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Tracy Zukowski, our Director of Physical Therapy and Sports Rehab, is publishing a series of articles in local papers to share news and insights in Physical Therapy. Check back frequently to read the articles reposted here. You can also contact us today to sign up for our email newsletter to ensure you don't miss out on any Club or Physical Therapy news.  If you have specific questions for Tracy, you may contact her directly at

If you have any questions or would like to make an appointment, please call 732-636-5151 today. We accept most insurance and are happy to contact yours to determine your benefits. And remember, you have the right to choose your own therapy facility. Choose the one that will treat you the way you want. You can find us at The Club at Woodbridge – 585 Main Street. Where Medicine and Fitness Meet.

PT Spotlight

The Home News Tribune, 11 January 2016. Print.


Professional athletes have financial and competitive incentives to “play through pain,” which is a tough-it-out attitude that youngsters, weekend warriors, and amateur athletes may want to emulate. However, playing through serious pain is never a good idea  in that it could lead to greater injury, more serious treatment, and added recovery time. For instance, a marathon runner may regard a stress fracture of the femur (thigh bone) to be nothing more than a “nuisance injury”; however, there are many cases of runners ignoring stress fractures and sustaining complete fractures as a result. While it would have taken a stress fracture eight weeks to heal, the recovery time associated with a fracture is six to nine months. 

If you’re experiencing pain while playing, please call 732-636-5151 right away to make an appointment. Our experienced therapists can provide the hands-on help that you need to reduce your pain and help you feel better without making the injury worse. And always remember that you have the right to choose where you receive therapy. Choose a facility that will treat you the way that you deserve. We are located at The Club at Woodbridge - 585 Main St.  We accept most insurance and are happy to contact yours to determine your benefits. Where Medicine and Fitness Meet.

P.S. Athletes on any level who ignore hamstring injuries risk straining their knee ligaments and/or spraining their ankles as they try to compensate.

The Home News Tribune, 25 January 2016. Print.


As a general matter, “weight-bearing” exercise, which is performed against the force of gravity, is good for bones. In addition, activities involving muscle force also stimulate bone building since placing bones under stress triggers specialized cells to build bone. This benefit is site-specific, which means that running promotes stronger leg bones and tennis stimulates bone growth in the dominant arm, etc. With this in mind, most osteoporosis prevention studies focus primarily on hip fractures, which involve the upper portion of the femur (thigh bone). The best activities to strengthen thigh bones are those that involve jumping and hopping, such as jumping rope or short stints of hopping in place from one foot to the other. 

If you’re worried about your bone strength and want to be sure that you’re exercising safely and efficiently, then you need a physical therapist. Our experienced staff can work with you and your doctors to create a regimen that is tailored to your unique needs, goals, and limitations. Let us help you get stronger.

P.S. If you are older and/or experience joint pain, your first priority should be to strengthen your muscles and improve balance before you start jumping and hopping.

The Home News Tribune, 8 February 2016. Print.


Would it surprise you to learn that 25,000 Americans suffer ankle sprains each day and that about one-third of adults will sprain an ankle in their lifetimes? These are statistics to bear in mind as we age and our waistlines expand and our feet face increasing challenges to their ability to stabilize our bodies. Whether or not you currently exercise regularly, there are some simple exercises that you can perform (involving placement of a rubber band over your feet) that can help strengthen ankles and prevent sprains. Once a severe ankle sprain does occur, it is very important to have it examined for instability four to six weeks after the injury in case additional therapy is required.  

Whether you’re trying to recover from a bad sprain or want to prevent one from ever happening, please call us. Our experienced therapists can provide the hands-on help that you need to improve your ankle strength, which can reduce the likelihood of another sprain

P.S. A previous ankle sprain is the greatest risk factor for another one.

The Home News Tribune, 22 February 2016. Print.


Not too long after their pregnancies, women often turn to the treadmill or elliptical machine to get the cardiovascular exercise they think they need to shed postpartum weight. While there is certainly something to be said for increasing endurance and strengthening the heart, weightlifting may offer a better path to weight loss. However, sometimes women may be hesitant to lift weight or engage in resistance training because they want to get smaller, not more muscular. These doubters should realize that, while weightlifting may initially increase muscle mass, it also increases metabolism. The more muscle that is created, the more calories are burned. Women also do not have the necessary testosterone needed to create bulky muscles.  

