TMJ Pain and Physical Therapy

January 16, 2024

Temporomandibular Joint (TMJ) pain is a common condition affecting millions of people worldwide. This discomfort often arises from issues with the jaw joint and surrounding muscles. While various factors can contribute to TMJ pain, including stress, teeth grinding, and arthritis, finding effective relief is crucial for enhancing quality of life. Physical therapy can provide help for managing and alleviating TMJ pain, offering non-invasive and tailored approaches to address the root causes.

The temporomandibular joint connects the jawbone to the skull and facilitates essential functions like chewing and talking. When this joint becomes dysfunctional or experiences strain, it can lead to TMJ pain. Symptoms may include jaw stiffness, clicking or popping sounds, difficulty opening or closing the mouth, and headaches. Physical Therapy can help identify the underlying causes and is crucial for devising an effective treatment plan.

Physical therapy plays a pivotal role in treating TMJ pain by addressing muscular imbalances, promoting joint mobility, and improving overall jaw function. Here are some key components of physical therapy for TMJ pain:

Manual Therapy Techniques

   Skilled physical therapists employ hands-on techniques to manipulate and mobilize the jaw joint. Manual therapy helps release tension, improve flexibility, and restore proper alignment. This can significantly reduce pain and enhance jaw function.

Strengthening Exercises

   Targeted exercises aim to strengthen the muscles surrounding the jaw. Strengthening these muscles can provide better support to the joint, reducing the likelihood of pain and dysfunction. Therapists often prescribe exercises that focus on the jaw, neck, and shoulder muscles.

Posture Correction

   Poor posture can contribute to TMJ pain. Physical therapists assess and correct posture to ensure optimal alignment of the head, neck, and spine. Improved posture can alleviate stress on the jaw joint and associated muscles.

Educational Guidance

   Patients receive valuable education on lifestyle modifications and self-care practices. This may include recommendations on proper jaw mechanics, diet adjustments, and strategies to prevent teeth grinding, which is a common contributor to TMJ pain.

TMJ pain can significantly impact an individual’s daily life, but effective relief is within reach through physical therapy. A comprehensive approach that combines manual therapy, exercises, posture correction, relaxation techniques, and patient education can provide lasting benefits. If you’re experiencing TMJ pain, consulting with a qualified physical therapist can be the first step towards regaining comfort and improving the overall health of your jaw joint. Remember, a personalized and holistic approach is key to successfully managing and alleviating TMJ pain.

References

How to Return to Work after a Snow Day

Janaury 9, 2024

Returning to your routine after a snow day can be a smooth process with a bit of planning and organization. Here are some steps to help you get back on track:

Check Work or School Updates

Before you start your day, check for any updates from your workplace or school. Ensure there are no  changes in schedules or additional tasks that need immediate attention.

Review Your Calendar

Take a moment to review your calendar or to-do list. Identify any appointments, meetings, or deadlines that you need to catch up on.

Prioritize Tasks

Prioritize your tasks based on urgency and importance. Identify the critical tasks that must be addressed immediately and focus on those first.

Break Down Larger Tasks

If you have larger tasks or projects that were put on hold during the snow day, break them down into smaller, manageable steps. This can make it easier to tackle and prevent feeling overwhelmed.

Set Realistic Goals

Set realistic goals for the day. Recognize that you may not be able to accomplish everything in one go, and that’s okay. Focus on completing tasks efficiently and effectively.

Reestablish Your Routine

Reestablish your daily routine. Start with your morning routine, whether it involves exercise, meditation, or a specific breakfast. This can help set a positive tone for the rest of the day.

Communicate

If you work in a team or have commitments to others, communicate effectively. Let your colleagues or clients know about any potential delays and assure them that you are back on track.

Stay Flexible

Be flexible and adaptable. Unexpected situations, like the aftermath of a snow day, can bring surprises. Stay open to adjusting your plans as needed.

Learn from the Experience

Reflect on how you spent your snow day and what you enjoyed about it. If there were positive aspects, consider incorporating some elements into your routine regularly.

Prepare for Future Disruptions

Consider creating contingency plans for unexpected disruptions, such as bad weather or other emergencies. Having a plan in place can make it easier to transition back to your routine.

Maintain a Positive Mindset

Approach your return to routine with a positive mindset. Acknowledge that disruptions happen, and what matters is how you handle them and move forward.

