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Louisville NE 68037 & Plattsmouth NE 68048

Why did Melissa chose Physical Therapy?

November 17, 2020 – We all have reasons for why we do what we do for a living. These can include past experiences, a call to action, or just having something fall into place. For Melissa her reason for choosing to become a physical therapy assistant roots back to her past experiences.

Melissa states:
 
When I was 16, I had my first surgery. I ended up completely tearing my round ligament in my hip in half. I was told that I had to use crutches for 2 months and that I needed to go through physical therapy in order to learn how to walk again. Jump to a year later when I was 17. One day in class I stood up and my hip gave out. I went back to the doctor and after a second MRI I found out that there was still damage to my hip and that same ligament. I heard those dreaded words again, “you need surgery”. Come to find out that the ligament was shredded in a different location, I was told that there was a good chance that it was there from the last surgery but the initial tear was so bad that they never had a chance to check everything out before closing me up. 
 
Fast forward to my second first day of physical therapy, I was bummed out because I was in the same boat as a year ago. All I remember of that session was the speech my PT gave me. He told me he was going to help me get better so he never had to see me again. His plan, he was going to get me better and back to walking normal and stronger by upping the intensity of my physical therapy and I had to be treated for longer and the workouts were much harder. That was the day I knew I wanted to work in physical therapy. I felt like my physical therapist gave me the tools to help me recover better. I always knew I wanted to go into the medical field and help people. But after my second round of PT, I knew I wanted to help people the same way my physical therapist helped me get back to my normal.
 
 
Melissa has been with Witte Physical Therapy for 18 months. She works mainly in our Louisville and Plattsmouth clinics. If you would like to meet any of our therapists or have a free consultation to talk about what physical therapy can do for you please call us at 402-234-3333 in Louisville or 402-298-4747 in Plattsmouth!

Physical Therapy and Physical Fitness – Why They Need To Go Together!

November 10, 2020 – At Witte Physical Therapy we have a unique set up and advantage for our patients. We have the ability to help you reach your physical therapy and your fitness goals. At our Louisville location we can utilize our expert staff and spacious clinic to get you back to doing what you want to do, pain free with the help of our physical therapy services. We can then assist you in transitioning from the physical therapy clinic to our 24 hour wellness center, Witte 24/7 Wellness. Here we can show you how to maintain and increase your gains made in physical therapy.

At Witte 24/7 Wellness we are open 24 hours a day, 7 days a week for our members. We provide memberships to the public and to our patients to give them full access to our aerobic and weight equipment. From treadmills, ellipticals, bikes and rowers to cable weights, free weights, and other fitness equipment we have what you need to work out. “Get in. Get Fit. Get On With Life.”

The APTA and it’s Private Practice Section recently posted a great blog about how and why physical therapy and physical fitness should go hand in hand. Please read it below.

5 Reasons You Need a PT to Coordinate Your Fitness Regimen

Physical therapists aren’t just for people that are injured or have had surgery. Physical therapists can also help healthy people improve their fitness. Here are 5 reasons why you should consider seeing yours.

YOU WANT A BASELINE

When you see a physical therapist to improve your fitness, you’ll get an assessment of your strength, range of motion, posture and movement patterns. This not only helps your physical therapist design a customized program just for you, it gives them a baseline to compare things to in the future should you start having pain or suffer an injury.

YOU WANT EXPERT GUIDANCE

Sure, other professionals could help with your fitness routine, but the fitness industry is not well regulated. Some certifications just require an online course and paying a fee. There are no licenses or other requirements to use many titles. Becoming a physical therapist requires at least a bachelor’s degree and most PTs practicing today have a doctorate. Every PT has passed a national board exam and maintains a state license. That guarantees you that every physical therapist is a verified expert in human movement.

YOU WANT TO PREVENT INJURY

Physical therapists don’t just work to heal injuries, they are also experts in preventing them. After a thorough assessment, a PT can help you design a program that will not only help you reach your fitness goals, but that can address any issues that increase your risk for injury.

