January/ February Newsletter 2019

It's a new year and a lot is happening at Agile. We have some new faces around the office. Andrea has taken over for Brittany in the front office and will be handling all your front desk needs. We also have a new Physical Therapist, Sarah Ricco DPT who has also Joined the agile team in January.

The Agile team is also growing in other ways. Lindsay and Samantha will both be welcoming a baby into the world this year. This will be Lindsay's first and Samantha's third child. We are so excited for them both! Lindsay is due in February and Samantha is due in July!


Cold and Flu season are in full effect! If you suspect that you may have the cold or flu please see your doctor and let us know so that we can reschedule your appointment for when you are feeling better!


Meet Andrea!

Andrea recently moved back to Alabama from Panama City Beach, Florida after being displaced by hurricane Micheal. She is originally from Gadsden, Alabama. She previously worked as a pharmacy technician for 12 years. She has 3 daughters ages 12,11 and 8. She also as two dachshunds named Oscar and Greta. In her free time she enjoys hiking, going to ​beach, and cooking.


February 2nd is Groundhog day. Don't forget to tune in to see if Punxsutawney Phil, Chuck, or Alabama's very own Smith Lake Jake sees their shadow!

Are you hoping for an early spring or a few more weeks of winter?


Patient Testimonial

"I wanted to take a quick moment to commend the Agile staff for helping me through the difficult process of rehabbing my arm after a biceps tendon rupture repair. There is no question that your staff and facility made all the difference. Your staff were top notch from the front desk to all of the therapists. I especially want to comment my therapist Louise Webb for her professionalism and consistent attention to my plan. If myself or any of my friends need physical therapy in the future Agile will get my recommendation. Thank you again. "

- J. Swann

Big Thanks to Agile Physical Therapy and my therapist Louise Webb. Back to Terrapin fishing Summer 2018!


5 Tips to Manage Chronic Pain

1. Knowledge is power

There is a growing body of evidence suggesting that understanding how pain works is a key strategy in managing it. Simply knowing the basics of how our brain and nerves work and their role in pain, can decrease your chance of developing chronic symptoms. Learn more.

2. Keep moving (gradually and steadily)

Living an active, healthy lifestyle not only improves our general well-being and health, but can also reduce our chances of developing chronic pain. Our body was built to move, and we need to understand that not all aches or soreness is cause for concern. Learn more.

3. Spend time with a physical therapist

If you experience an injury, or develop the onset of pain, seeing a physical therapist early on can help address and manage your symptoms. Physical therapists are movement experts who optimize quality of life through prescribed exercise, hands-on care, and patient education. Accessing care early by a physical therapist reduces your chances of developing chronic symptoms. Learn more.

4. Focus less on the image

While most of us want a diagnostic image (ie, x-ray, MRI) to tell us "why we hurt," images actually give us little information about what's causing pain. A study performed on individuals aged 60 years or older, who had no symptoms of low back pain, found that more than 90% had a degenerated or bulging disc, 36% had a herniated disc, and 21% had spinal stenosis. What shows up on an image may or may not be related to your symptoms. Once imaging has cleared you of a serious condition, your physical therapist will help optimize your quality of life with a combination of prescribed exercise, hands-on care, and education.

5. Addressing depression and anxiety helps

Your chances of developing chronic pain may be higher if you also are experiencing depression and anxiety. A recent study in the Journal of Pain showed that depression, as well as some of our thoughts about pain prior to total knee replacement, was related to long-term pain following the procedure. Talk to your medical provider about any mental health concerns during your treatment, following an injury or surgery.

The American Physical Therapy Association launched a national campaign to raise awareness about the risks of opioids and the safe alternative of physical therapy for long-term pain management. Learn more at our #ChoosePT page.

Authored by Joseph Brence, PT, DPT


Louw A, Farrell K, Landers M, et al. The effect of manual therapy and neuroplasticity education on chronic low back pain: a randomized clinical trial. J Man Manip Ther. 2017;25(5):227–234. Article Summary in PubMed.

Louw A, Zimney K, Puentedura EJ, Diener I. The efficacy of pain neuroscience education on musculoskeletal pain: a systematic review of the literature. Physiother Theory Pract. 2016;32(5):332–355. Article Summary in PubMed.

Leung A, Gregory NS, Allen LA, Sluka KA. Regular physical activity prevents chronic pain by altering resident muscle macrophage phenotype and increasing interleukin-10 in mice. Pain. 2016;157(1):70–79. Free Article.

Fritz JM, Magel JS, McFadden M, et al. Early physical therapy vs usual care in patients with recent-onset low back pain: a randomized clinical trial. JAMA. 2015;314(14):1459–1467. Free Article.

Burns LC, Ritvo SE, Ferguson MK, Clarke H, Seltzer Z, Katz J. Pain catastrophizing as a risk factor for chronic pain after total knee arthroplasty: a systematic review. J Pain Res. 2015;8:21–32. Free Article.

Louw A, Diener I, Landers MR, Puentedura EJ. Preoperative pain neuroscience education for lumbar radiculopathy: a multicenter randomized controlled trial with 1-year follow-up. Spine (Phila Pa 1976). 2014;39(18):1449–1457. Article Summary in PubMed.

Baker AD. Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic subjects: a prospective investigation. In: Banaszkiewicz P, Kader D, eds. Classic Papers in Orthopaedics. London, United Kingdom: Springer-Verlag; 2014.

All contents © 2019 American Physical Therapy Association. All Rights Reserved.


Recipe Corner


2 h 30 m 15 servings 171 cals

  • 3 eggs

  • 1 cup white sugar

  • 1/3 cup hot water

  • 1 teaspoon vanilla extract

  • 1 cup sifted all-purpose flour

  • 1 teaspoon baking powder

  • 1/4 teaspoon salt

  • 1/4 cup confectioners' sugar for dusting

  • 1 cup fresh strawberries

  • 1 cup heavy cream, chilled

  • 1 teaspoon unflavored gelatin

  • 1 tablespoon white sugar

  • 2 tablespoons confectioners' sugar, for dusting (optional)


Prep 45 m / Cook 15 m/Ready In 2 h 30 m

  • Preheat oven to 375 degrees F (190 degrees C). Butter a jelly roll pan. Line it with buttered foil or buttered parchment paper.

  • Beat the eggs until thick and lemon colored. Gradually add 1 cup white sugar, beating constantly. Stir in water and vanilla extract. Fold in flour, baking powder, and salt. Pour batter into prepared pan.

  • Bake until cake is springy to the touch and beginning to shrink away from the sides of the pan, about 15 minutes.

  • Lay out a tea towel, and sprinkle it with confectioners' sugar. Turn the cake out on the towel. Peel off the paper or foil. Cut away crusty edges with kitchen shears or a sharp paring knife. Roll the cake up in the towel, and leave it to cool.

  • Whip the cream. Add unflavored gelatin and 1 tablespoon sugar. Fold in strawberries. Unroll the cake. Spread with the strawberry cream, and roll up again. Chill cake for at least 1 hour.

  • Before serving, dust cake with confectioners' sugar or top with additional whipped cream.

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