Hello Mama- Part 1 of 3

Welcome to a series of educational blogs for women who may be struggling with low back and neck pain before, during, or after pregnancy. At PDR, our comprehensive spine specialty rehabilitation and pregnancy protocols can help resolve pre-, peri- & postpartum spine pain through an exercise and drug-free approach. Wherever you are on your journey, we can help!

Hello Mama Blog…. 1
Getting My Body Ready for Baby
Are you considering changing your World….by adding a new Baby? Do you currently struggle with neck and back pain and are worried the extra weight of a new baby my make it worse?
Have no fear, at PDR our program focuses on neck and back strengthening, posture improvement and individualized functional training plans for you…. to decrease strain on the spine and prevent injury, and most importantly…stop pain the natural way.
The best way to a happy, healthy pregnancy is a good daily exercise program and nutrition. The stronger and healthier you are the easier it will be to carry and deliver that ever growing baby. An exercise program should include stretching and cardio exercise daily and strength and relaxation exercises 3 days a week. For nutrition, think of the foods from Mother Nature! Add more fresh or frozen fruits and veggies to your daily routine. Meet with your primary doctor who will set you up with a great plan and also may prescribe prenatal vitamins. If you do not have a current exercise program we can create one for you here at PDR.
Buy a BOOK??? So the #1 bestselling pregnancy book is, What to Expect When You’re Expecting, 5th edition, revised and updated in 2016, by Heidi Murkoff and Sharon Mazel and their team of medical advisors. The first edition was published in 1984 and used by millions of mothers as a guide and reference of what is happening to your body and your baby month by month. It is the best resource in the middle of the night when you are wondering …is this normal???
Getting your body ready for baby can be a challenge, but it’s worth it. By taking the first steps to prepare your body, you are setting yourself up for success! And hopefully a quick delivery! If you experience back pain or neck pain during pregnancy we will be here for you then also! When you choose the right time to change your world…and add a Baby, we will take that wild ride with you, from the beginning planning stage, to Managing your New, “Baby Body” and then we’ll guide you through… Getting your Body Back after Baby!

Are you ready to take next steps and learn more? Come to our FREE Educational Presentation and Q&A: Getting My Body Back on Tuesday September 18 6:30-8pm at PDR-Coon Rapids 320 Coon Rapids Blvd Coon Rapids, MN Register to attend here

PDR & The Graston Technique

PDR recently had the fantastic opportunity to send our therapists to an extensive continuing education course to learn the Graston Technique.

The Graston Technique is a style of treatment that utilizes instrument-assisted soft tissue mobilization to assist care of our patients by releasing tension, or tightness from muscles that are limiting our movement or daily function and creating pain. Included are stainless steel instruments that are used directly on the skin to get deeper down into the muscle tissue. When muscle tension is not fully changed with stretches and strengthening exercises, Graston is a handy option to help assist our therapists to progress our patients closer to recovery.

Graston has been a powerful addition to our program this year, many times we see results in pain relief and increased motion immediately after use! Many of our therapists became “Certified Graston Providers” earlier this year after an extensive two-day educational course to learn the proper use of the Graston Instruments and how to implement them into a spine specific therapy environment. All the PDR therapists are now well versed in the science, benefits, and application of these techniques to provide a positive and efficient treatment for our patients in their road to recovery. We have already seen impressive results, especially with those who have suffered chronic pain and muscle restrictions for many years. Many have reported that they never thought they would move this well again in their life!

The Graston Technique is most effective when used in combination with our well-structured therapy and MedX program consisting of stretching, strengthening, education, posture, and body mechanics training. Using Graston alongside our other methods increases patient independence, creating more confidence and less fear when developing lifelong routine and self exercise programs to maintain all their functional goals achieved during therapy.

PDR Clinics – HealthPartners Innovation Award Participant

Todd Ginkel, DC, Laurie Applebee, PT and Jennifer Missling, PT at the 2017 HealthPartners Innovation Awards

Innovation is the heart of PDR Clinics’ vision of being the best non-surgical solution for neck and low back pain management.

As part of our continued investment in innovation PDR took part in the 2017 HealthPartners Innovation Awards.

As a Innovations in HealthCare Recognition Participant, PDR submitted an innovation on using predictive indicators to improve outcomes.

The poster content is provided below.


In contrast to a biomedical model that emphasizes treatments based on physiologic structure of the spine (i.e., joint, disc, or muscle injury), the biopsychosocial model addresses a broader spectrum. Cognitive Functional Therapy (CFT) is a behaviorally targeted intervention that combines normalization of movement while discoursing pain behaviors by reconstructing maladaptive thoughts about pain.


We studied patient activation and its relationship to neck and low back pain therapy outcomes and program adherence and its relationship to other routine inventories performed in our office. We also wanted to determine if there is any opportunity to better triage patients for improved completion rate and outcomes.


  • Using predictive indicators for poor outcome may allow providers to triage care earlier in the process, offering a more targeted approach to obtain higher outcomes.
  • PAM-13 measure for patient activation and Keele STart Back measure for psychosocial risks factors allow providers to understand patient psychology and employ coaching for activation and motivational interviewing skills appropriately with care

    The results demonstrate that regardless of the level of activation or severity of disability, patients get similar outcomes. This validates that patients completing a CFT-based rehabilitation program achieve outstanding results in function, pain, and psychosocial outcomes.


    Understanding the relationship of patient activation and psychosocial barriers to recovery and adherence helps provide some preliminary knowledge moving forward into health care payment reform.