YOU WANT UNBIASED ADVICE

Yoga instructors will want you to do yoga. Personal trainers will want you to come to their gym. Pilates instructors will want you to do Pilates. Strength coaches will want you to strength train. A physical therapist doesn’t have a bias or vested interest as to what type of fitness regimen you choose. They are only interested in helping you reach your goals.

YOU HAVE A HISTORY

If you have some kind of history that affects your ability to exercise, a PT is the best person to help you design a fitness regimen. It doesn’t matter if it’s an old injury from athletics or work, back pain that comes up from time to time, COPD, arthritis or heart disease, a PT can help you safely work around it and meet your fitness goals.

Witte Physical Therapy and Witte 24/7 wellness can provide a great partnership for you to be able to be as good as you can be. Witte PT can be used to get you back in the gym and to keep you in there as much as possible. Call us today at 402-234-3333 in Louisville or 402-298-4747 in Plattsmouth for more information or to set up a free consultation to discuss how you can get started!

What does Deductible, Co-Insurance, Out of Pocket, and Visit Limit mean?

November 3, 2020 – Sometimes it is hard to believe that it is November already. Other times 2020 has been so trying for so many people for so many reasons that it has felt like the longest year that they can remember. Regardless of how 2020 has felt to us it does not change the fact that for many of us our deductibles and insurance plans are getting ready to end on December 31 and then start back over on January 1. One of the most confusing parts of our healthcare system is how insurance plans work. There are different plans for each person from different insurance companies that cover healthcare costs at different rates. Even as a provider it can be tough to keep up with all the information. Let us cover some basics today.

First you must meet your DEDUCTIBLE. This is the amount that your insurance company sets forth in your insurance contract that must be paid before they will start to help to cover any healthcare costs. This amount tends to be from $500 to $5000 per year and even that amount can be different. How fast you can meet your deductible depends on how much you use your insurance coverage and how they will pay for your healthcare usage. Some plans pay by the day and some by the procedure. Often these amounts are set by the insurance company and not the healthcare provider, but you can always call and shop around for the best situation for your plan.

Once you have met your deductible then you start to look at your CO-INSURANCE. Your co-insurance is the first sign that your insurance company will start to pay for some of your medical expenses. You have met their contracted deductible amount and now they will start to help pay for some of your medical bills. Typically, your co-insurance will be 80%/20%. This means that they will pay 80% of the bill for your services and you will pay 20%. Both payments are directed at the provider that performed and billed for those services. Co-insurances can range from 90%/10% to 50%/50%.

Now that you are using your co-insurance you need to start to understand what your MAXIMUM OUT OF POCKET is. This tends to be double your deductible amount. No matter what the number is it is again set up by your insurance company. Once your have paid the amount equal to your maximum out of pocket then your insurance company will cover your healthcare costs at 100%. This means you will not owe any more for the rest of the year. Of course, this is only true if you still follow their rules. They will not pay for anything they normally do not cover.

When it comes to physical therapy, we also need to be aware of what your visit limit is for the year. If you use all your visits, then your insurance company will not pay for any extra costs no matter what your deductible or out of pocket met amount is. Physical therapy visits can be as little as 20 visits per year or as large as unlimited. Again, these limits are set by your insurance company.

At Witte Physical Therapy we want to make sure that you are aware of what your benefits are and what your costs may be. We will provide any education needed to our current, future, or perspective patients to make sure that you understand how your insurance works and how physical therapy will be processed by your insurance company. Please contact us at 402-234-3333 in Louisville or 402-298-4747 in Plattsmouth to get any of your insurance questions answered!

Why did Natosha Want to Become a PT?

October 26, 2020 – I am very fortunate to be part of a great team with a common goal. We all love physical therapy and helping our patients! Our number one goal is to get our patients back to 100% as efficiently as possible. Natosha is just one of our team members. She has extensive experience in pediatrics, orthopedics, and women’s health. This gives her the ability to treat many different types of patients across the age range. Let’s learn about Natosha and why she chose physical therapy.