Remember, it’s normal to take a bit of time to readjust after a break or disruption. Be patient with yourself and celebrate the small victories as you gradually ease back into your routine.

Revitalize Your Health: New Year’s Resolutions and the Role of Physical Therapy

January 2, 2024

As the calendar turns over to a new year, many individuals embark on a journey of self-improvement by setting New Year’s resolutions. Among the common resolutions related to health and well-being, prioritizing physical fitness often takes center stage. This blog explores the intersection of New Year’s resolutions and physical therapy, emphasizing the importance of a comprehensive approach to achieving and maintaining optimal health.

Setting Realistic Goals

One of the keys to successful New Year’s resolutions is setting realistic and achievable goals. When it comes to physical health, consider objectives that align with your current fitness level and take into account any pre-existing conditions or injuries. Physical therapists play a crucial role in helping individuals set realistic goals by assessing their physical condition and tailoring exercise programs accordingly.

Consulting a Physical Therapist

Before diving into a new fitness routine, it’s advisable to consult with a physical therapist. We are trained to assess musculoskeletal health, identify areas of weakness or imbalance, and create personalized exercise plans. A thorough evaluation can help prevent injuries and ensure that your fitness goals align with your body’s capabilities.

Addressing Pain and Discomfort

For many individuals, chronic pain or discomfort can be a significant barrier to achieving fitness goals. Physical therapists employ a variety of techniques, including manual therapy, exercises, and stretches, to alleviate pain and improve mobility. By addressing underlying issues, individuals can progress more effectively in their fitness journey and reduce the risk of setbacks.

Individualized Exercise Programs

Physical therapists excel in designing tailored exercise programs that cater to an individual’s specific needs and goals. Whether recovering from an injury, managing a chronic condition, or aiming for overall fitness improvement, a customized plan enhances the likelihood of success. These programs often include a combination of strengthening exercises, flexibility training, and cardiovascular activities.

Building Long-Term Habits

New Year’s resolutions are notorious for fizzling out within a few weeks. Physical therapists play a vital role in helping individuals build sustainable, long-term habits. By integrating therapeutic exercises into daily routines and providing ongoing support, physical therapists contribute to the development of a healthy lifestyle that extends beyond the initial resolution period.

Incorporating physical therapy into your New Year’s resolutions is a proactive step towards achieving and maintaining optimal health. By collaborating with a physical therapist, individuals can set realistic goals, address pain and discomfort, and build sustainable habits that go beyond a mere yearly commitment. Embrace the transformative power of physical therapy and embark on a journey towards revitalizing your health in the new year.

Navigating Winter Hazards: Common Injuries Due to Snow and Ice

December 26, 2023

As winter blankets the world in a pristine layer of snow and transforms landscapes into icy wonderlands, it brings with it a unique set of challenges. While the season often invites joy and recreation, it also poses potential hazards that can lead to common injuries. Whether you’re an avid winter sports enthusiast or simply navigating icy sidewalks, understanding these risks is crucial for staying safe during the colder months.

Slips and Falls

One of the most prevalent winter-related injuries is slipping and falling on icy surfaces. Snow and ice can create slippery conditions on sidewalks, driveways, and roads, increasing the likelihood of accidents. Common injuries resulting from slips and falls include sprains, strains, fractures, and bruises.

Prevention tips:

– Wear proper footwear with good traction.

– Walk with shorter steps to maintain balance.

– Use ice melt or sand to improve traction on walkways.

– Keep your center of gravity slightly forward to maintain proper trunk balance.

Snow Shoveling Injuries

Clearing snow is a winter chore that can lead to injuries if not done with care. Improper snow shoveling techniques may strain the back, shoulders, and heart, particularly in individuals who are not physically active.

Prevention tips:

– Lift with your legs, not your back.

– Take breaks to avoid overexertion.

– Use a lightweight, ergonomic shovel.

– Avoid lifting too much snow at one time.

Winter Sports Injuries

Engaging in winter sports like skiing, snowboarding, and ice skating is a thrilling way to embrace the season, but it comes with inherent risks. Common winter sports injuries include fractures, sprains, and head injuries.

Prevention tips:

– Wear appropriate protective gear, including helmets.

– Take lessons to learn proper techniques.

– Follow designated trails and slopes.