If you’re interested in increasing your muscle mass for any reason, please call us at 732-636-5151. Our experienced therapists can create a regimen designed specifically for your unique needs and goals. We will work with you, providing the encouragement and guidance you need to lift weights safely and effectively. In addition, we can help if you’re recovering from an accident, injury, or surgery. If you have any questions or would like to make an appointment, please call our office today

P.S. Weightlifting exercises need to be performed correctly in order to get the desired results. Poor form often leads to injury.

The Home News Tribune, 7 March 2016. Print.


The reason that many golfers frequently experience back pain rests with the fact that the golf swing stresses the spine in three ways. There is downward head-to-foot compression; lateral side-to-side bending; and a sliding, front-to-back shearing motion. On top of the stresses, poor biomechanics of a bad swing only compound these forces. A golf swing places a peak compressive load on the lumbar spine (small of the back) that is equal to eight times the golfer’s body weight. Because it is the right side that drives the body through the counterclockwise motion that powers the swing, right-handed golfers usually injure muscles on the right side of their backs. This is particularly true of the paraspinal muscles that stabilize the vertebrae. 

Our therapists understand the unique needs of athletes in a wide variety of sports, including golf. If you would like an appointment, please call 732-636-5151. We can also help you get back on your feet if you are recovering from a sports injury, a surgery, or a car accident. And always remember that you have the right to choose where you receive therapy. Choose a facility that will treat you the way that you deserve.

P.S. Physical therapists can analyze the biomechanics of a golf swing and make suggestions about changes and alterations that can help circumvent further injury.

The Home News Tribune, 21 March 2016. Print.


You may already be familiar with the “chair test” that can be used to assess seniors’ leg strength and lower body fitness. It involves having a person stand up from a seated position without using hands. Now attention is being focused on a new test that can be used as a predictor of longevity. The simple test takes into account how difficult, or easy, it is for an individual to sit down on the floor and get back up again. Researchers found that middle-aged and elderly individuals who used both hands and knees to get up and down were less likely to survive the next six years compared with those who got up and down without any need for support.

If you’re having trouble getting up and down off the floor (or out of a chair), then you need to call us at 732-636-5151. Our experienced therapists understand the unique needs of seniors and can provide the hands-on help that you need to improve your strength, balance, and flexibility. In addition, we can help if you are recovering from an athletic injury, a surgery, or a car crash. If you have any questions or would like to make an appointment, please call our office today.

P.S. The simple sit down/stand up test for predicting longevity takes into account the ratio of muscle power to body weight, body flexibility, balance, and motor coordination.

The Home News Tribune, 4 April 2016. Print.


Transcutaneous electric nerve stimulation (TENS) is a pain-relieving treatment that is very popular with both physical therapists and patients. This safe and painless therapy, which prevents pain signals from reaching the brain, involves placing small electrodes on the skin, generally near the area of pain. These electrodes are attached to a small portable stimulator that delivers tiny electrical impulses that pass through the electrodes to nearby nerve pathways. The exact manner in which this electrical stimulation of nerves works to relieve pain is not clear. One theory has it that they stimulate the body’s natural painkillers, or endorphins. TENS is usually used in conjunction with other pain-relief treatments that help patients achieve a level of comfort that permits greater movement.

TENS is just one of the many methods that our experienced therapists can use to reduce or relieve your pain. We pride ourselves on our personal attention and will work with you to create a unique regimen tailored to your particular needs and goals.

P.S. Transcutaneous electric nerve stimulation (TENS) may be useful in reducing pain and muscle spasms caused by arthritis, back pain, sports injuries, and other conditions.

The Home News Tribune, 18 April 2016. Print.


Just because your doctor’s prescription for physical therapy has reached its conclusion does not mean that everything should come to an abrupt halt. As the end of your course of physical therapy treatment draws near, you should discuss your transition back to everyday life. Patients should make every effort at this point to remain physically active and fit. After all the hard work that physical therapy entails, it would make no sense to abandon the commitment that got you where you are. Slipping back into the sedentary lifestyle of a couch potato not only risks further injury or susceptibility to weakness, but it also compromises general health. You can make the transition with the help of your physical therapist.  