“When I graduated high school, I thought I wanted to be a pharmacist.  That dream lasted until my first college chemistry class.  At that point, I took a step back and really thought about what I enjoyed and what I wanted to do for a job.   I have always been fascinated by how the body works.  Specifically with how to make the body work most effectively and efficiently.  That coupled with my desire to work in the health care field, but not give shots or draw blood, led me to physical therapy.  I spent a lot of time observing Physical Therapists, and one of my favorite things was that we get to work in so many settings!  Whether I was observing in a hospital with someone post stroke and working to get strong enough to get back home, or observing in an outpatient clinic with someone post rotator cuff surgery working to get back to work, or observing in a school setting with a school aged kiddo working to play on the playground at school independently, there was one thing in common with all these settings.  In each setting, it was a physical therapist helping those individuals to reach goals, using their own bodies and strength to meet their goals.  I love the fact that when I go to work, I will get to help people improve their own body’s efficiency.  Each patient I see has different goals.  Each patient I see will take a different path towards their progress.  That makes each day different and challenging for me, in the very best of ways!  So, while the short answer to “why did you become a physical therapist?” is actually because I didn’t really like chemistry!  The longer, more realistic answer, is because I love that my job, every day, is to help my patients reach their goals and get back to the things that matter to them!  My best days are hearing my patient retell a story of how they were able to do something meaningful in their life following our sessions!”

To have the change to work with Natosha or any other of our fabulous team members please call us at 402-234-3333 in Louisville or 402-298-4747 in Plattsmouth. If you are experiencing pain then why not take the first step towards being pain free!

Why Katie Became A Physical Therapist

October 20, 2020 – As physical therapists we all have chose this line of work for a variety of reasons. Some may be personal and others may not be. In this week’s blog we are going to meet Katie, one of our physical therapy assistants, and learn more about her and why she chose physical therapy.

Katie was born and raised in Grand Island, Nebraska. After graduating from Grand Island Senior High, Katie attended the University of Nebraska Omaha where she received her Bachelor of Science in Exercise Science. After completing her Bachelor’s degree Katie then attended Clarkson College where she obtained her Associate of Science in Physical Therapist Assistant degree graduating Summa Cum Laude. Katie is a current member of the American Physical Therapy Association and the Nebraska Physical Therapy Association. Katie has been an employee of Witte Physical Therapy since 2016 and works primarily in our Louisville clinic. She has been an invaluable asset in the treatment of different patients across the age spectrum.

Katie writes:

I chose to be a physical therapist assistant to incorporate my interests of the human body, exercise and helping people as I get to experience all three each day. By being a physical therapist assistant I enjoy the direct daily patient care and relationships I form with various patient populations. Physical therapy means to me helping patients find ways through various techniques reach their personal goals whether big or small. Physical therapy offers many different specialties and healing pathways to cater to each patient and their particular needs. 

At Witte Physical Therapy we have a great team with a variety of different backgrounds and interests to treat the patient as effectively as possible. It is this team that allows us to treat each patient individually based on the patient’s needs. Katie’s outlook on why she chose physical therapy is present in all our team members leading to a patient first physical therapy experience!

Call us at 402-234-3333 in Louisville or 402-298-4747 in Plattsmouth to come in, meet us, and receive a free consultation!

Insurance vs Cash Pay, which is best?

October 13, 2020 – Often, we get the following question, “Does my insurance cover physical therapy”? I wish this were a simple answer, but unfortunately it cannot be. Many insurance companies offer multiple plans that result in many different answers to the above question.

United HealthCare does not provide the same coverage as Aetna. Blue Cross Blue Shield does not provide the same coverage as Medica. Medicare does not provide the same coverage as UHC AARP Medicare Advantage. This can be confusing for a patient to navigate. At Witte Physical Therapy we will work to provide you with the most complete answer we can get from your insurance company on your cost. This answer means that we will work to find out your deductible, out of pocket maximum, co-payment, co-insurance, and visit limits to put together your costs as best we can providing you the most complete information possible. Most of the time these costs are controlled and determined by your insurance plan and not by Witte Physical Therapy, but we can help you navigate what this means and what your options are.

If you do not have any insurance or your insurance coverage requires you to pay too much out of pocket you have the option of paying for therapy via cash pay. This means that you pay for your visit each time without submitting anything to your insurance company. Witte Physical Therapy offers competitive cash pay rates for our services and will work with you to understand what your options are and what is best for you.

