No one likes to endure aches and pains during work or play, or, for that matter, completing routine day-to-day activities such as housecleaning and yard work. Even standing, walking and sitting for short periods of time can be agonizing for those with ongoing, chronic pain. Physical therapy can help people return to their “pre-pain” condition and resume their life in comfort. A physical therapist can help people transition from chronic pain to a well-deserved quality of life in movement.
SYMPTOMS & DIAGNOSIS
It all starts with an evaluation, summarizing physical deficiencies in or near the area of pain. For example, a typical patient with low back pain may demonstrate restricted range of motion (ROM) and/or pain with forward-bending, weakness (tingling and numbness) in the area of pain or in remote areas; poor posture and/or significant muscle spasms in the lower back area.
Diagnosis can include:
- limitation in joint range of motion (ROM)
- muscle inflexibility
- loss of strength or motor control
- abnormal postures
- inefficient movement patterns
- soft tissue changes (swelling & muscle spasms)
- All of the above issues directly or indirectly contribute to the cause of symptoms — most notably pain. As these impairments diminish, so will the symptoms.
TREATMENT
Treatment may include strengthening exercises, massage and education on proper mechanics with forward bending and sitting. Patients should also be shown the correct form to take with body movements or static positions that may contribute to the symptoms.
COMMON PROBLEM AREAS
Injuries may not necessarily be caused by a single traumatic event, such as a fall or a strain, but can be caused by repetitive overuse. Overuse causes gradual and cumulative wear and tear of tissues. Furthermore, improper movement patterns or postures can perpetuate this type of injury.
For musculoskeletal disorders, typical sites of treatment include the spine (neck, upper, lower back); hip and pelvis; lower extremities (knees, ankles, feet); and upper extremities (shoulders, elbows, wrists, hands). However, physical therapy supplements a variety of medical specialties such as neurology, cardiopulmonary, geriatrics, pediatrics and sports medicine.
Some may say that “getting old is not for sissies!” It doesn’t have to be that way. No one should have to live with pain. Don’t ever believe that pain is just a part of getting older. Research has shown that physical therapy can produce positive, meaningful change — regardless of age.
Ask your advising physician for a referral to physical therapy, as most health insurance plans reimburse for these services. It’s not uncommon to treat chronic pains for several months or up to years. Procrastination can actually prolong recovery and delay the potential to a “pre-pain” lifestyle. Recovery is possible with a combination of education and stylized exercise.
Don’t worry… exercise doesn’t have to be agonizing and grueling. It’s less arduous or complicated than you may think, with a satisfying pain-free reward!

The Hawaii Medical Association named Dr. John Houk the 2012 Physician of the Year during an October award ceremony. Dr. Houk has been Medical Director for Arcadia Retirement Residence since 1991 and for 15 Craigside since 2011. The award recognized him for providing compassionate, comprehensive care and for championing the concept of a “Patient-Centered Medical Home.” Dr. Houk is the first Medical Director of a Continuing Lifetime Care Retirement Community in Hawai‘i to receive this award. His colleagues at Arcadia and 15 Craigside are extremely proud of him for earning this testament to the quality of care provided. Dr. Houk is a member of the American College of Physicians, American Medical Association, American Medical Directors Association, Hawaii Medical Association and Honolulu County Medical Society. He is also a popular speaker at Arcadia, lecturing on topics that include the following: Forgetfulness and Alzheimer’s, Quality of Life: How Do You Keep It?, 7 Secrets of Healthy Living, Is There Value in Vitamins?, and Why I became a Vegan.
An estimated 6 million people in the United States have experienced gout at some point in their lives. Known as “the disease of kings and the king of diseases,” gout has been studied by physicians and has caused suffering in many people for centuries. Gout is a type of arthritis that occurs when uric acid builds up in the blood and causes joint inflammation. Men aged 40 to 50 are most commonly affected.





These are the questions I hear often. As people get older they become concerned about their teeth looking yellowed, darkened, worn down, showing cracks, or being different colors. Solutions for making a smile look refreshed, brighter, youthful and stronger (or a “Smile Rejuvenation”) vary, depending on a patient’s needs.
Dental implants are used to replace a single tooth, several teeth or a whole arch of teeth. They are made of ultra-strong titanium, and look like a large screw. Implants stabilize the restoration that sits on it and stimulates bone growth around the implant. Without a tooth or implant there, the bone and gums tend to recede away.
Place your fists into your back and rock them gradually, in slow motion, to activate these points. Do this 2–3 times daily.
Excess lying down can damage the large intestine and lung meridians, which can affect both respiration and elimination. For these meridians use Joining the Valley (Hoku, LI-4) in the valley between the thumb and forefinger and Crooked Pond (LI-11) on the upper edge of your elbow.
In order to keep your immune system strong, you need to eat a nutrient dense diet rich in antioxidants and anti cancer phytochemicals, which only come from fruits and vegetables. This soup is packed with just that. Kale, bok choy, onions, garlic, mushrooms, zucchini, carrots, and red bell pepper are all micronutrient rich foods that protect us from disease. The beans add a good source of healthy protein and fiber that we need on a daily basis. Feel free to add any other vegetable or other types of beans you may like. It makes a good amount so you can freeze some for later. Know you’re getting everything your body needs to stay healthy and live strong.
Slice vegetables onto a foil tent, pour 3-4 Tbsp. of olive oil over them and toss. Add cilantro, sprinkle with Italian seasoning and pressed garlic cloves. Toss again. Close tent and roast on the grill for 30 minutes. If roasting in the oven, bake at 475° until vegetables are tender.