Louisville, Plattsmouth & Hooper Ne 68031


June 8, 2021 – Fibromyalgia is a complex syndrome involving many signs and symptoms. It presents as multiple painful areas in the body. It can also be accompanied by general fatigue, weakness, and a lack of energy or motivation.

The root cause for fibromyalgia is unknown. However, it is thought to be due to changes in the nervous system and how it perceives pain. This can be triggered by a trauma, surgery, infection, or major emotional event, and can progress over time.

The signs and symptoms include widespread pain often described as a dull ache, multiple points of tenderness in the body, muscle stiffness particularly in the morning, headaches, “brain fog”, fatigue, depression, anxiety, pain or cramps in the abdomen or pelvis, irritable bowel and bladder, disturbed sleep, jaw pain, and numbness or tingling. Most often, life’s stresses cause the pain to become worse.

Physical therapy will initially focus educating the patient about the syndrome. Research shows that people who are knowledgeable about their condition have better coping abilities. This education can include learning how the body perceives pain and how to take control of the pain. Pain management through various type of exercises such as aerobics, manual therapy, stretching, and deep breathing can help improve overall function, general health and sleep quality in patients with fibromyalgia. Your physical therapist will design a program that is right for you and your goals.

At your first visit you should expect a physical therapist that is there to get to know you, your current complaints, and your goals. Using this information and the information they gather during their evaluation they will set up an individualized treatment plan that will help you reach your goals and get back to your life faster. Treatments could include modalities for pain control, manual therapy to help relieve muscle tension and promote healing, exercises to restore strength and motion, and muscular retraining to improve core activation and stabilization.

Witte Physical Therapy has the therapists and tools to treat fibromyalgia. From manual therapy and exercises to our aquatic therapy programs we can help you cope with your fibromyalgia. Give us a call to schedule your free consultation today!


Memorial Day

June 1, 2021 – Every Memorial Day weekend I find myself reflecting back on the past year and the past in general. It is a weekend of remembrance. It has turned into a holiday weekend of getting together with friends and family to kick off the summer. In past years it seems like the “get togethers” had gotten in the way of the true reason for this holiday weekend. However, after this past year I believe that these gatherings were a much needed part of healing and getting back to normal.


I want to take the time to thank those that have served our country. This little blog doesn’t do that thank you justice, but it is a very small start. We have been fortunate to employ and work with veterans as patients. It is an honor to try to help them get back to living a pain free life. We have met many great people through the business and it remains a very exciting part of our job. We are forever in debt to those that have served and lost their lives. We have been able to hear some of their stories of bravery and sacrifice from our employees, families, and patients who have or continue to serve. 

I also want to thank all of those patients, friends, and families who have trusted Witte Physical Therapy with their care, helped us get to where we are today, and been the support we have needed. This includes the staff that I get to work with and their families. Physical therapy can be a long, but rewarding road for both patients and staff. It is great on this weekend to take the time to think back about where we have started and where we are now, who we have seen and where they are now, and to reflect on what we can do to improve ourselves and our business for the betterment of our patients and communities.

Please know that at Witte Physical Therapy we are never stagnant and are always looking for the newest and best techniques to use with our patients in order to provide them with the best service and care possible. At Witte Physical Therapy we are always looking for new ways to become involved and give back to our communities, because we want to be a reason they are strong and we want to help facilitate that strength.  

5 Facts Entrepreneurs Should Know About the Importance of Self-Care

May 25, 2021 – You’re taking care of business, but are you taking care of yourself? Unfortunately, if you’re like many entrepreneurs, you may be overlooking self-care in the process of getting your business up and running. That can be a huge mistake. Especially for your mental and physical health.


That’s because self-care isn’t selfish, and it isn’t negotiable. You need self-care to maintain your body and mind, and in turn, you need self-care so you can be the best at running your new business. If you’ve let self-care fall by the wayside, here’s what Witte Physical Therapy wants you to know.