Frostbite and Hypothermia

Exposure to extreme cold temperatures can lead to frostbite and hypothermia. Frostbite occurs when skin and tissue freeze, while hypothermia is a potentially life-threatening condition resulting from prolonged exposure to cold weather.

Prevention tips:

– Dress in layers to retain body heat.

– Keep extremities covered with gloves, hats, and warm socks.

– Stay dry and seek shelter in severe weather conditions.

Car Accidents

Winter weather can significantly impact road conditions, increasing the risk of car accidents. Ice and snow-covered roads can lead to collisions, resulting in various injuries.

Prevention tips:

– Drive at a reduced speed in slippery conditions.

– Ensure your vehicle is winter-ready with snow tires and proper maintenance.

– Increase following distances and avoid sudden movements.

While winter offers a picturesque backdrop for seasonal activities, it’s essential to remain vigilant and take precautions to prevent common injuries associated with snow and ice. Whether you’re strolling through a winter wonderland or hitting the slopes, prioritizing safety measures can help ensure a healthy and enjoyable winter experience. Remember to stay informed, be prepared, and take the necessary steps to protect yourself and those around you from the potential hazards of winter weather.

Resources:

https://healthcare.utah.edu/healthfeed/2020/02/how-shovel-snow-tips-prevent-injury 

What Can I Do If I Have Plantar Fasciitis?

December 12, 2023

We have discussed plantar fasciitis before, but now I have it and I can truly understand the pain and inconvenience it causes. I wanted to revisit this topic and discuss some things that can be done at home and in the clinic to help combat it.

At home options:

1. Calf stretching: It is important to stretch your calf muscles several times a day. You want to stretch the calf with a straight knee and bent knee positions. You can use a wall, the stairs, or a stretch strap to work these stretches in a variety of positions.
2. Night Splints: You can purchase night splints to help keep you calf and plantar fascia soft tissues on a slight stretch while you sleep. This will often help to decrease the pain you feel with the first few steps in the morning.
3. Ice: Using ice to decrease inflammation on and around your heel is important. You can just rest your heel on the ice or use a frozen water bottle with some pressure to roll along the bottom of your foot. This can cause that “hurts so good” feeling and that is a good thing.
4. Massage: Doing some self massage to your heel and calf can also help to decrease some pain and tone and improve the extensibility of these soft tissue areas.
5. Heel Lifts: Placing some heel lifts in your shoe can decrease some stress through your heel and help with your pain throughout the day.

In the clinic options:

1. Calf stretching: We can work to show you several static and dynamic stretching options to help with any calf restrictions. These are important and in the clinic we can customize what you need to do for stretching based on your presentation and needs.
2. Hands on Therapy: We can utilize soft tissue mobilitzation, trigger point release therapy, functional dry needling, and active release techniques to make sure all the soft tissues surrounding these areas are taken care of in a specific way and routine that works best for you.
3. Modalities: Utilizing ultrasound, electrical stimulation, and vasopneumatic compression we can help to decrease the inflammation and the pain associated with plantar fasciitis.

In the end the best option is to combine the individualized patient specific treatment options that the clinic can provide with the at home exercises and equipment modifications needed to attack the pain and inflammation in a multifaceted approach. The quicker you can start these activities once you notice the pain the better your chance is of getting rid of the pain sooner. Give us a call today if you are experiencing plantar fascia like heel pain and let us start to help you now!

Understanding T4 Syndrome: The Role of Physical Therapy in Recovery

December 5, 2023

The human spine is a complex structure that plays a crucial role in supporting the body and facilitating movement. However, when certain areas of the spine experience dysfunction, it can lead to a variety of conditions, one of which is T4 syndrome. In this blog post, we will delve into the basics of T4 syndrome and explore how physical therapy can be a key component in its management and recovery.

T4 syndrome, also known as upper thoracic syndrome, is a condition that involves dysfunction or irritation of the thoracic spine, specifically around the T4 vertebra. The thoracic spine is the middle portion of the spine, and when the vertebra at T4 is affected, it can cause a range of symptoms.

Possible causes of T4 syndrome include poor posture, repetitive movements, trauma and stress. Poor posture is often seen when sitting at a desk for longer periods of time. Repetitive movements include doing things over and over with your arms or neck. And stress can cause increased muscle tightness in the areas surrounding the T4 segment of your vertebrae.