Give us a call today in Louisville at 402-234-3333 or Plattsmouth at 402-298-4747 to learn how Witte Physical Therapy will give you the best bang for your buck!

October is Physical Therapy month!

October 6, 2020 – There are many celebrations that occur throughout the year. National Pizza Day, National Donut Day, Breast Cancer Awareness Month, etc. All these dates are especially important for their own reasons and should be given their fair share of attention. Another month that deserves some recognition is National Physical Therapy month. This occurs every October. In this month’s blog series, we are going to focus on National Physical Therapy month and what it means for Witte Physical Therapy.

At Witte Physical Therapy it has always been our goal to treat as many different issues, ages, and people as we efficiently as possible. We have worked hard to add staff that supplements our team and adds new experiences and expertise onto our staff. This allows us to have “big city expertise in a small-town clinic”. Our staff includes:

    1. Kayla Mammen: orthopedics, vestibular and balance
    2. Natosha Siemek PT, DPT: orthopedics, pediatrics, women’s, and pelvic health
    3. Christi Sieler, PT, DPT: orthopedics, vestibular, women’s health
    4. Dan Witte, PT, DPT, OCS: certified orthopedic specialist, functional dry needling, Graston, cardiovascular
    5. Katie Alvarado, PTA
    6. Melissa Schultze, PTA

This diverse staff allows us to work together to provide a team approach and treat most patient issues that come through our door. In addition to what is list above we also work with geriatric patients, post stroke and other neuromuscular patients. We can use aquatic therapy, cupping, and taping to help speed up your treatment plan.

We have worked hard to try to create an all-inclusive physical therapy clinic. We work with multiple school districts to provide educational opportunities for the local students. We provide free consultations to all our patients to help them navigate the best possible path for them through the healthcare system. We have also opened Witte 24/7 Wellness as another avenue for patients to continue with the rehab after therapy or for the public to have 24/7 access to a fully equipped fitness facility.

If you have any questions that pertain to physical therapy, free consultations, or Witte 24/7 Wellness please all us at 402-234-3333 or 402-298-4747!

Is No Pain, No Gain Correct?

September 29, 2020 – Today is the last installment of our September blog series about pain. There is a common saying we all have heard, “no pain, no gain”. Is this true? In therapy we often spend a lot of time educating our patients on what pain is and how to deal with it. Does there need to be pain to see results? The answer is yes and no.

Pain is often the body’s way of signaling to us that something is wrong. Pain can be an early warning sign that we need to adjust what we are doing to avoid a new injury or making an old injury worse. Pain does not always mean stop, but it should mean slow down and re-evaluate what we are doing. If no pain, no gain is not the right way to push our body then what do we do?

Soreness is a better way to look at the intensity at which we are doing things. This can be thought of the initial period of pain or the “hurts so good” pain. We can feel this with certain activities or stretches. You can also think of how your form affects soreness or pain. If you are squatting and you are starting to get tired, then your form will start to suffer. If you push through this too much, then that soreness can quickly turn into pain due to poor form.

woman using foam roller after workout

In summary it is important to understand what pain is and how it can be affecting you. If you get a sharp pain during a workout you are probably doing too much or doing something wrong and you need to stop immediately. If you are not feeling any soreness after a workout you are probably not doing enough.

Give Witte PT a call at 402-234-3333 in Louisville or 402-298-4747 in Plattsmouth for a free consultation to discuss your current fitness, issues you are having with getting over pain or getting back in shape, or to discuss any other health issues you may have.

  1. References
    1. https://athleticperformanceinc.com/blog-posts/post/24/busting-the-myth-no-pain-no-gain.html#:~:text=No%20pain%2C%20no%20gain.,hard%20enough%2C%20is%20not%20true.
    2. https://www.ucihealth.org/blog/2019/04/no-pain-no-gain

Do You Have A Pain Diary?

September 22, 2020 – We have reviewed in September a lot of different informational topics about pain. We have learned the different types and what it is. We have learned some strategies to help manage it. Next, we need to learn how to track and understand our own pain. This is especially important when we are having pain some days and not others. A pain diary can help you and your healthcare provider have a better understanding of what things are causing issues for you.