Witte Physical Therapy specializes in traditional P/T, aquatic therapy, dry needle treatments and a variety of other options that can help you get back control of your life. If you are in the Louisville area and in need of physical therapy, be sure to check out their current services.



Stress Can Lead to Heart Disease


Entrepreneurship and stress pretty much go hand in hand. While not all stress is bad, too much stress can be bad for your health and your heart. Research shows that those who are exposed to chronic levels of stress are more at risk for developing cardiovascular disease.


Business Tools Can Reduce Stress


So how do you avoid high levels of stress when you’re setting up a new business? One way is to use a formation service for your LLC needs, rather than spending a small fortune on attorney fees. You can use these services to look up LLC Nebraska rules and requirements for every other state. Then you can fill out and file the necessary forms online in a matter of minutes. Other ways to reduce stress include outsourcing tasks to specialists (e.g. marketing, web design, accounting, etc.) and even hiring a virtual assistant.


Regular Exercise Can Also Provide Relief


Saving time when it comes to your business can relieve tension. Another trick you can use to reduce the negative impacts of stress is to exercise on a regular basis. When you’re burning calories on a treadmill or with other workouts, you are also burning off excess stress. If you find a regular fitness routine, be sure to couple your workouts with the benefits of physical therapy.


Entrepreneurs Also Need to Eat Healthy


When you’re constantly on the run, you also need convenient food and snack options. Before you reach for premade and processed foods, however, you should know what those choices can do to your body and mind. You may feel a quick energy surge after eating or drinking these treats but you’re also more likely to crash. Then you’ll feel groggy, sluggish and unfocused. Instead, think about setting aside some time on the weekend to prepare healthy meals.


Mindfulness Makes You a Better Business Owner


You may already know that being mindful is good for your brain, but it turns out that this effective self-care tool can also be good for your business. When you cultivate mindfulness with meditation and other practices, you awaken more focus and creativity in your brain. You may also begin to feel more comfortable communicating under pressure and learning from failure. Each of these improvements will build your entrepreneurial skills and boost your business.


Burnout Can Sneak Up on Entrepreneurs


Sometimes you’re just too busy to think about self-care. If you constantly find yourself forgetting about or neglecting your basic needs, being busy may not be the main issue. You could be suffering from burnout. Common signs that you’re on your way to burning out include overlooking basic self-care, avoiding friends and family, a lack of creativity and/or focus, and finally, feelings of physical and mental collapse. Once you get to those last symptoms, taking time off is your best bet for refreshing yourself. That and making more time for regular self-care.


You could put off self-care as you build your business, but why put your health and happiness at risk? Not to mention the success of your new venture. Look for simple and practical ways to fit self-care into your daily routine, so it doesn’t just feel like more work. Finally, don’t make the mistake of thinking that self-care is selfish. After all, your business is depending on you!


Author: Amy Collett 

Photo Credit: Pexels











5 Tips for a Healthier You!

May 18, 2021 – America has seen a staggering increase in obesity rates over the years. “From 1999–2000 through 2017–2018, the prevalence of obesity increased from 30.5% to 42.4%, and the prevalence of severe obesity increased from 4.7% to 9.2%.” (Source: https://www.cdc.gov/obesity/data/adult.html)

Today, more than ever, it is important for us to reflect on what a healthy lifestyle looks like and consider taking steps to becoming healthier. Whether you are struggling with weight (this can mean underweight, borderline-overweight, overweight, or obese), decreased strength, chronic pain or fatigue, poor blood panels, or heart conditions such as high blood pressure a lifestyle modification should be in order. Healthy lifestyles can help prevent these issues from worsening and prevent overmedicating in the future.  “More than 131 million people — 66 percent of all adults in the United States — use prescription drugs.” (Source: https://hpi.georgetown.edu/rxdrugs/) According to the National Institute on Drug Abuse, Americans consume 75 percent of the world’s prescription drugs. Nearly three in five American adults take a prescription drug at any given time. To reduce the use of prescription drugs and improve overall health, it is important to find ways to achieve a healthier lifestyle. Here are some tips to get you started!