Our experienced therapists take pride in the personalized attention we give all our clients, from the first appointment until the last one. We’ll work with you and your doctor to ensure that you make the transition back into your regular life smoothly and safely. That includes good advice to prevent relapses and future injuries.

HINT: After concluding your round of physical therapy, be cognizant of signs that indicate that you may be overdoing it, and back off as much as needed.

The Home News Tribune, 2 May 2016. Print.


There is nothing new about using magnets to treat pain in the belief that their electromagnetic fields might penetrate the body to alter nervous system function, increase blood flow, and produce other possible effects. However, studies generally do not show any benefit. According to one recent study involving carpal-tunnel patients with magnets taped to their wrists nightly for six weeks, the magnet-wearing patients fared no better than those wearing fake magnets. In another study of osteoarthritis patients who wore magnetic wrist straps for four weeks, the magnets were no better than demagnetized bracelets in managing pain and stiffness. These and other studies suggest that physical therapy offers better hope of pain management than magnet therapy, which could waste valuable time.    

Have you tried all the different folk remedies for pain? Let our experienced experts provide the proven techniques that will reduce your pain and improve your range of motion. We can help if you’re dealing with pain from arthritis, a surgery, a car crash, or a sports injury.

P.S. There is promising research showing that directing high-intensity electromagnetic pulses into the region of the brain associated with depression may help those who do not respond to antidepressant medications.

The Home News Tribune, 16 May 2016. Print.


Because the shoulder is a most flexible but unstable joint, it is vulnerable to dislocation. Due to various forms of trauma, the head of the humerus pops out of the glenoid (socket). When this painful injury occurs, the procedure known as a “closed reduction” must be performed by a physician. Although the patient will then feel immediate relief, further problems may loom. Among older patients, the muscles and tendons that form the rotator cuff and stabilize the shoulder become weak and brittle. These changes make it more likely for the rotator cuff to tear if the shoulder is dislocated. In fact, among people aged 40 years and older, shoulder dislocations cause a torn rotator cuff in 35%-86% of cases.

Of course, not every injury is as dramatic as a dislocated shoulder. But if you’re experiencing shoulder pain for any reason, you can benefit from physical therapy. Our skilled therapists can help you get back into the swing of things, regardless of the cause of your pain. In addition, we can help if you’re recovering from surgery, an athletic injury, or a repetitive stress injury. If you have any questions or would like to make an appointment, please call our office today.

P.S. Rotator cuff tears cause pain, particularly in the upper and outer shoulder, when a person reaches upward or sleeps on the injured side.

The Home News Tribune, 30 May 2016. Print.


Today’s seniors are used to leading active lives and do not want anything to stand in their way, even arthritis. It should not come as too much of a surprise, then, that the number of first-time knee replacements and revision procedures has more than doubled over the past 20 years. According to the latest statistics, 62 out of every 10,000 older U.S. adults undergo primary knee replacement surgery annually. After the knee is replaced with an artificial joint, patients must undergo an extended period of rehabilitation, with full recovery taking from six months to one year. Once completed, patients not only are typically healthier due to improved mobility, they may also require less health care in the future.

If you’re about to undergo a joint-replacement surgery, you need to know that you have the right to choose your own physical therapist. Choose the one that is best for you. Our compassionate therapists will work with you and your doctor to tailor a unique and effective regimen just for you.

P.S. Knee replacements are covered by both private health insurance and Medicare.

The Home News Tribune, 13 June 2016. Print.


When it comes to managing the pain of arthritis, it is best to explore the most conservative treatments first. Physical therapy is very useful in this regard because it is non-invasive and has been proven to be effective. By developing an exercise regimen that will fit an arthritis patient’s specific needs, a physical therapist can get the patient moving. This is very important since exercise not only reduces joint pain and stiffness and increases flexibility, muscle strength, and endurance,  it also helps reduce added weight that might otherwise overburden joints. Range-of-motion exercises reduce stiffness and increase flexibility, while strengthening exercises produce strong muscles that support and protect joints. Aerobic exercises improve overall fitness.

If you are suffering from arthritis, then please call us. Our experienced therapists understand the unique needs of seniors and we’ll help you reduce your pain and improve your range of motion. In addition, we can help if they are recovering from surgery or a car crash.

P.S. Exercising in a pool helps arthritis patients by reducing the strain on joints that would otherwise cause exercise-inhibiting discomfort.

The Home News Tribune, 11 July 2016. Print.