Common symptoms of T4 syndrome include:

1. Pain and Tenderness: Patients often experience pain and tenderness in the upper back, between the shoulder blades, and in the chest region. The pain may radiate to the chest, abdomen, or down the arms, mimicking symptoms of other conditions like heart issues.
2. Stiffness and Limited Range of Motion: Individuals with T4 syndrome may notice stiffness in the upper back and a restricted range of motion in the neck and shoulders.
3. Muscle Weakness: Weakness in the muscles surrounding the affected area can also occur.

Role of Physical Therapy in T4 Syndrome Management

Physical therapy plays a crucial role in the management and rehabilitation of T4 syndrome. A skilled physical therapist can create a customized treatment plan to address the specific needs of each individual. Here are some key components of physical therapy for T4 syndrome:

1. Manual Therapy: Hands-on techniques, such as joint mobilization and soft tissue manipulation, can help improve mobility and reduce pain in the thoracic spine.
2. Postural Correction: Physical therapists can provide guidance on maintaining proper posture during daily activities and recommend exercises to strengthen the muscles that support the thoracic spine.
3. Stretching Exercises: Targeted stretching exercises can help improve flexibility and reduce muscle tightness in the upper back.
4. Strengthening Exercises: Specific exercises to strengthen the muscles around the thoracic spine can help provide stability and support.
5. Pain Management Techniques: Physical therapists may employ various pain management techniques, such as heat or cold therapy, to alleviate discomfort.
6. Education and Ergonomics: Patients are educated on proper body mechanics and ergonomics to prevent the recurrence of T4 syndrome.

All these techniques are used by therapists at Witte Physical Therapy and can play a vital role in helping you feel better.

T4 syndrome can significantly impact an individual’s quality of life, but with the right approach, it is manageable. Physical therapy, with its focus on targeted exercises, manual techniques, and patient education, plays a vital role in the recovery process. If you suspect you may have T4 syndrome or are experiencing symptoms, it is crucial to consult with a healthcare professional, such as a physical therapist, for a comprehensive evaluation and personalized treatment plan. Remember, early intervention and a proactive approach to rehabilitation can make a significant difference in your journey toward a pain-free and functional life.

Give Witte Physical Therapy a call today to schedule your free consultation and discuss your options!

No Bones About It: Physical Therapy Helps Dogs Too

November 28, 2023

Physical therapy for dogs, also known as canine or veterinary rehabilitation, is a growing field of treatment that can help dogs with various conditions. Whether your dog has suffered an injury, undergone surgery, or has a chronic condition like arthritis, physical therapy can help!

What is physical therapy for dogs?

Physical therapy for dogs is similar to physical therapy for humans, just with more treats! It uses techniques like exercise, massage, heat and cold therapy, hydrotherapy, laser, ultrasound, and even treadmill therapy to improve your dog’s range of motion,  strength, flexibility, and endurance. Just like in humans, the goal is to decrease pain, speed up recovery, and improve your dog’s quality of life.

Physical therapy for dogs is usually performed by a certified canine rehabilitation therapist. These are veterinarians and physical therapists who have undergone extensive training and certification. They will assess your dog’s condition, medical history, and goals, and design a customized treatment plan for your dog.

What do dogs need physical therapy for?

Physical therapy for dogs can treat lots of conditions, including:

• Arthritis: Physical therapy can help reduce inflammation, stiffness, and pain in your dog’s joints. It can also improve your dog’s mobility and prevent further deterioration of the cartilage.
• Hip dysplasia: Physical therapy can help strengthen the muscles around your dog’s hip joint and improve its stability. It can also reduce the risk of developing osteoarthritis in the future.
• Torn cruciate ligament: Physical therapy can help your dog recover from surgery or avoid surgery altogether. It can help restore your dog’s normal function and prevent muscle atrophy and joint instability.
• Neurological conditions: Physical therapy can help your dog with conditions that affect the nervous system, such as intervertebral disc disease (IVDD), degenerative myelopathy (DM), or stroke. It can help stimulate nerve function, improve balance and coordination, and prevent muscle wasting.
• Obesity: Physical therapy can help your dog lose weight and improve its overall health. It can help your dog burn calories, increase metabolism, and reduce the strain on the joints and organs.
• Sports injuries: Physical therapy can help your dog heal from injuries sustained during activities like agility or flyball. It can help prevent scar tissue formation, enhance performance, and increase body awareness.