  1. Get up and move at least once every hour for 5 minutes or more if you are working in the same position for multiple hours. It is important to break up the same posture through movement to boost energy levels and prevent pain.
  2. Check your posture regularly! This might require setting an alarm on your phone every 30 minutes as a reminder to sit/stand up straight with your head and shoulders back. Avoid that forward head posture to prevent future complications
  3. Drink enough water. The recommended intake for fluids is half of your body weight in fluid ounces and at least half of those needs to be water. For a 200-pound individual that would require 100 fluid ounces a day and at least 50 fluid ounces of that should be water.
  4. Exercise on a regular basis. According to the American College of Sports Medicine all healthy adults aged 18–65 years should participate in moderate intensity aerobic physical activity for a minimum of 30 minutes on five days per week, or vigorous intensity aerobic activity for a minimum of 20 minute on three days per week. Every adult should perform activities that maintain or increase muscular strength and endurance for a minimum of two days per week.
  5. Eat well! Feed your body with nutritious foods such as whole grains, fruits, and vegetables. These whole foods will provide you with the nutrients your body needs to stay healthy and energized. Consider growing a garden this summer to save money on produce and promote quality recreation for you and your family or friends. If you are having difficulty with nutrition and would like more assistance, visit a nutritionist near you for guidance.


If you need assistance with any of these or if just getting these started is tough for you please contact us at Witte Physical Therapy to schedule a free consultation to learn more about what we can do to help you get started!




What is Chronic Pain?

May 11, 2021 –

You’ve been diagnosed with “chronic pain”. Now what? This blog will discuss what chronic pain is, how it is caused, signs and symptoms, treatment, and expectations.

Chronic pain is any bodily discomfort that lasts for more than three months or beyond normal healing time for that particular condition. Chronic pain can cause brain changes. When pain is constant or chronic it causes the nervous system to be on “high alert”, causing more sensitivity to pain. This can cause cells in the nervous system to be on high alert which makes the brain interpret normal sensations as “painful”. This cycle allows a person to stay in a constant or chronic state of pain. The brain’s job is to protect you from potentially harmful sensations, but with chronic pain the brain reacts to non-harmful stimuli in a negative way making the individual feel like something is really wrong when actually nothing is torn or broken.

      Common complaints include:

  • “everything hurts”
  • Sudden stabbing sensations of pain
  • Pain may “have a mind of its own”
  • Symptoms can appear even if you are not doing anything to cause them
  • It feels worse when thinking about it
  • It feels worse when you go through upsetting or stressful events in your life
  • You may feel more anxious and depressed
  • Symptoms may feel like they are spreading from one area to another
  • You may feel fatigued and afraid to do your normal activities

These complaints are common, but do not necessarily mean your physical condition is worsening. It may just mean your nervous system is sensitive.

      Signs and symptoms can include:

  • Fearfulness
  • Body stiffness
  • Deconditioning
  • Decreased circulation
  • Weight gain and/or a worsening of other conditions
  • Feeling the need to increase medication use

 How can physical therapy help?

            The physical therapists at Witte Physical Therapy will work with you and educate you about chronic pain, find solutions about how to improve quality of life, and get you moving pain free again. Chronic pain is experienced differently for everyone and your physical therapist will tailor your treatment to meet your needs. Treatment may include education, strengthening and flexibility exercises, manual therapy, posture awareness and body mechanic instruction. Chronic pain does not happen over night and it will take some time for it to go away. The best thing you can do is be patient and trust that adhering to treatment with consistency will give you the best results.

            For more information visit https://www.choosept.com/symptomsconditionsdetail/physical-therapy-guide-to-chronic-pain-syndromes#WhatIs or call the therapists at Witte Physical Therapy for more information.