Having strong core muscles (abdominal, back, and pelvic muscles) is important because it increases stability and efficiency of movement while decreasing the risk of injury. Although most people have traditionally relied on sit-ups to strengthen their abdominal muscles, this exercise is risky for those with back problems. Sit-ups are also limited in scope. For these reasons, exercisers have come to increasingly rely on an exercise known as “planking” to strengthen their core muscles. This form of isometric exercise goes beyond the abdominals to also work those in the back and shoulders, the glutes, quads, inner thighs, and calves. A “prone plank” involves resting on the forearms and elbows in a pushup-like position for 10-20 seconds, then repeating.        

Do you have any questions about planking or other exercises to improve your core? If so, please call our office to make an appointment. Our experienced therapists understand the importance of core strength and we can ensure that you are safe as you exercise. In addition, we can help if you are recovering from surgery or a car crash.

P.S. If a prone plank is too difficult for you to perform at first, try a modified version that involves supporting yourself on your knees in a manner similar to a modified pushup.

The Home News Tribune, 25 July 2016. Print.


Those who play sports involving clubs, racquets, or bats know that it takes a whole-body effort to make a good swing. Otherwise, they can put themselves at risk for elbow pain that can sideline them. The elbow is often the weakest link in a “kinetic chain” that extends from the legs, hip, and trunk through to the elbow, hand, and wrist. When golfers and tennis players do not use the entire kinetic chain to make their swings, the weakest link is likely the first to suffer adverse consequences. Golf and tennis elbow are actually forms of tendonitis called “epicondylitis,” which affects tendon attachment points on either side of the elbow. Treatment includes  improved technique and physical therapy.

We know that elbow pain can affect every aspect of your game. Let our compassionate and experienced therapists help. We can work with you to improve your kinetic chain, as well as reduce your pain. In addition, we can also help if you’re recovering from a wrist or knee sprain, a repetitive stress injury, a surgery, a car crash, or an athletic injury.

P.S. Golfer’s elbow involves damage to the outside of the elbow (lateral epicondylitis), while tennis elbow occurs on the inside of the elbow (medial epicondylitis).

The Home News Tribune, 8 August 2016. Print.


The term “charley horse” is used to describe a muscle cramp in the calf caused by too much or too little activity. This painful cramping periodically afflicts nearly three out of four individuals over age 50, usually at night. When a charley horse occurs during exercise, it is usually the result of dehydration, muscle fatigue, or mineral imbalances involving either sodium or potassium. Medications such as diuretics can also cause cramping due to a decrease of potassium in the blood stream. In addition, a charley horse may be triggered by abruptly pointing the toes downward or even lying on the stomach with the toes pointed down. Prevention of charley horses involves drinking fluids and avoiding poses with toes pointed downward.

Learning what causes charley horses, or other pains, can be a simple way of preventing them in the future. Our experienced therapists can help you understand the mechanics of your body and improve its function. We can also help if you’re recovering from a car crash, surgery, or an athletic injury.

P.S. To ease charley horse pain, carefully stretch the calf by gently flexing the foot and massaging the calf. Persistent pain despite these efforts should prompt a visit to the doctor to rule out phlebitis (inflammation of a vein).

The Home News Tribune, 22 August 2016. Print.


When people stop exercising, they may wonder how soon they’ll fall out of shape (become “deconditioned” or “detrained”). No one wants to lose hard-won musculature and aerobic gains due to injury or illness. According to the American College of Sports Medicine, it takes only two weeks of detraining to experience a significant decline in physical fitness. Being sedentary for two to eight months can lead to a loss of virtually all fitness gains. However, it does matter how much a person trained and how fit he or she was before stopping exercise. Generally, those who have trained intensely and have been fit for the longest amounts of time tend to experience a more gradual detraining effect than less fit individuals.

If you’re recovering from an injury or just want to get back in shape after a long sedentary period, you should call 732-636-5151. Our therapists can craft a regimen specifically designed to meet your goals. Then we’ll work with you, one-on-one, to make sure that you work out safely and effectively.

P.S. As far as the effects of detraining go, loss of aerobic capacity (the maximum amount of oxygen a body can use in an exercise session) tends to occur more rapidly than the loss of muscle strength.

The Home News Tribune, 5 September 2016. Print.


