you can either purchase a 10 dollar foam roll from your favorite local sports store or do what I do and use the arm of a couch. 

In this mobilization you are trying to restore the movement to your upper back that stiffens up during sitting.

Sit with your upper back against either your foam roll or the arm of your couch.  

Clasp the hands together and place them at the base of your neck and bring your elbows together.  

From this position you are rocking back over the roll into extension to increase the glide and joint mobility of the thoracic spine. Perform between 20-30 or as many as it takes to make a change.

Pectoral Myofascial Release

After sitting for an extended period of time the muscles in your chest and shoulders begin to tighten and become restricted.  The longer this goes untreated the more tension it will put on your neck, shoulders and upper back.
Picture
To do this (or any) myofascial treatment I recommend using a tennis or lacrosse ball as your tool.  You can use your hands like in the picture to find and work out the knotty restricted tissue in the chest and shoulders. You can also use a door frame and lean your body weight against the ball with it pressing into the muscles at the chest and shoulder.  

The best technique to make a change in the tissue is to find the knots and slowly start making large circles around the restricted tissue, making each circle smaller and smaller until you are in the center of the knot or most painful area.  

Remember healthy tissue will not hurt so if you are getting some pain that means that you have some abnormal tightness, scarring, nerve activity, or blood flow in these muscles.  Do the technique until you make a change but at minimum 2 minutes on each shoulder. 

Iliopsoas (hip) Mobilizaton

Picture
The major muscle associated with back pain is not actually in your back, it is in your hip.  This hip flexor muscle (*Iliopsoas) traverses through the pelvis to attache on the front of the vertebrae in your lower back. 

*for the sticklers it is actually 2 seperate muscles the iliacus and the psoas and the psoas is the one that attaches to the spine)

As this muscle tightens it causes increase pressure and shearing on these vertebrae.  The longer you sit the more it tightens and for those of you who have had back pain in the past doing this one thing at the end of your day will help you maintain a health mobile back and hip.
Picture
You can do this without the band in the picture but it is much (probably 75-80%) more effective if you get one.  (an ebay search for mobility joint band will find many for 10-15 bucks)

Get on one knee with your other leg out in front like in the picture. (put a pillow down if it bothers the knee cap)

Keep your back straight and shift your entire pelvis forward until you feel a pull across the front of your left hip (if left knee is down like the picture).  Hold the position for 1-2 minutes and repeat on the other side. (remember it takes about 30 seconds for your body to stop fighting the mobilization so to make a change we need to get through the initial discomfort)


The major mistake I see with this is people bending forward as the shift the pelvis forward.  This shortens the iliopsoas and will make it a less effective mobilization.  

Ankle/Calf Mobilization

Picture
The other issue is that when we are sitting the blood and circulation decreases in the lower legs.  Our calves tighten up and the joints in our ankles stiffen.  This usually doesn't cause problems at the ankle but because of the stiffness here our knees must compensate during normal movement creating excess force and tension at the knee joint.  This will eventually lead to pain or injury if it progresses.  

So again this works without the band but is much more effective with it.

  1. Set the band across the front of the ankle with the stretch pulling from behind.
  2. Walk out until the tension is significant.  
  3. Place your toes on a book, block, weight anything that raises them off the ground
  4. Keeping your stretching heel on the ground and leg straight you will step forward with the opposite leg increase the tension on the calf and ankle.  
  5. Hold this for 1-2 minutes and repeat on the other side.  

Of course there is so much that we can do to get our body moving and performing better so don't limit your self to just these.  BUT, if you are not doing anything to counter the stresses you are putting on your body these are a great place to start.  


Let us know what you think and if you have any questions.
0 Comments

6 Ways To Start Being Healthier Today

12/24/2013

1 Comment

 
Our level of health is just the accumulation of the simple choices we make every day. Getting healthier is not about making huge changes, it can be done by developing a few habits that improve health one step at a time.  Here is some of the things that I believe can give us a great start. These have given me better energy, health, a stronger immune system and overall made me feel much better. I hope that they will help you too.