Chronic Pain and Physical Therapy – Capital Area PT & Wellness

Common Running Injuries that Physical Therapy can help with

May 4, 2021 – As the weather warms up, many of us are trying to be more active outdoors. Some are engaging in running. At this time of year, the end of track & field season and “fun run” season is upon us. Currently, we are seeing an up-tick in activity for those training for fun runs, marathons and the peak of track season. This year is different from others as sports and fun-runs were cancelled or made virtual, and many had a year off from these usual activities. Now, more than ever, overuse injuries from running and other track events are emerging due to last year’s lack of activity.

Below is a list of some common running conditions that physical therapists help treat:

  • Achilles tendon injuries
  • Female athlete triad
  • Groin strain
  • Shin splints
  • Hamstring injuries
  • Calf strain
  • Iliotibial band syndrome
  • Knee pain
  • Patellofemoral syndrome
  • Plantar fasciitis
  • Peroneal tendinopathy
  • Lower extremity stress fractures
  • Stress induced urinary incontinence

Physical therapists are movement experts who are trained to educate people on treatment and prevention of injury. This can include shoe, brace, and compression garment selection to fit the needs of the individual. Other preventative measures include proper strength training plans to prep the right muscles for prehab. Treatments for sustained injuries can include those previously mentioned as well as soft tissue mobilization, taping, and various modalities for pain relief and control. Strengthening and stretching are also important for improving injuries. If you are experiencing any injuries, are injury prone, or would just like to prevent future injuries please contact your local physical therapists at Witte PT to schedule an appointment and learn more about what we can do for you!





Concussions and Physical Therapy

April 27, 2021 –

A concussion is a traumatic brain injury which can cause lasting deficits of the brain. Every concussion is considered a serious brain injury. If you or someone you know has had a concussion, please seek medical help immediately. A concussion takes place when the brain is shaken violently. This can happen during a whiplash incident or with a direct blow to the head. With this can come temporary or permanent problems.

Recovery from concussions can take a few weeks, a few months or even years depending on severity of the injury. The key to a quick recovery is to seek treatment immediately as this can help minimize permanent brain damage or even death.  In some cases concussion symptoms may appear to subside, but can show up again later on if not treated appropriately. Following a concussion, a person can experience a variety of physical, emotional, and cognitive symptoms.

Multiple studies have shown that receiving physical therapy for concussion management is beneficial, even if you don’t start right away (sources: https://academic.oup.com/acn/article/34/5/760/5539141?login=true, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6005749/). Physical therapists can provide treatment for a more efficient recovery plan rather than trying to figure it out on your own. Treatments may include rest and recovery plans, restoring strength and endurance, stopping dizziness, improving balance, reducing headaches, and returning to usual activities or sport.

Whether you have experienced a concussion yourself or may know someone who has, consider talking to your local physical therapists at Witte Physical Therapy for more information about if concussion therapy may be right for you.

Please contact us in Louisville at 402-234-3333, in Plattsmouth at 402-298-4747, and in Hooper at 402-654-2121!





Blood Flow Restriction Therapy and Training

April 20, 2021 – Strength and muscle mass are largely important for not only human performance, but also for health a longevity. Studies have shown that muscle mass is a predictor of disease and mortality. For someone to make gains in strength and muscle mass, a person must lift weights at greater than 70% of their 1 rep maximum. However, there is another more convenient method which can be used to make strength gains.

Blood flow restriction (BFR) training is a therapy tool used by physical therapists that has been proven safe and effective in improving strength and muscle mass. BFR involves applying a cuff-like tourniquet placed over the closest part of the arm or leg being strengthened.

The tourniquet is inflated, reducing blood flow from the muscle area. This creates increased oxygen demand for the muscles during exercise. This increased demand causes the muscle to work harder than normal to contract (so instead of 70%, only 20-35% of the 1 rep maximum or less is needed!)

When training with BFR, the user should never feel pain, numbness or tingling. Muscle “burn”, on the other hand, is expected. It may feel uncomfortable during the training process but will feel like you got a great workout after!