Physical therapy for dogs is a great way to help your best friend heal from injuries, improve their mobility and fitness, and enhance their quality of life. If you think your dog could benefit from physical therapy, consult with your veterinarian first. They can refer you to a certified canine rehabilitation therapist who can evaluate your dog and create a suitable treatment plan. With physical therapy, you can help your dog live a happier and healthier life.

Witte Physical Therapy is not currently set up to help you treat your dog, but we do have the knowledge and resources to point you in the right direction.

References:

(1) The Power of Canine Rehabilitation Therapy – American Kennel Club. https://www.akc.org/expert-advice/health/the-power-of-canine-rehabilitation-therapy/.

(2) Physical Therapy For Dogs: How Can Canine Rehabilitation Benefit Your …. https://www.caninejournal.com/physical-therapy-for-dogs/.

(3) Dog Rehabilitation – A Detailed Physiotherapy Guide. https://topdogtips.com/dog-rehabilitation-a-detailed-physiotherapy-guide/.

(4) Dog Physical Therapy: Exercises, Modalities, Techniques – TopDog Health. https://topdoghealth.com/what-are-dog-physical-therapy-exercises/.

(5) A Complete Guide to Physical Therapy for Dogs – RocketDog. https://rocketanimalhealth.com/blogs/news/a-complete-guide-to-physical-therapy-for-dogs.

(6) Canine Pelvic Osteotomies Outcomes – https://pubmed.ncbi.nlm.nih.gov/34643966/

(7) Canine hip dysplasia study – https://pubmed.ncbi.nlm.nih.gov/20740258/

(8) Canine Rehabilitation Institute – https://www.caninerehabinstitute.com/

(9) Dog physical therapy exercises – https://www.lakecross.com/site/blog-huntersville-vet/2020/08/12/dogs-physical-therapy-exercises

(10) What can be included in rehab – https://www.aaha.org/your-pet/pet-owner-education/ask-aaha/what-is-veterinary-physical-rehabilitation/

(11) Evidence for canine PT – https://pubmed.ncbi.nlm.nih.gov/25432679/

(12) Select Technique for PT for dogs – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9312226/

(13) Dogs Physical Therapy Exercises | LakeCross Veterinary Hospital. https://www.lakecross.com/site/blog-huntersville-vet/2020/08/12/dogs-physical-therapy-exercises.

(14) Overview of the role of rehabilitation for arthritis. https://caninearthritis.org/article/role-of-rehabilitation-arthritis/.

(15) Pet Rehab. https://www.petrehab.net/.

(16) Advanced Canine Rehab Center – Home. https://www.dogpt.com/.

Embracing Gratitude: The Importance of Being Thankful for Thanksgiving

November 21, 2023

As autumn leaves paint the landscape with hues of red and gold, there’s a palpable sense of warmth and anticipation in the air. It’s that time of the year when families gather around tables adorned with a feast, expressing gratitude for the blessings in their lives. Thanksgiving, a cherished tradition, goes beyond the delectable spread of turkey and pumpkin pie. It serves as a poignant reminder of the importance of being thankful.

(gratitude turkeys from some of our patients)

The Power of Gratitude

Gratitude is a powerful force that can transform our lives. It is not merely a fleeting feeling of contentment but a mindset that shapes our outlook on the world. Thanksgiving provides a designated moment for individuals to pause and reflect on the multitude of blessings that surround them. From the love of family and friends to the simple pleasures of everyday life, acknowledging these gifts fosters a positive and appreciative mindset.

When we are in physical therapy it is easy to feel down about the pain we are in or the issues we are having. Thanksgiving provides an opportunity to remind ourselves of all the positives we have in our life and deflect our attitudes away from the negative.

Cultivating a Positive Mindset

In the hustle and bustle of daily life, it’s easy to get caught up in the challenges and stressors that come our way. However, Thanksgiving serves as a gentle nudge to shift our focus from what may be lacking to what we have in abundance. By consciously cultivating a positive mindset through gratitude, individuals can navigate life’s challenges with resilience and a renewed sense of perspective.