Some people might wonder whether jogging puts runners at risk for developing arthritis. As the thinking goes, running places additional force on the knees and accelerates wear and tear on the joints. However, medical research seems to indicate otherwise. In fact, studies of large numbers of men shows that recreational runners have a lower risk of hip and knee arthritis, which means that running seemingly has a protective effect. Part of this benefit can be explained by runners’ lower body weight, but other research involving knee-cartilage measurements suggests that running may stimulate cartilage to grow, not wear out. In any case, once arthritis develops, it is important to exercise and maintain quadriceps muscle strength; running can help with both.  

Whether you’re dealing with arthritis already or trying to stave it off with a jogging regimen, you should make an appointment with one of our experienced therapists. We can provide the hands-on care to get you moving as well as to keep you moving if you already have arthritis. We can also help you exercise safely and effectively to prevent wear and tear on your knees.

P.S.  If you run, it’s a good idea to mix in other types of exercise such as low-impact cycling or swimming.

The Home News Tribune, 19 September 2016. Print.


Soccer is not solely a worthwhile pursuit for children, teens, and young adults. When previously inactive men, ages 63 to 74, were recently introduced to the sport, they reaped a number of health benefits. According to Swedish researchers, after playing soccer for one hour twice a week for 16 weeks, the older players showed significant improvements in their heart function, bone density, and muscle strength as the result of fast runs, stops, dribbles, passes, and shots that gave muscles and bones intense workouts. As a result of the workouts performed by these men, who either never played soccer or had not done so in decades, they were better able to perform everyday tasks such as climb stairs and carry groceries.  

Taking up soccer or other physical exercise is great, no matter what your age. But you need to do it safely. Let our experienced therapists create a regimen that is designed specifically to meet your goals and which takes into consideration your unique body.

P.S. No one is suggesting that previously sedentary men suddenly play soccer like the pros. Just kicking the ball around may do for starters.

The Home News Tribune, 3 October 2016. Print.


“Tibial stress syndrome,” commonly referred to as “shin splints,” causes pain that radiates from the front of the lower leg. This condition usually results from asking muscles and tendons to perform more work than they are accustomed to doing, such as picking up a running pace too quickly. To prevent this problem, it pays to keep the calves flexible with daily stretching when the muscles are warm. Otherwise, reduced flexibility in the calves results in more work for the shins to elevate the feet. To strengthen the shins, walkers and runners should try walking on their heels for ten seconds at a time or writing out the alphabet with each foot as they rotate their ankles.

Exercising has many long-term benefits. But it must be done properly and safely for you to reap the rewards. Let our experienced therapists help you prevent problems like shin splints. We assess your needs and then craft an individualized regimen tailored to your goals and abilities, making certain that you’re exercising in a safe and effective way.

P.S. The initial prescription for treating shin splints is rest, ice, and elevation.

The Home News Tribune, 17 October 2016. Print.


According to standard exercise guidelines, a person should exercise at moderate intensity for at least 150 minutes per week (or 75 minutes of intense activity) in order to maintain good general health. As much as many exercisers may believe they are meeting these exercise thresholds, they may not be exercising as hard as they think they are. According to recent research involving 129 study participants (predominantly young women), most participants overrated how intensely they were exercising. Moderate exercise is generally defined as activity that raises an exerciser’s heart rate to 60 to 80 percent of his or her maximum exercise heart rate. Many in the study thought that they had met this standard, but were actually exercising less intensely.

Do you have any questions about exercise intensity? Our experienced therapists can help. We can provide the personalized, one-on-one attention that you need to get as much benefit as possible out of your exercise regimen.

P.S. If you can engage in a conversation (but not sing) while exercising, your intensity is deemed to be “moderate.”

The Home News Tribune, 31 October 2016. Print.


As exercisers concentrate on building upper-body and lower-body strength, as well as concentrate on their core muscles, it is easy to overlook how important grip strength is. The fact is that hand-grip strength plays an important role in keeping older adults independent as they open jars and doors, carry groceries, and drive their cars. With all this in mind, physical therapists regard a senior’s ability to grab, pinch, hold, and twist to be an accurate indicator of current and future health. According to a recent study involving more than 20,000 men and women aged 65 and older, researchers found a link between grip strength and compromised mobility (slow walking speed). Weak grip strength translates to lost muscle mass.