Here are some examples of when BFR training can be useful:

  •             Post surgery: strengthening when full weight bearing is prohibited, to retrain weakened muscles

  •             Elderly: safe strengthening to improve function and prevent falls

  •             Athletes: maintaining muscles mass during season
  •             General fitness

  •             Improve Aerobic Endurance
  •             Osteoarthritis: improve muscle function and prevent surgery
  •             And many more!

Give us a call today in Louisville at 402-234-3333, in Plattsmouth at 402-298-4747, and in Hooper at 402-654-2121 to schedule your FREE consultation and learn more about blood flow restriction training!





How Physical Therapy Can Help With Parkinson’s Disease

April 13, 2021 – Last week’s blog we discussed Parkinson’s Disease signs and symptoms and mentioned Physical Therapy as a means of treatment. Today we will be covering what physical therapists can do specifically to treat people with Parkinson’s Disease.

Physical therapy-based exercise programs have been shown to help slow symptom progression of Parkinson’s Disease. Even those who are experiencing early signs of PD have been clinically shown to experience a slowing of disease progression when adhering to a proper physical therapy program. A few programs as special therapy techniques are used in physical therapy to help patients with PD.


LSVT BIG and Loud is one program or tool that can be used by your physical therapist. The purpose of this program is to educate patients and their care givers on how to perform their best despite having PD. LSVT Big teaches those with PD to work toward big movement patterns and make their daily movements purposeful. For example, using larger steps with walking to avoid the common “shuffling gait” as seen in people with PD. Using loud words helps patients make the body-to-brain connection when re-learning daily activities. Research has also shown that repetitive cueing or background rhythmic music helps overcome the “freezing” commonly seen with patients who have PD.

These techniques and more are used in physical therapy sessions to help treat patients who struggle with the effects of Parkinson’s Disease. Physical therapists have a solid background in using these techniques and our staff at Witte Physical Therapy devote one-on-one time in skilled therapy sessions to make sure these patients are receiving the best treatment possible. Give us a call to learn more today!

Louisville clinic: 402-234-3333

Plattsmouth clinic: 402-298-4747

Hooper clinic: 402-654-2121




Physical Therapy and Parkinson’s Disease

April 6, 2021 – April is Parkinson’s Awareness Month. In today’s blog we will be discussing the background of Parkinson’s Disease and a physical therapist’s role in treating this condition.

Parkinson’s Disease is a neurodegenerative disorder that affects dopamine producing neurons in a specific area of the brain. Symptoms develop slowly over time and can vary from person to person. Common symptoms include, but are not limited to, the following:


  • Resting tremors
  • Bradykinesia (slowness of movement)
  • Limb rigidity
  • Gait and balance difficulties


Though the cause for Parkinson’s is unknown, treatments are available to help slow the progression of the disease. According to the Centers for Disease Control and Prevention, complications related to Parkinson’s is the 14th cause of death in the United States. It is important that those with Parkinson’s are educated in the treatments available to them for the best quality of life possible.

For someone with Parkinson’s, it is best to learn more about the disease itself and management to help gain control of their personal health. There are many treatments of Parkinson’s Disease and physical therapy is one of them. Although it’s not a cure, therapeutic exercise has been clinically shown to significantly slow the progression of Parkinson’s Disease symptoms. A recent study showed that early and regular physical therapy helped improve physical function and decreased disability (DOI: 10.1055/s-0041-1725133). Also, having a therapist there to guide you through the process on a week-by-week basis can help you expand your knowledge of the disease itself and different tips and tricks to improved quality of life. For more information about Parkinson’s and physical therapy give the staff at Witte Physical Therapy a call today! You can get your questions answered by calling our Louisville clinic at 402-234-3333, Plattsmouth at 402-298-4747, and Hooper at 402-654-2121.  


For more information about available resources for individuals with Parkinson’s visit https://www.parkinson.org/parkinsons-awareness-month.






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