What to put in our pain diary?

  1. We want to keep track of when our pain occurs and at what intensity. Often a scale of 0 to 10 is used. A score of “0” is no pain and a score of “10” is so much pain you feel like you need to go to the ER.
  2. We want to track what type of pain we are feeling. Burning, sharp, throbbing, stabbing, etc, are all descriptive words you can use.
  3. We want to track what our emotions are at the time of our pain.
  4. We want to track how long the pain lasts.
  5. We want to track what makes the pain better. These are non-medication pain improvers such as position, ice, heat, etc.
  6. We want to track if we take any pain medication for our pain. Then we want to track what our pain level is at 60 minutes after we have taken the medication.
  7.  

Once we have several, incredibly detailed entries in our pain diary we want to share that information with our medical providers. This can be extremely useful in figuring out what method of treatment we will start with in order to help you manage, improve, and hopefully eliminate your pain.

If you are in pain, follow these simple steps. First, start to record a pain diary. Second, call us in Louisville at 402-234-3333 or in Plattsmouth at 402-298-4747 to set up a free consultation to discuss your pain and your pain diary. Let us help you find the next step to help you alleviate your pain as efficiently as possible!

References:

  1. https://www.everydayhealth.com/pain-management/keeping-a-diary-can-help-you-manage-pain.aspx#:~:text=A%20pain%20diary%20or%20journal,better%20help%20you%20manage%20pain.&text=Keeping%20a%20diary%20can%20help%20uncover%3A,Important%20changes%20in%20your%20condition
  2. https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abk1346

MOVEMENT, it can cure your pain!

September 15, 2020 – Our September blog series has focused on pain. We have learned about the different types of pain and the mistakes we make when we are in pain. Now let us get onto the good stuff! Let us learn how we can help with our pain. This week we are going to focus on how exercises and modalities can help alleviate your pain.

Often when we first start to feel pain, we go to the standard things to try first. We try ice, rest, and medication to help our pain go away. Often these items can help to lessen the pain but rarely due they treat the source of your pain. Physical therapy can help treat the source of you pain and keep you off the meds! Physical therapy cannot treat all types of pain, but we can help identify where your pain is coming from and then work with you to get you on the right track with therapy or, if needed, another medical provider to treat the source of your pain.

Sometimes pain is caused by a lack of movement. Our joints, muscles, ligaments, or tendons get stiff, damaged, or loose hydration causing pain when we move. Often the best medicine for this is to get moving again! Movement allows our body to rehydrate the joints, warm up the muscles, and improve blood flow. These items are paramount in getting moving and feeling better. Remember, we are made to move. Sitting and resting too much is bad for our health and bad for our bodies. Physical therapy can help to get you moving again. We can start in a way that is less painful and controls any pain and work you back into a normal movement pattern that can get you back to working out, gardening, playing with your grandchildren, back on the playing field, etc.

Image may contain: one or more people, text that says 'Another Great Patient Testimonial "THE STAFF IS REALLY GOOD AT PIN-POINTING EXERCISES TO HELP YOU DO THE THINGS YOU WANT TO BE ABLE TO DO, THEY ALSO MAKE IT FUN! Keith G.'

Sometimes we do need modalities to help take the edge off the pain. These modalities can make it easier to try to move and get back on track fighting the cause of the pain. Modalities could include ice, heat, TENS, ultrasound, electrical stimulation, compression, massage, and activity modifications. Ice, heat, compression, massage, and TENS can be completed at home if you have the right equipment. However, all of these can be done by your physical therapist. Remember, moist heat feels better and travels deeper into our bodies than dry heat, such as a heating pad. TENS units can be purchased without a physician’s script, but often you get what you pay for. Your physical therapist can help you identify what modalities may be best for your situation, get your pain under control faster, and then help you get moving to cure the cause of you pain.

At Witte Physical Therapy our number goal is to get you back to doing what you want and need to do. We do not worry about our goals, because our goals are your goals! Give us a call at 402-234-3333 in Louisville or 402-298-4747 in Plattsmouth to schedule your free, no obligation consultation and let’s begin to discuss your pain and what we can do to help you!