August Newsletter 2018

We are celebrating our 10 year anniversary at Agile!

We look forward to another year of giving you the latest and most progressive treatments. We are so thankful to our patients for choosing and trusting in us for your physical therapy needs and hope that you all will join us in our celebration of 10 great years.


Fun Facts about Agile:

Since we opened in 2008 we have scheduled 41,695 patients.

Agile has incorporated Pilates into physical therapy treatment since they opened in 2008.

Agile is the premiere dance clinic in Birmingham, however 70% of our case load consists of non-dance related injuries.

We have treated everything from a national high jumper, america ninja warrior, professional ballroom dancers, NFL players, Circque de Soliel performer, Auburn and Alabama football players, Broadway performers, to your favorite nana.

Agile is the only physical therapy clinic in the area with a class IV light laser.


New Research Shows: Physical Therapy First for Low Back Pain Curbs Opioid Prescriptions and Lowers Costs

Adding to a growing body of evidence for physical therapist treatment of low back pain (LBP), a new study shows that using it as a first-line approach not only saves money, but also dramatically reduces the chance of receiving a prescription for dangerous opioids.

The study, Physical Therapy as the First Point of Care to Treat Low Back Pain: An Instrumental Variables Approach to Estimate Impact on Opioid Prescription, Health Care Utilization, and Costs, was published in the May 2018 issue of Health Services Research.

Researchers followed the health insurance claims of more than 150,000 patients for 1 year after an initial visit to a health care provider for LBP. They sought to examine differences in the type of health care utilized and how much it cost over the course of a year for those who saw a physical therapist first, those who saw a physical therapist at a later time after the initial visit, and those who never visited with a physical therapist during the study period.

The team concluded that patients with LBP who received care from a physical therapist first experience lower out-of-pocket pharmacy and outpatient costs. They also reduced their likelihood of receiving an opioid prescription by 87% compared with patients who never visited a physical therapist. The “physical therapist first” group also experienced a 28% lower probability of having imaging services and 15% lower odds of making a visit to an emergency room.

At any given time, about 25% of people in the US will report having low back pain within the previous 3 months. And more than 60% of people with low back pain in the US have a prescription for opioids. The US is struggling to combat an unprecedented opioid epidemic, resulting from the misuse of prescription painkillers, which come with dangerous side effects including depression, addiction, overdose, and death.

In 2016 the Centers for Disease Control and Prevention released opioid prescription guidelines, recognizing that prescription opioids are appropriate in certain cases like cancer treatment, palliative care, and end-of-life care, and in acute care situations if properly dosed. But the guidelines say for other pain management, nonopioid treatments, including physical therapy, should be used.

The American Physical Therapy Association's #ChoosePT campaign raises awareness about physical therapy as a safe and effective alternative to drugs for the treatment of pain. It aligns directly with the Centers for Disease Control and Prevention’s opioid prescription guidelines (March 2016), citing “high-quality evidence” supporting exercise as a part of a physical therapy treatment plan for low back pain, hip or knee osteoarthritis, and fibromyalgia.

All contents © 2018 American Physical Therapy Association. All Rights Reserved.


Cake Batter Blondies

Yield: 20 BLONDIES

Blondies remain fresh up to 1 week stored covered at room temperature.


  • 1 box yellow or vanilla cake mix

  • 1/4 cup vegetable or canola oil

  • 1 large egg

  • 1/3 -1/2 cup milk (less is better)

  • 1/2 cup sprinkles

  • 1/2 cup white chocolate chips​


  1. Preheat oven to 350F degrees. Spray 11x7 baking pan with nonstick spray.

  2. Combine first four ingredients in a large bowl. Add the milk slowly. You want to cake batter to be as dense & thick as possible. Mix in the sprinkles and white chocolate chips. Pour into prepared baking pan, sprinkle a few more sprinkles on top, and bake for 25-30 minutes until edges are just turning brown.

  3. Allow to cool for at least 30 minutes so the center sets, before cutting into squares.

  4. Make ahead tip: Blondies remain fresh up to 2 weeks stored covered at room temperature or in the refrigerator. Blondies freeze well, up to 3 months. Thaw overnight in the refrigerator.​

Recipe Notes:

The blondies will look like they are not fully done because the center will be quite gooey, but that’s what you want! After about 30 minutes of cooling, they will be easy to cut using a serrated knife.

Do not use black sprinkles swirled into the blondies. It will turn the batter black before baking.

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