1. Wake up to water.  When we wake up our body is in a state of dehydration, so drink 16 oz of cold water first thing in the morning.  When we are in a state of dehydration many organ functions are effected. Drinking water upon waking will increase your metabolism by 24% (for the few hours following), ease muscle soreness, promote kidney health, and promotes healthy body composition.  

2. 30 in 30.  Eat 20-30 grams of protein within 30 minutes of waking up.  This can be in the form of shake, powder or my go-to, 3 eggs and 4 turkey sausage patties with some salsa on top.  (The exact amount is going to depend on how much muscle mass you have and your activity level but try for a minimum of 20 for most people.)

3. Coconut Oil.  It has tremendous health and energy benefits.  Start to mix 1 tablespoon of coconut oil or MCT oil in your coffee or tea in the morning.  

4. Real foods.  And don't give me the "if I can eat it and it tastes good, it's real to me," crap.  The more foods you eat that do not come in a package or box, the healthier you will be, period.  

5. Take Vitamins.  Works even better if you can get a good micro-nutrient test (I recommend Spectracell) to see exactly what vitamins and minerals you are deficient in.  But, for those just getting started, a high quality multivitamin is a great start.  

6. Start an exercise routine.  People make this too difficult.  Do some form of exercise for 15-20 minutes but don't set yourself up for failure.  Also don't worry too much about finding the perfect exercise routine initially.  This is just about getting started.  Have a plan for 2 days/week and stick to it.  Research shows that if you can log 5 sessions you are much more likely to stick with it.  So make it fail proof.  At some point, when 2 days is getting too easy, increase to 3 and so on.    


Health is not an all or nothing proposition, each healthy choice we make has a positive impact on how you feel, think, move and live. 

1 Comment

Welcome and Disclaimer

9/11/2013

0 Comments

 
First, I would like to welcome and thank you so much for visiting our blog.  My purpose for this blog is to put some thoughts about health and healing out there, with hope that you will read, learn and be entertained.  The posts found here will relate to many different aspects of health including my thoughts on pain, healing, rehab, diet, surgery etc.  My true hope is that this information inspires you to question conventional beliefs and wisdom that we all can become healthier and better informed.  I truly believe that if health care providers did a better job educating the public, many of our countries health problems would be significantly improved. 

First disclaimer fun:  

While I make every effort to post correct information, I am still learning.  I will double check all my facts but realize that the fields of rehabilitation, health, nutrition and medicine are a constantly changing science and art.  One doctor may have a different way of doing things from another.  I am simply presenting my views on health, healing and rehab not within a doctor - patient relationship.  I urge you to take this information to your personal physician, physical therapist or healthcare practitioner and discuss how and if it fits your personal situation.  I welcome any comments, suggestions, or correction of errors.  By reading this blog, you agree not to use this blog as medical advice to treat any medical condition in either yourself or others, including but not limited to patients that you are treating.  Consult your own physician, physical therapist, or health care professional for any medical issues that you may be having.  This entire disclaimer also applies to any guests or contributors to the blog.  Under no circumstances shall Derrick Hines, Pain and Performance Rehab of Acadiana, guests/contributors to the blog, employees, associates, or affiliates of Pain and Performance Rehab of Acadiana Inc. be responsible for damages arising from use of the blog.

0 Comments

    RSS Feed

    Author

    Derrick Hines, D.P.T. is the owner of Acadiana Pain and Performance Rehab. The information in this blog is personal opinion and not to be used as medical advice.

    Archives

    July 2017
    May 2017
    April 2016
    March 2016
    April 2015
    July 2014
    June 2014
    December 2013
    September 2013

    Topics

    All
    Acadiana Pain & Performance Rehab
    Grand Opening
    Healing
    Health
    La
    Lafayette
    Open House
    Ribbon Cutting

Home
Need Relief?
Performance Center
New Patient?
About Us
Contact Us
Podcast
Conditions Treated:
Headaches
Neck Pain
Back Pain
More...
Procedures Performed:
Dry Needling
Osteopathic Manual Therapy
Joint Manipulation
More...
Acadiana Pain & Performance
325 Oil Center Drive
​Lafayette, LA 70503
info@acadianapain.com
(337) 504-5144