If your grip is weak, or if you want to prevent it from deteriorating, please call 732-636-5151 to make an appointment. Our experienced therapists can help you. We will work with you to craft an exercise regime that specifically targets your goals, whether that’s a stronger core or a firmer handshake. Then, our hands-on therapists will work with you, one-on-one, in order to help you reach those goals.

P.S. Weak grips can be caused by inflammation.

The Home News Tribune, 14 November 2016. Print.


The problem with exercising in winter is that common colds can leave exercisers wondering whether or not they should work out. Where should exercisers draw the line? According to many sports medicine specialists, the line should be drawn at the neck. That is, if a person’s symptoms are above the neck (earache, stuffy nose, sneezing, or sore throat), exercise can be considered (at half speed). If they feel they are up to it after ten minutes of exercise, they can proceed at normal intensity. If, on the other hand, symptoms are below the neck (bad cough, fever, vomiting, or diarrhea), they can forget about exercising altogether. Exercise will only exacerbate dehydration, which is already a problem due to the illness.

Do you have any questions about when it’s OK to exercise? Our experienced therapists can answer all your questions and provide the personal guidance that many people need to get fit and stay healthy.

P.S. Exercise stresses the body, compromising its ability to heal. The result is worsened symptoms and an extension of normal recovery time.

P.S. Weak grips can be caused by inflammation.

The Home News Tribune, 28 November 2016. Print.


When physical therapists tell people suffering from back pain that strong stomach muscles can help relieve their agony, many wonder how. The fact is that the abdominal muscles are important parts of the musculature known collectively as the “core.” The “abs” work together with other core muscles (diaphragm, hips, and paraspinal muscles) to perform arm and leg movements, support the spine, and balance shifting body weight. When back muscles are sore and painful, it may be due to the fact that they are compensating for weak core muscles. With this in mind, it is often advisable for back-pain sufferers to increase the strength of their core muscles, which helps alleviate the imbalance.

If you are interested in improving your core muscle strength, please call 732-636-5151 for an appointment. We can help whether you are trying to reduce your back pain or simply want to improve your base level of fitness. We can also help if you are dealing with pain in your neck, shoulders, ankles, or wrists.

P.S. When core muscles contract, they stabilize the spine, pelvis, and shoulder girdle, creating a solid base of support that makes it possible to generate powerful movements of the extremities.

The Home News Tribune, 12 December 2016. Print.


Mature adults should recognize that muscle building isn’t just for those interested in fitness as a form of recreation. It is critical for reducing injuries, averting falls, strengthening bones, improving cholesterol levels, maintaining a healthy weight, reducing joint pain, and combating mild depression. Moreover, strength training is needed to preserve the independence of seniors who want to remain as active and engaged as possible. With this in mind, older adults may want to work with a physical therapist, who can design a program that is tailored to their needs and abilities. That way, they can avoid muscle strains and ligament tears that can unnecessarily divert them from their goals. This is particularly recommended for those struggling with chronic health problems.   

Our experienced therapists understand the unique needs of seniors when it comes to strength straining. We can help you craft a regimen that will take into account your own personal goals and limitations. Then we can work with you to ensure that you increase your muscle mass safely and effectively.

P.S. A person’s hand grip strength is one of the most reliable ways of assessing a person’s muscle mass and predicting disability.

The Home News Tribune, 26 December 2016. Print.


Patients might wonder what the difference is between “physical therapy” and “occupational therapy.” Although both improve the quality of life of patients, physical therapy primarily deals with pain, strength, range of motion, endurance, and gross motor functioning following an injury or surgery. While occupational therapy also considers the physical aspects of rehabilitation and motion, it is focused on fine motor skills, visual-perceptual skills, cognitive skills, and sensory-processing deficits. While the goal of both physical therapists and occupational therapists is to restore patients’ mobility, occupational therapists work to optimize their patients’ independence and ability to accomplish their daily activities. There is often an overlap between the two therapies, and many patients find  that they need both. 

If your doctor has suggested a physical therapist to you, please call 732-636-5151. Our experienced therapists will work with you and your doctor and your occupational therapist (if you have one) to craft a regimen tailored to your specific goals and limitations. Then we can work with you, one on one, to provide the encouragements and guidance you need to feel better.

P.S. Occupational therapy is often very beneficial for elderly individuals who want to continue living independently.

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