When we can stay away from the negative and focus more on the positive our healing process is aided. We can see the gains we are making and how we are progressing towards our end goals. A positive mindset can be a valuable tool in your healing process.

Strengthening Relationships

Thanksgiving is not just a celebration of gratitude but also an opportunity to strengthen bonds with loved ones. Gathering around the table to share a meal fosters a sense of connection and camaraderie. Taking the time to express gratitude for the people in our lives reinforces the importance of these relationships. In a world that often feels fast-paced and disconnected, Thanksgiving serves as a reminder to cherish and nurture the connections that bring joy and support.

Family and friends are often a focal point of our Thanksgiving celebrations. Think about these relationships and their positive attributes. They can be an effective tool in helping us overcome any negative mindset or provide us resources to deal with our current ailments.

Fostering a Culture of Appreciation

Beyond the personal benefits, embracing gratitude on Thanksgiving contributes to the creation of a culture of appreciation. As individuals express thanks for the kindness and generosity they’ve experienced, a ripple effect occurs. Acts of gratitude inspire others to reflect on their blessings and, in turn, extend kindness to those around them. In this way, Thanksgiving becomes a catalyst for positive change, fostering a society that values compassion and empathy.

We have looked at these aspects of gratitude and how they apply to physical therapy, but we need to also keep the bigger picture in focus. These principles are very important for the betterment of society. Taking to time reflect on and understand gratitude can help us appreciate what we have and provide an avenue to help those who may be less fortunate than we are.

Thanksgiving, with its roots in gratitude and reflection, serves as a timeless reminder of the importance of being thankful. Beyond the delicious meals and festive decorations, it offers a precious opportunity to pause, appreciate, and express gratitude for the myriad blessings in our lives. As we gather with loved ones this Thanksgiving, let us embrace the power of gratitude, fostering a positive mindset, strengthening relationships, and contributing to the creation of a culture of appreciation that extends far beyond the holiday season and permeates out into our community.

How to Warm-Up for Youth Basketball: Setting the Foundation for Success

November 14, 2023

Basketball is a dynamic sport that demands agility, speed, and precision from its players. For youth basketball players, a proper warm-up routine is not just a formality; it’s the key to unlocking their full potential on the court. In this blog, we’ll explore the components of an effective warm-up tailored specifically for youth basketball players. It increases blood flow to the muscles, preparing them for the physical demands of the game. Additionally, a good warm-up enhances flexibility, reduces the risk of injury, and mentally prepares players for the challenges ahead.

Components of an Effective Youth Basketball Warm-Up:

• Cardiovascular Exercise:

Begin the warm-up with light cardiovascular exercises to raise the heart rate and increase blood flow. This can include jogging around the court, jumping jacks, or skipping rope. Aim for 5-10 minutes of moderate intensity to gradually elevate the heart rate.

• Dynamic Stretching:

Unlike static stretching, which involves holding a stretch for an extended period, dynamic stretching involves controlled, fluid movements. Incorporate dynamic stretches for major muscle groups, focusing on areas like the legs, hips, and shoulders. Examples include leg swings, arm circles, and walking lunges.

• Agility Drills:

Enhance agility and coordination with drills that mimic basketball movements. Cone drills, ladder drills, and shuttle runs are excellent choices. These drills not only improve physical readiness but also sharpen cognitive functions, crucial for on-court decision-making.

• Sport-Specific Drills:

Transition to sport-specific drills to simulate game scenarios. Ball-handling drills, passing exercises, and shooting drills with a partner or against a wall help players get a feel for the ball and fine-tune their skills before the game begins.

• Team Building Activities:

Foster camaraderie and team spirit with collaborative warm-up activities. Team building exercises, such as group stretches or passing circles, not only promote a sense of unity but also create a positive and supportive atmosphere among players.

• Hydration and Nutrition:

Remind players of the importance of staying hydrated and fueled. Encourage them to drink water before, during, and after the warm-up to prevent dehydration. Consuming a light, nutritious snack a couple of hours before the game provides the energy needed for optimal performance.

A well-structured warm-up routine is an indispensable component of a successful youth basketball program. By incorporating cardiovascular exercises, dynamic stretching, agility drills, sport-specific exercises, and team building activities, coaches can ensure that young athletes are physically and mentally prepared for the challenges of the game. In doing so, they set the foundation for a safe, enjoyable, and successful basketball experienc